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NHS & Social Care: November 2016


Substance misuse now a greater issue for older generations

Drug and alcohol misuse in the under 25s has fallen in the past five years in Wales, a report from Public Health Wales has found. However, increased presentations to specialist services are seen in older adults, including those aged over 50 years.

Funding projections for the NHS in Wales

This Health Foundation report analyses the demand and cost pressures facing the NHS in Wales up to 2020 and beyond. It finds that the NHS in Wales must deliver at least £700m of efficiency savings to close the projected funding gap by 2019/20.

Specialist mental health support

dedicated mental health specialist is working in Gwent Police's control room to ensure that when vulnerable people with a mental health illness make contact, they receive appropriate care and support.

Powys equipment service receives national accreditation

The community equipment service in Powys has become the first CECOPS accredited service in Wales.

Full roll-out of GP2GP patient record transfers

digital service, which will change the way GPs manage their patient records, is currently being rolled out to all practices in Wales.

NHS Hospital Inspections Annual Report

Heathcare Inspectorate Wales (HIW) has published its report summarising the findings from its NHS hospital inspections during 2015-6.

111 Wales pilot

free-to-call phone number is being launched to make it easy for people in the ABMU area to get urgent healthcare support and advice.

Infection prevention campaign

Betsi Cadwaladr UHB has introduced new cannula and blood culture collection packs on all wards as part of a new infection prevention campaign.

Freeing up extra time for GPs

Administrative staff in Rhondda are the first in Wales to undertake training in workflow optimisation, a method developed in NHS England and now operating in 62 practices there.

Generating evidence to reallocate resources 

The Socio-Technical Allocation of Resource (STAR) is an approach based on working with stakeholders to generate missing data on benefits to patients to provide the evidence needed to reallocate resources. Professor Gwyn Bevan, a Premier Programme speaker, is presenting case studies of the benefits of STAR at a free conference in London on 16 December.

Building a healthier North Wales

The Welsh Government is seeking the views of people throughout North Wales on how it can ensure continued sustainable and improved health outcomes – the closing date for submissions is 18 November.


Personal safety guidance when working alone

This guide and checklist has been developed for RCN members who work alone.

The unmet mental health needs of older people

According to this Age Uk report, the current mental health services do not meet the increasing demand from an ageing population.

Young people and mental health stigma

This YMCA report examines the stigma faced by young people experiencing mental health difficulties.

Improving access to cochlear implantation

This Ear Foundation report calls for a review of NICE guidelines and greater access to cochlear implants for NHS patients.

Why midwives leave

This RCM report argues that midwives are leaving the profession by excessive workloads and poor staffing levels.

Agency, bank and overtime spending in maternity units in England

This RCM report found that in 2015 the NHS spent over £72 million on agency, overtime and bank midwives which is equivalent to the cost of over 3,000 full-time midwives.

The Enhanced Health in Care Homes care model

This briefing summarises NHS England's framework for enhanced health in care homes which outlines various evidence-based interventions.

Understanding patient flow in hospitals

This Nuffield Trust briefing warns that the NHS can no longer find enough bed space to move patients through hospitals quickly and meet key A&E targets - and that the practice of counting patients at midnight means that the true scale of the problem is missed.

Is mental health crisis care in crisis?

This NHS Confederation briefing, by the Mental Health Network, explores the gap between the rhetoric about mental health and what happens on the ground. 

National confidential inquiry into suicide and homicide by people with mental illness

This report presents findings relating to people who died by suicide in 2004-2014.

Hospital productivity in the English NHS

This CHE report finds that current methods of measuring productivity are not appropriate for hospitals and that a new approach is needed.

Carers and A&E

This report found that 4 in 10 carers who have taken their loved one to A&E in the past twelve months believe their admission could have been prevented. 

Awareness and understanding of EHRC guidance on the Public Sector Equality Duty

The Public Sector Equality Duty puts an onus on public authorities to consider how their policies and decisions affect people protected under the Equality Act. This research explores the effectiveness of of the guidance the Commission has produced on the duty.

Understanding peer support for stroke survivors

Stroke Association Voluntary Groups are volunteer-led, peer support groups based in local communities across the UK. The Nuffield Trust was commissioned by the Stroke Association to independently evaluate the impact of the groups.

Cognitive impairement and dementia among older people

This UCL Institute of Health Equity report focuses on inequalities in the experience and prevalence of poor mental health, cognitive impairment and dementia and the impact of social isolation, lack of mental stimulation and physical activity, before and after retirement, and in later life.

Quality midwifery care

This WHO report outlines the findings of the first global survey of midwifery personnel and reveals that midwivesfeel their efforts are constrained by unequal power relations within the health system. 


Don’t let power corrupt you

Dacher Keltner: people usually gain power through positive traits and actions, but when they start to feel powerful or enjoy a position of privilege, those qualities begin to fade – the key is to continue to show empathy, gratitude, and generosity.

Don’t waste your time on networking events

Derek Coburn: Everyone there is focused on his or her own personal agenda – so host your own event!


David Brendel: To succeed as a first-time leader, relax

Networking should provide two things

Liane Davey: The first is instrumental or functional support – most networks are good at this.  The second is psychosocial support, which few networks provide.