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Sepsis
Health Education England has published Getting it right: the current state of sepsis education and training for healthcare staff across England. The purpose of this report is to provide a broad understanding of the current provision of sepsis education and training for healthcare staff across England. The report includes examples of good and innovative practice in sepsis training and highlights high quality educational resources which could be promoted nationally for use in sepsis training.
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Community Care and Hospital Discharge
Discharge to assess
The Department of Health in partnership with NHS England and other key stakeholders has published Quick guide: discharge to assess (pdf). This quick guide aims to support local health and social care systems to reduce the time people spend in hospital, at the point that they no longer need acute care. It provides practical tips and advice to commissioners and providers on discharge to assess (D2A) models, including best practice from across the country.Unsafe discharge from hospital
Political maladministration to blame for unsafe hospital discharges, says Committee
The incidence of unsafe discharge from NHS hospitals is unacceptably high as a result of political maladministration, says the Public Administration and Constitutional Affairs Committee (PACAC) report. Follow-up to Parliamentary and Health Service Ombudsman (PHSO) report on unsafe discharge from hospital. The inquiry found that the discharge failures identified by the May 2016 PHSO report are not isolated incidents but examples of problems that patients, relatives and carers are experiencing more widely. The committee identified a need for more data to be gathered on the scale and impact of these discharge failures. It identified a lack of integration between health and social care is preventing seamless discharge processes, coordinated around the patient’s needs.
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Maternity and Midwife Services
WHO and partners call for better working conditions for midwives
A report from the World Health Organisation presents findings of the first global survey of midwifery personnel. It reports that midwives feel their efforts are constrained by unequal power relations within the health system. The report calls for more professional support (including better working conditions), stronger education and regulatory environments, and stronger advocacy around midwifery.
New standards for midwifery
The Royal College of Midwives has launched the UK’s first standards for high-quality midwifery services; standards for midwifery services in the UK. The standards were developed because reviews and reports about the quality of maternity care in different parts of the UK consistently identify that improvements should be underpinned by implementation of existing evidence-based clinical standards. The standards can be used by service providers, commissioners and midwives.
Improving maternity services
NHS England has announced six maternity pilot sites to drive the design of new approaches to midwifery supervision, helping to improve quality of care for women and their babies. The pilot sites will pioneer a new model of midwifery supervision in England ahead of legislative changes due in spring next year. The aim is to support midwives across all aspects of their role leading to improvements in maternity experiences and the quality of care in all parts of the health system. This includes improvements to the overall work experience, increased job satisfaction, reduced sickness, and better staff development.
Maternity services
The King’s Fund has published User feedback in maternity services. This report looks at what maternity services are doing locally to collect, analyse and act on user feedback. It describes the challenges of adopting the different approaches and highlights the features of organisations that are successful in user feedback activities.
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End of life care
A collaborative effort between all NHS Wales health boards and trusts has resulted in the TalkCPR’ project being launched. The project aims to improve communication and dialogue between patients and their healthcare professionals with regard to do not attempt cardiopulmonary resuscitation (DNACPR) orders. Initially, two videos (in English and Welsh) were produced for patients and carers who wanted to know more about this topic and to help shared decision-making with their clinical team. The impact of these videos on patients, nurses and doctors was measured through pre- and post-video surveys. The results showed a significant increase in the confidence of staff to openly discuss DNACPR with patients and carers.
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Other Selected Sources
NICE Guidance
Harmful sexual behaviour among children and young people
Department of Health to challenge bureaucratic red tape on health and social care frontline, to increase focus on patient contact and care.
News story: Plan to reduce health and care red tape burden 28 September, 2016
Brexit: impact on the NHS
NHS Confederation’s European Office has published Brexit means Brexit, but how will it impact the NHS? This infographic examines six possible areas of impact and asks what should be the main priorities of the NHS as the UK prepares to leave the European Union.
Changes to health and care organisations
The NHS Confederation has published information regarding changes coming into force in October 2016 affecting health and care organisations in England. The information covers: NHS Improvement’s Single Oversight Framework; collection and review of cancer data; submission of GP access data; primary care commissioning activity; transition to new junior doctors’ contract; and language requirements for patient/public-facing roles.
Understanding sustainability and transformation
The NHS Confederation has published Understanding sustainability and transformation plans. This briefing discusses the policy context, development to date, the timetable for further development and implementation, as well as the key messages from local political, commissioning and provider leaders on how the sustainability transformation plans process could most helpfully develop in the coming months.
Pressure points and carers
Carers UK has published Pressure Points: carers and the NHS. This report examines the role of carers in reducing emergency admissions and delayed transfers of care from hospital. It is based on research looking at carers’ experiences of using emergency services and their reasons for going to hospital rather than a community health service. The research also asked carers about what could have made a difference to preventing an emergency care admission or supporting them to care more effectively at home.
Lone working guidance
The Royal College of Nursing has published Personal safety when working alone: guidance for members working in health and social care. To coincide with National Personal Safety Day, the RCN has published this new guide to support nursing staff who work alone. As well as offering advice on personal safety, the guide also contains a checklist for RCN safety reps who work on negotiating improvements to workplace safety for members and nurse managers who manage lone working staff.
Nursing associates
Health Education England has announced that more than 1,000 Nursing Associates will begin training this year in a new role that will sit alongside existing nursing care support workers and fully-qualified registered nurses to deliver hands-on care for patients. The role will bridge the gap between health and care support workers, who have a care certificate, and graduate registered nurses and offers opportunities for health care assistants to progress into nursing roles.
State of health care and adult social care
The Care Quality Commission (CQC) has published The state of health care and adult social care in England 2015/16. This annual report provides an overview of health and social care in England looking at the trends, highlighting examples of good and outstanding care, and identifying factors that maintain high-quality care. It finds that most services provide people with good care, but variation exists. Some care services are closing, increasing pressure on other services including GPs and hospitals. The report highlights that the sustainability of the adult social care market is approaching a tipping point.
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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: 14/11//2016
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