Current Awareness Update No. 26

Current Awareness Update No. 26

Date: 17 February 2012

KEYWORDS: Major Headings in CAPS, Sub Headings in lower case.

NHS REFORMS: NHS Commissioning Board; NHS Trust Development Authority. NHS Future Forum; Integrated Care; need for reform.

TELEHEALTH: Concordat; Veterans Health; NHS 111: Implementation; Minimum Dataset. MANAGEMENT: Code of Conduct; Good Governance; Service Line Management; Ethical Decision Making; Cost Improvement Programmes; Competition; NHS Performance; comparison with international health systems. SUSTAINABILITY. END OF LIFE CARE: Commissioning; Deprivation and EOLC. LEGAL / REGULATION: Equality Act 2010; Regulation of Apps; Quality Accounts. AMBULANCE SERVICE: Management of Controlled Drugs. DATA MANAGEMENT: Open Data. URGENT AND EMERGENCY CARE: Accident & Emergency Attendances; Emergency Bed Use; Emergency Readmissions. PATIENT GROUPS / CONDITIONS: Gypsies and Travellers; Alcohol Misuse; COPD. USEFUL BUT NOT ELSEWHERE REPORTED: Cities (data and statistics); How AHPs contribute to patient care.

WHAT’S IN THIS UPDATE:

NHS Reforms - despite changes and delays to the Health and Social Care 2011 Bill, the NHS Reform process continues to generate publications. Documents which inform the creation of the new NHS structures were published for the NHS Commissioning Board (NHS Commissioning Board, 2012), the NHS Trust Development Authority (Department of Health, 2012a) and workforce planning – education and training (Department of Health, 2012b). The NHS Future Forum published its second report (Field, 2012) together with a report on the benefits of integrated healthcare (Goodwin et al., 2012). The All Party Parliamentary Group Primary Care & Public Health questioned the need for large scale reform (All Party Parliamentary Group Primary Care & Public Health, 2012).

Telehealth - the Department of Health has signed a concordat with the Telehealth industry (Department of Health, 2012c) to accelerate the use of telehealth in the NHS. The 2020Health think tank published a report on lessons for the NHS from the implementation of Telehealth by US Veterans Health Administration (Cruickshank, 2012).

NHS 111- NHS Alliance reported on concerns about lack of Clinical Commissioning Group (CCG) and local involvement in NHS 111 implementation (NHS Alliance, 2012). The Department of Health published an update of the minimum dataset to December 2011 (Department of Health, 2011).

Management and Finance – the Institute of Healthcare Management published a code of conduct for healthcare managers (Institute of Healthcare Management, 2012) and HQIP/GGI produced a handbook for Good Governance providing principles of good governance in healthcare organisations (Bullivant, Burgess, Corbett-Nolan, & Godfrey, 2012). The King’s Fund looked at the value of Service Line Management to NHS organisations (Foot, Sonola, Maybin, & Naylor, 2012). The Centre for Innovation in Health Management published a guide to ethical decision making in the NHS (Baxter, Fischer, & Malby, 2012). The Audit Commission/Monitor published a guide to cost improvement programmes [CIPs] for all NHS Trusts – including Ambulance Trusts (Audit Commission & MONITOR, 2012). The Office for Health Economics commission on competition within the NHS reported, broadly supporting competition within defined limits (Office of Health Economics, 2012). Two reports look at NHS performance, The King’s Fund Quarterly Report (Appleby, Thompson, & Galea, 2012) and comparison with international health systems form the OECD (Squires, 2011).

Sustainability – the RAND corporation (Ling et al., 2012) looks at issues relating to sustainability within the NHS. The NHS Sustainable Development Unit (NHS Sustainable Development Unit, 2012) reviews briefly current practice and policies.

End of Life Care – NICE issued a Guide to Commissioners on end of life care for adults (National Institute for Clinical Excellence, 2011). The NHS National End of Life Programme reported on the influence of deprivation on EOLC (Pring & Verne, 2012).

Legal / Regulation - NHS Employers published an interim guide for NHS organisations on implementing the Equality Act 2010 (NHS Employers, 2011). Consultancy d4 report on regulatory issues in the UK, EU and USA around publishing and using health care apps on smart phones (d4 Research, 2012). The Audit Commission reviewed the Quality Accounts of 91 NHS Trusts and published summary findings and recommendations (Audit Commission, 2012).

Ambulance Services – the National Prescribing Centre published their final report on the Safe Management and Use of Controlled Drugs in the Ambulance and Paramedic services in England (National Prescribing Centre, 2012)

Data Management – The Cabinet Office published a summary of an across government consultation on open data including healthcare/NHS (Cabinet Office, 2012).

Urgent and Emergency Care – The NHS Information Centre published data on A&E attendances for 2010/11 Accident & Emergency attendances in England (experimental statistics) 2010/11 (NHS Information Centre, 2012). The King’s Fund published an analysis of the data relating to emergency bed use. The RAND Corporation published a review of evidence relating to Emergency Readmissions on behalf of the Department of Health (Nolte, Roland, Guthrie, & Brereton, 2012).

Patient Groups / Conditions – Better Health Briefing summarises health related issues around Gypsies and Travellers (Matthews, 2012), The House Of Commons Library has prepared an analysis of trends form statistical data related to alcohol misuse and health implications (Harker, 2012). NICE published an update of evidence relevant to COPD (NHS Evidence, 2012).

Useful but not elsewhere reported – the Centre for Cities published a review of data relating to cities looking at key economic indicators such as unemployment (Centre for Cities, 2012). A useful wall chart, Back to health , back to life. How allied health professionals make a difference to patient care, shows how AHPs contribute to patient care (North East Allied Health Professionals Cooperative, 2012).

THIS MONTHS NEWSLETTERS AND BULLETINS

AHP Bulletin – from the Department of Health. Useful insight into the way DOH is thinking about Allied Health Professions

http://ahp.dh.gov.uk/bulletins/

Allied Health Professionals Network North West – Latest News

http://www.ahpnw.nhs.uk/news.html

AQuA Bulletin - your regular e-newsletter which keeps you up

to date with all the latest developments in AQuA.

http://www.advancingqualityalliance.nhs.uk/news/theaquaweek.html

Child and Maternal Health Observatory [ChiMat] – Newsletter and Update

http://www.chimat.org.uk/ku/previous

End of Life Care Programme http://www.endoflifecareforadults.nhs.uk/publications/newsletter-28

Medical Directors Bulletin – from Department of Health

http://www.dh.gov.uk/health/category/publications/bulletins/medical-directors-bulletin/

MONITOR NHS Foundation Trust Bulletin available from:

http://www.monitor-nhsft.gov.uk/home/our-publications/browse-category/guidance-foundation-trusts/monthly-nhs-foundation-trust-bullet

the week –from the Department of Health

http://www.dh.gov.uk/en/Publicationsandstatistics/Bulletins/theweek/index.htm

the month - from the Department of Health

http://www.dh.gov.uk/en/Publicationsandstatistics/Bulletins/themonth/index.htm

the quarter - from the Department of Health

http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_087335

STATISTICS

Accident and Emergency Hospital Episode Statistics are available form:

http://www.ic.nhs.uk/statistics-and-data-collections/hospital-care/accident-and-emergency-hospital-episode-statistics-hes

Ambulance Quality Indicators are available from:

http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performancedataandstatistics/AmbulanceQualityIndicators/index.htm

Weekly Ambulance Statistics are available from: http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performancedataandstatistics/WeeklySituationReports/index.htm

MISSED AN UPDATE?

All items included in this and previous updates is http://www.mendeley.com/groups/796441/current-awareness-update/papers/

FULL TEXT ACCESS

Full references with links are below. To View: Click on the link using CTRL + click to follow link or Cut (CTRL C) and Paste (CTRL V) the link into your browser. Alternatively e-mail Matt.Holland [ ] for full text.

All Party Parliamentary Group Primary Care & Public Health. (2012). Were massive reforms necessary to save the NHS? Inquiry into the NHS Health Reforms (pp. 1-37). London. Retrieved from http://www.dodsmonitoring.com/downloads/Misc_Files/APPGprimarycarepublichealth.pdf

Appleby, J., Thompson, J., & Galea, A. (2012). How well is the NHS performing? Quarterly monitoring report (pp. 1-22). London. Retrieved from http://www.kingsfund.org.uk/publications/nhs_performance_jan.html

Audit Commission. (2012). NHS quality accounts 2010/11. Providing external assurance: Findings from auditors’ work at NHS trusts and foundation trusts (pp. 1-21). London. Retrieved from http://www.audit-commission.gov.uk/nationalstudies/health/financialmanagement/Pages/nhsqualityaccounts1011.aspx

Audit Commission, & MONITOR. (2012). Delivering sustainable cost improvement programmes (pp. 1-41). London. Retrieved from http://www.audit-commission.gov.uk/nationalstudies/health/financialmanagement/Pages/AC-monitor-CIPS-20120118.aspx

Baxter, J., Fischer, M., & Malby, R. (2012). National Inquiry into Organisational Ethical Decision Making in the NHS. Full report (pp. 1-44). Leeds. Retrieved from http://www.cihm.leeds.ac.uk/new/wp-content/uploads/2009/11/Ethics-Inquiry-full-report-for-WEB.pdf

Bullivant, J., Burgess, R., Corbett-Nolan, A., & Godfrey, K. (2012). Good Governance Handbook (pp. 1-39). London. Retrieved from http://www.good-governance.org.uk/Downloads/2012 Jan Good Governance Guide.pdf

Cabinet Office. (2012). Making Open Data Real. A government summary of responses (pp. 1-23). London. Retrieved from http://data.gov.uk/sites/default/files/Summary.pdf

Centre for Cities. (2012). Cities Outlook 2012 (pp. 1-68). London. Retrieved from http://www.centreforcities.org/assets/files/2012/Cities_Outlook_2012.pdf

Cruickshank, J. (2012). Telehealth. What can the NHS learn from experience at the US Veterans Health Administration ? (pp. 1-22). London. Retrieved from http://www.2020health.org/2020health/Publication/NHSit/Telehealth.html

Department of Health. (2011). NHS 111 minimum data set - data to December 2011 (pp. 1-13). London. Retrieved from http://www.dh.gov.uk/en/Publicationsandstatistics/Statistics/Performancedataandstatistics/NHS111MinimumDataSet/index.htm

Department of Health. (2012a). Building the NHS Trust Development Authority (pp. 1-28). London. Retrieved from http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131776

Department of Health. (2012b). Liberating the NHS : Developing the Healthcare Workforce From Design to Delivery (pp. 1-52). London. Retrieved from http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132076

Department of Health. (2012c). A concordat between the Department of Health and the telehealth and telecare industry (pp. 1-4). London. Retrieved from http://www.dh.gov.uk/health/files/2012/01/Concordat-3-million-lives.pdf

Field, S. (2012). NHS Future Forum Summary report – second phase (pp. 1-26). London. Retrieved from http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131776

Foot, C., Sonola, L., Maybin, J., & Naylor, C. (2012). Service-line management. Can it improve quality and efficiency? (pp. 1-20). London. Retrieved from http://www.kingsfund.org.uk/publications/slm_paper.html

Goodwin, N., Smith, J., Davies, A., Perry, C., Rosen, R., Dixon, J., & Ham, C. (2012). Integrated care for patients and populations : Improving outcomes by working together. A report to the Department of Health and the NHS Future Forum (pp. 1-20). London. Retrieved from http://www.kingsfund.org.uk/publications/future_forum_report.html

Harker, R. (2012). Statistics on alcohol (pp. 1-8). London. Retrieved from http://www.parliament.uk/briefing-papers/SN03311

Institute of Healthcare Management. (2012). The Institute of Healthcare Management - The Management Code (pp. 1-3). London. Retrieved from https://www.ihm.org.uk/documents/about_us/About_us_code_of_conduct_4ihmmanagement_code

Ling, T., Pedersen, J. S., Drabble, S., Celia, C., Brereton, L., & Tiefensee, C. (2012). Sustainable Development in the National Health Service (NHS). The views and values of NHS leaders (pp. 1-102). Santa Monica, CA. Retrieved from http://www.rand.org/pubs/technical_reports/TR1210.html

Matthews, Z. (2012). The health of Gypsies and Travellers in the UK. Better Health Briefing, 12(February 2012), 1-2. Retrieved from http://mighealth.net/uk/images/8/82/Zoem.pdf

NHS Alliance. (2012). NHS 111: getting lost in translation? NHS Alliance Discussion Paper from the Clinical Commissioning Federation and the Urgent Care Network (pp. 1-8). Retford, Notts. Retrieved from http://www.nhsalliance.org/fileadmin/files/pdf/NHS111-gettinglostintranslationFINAL.pdf

NHS Commissioning Board. (2012). Design of the NHS Commissioning Board (pp. 1-62). Leeds. Retrieved from http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_128196.pdf

NHS Employers. (2011). Implementing the Equality Act 2010 : Interim guidance for the NHS (pp. 1-8). Leeds. Retrieved from http://www.nhsemployers.org/SiteCollectionDocuments/Implementing the Equality Act 2010 - Interim guidance 28.11.2011.pdf

NHS Evidence. (2012). Chronic obstructive pulmonary disease : Evidence Update 5. February 2012. A summary of selected new evidence relevant to NICE clinical guideline 101 “Management of chronic obstructive pulmonary disease in adults in primary and secondary care” (2010) (pp. 1-25). Manchester. Retrieved from http://www.kingsfund.org.uk/publications/emergency_bed_use.html

NHS Information Centre. (2012). More than half of A&E attendances stay for longer than two hours, say new figures from the NHS Information Centre. The NHS IC. Retrieved February 15, 2012, from http://www.ic.nhs.uk/news-and-events/news/more-than-half-of-aande-attendances-stay-for-longer-than-two-hours-say-new-figures-from-the-nhs-information-centre

NHS Sustainable Development Unit. (2012). Sustainability in the NHS. Health Check 2012 (pp. 1-12). Cambridge. Retrieved from http://www.sdu.nhs.uk/documents/publications/Sustainability_in_the_NHS_Health_Check_2012_On-Screen_Version.pdf

National Institute for Clinical Excellence. (2011). Guide for commissioners on end of life care for adults. NICE. Retrieved February 15, 2012, from http://publications.nice.org.uk/guide-for-commissioners-on-end-of-life-care-for-adults-cmg42/1-commissioning-services-for-end-of-life-care-for-adults

National Prescribing Centre. (2012). Safe Management and Use of Controlled Drugs in the Ambulance and Paramedic services in England. Final Report (pp. 1-32). Manchester. Retrieved from http://www.npc.nhs.uk/controlled_drugs/resources/final_reports/final_report_safe_management_and_use_of_controlled_drugs_review_of_private_prescribing_and_requisitioning_of_controlled_drugs_in_england.pdf

Nolte, E., Roland, M., Guthrie, S., & Brereton, L. (2012). Preventing emergency readmissions to hospital. A scoping review (pp. 1-69). Cambridge. Retrieved from http://www.rand.org/content/dam/rand/pubs/technical_reports/2012/RAND_TR1198.pdf

North East Allied Health Professionals Cooperative. (2012). Back to health , back to life. How allied health professionals make a difference to patient care (pp. 1-3). Retrieved from http://www.networks.nhs.uk/nhs-networks/healthcare-professionals-commissioning-network/knowledge-management-centre/how-to-guidelines/Back to health back to life - ONLINE VERSION.pdf/view

Office of Health Economics. (2012). Report of the Office of Health Economics Commission on Competition in the NHS (pp. 1-48). London. Retrieved from http://www.ohe.org/publications/article/report-of-the-ohe-commission-on-competition-in-the-nhs-108.cfm

Pring, A., & Verne, J. (2012). Deprivation and death: Variation in place and cause of death (pp. 1-44). Leicester. Retrieved from http://www.endoflifecare-intelligence.org.uk/resources/publications/deprivation_and_death.aspx

Squires, D. (2011). Multinational Comparisons of Health Systems Data, 2011 (pp. 1-28). New York. Retrieved from http://www.commonwealthfund.org/Publications/Chartbooks/2011/Dec/Multinational-Comparisons-of-Health-Data-2011.aspx

d4 Research. (2012). Regulation of health apps: a practical guide (pp. 1-33). London. Retrieved from http://www.d4.org.uk/research/regulation-of-health-apps-a-practical-guide-January-2012.pdf

Matt Holland

February 2012