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Nursing
Recently published guidance, policies, articles and reports
July- September 2016
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Sepsis
The Royal College of General Practitioners (RCGP), in partnership with Health Education England and NHS England, has launched a Sepsis toolkit to support GPs and healthcare professionals to identify and manage the condition in patients. The toolkit also provides valuable information for patients, carers and parents, including an adult and child sepsis ‘symptom checker’, to illustrate the signs and symptoms they should look out for.
NICE Bites: Sepsis
The August 2016 NICE Bites bulletin from the North West Medicines Information Service covers Sepsis. The aim of this publication is to provide healthcare professionals with a clear and succinct summary of key prescribing points taken from the NICE guidance, NG51. This guideline covers recognition, diagnosis and early management of sepsis for all populations.
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Community Care and Hospital Discharge
The Queens Nursing Service (QNI) has published Understanding safe caseloads in the district nursing service. The document summarises the challenges in managing safe caseloads in the district nursing service, and points to specific actions the QNI believes are necessary to improve and safeguard the future quality of services. It is considered that significant work is required to establish recognised principles of safe caseloads, prediction of patient demand, and the desired clinical outcomes.
The Kings Fund has published Understanding quality in district nursing services: learning from patients, carers and staff. This report investigates what ‘good’ district nursing care looks like from the perspective of people receiving this care, unpaid carers and district nursing staff and puts forward a framework for understanding the components involved. The report makes recommendations to policy-makers, regulators, commissioners and provider organisations
The House of Commons Public Accounts Committee has published its 12th report Discharging older people from acute hospitals. The report describes various factors causing discharge delays including: the NHS having a poor understanding of the scale and cost of the problem; variation in local performance; fragility of the adult social care provider market exacerbating the difficulties; good practice implementation patchy across areas; lack of effective sharing of patient information; current structures not having an effective line of accountability, either nationally or locally, for what is at root a shared problem for health and social care systems; local health and social care organisations not working together effectively, with organisational boundaries preventing what should be a seamless process for the patients and financial incentives across local health and social care systems not encouraging organisations to work together.
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Female Genital Mutilation
The Care Quality Commission has published Not seen, not heard: a review of the arrangements for child safeguarding and health care for looked after children in England. This report looks at how effectively health services provide early help to children in need, how they identify and protect children at risk of harm and looked-after children’s health and wellbeing. It reviews findings from 50 inspections across England as well as specific focus groups.
The Department of Health has released three videos to help healthcare professionals understand, safeguard and care for women and girls affected by female genital mutilation (FGM). The videos show: women talking about their personal experiences of FGM; NHS professionals discuss the mandatory reporting duty and how it applies to all health and social care professionals; and mental health specialists discussing the impact of FGM on the mental health of women and girls and how to support patients who have been affected.
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End of life care
NHS Employers has published a case study from Leeds Teaching Hospitals detailing a tailored approach to end of life care training. In addition to trust-wide training opportunities, the palliative care and end-of-life care specialists offered bespoke departmental teaching and focused interventions to improve care within specific clinical areas. Staff at the trust reported an improvement in their skills and confidence in: symptom management for patients; facilitating end-of-life care at home; recognising end of life; and knowledge of community services
NHS Employers has produced a short video featuring Salford Royal Foundation Trust and its collaborative approach to delivering end-of-life care training to providers across the region. The video shows how end-of-life care training is delivered across organisational boundaries to ensure patients receive the same quality of care – known locally as the Salford standard - no matter which provider delivers the care.
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Pregnancy and Maternity
The House of Commons Women and Equalities Committee has published Pregnancy and maternity discrimination. Following an increase in workplace pregnancy discrimination over the past decade, this report calls for UK women to have protections similar to those in Germany. The report calls on the Government to publish a detailed plan within the next two years and recommends changes to health and safety practices, preventing discriminatory redundancies and an increase in protection for casual, agency and zero-hours workers.
The new edition of Sands’ Pregnancy loss and the death of a baby: guidelines for professionals has been published. The guidelines include four new chapters: ‘Termination of pregnancy for fetal anomaly or maternal medical conditions’; ‘Labour and birth when a baby has died’; ‘Mental health’; and ‘Receiving and responding to feedback: parent experiences’.
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Other Selected Sources
The Queen’s Nursing Institute (QNI) has announced a new project funding opportunity for nurses working in the community and primary care. The new funding stream starts in 2017 and is specifically for projects that help improve men’s health. The deadline for completed applications is 24 November 2016 projects will commence in March 2017 and last for 12 months. Funding of up to £5000 is available for up to ten projects, along with a year-long programme of professional support from the QNI.
The Department of Health has published Making a difference in dementia: nursing vision and strategy: refreshed edition. This strategy sets out how nurses can provide high quality compassionate care and support for people with dementia, so they can live well within all care settings, including a person’s own home. It aims to support nurses to be responsive to the needs of people with dementia, continue to develop their skills and expertise, and achieve the best outcomes for people with dementia, their carers and families.
NHS Improvement has updated its Improvement Directory with a range of new resources. The A-Z list provides access to online improvement tools, resources and networks on health and social care.
NHS Employers has refreshed its People performance management toolkit to include links to new guidance and resources. The toolkit encourages NHS managers to make time to talk about performance with staff. It provides practical support and aims to increase managers’ knowledge about what good performance management is and give them confidence to deal with some key management challenges.
The National Library of Medicine (NLM) produces free, reliable information resources that nurses and nursing students can use.Medicine Resources.
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Resources used:
CQC
Daily Health Bulletin
Department of Health
Health Education England
The Health Foundation
Home Office
Hospitals in Pursuit of Excellence
The King's Fund
Migration Advisory Committee
NHS Benchworking Network
NHS Confederation
NHS England
NHS Improvement
NICE Bites
Public Health England
Queen's Nursing Institute
Royal College of Obstetricians and Gynaecologists
Royal College of Physicians
Royal Pharmaceutical Society
World Health Organisation
Links checked: 18/07//2016
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