Current Awareness Bulletin

11th – 17th April 2016

Welcome to the latest issue of the weekly Current Awareness Bulletin from the Library and Knowledge Services at Hinchingbrooke Hospital, forwarded by the Laxton Library. This bulletin provides a digest of information focusing on primary care and public health. If you are unable to access any of the internet links, or have improvements to suggest, please contact Liza Alderman ([email protected] )

Interested in finding out how to find best evidence? We can offer individual/group training at a time to suit you. Please email [email protected] to find out more.

Contents

Cancer Obesity

Cardiovascular Disease Offender & Prison Health No items this week

Child & Adolescent Health Older People

Communicable Diseases Physical Activity

Commissioning Primary Care

CQC Standards Respiratory Conditions (including COPD) No items this week No items this week

Dental Services Safeguarding vulnerable adults No items this week

Diabetes Sexual Health No items this week

Diet & Nutrition Smoking & Tobacco

Disabilities Social Care & Social Work No items this week No items this week

Drugs & Alcohol Stroke Evidence Updates Waiting Times No items this week

Health Inequalities Women’s Services No items this week

Long Term Conditions Miscellaneous No items this week

Medicines NICE

Mental Health

Cancer

See also Obesity section: Obesity epidemic blamed for rise in womb cancer Cardiovascular Disease

Updated Venous thromboembolism in adults: diagnosis and management QS29 Source: NICE

Updated Stroke in adults QS2 Source: NICE

See also Diet & Nutrition section: Study argues ditching butter for veg oil won't prevent heart disease Child & Adolescent Health

CentreForum Commission On Children And Young People's Mental Health: State Of The Nation This is the first report from the commission and their research has revealed the problems young people face when trying to access mental health care. Services turn away, on average, nearly a quarter (23 per cent) of children and teenagers referred to them by their GPs, teachers or others. The analysis of services’ eligibility criteria shows that this is often because there are high thresholds for access to their services, preventing often the most effective treatment of mental health conditions - early intervention. Source: CentreForum/King’s Fund

Transfers Of Premature And Sick Babies This report highlights the challenges faced by neonatal transport services in the UK. Findings reveal that these essential services are often under-staffed, under-resourced and part-time. It shows that in a one week snapshot, half of the neonatal transport services across the UK reported gaps in their rota. Source: BLISS/King’s Fund

See also Dental Services section: Tackling Poor Oral Health In Children: Local Government's Public Health Role Commissioning

Involving the public in primary care commissioning This framework is a guide for primary care commissioners and anyone who is interested, including patients and the public, the voluntary sector, and providers of health and social care services on how to involve patients and the public in the commissioning of primary care services. Source: NHS England Communicable Diseases

Notifiable diseases: weekly report 2016 Source: PHE

UK lessons from Ebola outbreak Source: DoH

See also Women’s Services section: Zika virus 'does cause birth defects'

CQC Standards

No items this week Dental Services

Tackling Poor Oral Health In Children: Local Government's Public Health Role This briefing outlines the roles and responsibilities of local government in commissioning oral health services for children. The briefing includes some case studies and signposts to useful resources to support the commissioning of these services. Source: Local Government Association (LGA)

Diabetes

Global report on diabetes This first WHO Global report on diabetes underscores the enormous scale of the diabetes problem, and also the potential to reverse current trends. The political basis for concerted action to address diabetes is there, woven into the Sustainable Development Goals, the United Nations Political Declaration on NCDs, and the WHO NCD Global Action Plan. Where built upon, these foundations will catalyse action by all. Source: UK Health Forum Diet & Nutrition

Strengthening the governance of diet and nutrition partnerships for the prevention of chronic diseases This report focuses on the challenges public-private partnerships and other interactions can present, especially when they involve commercial entities whose high fat, salt and sugar products contribute to obesity and non-communicable diseases. The report summarises key actions identified at a meeting to address governance gaps on conflict of interest safeguards for food and nutrition policy. The meeting was co-convened by the UK Health Forum and the Canadian Institutes of Health Research-Institute of Population and Public Health (CIHR_IPPH), and hosted at the Rockefeller Foundation’s Bellagio Conference Centre in October 2015. Read the full report here: http://bit.ly/1qDUEMF Source: UK Health Forum

Study argues ditching butter for veg oil won't prevent heart disease "Ditching butter for veg oil may not be better for heart," the Daily Mail reports. Source: Behind the Headlines

See also Smoking & Tobacco section: Anti-smoking drug may also help combat sugar cravings Disabilities

No items this week Drugs and Alcohol

Monitoring and evaluating Scotland's alcohol strategy: Final annual report After a period of rapidly increasing rates of alcohol-related harm in Scotland and with alcohol- related harm in Scotland at historically high levels, a comprehensive strategic approach to alcohol was put in place from 2008/2009. The strategy was evidence-based and contained the main components advocated by the World Health Organisation (WHO). It aimed to reduce alcohol consumption and related harm through a wide range of interventions implemented through new policy and legislation. This evaluation was put in place to assess the success or otherwise of the strategy. Source: UK Health Forum

Alcohol Focus Scotland Manifesto 2016 Alcohol Focus Scotland's recommendations to prevent and reduce alcohol-related harm include: Implement a 50p minimum unit price; Increase alcohol taxes, particularly on high strength cider and spirits; Introduce mandatory unit, calorie and ingredient labelling and prominent health warnings on all alcohol products; Protect children and young people; Remove alcohol advertising in public places including billboards and public transport; Remove alcohol adverts from cinemas for non-18 certificate films and before 9pm on television; Phased removal of alcohol sponsorship of sports, music and cultural events; Establish an independent body to regulate alcohol marketing; Create healthier, safer neighbourhoods; Make the licensing system more transparent, accessible and accountable to local people, starting with user-friendly reporting; Develop a national policy on reducing the availability of alcohol, including the role of licensing; Introduce a social responsibility levy so alcohol retailers contribute to the wider cost of their activities on the community; Create health promoting communities and encourage alternative business models that rely less on the sale of health-damaging products. Source: UK Health Forum Health Inequalities

No items this week Long Term Conditions

No items this week Medicines

Controlled drugs: safe use and management NG46 Source: NICE

See also Smoking & Tobacco section: Anti-smoking drug may also help combat sugar cravings

See also Eyes on Evidence section: Prescribing safety in UK general practice Drug efficacy in older people with multimorbidity

Testosterone preparations for men with hypogonadism

Evidence summaries from NICE’s Medicines and Prescribing Programme Mental Health

Psychological therapies for panic disorder with or without agoraphobia in adults: a network meta-analysis Source: Cochrane Library

Updated Depression in adults: recognition and management CG90 Source: NICE

See also Child & Adolescent Health CentreForum Commission On Children section: And Young People's Mental Health: State Of The Nation

Obesity

Obesity epidemic blamed for rise in womb cancer "Obesity 'likely culprit' behind womb cancer rise," reports BBC News. Source: Behind the Headlines

Offender and Prison Health

No items this week

Older People

Falls Risk Assessment Toolkit Walsall CCG, in partnership with Keele University, have developed an Emis web protocol and template to help identify patients at risk of falls and potentially at risk of unplanned hospital admissions. The Falls Risk Assessment Toolkit allows users to search for read codes consistent with predictors of falls risk as recommended by NICE and high risk psychotropic medicines which can contribute to falls. It can also identify patients over the age of 65 who may benefit from a medication review or falls assessment and prompt background alerts to systematically identify ‘at risk’ patients. Source: Walsall CCG and Keele University

Dementia And Comorbidities: Ensuring Parity Of Care This report, supported by Pfizer, argues that a failure to prevent, diagnose and treat depression, diabetes and urinary tract infections in people with dementia could cost the UK's health and care system up to nearly £1 billion per year. It highlights a lack of parity in the diagnosis of these conditions in people with dementia and outlines some recommendations including revision of NICE clinical guidelines; greater patient involvement in care plans; and commissioning of a wider range of psychological therapies. Source: International Longevity Centre - UK (ILC-UK)/King’s Fund

See also Eyes on Evidence section: Drug efficacy in older people with multimorbidity

Older people’s views on advance care planning Physical activity

Breaking Physical Activity Barriers Through Open Community Use DHEC and Eat Smart Move More South Carolina have developed an open community use playbook, Breaking Physical Activity Barriers Through Open Community Use. The playbook provides guidance to school administrators, teachers and community members interested in adopting and implementing the strategy to increase physical activity. Source: UK Health Forum Primary Care

Who Cares? The Future Of General Practice This report examines the current model of general practice in relation to advances in culture, society and technology and argues that the model needs to change to adapt to future needs. It highlights the need for providers to operate at a larger scale in order to deliver primary care services more effectively. It also considers different approaches to providing primary care services such as utilising a more diverse workforce to deliver these services, such as using nurses or pharmacists to administer some general practice appointments. Source: Reform/King’s Fund

Digital requirements for new primary care models This briefing looks at emerging changes in primary care, and how digital technology can help managers and clinicians to deliver them. It includes six case study sites using new technologies focusing on how innovations such as shared health records, patient portals for booking, remote consultation and telehealth are supporting these changes. It also highlights the local and national barriers to realising this vision, and discusses how they can be overcome. Source: Nuffield Trust

See also Eyes on Evidence section: Prescribing safety in UK general practice

Involving the public in primary care commissioning Respiratory Conditions (including COPD)

No items this week Safeguarding of vulnerable adults

No items this week Sexual Health

No items this week

Smoking & Tobacco Anti-smoking drug may also help combat sugar cravings "Anti-smoking drugs could stub out your sugar cravings," the Daily Mail reports. Source: Behind the Headlines

Mobile phone-based interventions for smoking cessation Source: Cochrane Library Social Care & Social Work

No items this week Stroke

Updated Stroke in adults QS2 Source: NICE

Waiting Times

No items this week

Women’s Services

Would you trust a smartphone app as a contraceptive? "An innovative new app might provide a more effective form of birth control than the contraceptive pill," The Sun reports. Source: Behind the Headlines

Zika virus 'does cause birth defects' "The US Centers for Disease Control and Prevention … has confirmed that the Zika virus causes severe birth defects," BBC News reports. Source: Behind the Headlines

Updated Antenatal care QS22 Source: NICE

See also Obesity section: Obesity epidemic blamed for rise in womb cancer Miscellaneous

NHS England backs innovative care initiative NHS England has announced a £1.75m investment in an innovative family-based initiative designed to help more people to be cared for in a home, not a hospital. The Shared Lives model will support people who have needs which make it hard for them to live on their own, by carefully matching them with a carer to share their family and lives, giving care and support in the community. Some NHS commissioners and providers already commission Shared Lives, but NHS England have now invested £1.75m in start-up and development funding, which will enable 6 – 10 areas to develop new NHS services on a match-funded basis. Source: NHS England

Adding value to the NHS through EU engagement The briefing explains the work the office intends to undertake during the period 2016/17 to support the NHS to prevent illness and to provide safe, high-quality, innovative and cost- effective health services for its population. Source: NHS Confederation

Good Public Health Practice Framework 2016 This guidance is aimed at all specialists and practitioners from all professional backgrounds and aims to provide a basis for good professional practice in public health. It also aims to inform the planning of continuing professional development activities, appraisal and revalidation. Source: Faculty of Public Health (FPH)/King’s Fund

Mystery of the 13 people with 'superhero DNA' "Some people appear to be born with 'superhero DNA' that cancels out genetic diseases like cystic fibrosis," BBC News reports. Source: Behind the Headlines

Assessing The Impact Of Health Care Expenditures On Mortality Using Cross-Country Data This paper examines the body of literature which has explored the relationship between levels of public health expenditure and mortality, using a global cross-section or panel of country- level data. Source: Centre for Health Economics (CHE)/King’s Fund

The Health Of The Nation: Averting The Demise Of Universal Healthcare This college of essays explores the background to the current pressures on the NHS and ideas that have been proposed for reform. The publication features contributions from eleven authors, including Richard Murray from The King's Fund, from across the political spectrum and covers a wide range of suggestions covering public health and behaviour change; change management; technological innovations; and the future of commissioning. Source: Civitas/King’s Fund

Enhancing Staff Engagement And Patient Care Through The 'Go Engage' Survey Tool This case study examines the experience of Wrightlington, Wigan and Leigh NHS foundation trust who commissioned the development of a staff engagement tool. The survey tool is based on the NHS national staff survey questions and sits alongside a number of exploratory questions. They are sent to staff every quarter to assess morale and engagement. The case study provides more information on the tool and its uses, how the trust communicates with staff and the results that have been achieved so far. Source: NHS Employers/King’s Fund

The force begins to awaken: A third review of the state of health and wellbeing boards A significant number of health and wellbeing boards (HWBs) are now beginning to play a genuine leadership role across local health and care systems. This is an important development and is the core conclusion of this our third state of the nation report on HWBs commissioned by the LGA. This work suggests that these boards are considerably more effective than they were a year ago and a number of other boards are on the cusp of making that shift. Most boards are doing useful work, but their potential remains unfulfilled. In this report the authors explore the current position of health and wellbeing boards in more detail, seeking to understand the features of the more effective boards and to identify the factors that are influencing whether or not a board makes significant progress. Source: UK Health Forum Housing, Health And Care As part of a joint learning network on integrated housing, care and health, The King's Fund and the National Housing Federation have produced a set of slides illustrating the connections between housing, social care, health and wellbeing. Source: The King’s Fund

European Health Information Gateway This portal provides access to curated health data and information from official WHO sources and joint data collections with partner organisations such as the European Commission and OECD. Source: World Health Organization (WHO)/King’s Fund

Evidence Updates

This month in Eyes on Evidence

Prescribing safety in UK general practice A cross-sectional study of patients from more than 500 UK general practices found high variation in potentially high-risk prescribing and provision of monitoring tests.

Drug efficacy in older people with multimorbidity A US cohort study found that warfarin, beta-blockers, calcium channel blockers, renin– angiotensin system blockers, statins and thiazides reduced mortality when used for an indicated condition in older people with multimorbidity.

Testosterone preparations for men with hypogonadism A cohort study of US and UK data found that men who used testosterone injections were at higher risk of cardiovascular events, death and hospitalisation than men who used testosterone gels, although the absolute risks were small.

Clinical outcomes in people with obstructive sleep apnoea A large cohort study in the USA reported that both treated and untreated obstructive sleep apnoea were associated with an increased risk of death and of developing coronary heart disease, stroke or kidney dysfunction.

Older people’s views on advance care planning A survey in the east midlands found that only 5% of people aged 65 years or older had been offered an opportunity to talk about advance care planning by a health or social care professional, although around a third said they would be interested in discussing the topic.

Evidence summaries from NICE’s Medicines and Prescribing Programme NICE has recently published summaries on:

 Prevention of chemotherapy induced nausea and vomiting in adults: netupitant/palonosetron  Hypertension in adults: intensive or standard blood-pressure control?  Chronic obstructive pulmonary disease: comparative safety and efficacy of long- acting inhaled agents  Psychotropic drug prescribing for people with learning disabilities  Medication underuse in older people: pharmaceutical care interventions  Medicines optimisation: key therapeutic topics (2016 update)

NICE NG46 Controlled drugs: safe use and Guideline Medicines management: management general and other

NG45 Routine preoperative tests for elective Guideline Patient and service user surgery care

QS29 Updated Venous thromboembolism in Quality Embolism and thrombosis adults: diagnosis and management standard

QS22 Updated Antenatal care Quality Pregnancy standard

QS2 Updated Stroke in adults Quality Stroke and transient standard ischaemic attack

CG90 Updated Depression in adults: Clinical Depression recognition and management guideline

Disclaimer: Whilst we make every effort to check the content when it is first published, we cannot guarantee its correctness or completeness. The information on this website is subject to change and we cannot guarantee that it will remain up-to-date.

All links from this website are provided for information only. A link does not imply endorsement of that site. We do not accept responsibility for the sites linked to, or the information displayed there. Copyright and liability You are welcome to use the information from the Current Awareness Service for Health so long as the source is acknowledged. Copyright restrictions may apply to material from other sites.

Sources used: The Audit Commission, Cabinet Office, Care Quality Commission, Commission for Rural Communities, Communities and Local Government, Dept for Business, Innovation and Skills, Dept for Children, Schools and Families, Dept for Culture, Media and Sport, Dept for the Environment, Food and Rural affairs, Dept for Transport, Dept for Work & Pensions, Dept of Energy & Climate Change, Dept for Health, Directgov, Economic and Social Research Council, Electoral Commission, Environment Agency, Equality and Human Rights Commission, Food Standards Agency, Gambling Commission, General Social Care Council, Government Connect, Govt Office for London, Govt Office for the East Midlands, Govt Office for the East of England, Govt Office for the North East, Govt Office for the North West, Govt Office for the South East, Govt Office for the South West, Govt Office for the West Midlands, Govt Office for Yorkshire & The Humber, Health and safety Executive, HM Prison Service, HM Revenue and Customs, HM Treasury, Home Office, Homes and Communities Academy, Homes, and Communities Agency, Law commission, Local Better Regulation Office, Ministry of Defence, Ministry of Justice, Museums, Libraries and Archives Council, Natural England, Office for Standards in Education, Children’s Services and Skills, Office of Fair Trading, Office of Government Commerce, Office of Public Sector Information, Qualifications and Curriculum Development Authority, Sport England, Standards for England, Sustainable Development Commission, Tenant Services Authority, Training and Development Agency for Schools.

Other sources: APHO, CASH, NICE, NHS Choices, King’s Fund, BBC Health News.