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NHS & Social Care: October 2016


Child death rate declining, but inequalities remain a challenge

This PHW report shows that although the rate of death among children continues to decline, there are still significant inequalities in child death rates between the most and least deprived communities in Wales.

MMR vaccines advised for women planning a pregnancy

As part of their planning for a healty pregnancy, Public Health Wales is urging women to check that they have had two doses of the MMR vaccine.

NHS Wales Awards winners

Nine awards were given to NHS organisations across Wales for their innovative work and best practice that is improving the quality and safety of patient care.

Choosing Wisely Wales launches in the UK

This clinician-led initiative, in collaboration with patients, aims to promote more open conversations between patients and their doctors about healthcare decisions.

GP2GP set for launch

GP2GP transfers enable patients' electronic health records to be transferred directly and securely when a patient registers with a new practice. 

Helping people recovering from substance misuse and mental health conditions back into work

The Out of Work Service is helping people aged over 25 to overcome the barriers they face to gaining and staying in employment.

Fewer people dying of cardiovascular disease in Wales

This report shows that fewer people are suffering from heart disease; more people are being treated quicker and closer to home and more lives are being saved through early diagnosis of heart disease related conditions.

Over half of adults in Wales suffer harm from someone else’s drinking

A report has found that more than half of adults in Wales (60%) have suffered some form of harm or negative experience in the last year as a result of someone else being under the influence of alcohol.

Wales Medicines Safety Conference: 3 November

The Royal Pharmaceutical Society will be holding the 6th Wales Medicines Safety Conference on 3 November in Cardiff on the theme of Shifting care, breaking the cycle.


The NHS: underfunded, underdoctored, overstretched

This RCP report argues that the NHS needs a new plan, designed to meet the UK’s health and care needs in the long term, and to value, support and motivate NHS staff. 

Tackling behaviours that undermine a culture of safety

This AoMRC report explores bullying and undermining within the medical workforce.

What if people had to pay £10 to see a GP?

This essay, by Professor John Appleby, explores the idea and implications of charging for GP appointments.

Multimorbidity: clinical assessment and management

This NICE clinical guideline calls for a tailored approach to planning care when treating someone who has two or more long-term health conditions.

Improving efficiency and resource allocation in cancer care

This OHE report evaluates the current burden of cancer and identifies opportunities for increased efficiency in cancer care.

Bringing hospital-level care to the patient

This US case study looks at an initiative that offers patients the option of receiving hospital-level care at home rather than in-hospital.

Growing Older in the UK

This BMA report argues that the UK's ageing population and its families are being failed by a fragmented health and social support system.

Community health services for children and young people

This NIHR research examined the impact of introducing and expanding children's community nurse services on quality, acute care and costs.

The voices of people who use social care

This report looks at the current state of social care services for older people in England, through a combination of national data and interviews. 

Health equity and cost-effectiveness analysis

This CHE report  provides non-technical and practical methods for using cost-effectiveness analysis to address health equity concerns.

The contribution of older people to preventing avoidable hospital admissions

This study confirms that older people have an important role to play in helping understand the nature of emergency admissions and to devise appropriate responses to their rising numbers.

Enabling the spread of person and community centred approaches

This NESTA guide outlines how behavioural science can help spread the take-up of person and community centred approaches to health and wellbeing.

Children's access to school nurses

This Children's Commissioner (England) report concludes that school nurses spend twice as much time on paperwork than on direct work with children which reduces their capacity to identify children at risk.

Prevention of harm caused by alcohol exposure in pregnancy

This  WHO report gives an overview of the literature on interventions to prevent alcohol exposure during pregnancy.

The value of community pharmacy

This PSNC report finds that community pharmacies contributes a net value of £3 billion to the NHS, public sector, patients and wider society in England.

The prevention and control of noncommunicable diseases

This WHO plan outlines actions which can help to reduce the burden of long-term conditions, improve quality of life and make healthy life expectancy more equitable.

Safe district nursing service caseloads

This QNI paper summarises the challenges in managing safe caseloads in district nursing. 

The impact of helping in hospitals

This NESTA study evaluated the impact volunteering can have on the experience and well being of patients.

Quality in district nursing services

This Kings Fund report investigates what ‘good’ district nursing care looks like from the perspective of people receiving care. 

Safe working in general practice

This BMA report discusses measures which could help to manage the rising workload of GPs and to calculate sustainable and safe working levels.

Health system performance for the high-need patient

This Commonwealth Fund report compared the health care experiences of US patients with who had a functional limitation in the ability to care for themselves to those with no functional limitations.

Low risk drinking guidelines

These guidelines, produced by the four UK chief medical officers, provide the most up to date scientific information to help people make informed decisions about their drinking. 


How to reduce complexity in your organisation

Rita McGrath: put the spreadsheets and presentations on one side – start with pen and paper  

Coping with the effects of emotionally difficult work

Clair et al: engage with the person suffering the hurt and be empathetic and compassionate – don’t cut yourself off from the others’ pain.  

What to do when you and your boss aren’t getting along

Rebecca Knight: Empathize, engage and ask for their advice – don’t assume it’s personal, don’t focus on negative behaviour and don’t give up too soon.