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NHS & Social Care: January 2017


Report on the Welsh Government's Draft Night Time Economy

WHIASU has supported Welsh Government and Public Health Wales to undertake a HIA of the Draft Night Time Economy (NTE) Framwork for Wales.

Responses to drug poisonings

New guidelines have ensured quicker and more effective responses to drug poisonings.

Increases in more harmful combinations of drugs

report has found that the line between traditional illegal drugs and new psychoactive substances, formerly called legal highs, is becoming increasingly blurred.

Report into outbreak of Cryptosporidium

report of the investigation into an outbreak of Cryptosporidium associated with Coleg Gwent’s farm in Usk has been published.

Needle and syringe programme report

A PHW report shows that almost 25,000 individuals accessed a needle and syringe programme in Wales in 2015-16 with over three million syringes dispensed.

Partnership working explores positive links between housing and health

In a World-wide first, health and housing experts in Wales have joined forces to launch the only free to access Health Impact Assessment online learning tool of its kind.

The year-round benefits of a dry January

Alcohol Concern Cymru Director, Andrew Misell, looks at the growth of dry January and encourages employers to get on board.


Attitudes to obesity

The primary findings of this paper show that people underestimate their weight and struggle to identify the point when theybecome obese. 

Getting the midwifery workforce right

This RCM report outlines how maternity services should be organised, funded and staffed.

The views of patients and carers of pharmacists based in GP practices

This Patient's Association report highlights the role that pharmacists can play in GP practices.

Euro heart index 2016

This Health Consumer Powerhouse report provides a ranking of cardiovascular healthcare systems in 30 countries.

Smoking cessation policy and practice in NHS hospitals

According to this BTA report, NHS hospitals across the UK are falling short of national standards on helping patients to quit and enforcing smoke-free premises.

Baby boomers: fit for the future

This Chief Medical Officer report looks at the health of the baby boomer generation (broadly, those born between 1945 and 1964).

Saving lives, improving mothers’ care

The third report of the Confidential Enquiry into Maternal Deaths details the lessons learned from the enquiries into maternal deaths from cardiovascular causes, blood pressure disorders of pregnancy, early pregnancy causes together with messages for critical care.

Uncertainty and risk in health technology assessment (HTA) decision making

The quality of HTA decision-making depends a lot on the way that uncertainty is dealt with. 

Improving and developing leadership in NHS-funded services 

This framework, co-developed by 13 bodies across health and care, is designed to help team leaders at every level of the NHS to develop improvement and leadership capabilities among their employees and themselves.

End of life care for infants, children and young people 

This NICE guideline covers the planning and management of end of life and palliative care for infants, children and young people with life-limiting conditions. 

Nursing degree apprenticeship factsheet

This DH briefing outlines information on the new nursing degree apprenticeship which will enable people to train to become a graduate registered nurse through an apprentice route.

Quality at a cost

This Nuffield Trust report warns that ongoing pressures on the NHS risk making the health service more vulnerable to serious lapses in care, despite achievements in maintaining and improving care quality in important areas.

The mental health of children and young people

This report describe the importance of mental health and wellbeing among children and young people and the makes the case for investment in mental health. 

Identifying the caring role

Based on findings from Carers UK’s State of Caring Survey 2016, this research explores the time it takes for people to recognise they have taken on a caring role, and whether they had missed out on support because they didn’t think of themselves as a carer.

Euro heart index 2016 

This HCP report provides a ranking of cardiovascular healthcare systems in 30 countries across four key areas: prevention, procedures, access to care and outcomes, measured on 31 indicators. Heart care in France ranks first among the 30 measured countries.

Shaping healthy cities and economies: the role of clinical commissioning

This NHS Clinical Commissioners report showcases how clinical leaders in England’s core cities - the eight largest cities outside of London - are looking at how the services they commission can improve not only the health but social and economic wellbeing of their populations. 

Implementing the NICE safe staffing guideline in midwifery

This RCM guidance supports senior midwives and NHS managers in implementing NICE safe staffing guidance in maternity services. 

The failure of privatised adult social care in England

This report describes the role that privatisation has played in the provision and quality of adult social care and outlines ideas which could help improve the sector. 

How nurses support families of intensive care patients towards the end of life

The findings support current NICE recommendations for health professionals to deliver care that meets the needs and preferences of the dying person and their family, wherever they are

Ten actions to put people and communities at the heart of health and wellbeing

This NESTA report sets out ten key actions to put people and communities at the heart of health and wellbeing.    

Being a junior doctor: experiences from the front line of the NHS

This RCP report explores the challenges that face junior doctors including the working environment, staff wellbeing and access to consultants.

The views of people living with HIV

This Kings Fund article asks three people living with HIV why the experiences of patients should be used to develop policy and planning recommendations.

Managing doctors, doctors managing

This Nuffield Trust survey finds signs that hospital managers and senior doctors are working together better than in the past, but warns relations have been damaged by reorganisation and financial pressures.  

Nutrition checklist project: feedback report

This Patient's Association report contains the results of research with health and social care professionals and patients to ascertain the need for tools to help in the identification and self-identification of people who are malnourished or in need of nutritional advice.

HIV testing uptake

This NICE guidance recommends that HIV testing is offered to people who live in areas with a high prevalence of HIV. 

The challenge and potential of whole system flow

This Health Foundation report outlines a framework and methods that can be used to improve whole system flow.

Stroke care

This annual Sentinel Stroke National Audit Programme (SSNAP) report reveals that there is still more work to do to ensure that all patients have access to high quality care.

Guidance on assisted suicide

This RCN guidance sets out the legal position for health care workers and reinforces the fact that assisting a suicide is illegal.

Changes in hospital activity and funding

This analysis finds that the number of admissions to hospital are rising steeply and are outstripping increases in the NHS budget. 

Insight into winter bed pressures

This Nuffield Trust briefing focuses on the findings of an analysis of bed occupancy levels for last winter.

Oral health promotion in the community

This NICE quality standard calls on local authorities to include oral health as part of their general health promotion responsibilities

Beyond Brexit: assessing key risks to the nursing workforce in England

This IES paper identifies the regions that might be most vulnerable to the associated risks of Brexit and population growth.

Wisdom, vision and courage are needed to develop people and improve care 

With the publication of a new national framework for improvement and leadership development in NHS-funded services, Michael West considers how it offers optimism and practical next steps for a beleaguered NHS.

What have we learnt about keeping people safer? 

In his blog, David Naylor reflects on how the gap between theory and practice can be narrowed.


Advice for work rebels

Kelly & Medina: prioritise your ideas, don't get into detail, focus on the overview, be resilient and relentless.

How to earn your manager’s respect 

Rebecca Knight: Clarify your responsibilities, adapt, observe and empathise, build relationships with others, speak up in private and politely.

Changing how patients and doctors talk about death 

Lakin, Bernacki, Cunningham: end-of-life conversations within the hospital tend to focus on medical procedures rather than the patients’ goals and wishes.