Friday, 27 November 2020

Things in the library 27th Nov...

Things about balance... 

Young children growing up today have access to more screen-based experiences than any generation before them. Whether through smart televisions, on-demand streaming video, YouTube or mobile touchscreens, a remarkable amount of infant- and toddler-directed content vies for young children's attention. A quick YouTube search for ‘educational video toddler’ brings up a list of animated videos with nursery rhymes and songs, many with millions and millions of views, but none with evidence of educational value. Although research on background television documented its ability to interrupt parent–child verbal exchange  and play, little is known about how modern media activities influence children's everyday experiences, particularly the important serve-and-return interactions  that occur around play, reading and daily outings. In this issue of Acta Paediatrica, ‘Screen Use Relates to Decreased Offline Enrichment Activities’ explores the displacement hypothesis: the idea that child the more time children spend with screen-based activities, the less time they engage in pretend play, health-related behaviours (eg, physical activity and sleep) or social interactions with caregivers or peers. In the modern digital environment, there are many reasons—ranging from tokens and rewards for prolonged gameplay  to the satisfying design of toy unboxing videos—why children would grow to prefer screen-based activities to more health-promoting (albeit boring) ones. 

Things online... 

Safeguarding Children in the Digital Age. Online conference: 1pm-3pm, 11th-14th January 2021

Digital technology continues to evolve at an extraordinary rate, providing children and young people with countless opportunities for learning, development and socialisation. It also presents ever increasing threats to their wellbeing and safety which have intensified during the Covid pandemic. Safeguarding young people today requires all practitioners, parents and carers to be up to speed with how to safeguard online. The 4th national conference on Safeguarding Children in the Digital Age, which takes place online, will provide essential learning for the entire children’s workforce. They are bringing together leading online safety experts and safeguarding professionals to equip you with the understanding, skills and confidence to ensure children and young people stay safe in the digital age. 

The online conference takes place over four consecutive days with a series of two-hour, CPD-certified live sessions from Monday 11th to Thursday 14th January 2021 between 1pm and 3pm.

Things exciting...

It is our Reading Group Virtual Christmas party this week on Wednesday 2nd December - bring your own mulled wine. We are discussing The Silver Sword but also choosing our reading for the next year from the excellent suggestions put forward by our group. if you want to be part of this please email the library to ask for the link or to be put on the mailing list.

...and don't forget

We have a great selection of leisure reading you can borrow so make sure you stock up before Christmas!

Things about baby food... 

A cross-sectional survey of all infant food products available to buy in the UK online and in-store collected in 2019. Nutritional content and product descriptions were recorded and compared with an existing 2013 database. Fewer foods are now marketed to infants aged 4 months, but there has been no overall reduction in the sweetness of products and the increase in snack foods and the sweetness of savoury foods is a concern.

Things to take note of...  

Some changes in our opening hours coming up. We will be closed for staff training some or all of  Monday 7th Dec (precise details next week and in the library bulletin). We will also be closed for Christmas from 21st December (this day we will be doing our annual stocktake) until we re-open on 4th January.

Things Hygge...  

I have really missed being able to go to the university restaurant for their Hygge season this year but as we are seemingly destined to spend more time at home over the winter it is something to embrace. Meik Wiking, the author of The Little Book of Hygge: Danish Secrets To Happy Living, says “The true essence of hygge is the pursuit of everyday happiness and it’s basically like a hug, just without the physical touch,”  A few things to make your life more Hygge..candles, cosy blankets, hot chocolate, a good book, a board game instead of screentime, mindfulness  and perhaps a warming stew cooking in the slowcooker. I notice that Sandi Toksvig is starting a new series on BBC Radio 4 about Hygge starting on 2nd Dec at 18:30.

So something to cook...

This traditional Danish meal was a very popular amongst poor Danish farmers for the simple reason that it is cheap, quick to make and very satisfying. For non-Danes, it provides a glimpse into a very traditional type of Danish meal Burning Love - (Brændende Kærlighed)

Friday, 20 November 2020

Things in the library 20 Nov...

Things happening soon...

Our next Reading group and Christmas Party will be on 2nd Dec at 18:30 via Microsoft Teams. please contact the library if you would like the link. If you are a regular attendee don't forget to submit your choice of books that we might read next year. The book we are discussing in December is The Silver Sword by Ian Seraillier.

Things about health librarians... 
A report to an All-Party Parliamentary Group Mon 2 Nov 2020 clearly outlines the true value of NHS Library and Knowledge Services having both a direct and indirect effect on the care patients receive. They make a positive impact on services as a whole, providing an economic value of millions of pounds to the NHS.

Health Education England (HEE) commissioned the report Library and Knowledge Services Value Proposition: The Gift of Time.  This identifies key benefits of a library and knowledge service within an NHS organisation and, specifically, the specialist roles embedded within NHS teams.    

Health librarians and knowledge specialists make the gathering of information as easy as possible for healthcare professionals, relieving the burden of sourcing and synthesising evidence while enabling NHS organisations to meet their statutory obligations to get evidence into practice across the service. A recent speaker at SCHs Clinical Summit -Sue Lacey Bryant, National Lead for NHS Library and Knowledge Services, HEE said: 

“We are passionate about the positive impact that librarians and knowledge managers have on the quality of care. Our regional library teams will now work with NHS organisations and local library services to help the NHS fully realise all these benefits.

We will continue to work with trusts, Integrated Care Systems and Arm’s Length Bodies to make sure that NHS library services are adequately resourced; aligned with local priorities and able to support the organisation to adopt NICE guidelines and CQC standards”

Things about time...

The library can give you a great gifts...not just for Christmas... and that is the gift of time...let us do the things we are good at leaving you free to do yours. There are many things we can do to save you and your colleagues time and if you look at a summary of the feedback we receive for our services below you will see there are many other benefits too! Find out more about how we can help you on our website.

Effect on Patient Care
Choice of tests / treatment / drugs
Advice given to patients/carers
Unnecessary hospital admission
Unnecessary outpatient visits
Unnecessary costs
Unnecessary surgery, tests /procedures / radiography

Effect on Service

Reduced risk or improved safety
Improved the quality of patient care
Saved money or contributed to financial effectiveness
More informed decision making
Contributed to service development or delivery
Facilitated collaborative working
Contributed to personal/professional development

Things crafty...
If you are missing the opportunity to poke around in craft workshops you might be interested in the Digital Craft Festival Nov 27- 29 with demonstrations, live events and activities for adults and children. Some events need booking and others are freely available. Also there links to crafters websites if you are looking for different present ideas. 
Note to self...must direct my family here!

Things to make... 
We ate this Simple Thai noodle soup during the week, very quick and easy and absolutely delicious. Though could really have done with Nigel Slater not listing 'a small jug' of vegetable stock...just use enough so you will end up with 2 good bowlfuls. Also I would do rice noodles just before you want them so save them from sticking together if left on oneside (they did separate with boiling water poured over them)!

Friday, 13 November 2020

Things in the library 13th Nov...

 Things about child mental health... 

The proportion of children experiencing a probable mental disorder has increased over the past three years, from one in nine in 2017 to one in six in July this year.

The rate has risen in boys aged 5 to 16 from 11.4% in 2017 to 16.7% in July 2020 and in girls from 10.3% to 15.2% over the same time period, according to The Mental Health of Children and Young People in England 2020 report, published recently by NHS Digital, in collaboration with the Office for National Statistics, the National Centre for Social Research, the University of Cambridge and the University of Exeter.

The likelihood of a probable mental disorder increases with age, with a noticeable difference in gender for the older age group (17 to 22 year olds); 27.2% of young women and 13.3% of young men in this age group were identified as having a probable mental disorder in 2020.

This report looks at the mental health of children and young people in England in July 2020, and how this has changed since 2017. Experiences of family life, education and services, and worries and anxieties during the coronavirus (COVID-19) pandemic are also examined. The findings draw on a sample of 3,570 children and young people aged between 5 to 22 years old, surveyed in both 2017 and July 2020

...and response 

Mental health support for children and young people must be accelerated and expanded to meet growing levels of need, Centre for Mental Health chief executive Sarah Hughes responding to findings from NHS Digital said:

 “The significant rise in mental ill-health amongst children and young people is both undeniable and extremely concerning. While the Government have pledged more support for children and young people in schools, it is all too clear that this support must be both sped up and scaled up, to meet growing levels of need.

The study shows clear links between family circumstances and children and young people’s mental health. Whilst greater support for children’s mental health services is necessary, a holistic approach is vital to promote good mental health from the earliest opportunity. We have long been calling for greater support for parents and investment in whole family approaches to child mental health.

The findings once again highlight the impact of poverty and inequality on children and young people’s mental health, with far higher rates of child mental health problems in households which were struggling to pay bills.

Attempting to increase support for young people without a cross-government approach to mental health will have limited success. Now more than ever, it is critical that government departments, the NHS and local systems come together to address mental health, not just through increased investment in individual support but by tackling the ingrained disadvantages which make some young people much more likely to face poor mental health.

Our Commission for Equality in Mental Health has been highlighting the impact of poverty and other inequalities on the mental health of children and adults and will be sharing its conclusions in November. Our learning from the Commission has emphasised the need to strengthen our understanding of these inequalities and to unravel the factors which put children at risk of poorer mental health and the ways they intersect, compound and multiply.

The survey also shows evidence of regional disparities in mental health problems among children, with prevalence rates ranging from 10% in London to 20.5% in the West Midlands. This requires further exploration but it is clear that more regional approaches to understanding need and investment may be needed.

Any support for young people which does not acknowledge the wider causes of distress and deprivation, such as poverty, poor housing and discrimination, will have limited value. Now, more than ever, it is vital that a cross-government approach is taken to ensure young people are given the best chance of a mentally healthy future."

 Things about obesity...

The latest annual figures on childhood obesity in England have been released by NHS Digital.

The National Child Measurement Programme, 2019-20 provides data on the heights and weights of children in Reception and Year 6 in England during the 2019-20 school year and provides data on the number of children who are underweight, healthy weight, overweight, obese or severely obese. Breakdowns include gender, deprivation and ethnicity for both age groups.  

At a national level, analysis indicates that these figures are directly comparable to previous years, for all breakdowns.  However, at a local authority level, this is not possible for all cases.

This is because the collection period for schools to measure their children runs from September to August each year.  By 20 March 2020, schools had closed to many children in the UK, in response to the ongoing coronavirus pandemic.  Some local authorities were either in the process of weighing their children for the NCMP or had not yet started. 

This had a significant impact on the volume of data collected across the country.  At a national level, the data quality analyses indicate that the figures presented in this release are comparable to earlier years, and the population measured is reflective of previous years, though at a lower volume

Key Facts:

  • In Reception, obesity prevalence has increased 9.7% in 2018-19 to 9.9% in 2019-20
  • In Year 6, obesity prevalence has increased 20.2% in 2018-19 to 21.0% in 2019-20
  • Boys have a higher obesity prevalence than girls for both age groups In Reception, 10.1% of boys were obese compared to 9.7% of girls. In Year 6, 23.6% of boys were obese compared to 18.4% of girls
  • Children living in the most deprived areas were more than twice as likely to be obese, than those living in the least deprived areas
  • 13.3% of Reception children living in the most deprived areas were obese compared to 6.0% of those living in the least deprived areas.
  • 27.5% of Year 6 children living in the most deprived areas were obese compared to 11.9% of those living in the least deprived areas
  •  Things about unhealthy food... 

    A new consultation has been launched by Department of Health and Social Care and Department for Digital, Culture, Media & Sport on proposals to ban online adverts for foods high in fat, sugar and salt in the UK to tackle the obesity crisis and get the nation fit and healthy. 

    Research shows children are exposed to over 15 billion adverts for products high in fat, sugar and salt (HFSS) online every year.

    Evidence shows that exposure to HFSS advertising can affect what children eat and when they eat, both in the short term by increasing the amount of food children eat immediately after being exposed to an advert, and by shaping longer-term food preferences from a young age.

    The new consultation, which will run for 6 weeks (closing at 11:59pm on 22 December 2020), will gather views from the public and industry stakeholders to understand the impact and challenges of introducing a total ban on the advertising of these products online, to help people live healthier lives and tackle childhood obesity. More information and you can respond online.

    Things to attend... 

    Journal Club
    When: Tuesday 17th  November 13:00 - 14:00pm
    Venue: Virtual & from the Education & Skills Centre
    Presenter: Praveena Mahadevan 
    Paper: Use of anti-reflux medications in infants under 1 year of age: a retrospective drug utilization study using national prescription reimbursement data

    Please email the library for a copy of the paper or if you would like a calendar invite.

    Things to make... 

    These Carrot and apricot breakfast bars can be kept in the fridge for a few days, ready to provide an instant healthy breakfast or snack. They’re packed with raw carrot, oats, dried apricots and seeds, and given plenty of fragrant flavour with orange and lemon zest and a little cardamom.

    Friday, 6 November 2020

    Things in the library 6 Nov...

     Things still open... 

    The Illingworth Library will be remaining open during 'Lockdown 2'. The opening hours are 8:45 - 17:00 Mon - Friday but most of our services are available remotely, so there is no need to come into the library if you do not wish to do so. 

    We will be issuing books as normal during this time and so will be continuing to charge fines.

    If your book is due for return and you are not able to (or do not wish to) do so in person then please renew it to avoid charges. You can renew books by logging in to your library account online or by using the library app, by phone or by email.

    If you do visit the library please only do so if you are well. You must wear a mask , observe social distancing and use the hand sanitisers and wipes provided for you.

    Things to celebrate...

    The winner of our library catalogue treasure hunt was Louisa Wallbridge and Tom Mann won a prize for recommending someone new to take part in the Randomised Coffee Trial, both these events were part of our library 70th birthday celebrations. Well done both of you!

    Things to read and plan... 
    Our next Virtual Reading Group meeting is 2nd Dec where we will be discussing The Silver Sword by Ian Serraillier and choosing books to read next year.  It is our Christmas party so members may dress in festive garb, have hats, mince pies and mulled wine…or just turn up online completely normal if  they wish! The meeting will start at 18:30 but may last longer than normal. Contact the library if you wish to be added to the mailing list.
    The Silver Sword is taken from accounts of actual events, the silver sword became the symbol of hope and courage which kept four deserted and starving children alive through the years of occupation in Warsaw, and afterwards on the search to find their parents.

    Things about society...  
    A free, online festival showcases the University of Sheffield’s world-leading social science researchers and their work on tackling some of the greatest problems facing society today.

    Join them from 7-15 November for a series of talks, debates, films, podcasts and interactive exhibitions. This is part of the national ESRC Festival of Social Science. Details of events and exhibitions can be found on these links.

    Things about disadvantge during Covid-19...
    Oxford Brookes University has published a study looking at family life and early child development in the UK during the coronavirus pandemic. Findings, based on the experiences of over 500 parents of under-3-year-olds, include: 90% of families reported an increase in enriching activities (like talking, reading and playing together) during lockdown; however, during, but not before, lockdown socio-economically disadvantaged parents were less likely to engage in enriching activities with their children. 
    They recommend that

    • Children from disadvantaged families should be given extra support to promote their early development
    • Communal outdoor spaces and libraries should be closed only as a last resort in lockdowns

    Things about child growth... 
    In the news today a study which aimed to estimate age trajectories and time trends in mean height and mean body-mass index (BMI), which measures weight gain beyond what is expected from height gain, for school-aged children and adolescents. If you want to read more than the news headlines then the full article is available. their interpretation of results is that the height and BMI trajectories over age and time of school-aged children and adolescents are highly variable across countries, which indicates heterogeneous nutritional quality and lifelong health advantages and risks. Some very colourful infographics!

    Things to make... 
    No big bonfire parties this year for us sadly though we will still be setting off a few fireworks tomorrow and eating some festive fare. Probably we will be streaming the event to our son in the Netherlands, to whom I had to post an emergency pack of stuffing this week so that he can also make our famous pork sandwiches! Given my store of apples I might have a go at these homemade toffee apples


    Friday, 30 October 2020

    Things in the library 30 Oct...

     Things in the library not so much... 

    Now we are in Tier 3 restrictions the library staff are taking it in turns to work in the library so there is only ever one of us physically in the library, the others will be working at home. So if you come into the libray there may be a short delay if we are dealing with another customer or taking a phone enquiry. The library remains open Mon-Fri 8:45 to 17:00, please adhere to our social distancing and safety guidelines.

    Things to attend...

    'Ella Minnow Pea' is the book being discussed this week at Reading Group. Please contact the library if you would like the Teams link for this meeting on Wed 4th Nov at 18:30 till 19:30. 

    Journal Club on Thu 5th Nov at 8:00 till 9:00 the paper being presented is 'The addition of fluoxetine to cognitive behavioural therapy for youth depression (YoDA-C): a randomised, double-blind, placebo-controlled, multicentre clinical trial'. Please contact the library if you need a copy of the paper. This is the link for joining in virtually.

    Things about health care... 

    The Care Quaity Commission recently published 'The state of health care and adult social care in England 2019/20'. The report looks at the trends, shares examples of good and outstanding care, and highlights where care needs to improve.In their summary they say: 

    Over the summer, CQC reviewed the way health, social care and other local services worked together in 11 parts of the country. There were differences in the way they responded to the pandemic, but there is evidence that the places with established working relationships and an understanding of need in their local area were better able to care for their local population in a time of crisis. 

    The reviews have brought into focus the learning that needs to be used to help plan for a longer-term response to the virus. It is essential that the right support is available for all parts of a local health and social care system to drive improvements where they are needed, and to involve voluntary and community organisations in promoting health and wellbeing.

    In social care, COVID not only exposed but exacerbated existing problems.The sector, already fragile, faced significant challenges around timely access to PPE, testing and staffing – and coordinated support was less readily available than it was for the NHS.

    Things about health inequalities... 

    RCPCH has joined a new campaigning coalition; the Inequalities in Health Alliance (IHA). The Inequalities in Health Alliance (IHA) is calling for the Government to: 

    1. Introduce a cross-government strategy to reduce health inequalities.

    2. Government to commence use of the socio-economic duty, section 1 of the Equality Act 2010, which would ensure vulnerable people be considered in every policy decision they make

    3. Adopt a ‘child health in all policies’ approach to policy-making 

    The RCPCH say

    The evidence consistently shows that poverty and inequality impact a child’s whole life, affecting their education, housing and social environment and in turn impacting their health outcomes. Our State of Child Health indicators reveal a widening gap between the health of children from wealthy and deprived backgrounds. We are pleased that one of our key calls to Government – that they should adopt a ‘child health in all policies’ approach to decision-making and policy development is being echoed by the alliance. This would limit the unintended bad consequences of cross-government policies on child health. 

    Things about sleep... 

    Research from the Mental Health Foundation on Taking Sleep Seriously: Sleep and our Mental Health has been published. Their review of the existing research, alongside new polling, highlights the important role sleep plays in the context of:

    Mental health problems: Sleep problems can be both a symptom of, and a contributor to, mental health problems. Treatment for sleep problems can help improve mental health. There is some evidence that treating sleep problems may help reduce depression symptoms in the general population, suggesting it may be an avenue for preventative mental health care.

    Family: Parents (particularly mothers) of young children experience significant changes to the quality and quantity of their sleep which can affect parental mental health and contribute to stress in families. Bedtime routines can help to build good sleep habits in children from an early age.

    School: Adolescents’ routines, including school schedules, may affect the amount of sleep they get, which has implications for their mental health. School-based sleep education programmes can be used to increase student knowledge about the importance of sleep and how to develop healthy sleep habits.

    Workplaces: The characteristics of a workplace affect our sleep and our mental health. In our survey, 37% of working adults reported that their work (for example, workload, problems with colleagues and worries about job security) reduces the amount of control they feel they have over their sleep. Employers should ensure they support good sleep and good mental health at work by promoting a choice of shift, offering healthy sleep programmes to staff, promoting a good work-life balance and consulting experts and worker representatives to develop flexible work schedules.

    Social inequalities: There are inequalities in the quality and quantity of our sleep linked to our environment, race/ethnicity, socioeconomic status, financial stability, and experiences of trauma. In our survey, a quarter (25%) of UK adults reported that worrying about money matters, including bills, negatively affected their sleep in the past month. Of those who were unemployed, more than a quarter (27%) reported experiencing suicidal thoughts and feelings due to a lack of sleep.

    Things to make...

    The disability equality charity Scope have a recipe for sleepy flapjacks -  which might be just the thing to make at the end of a very wet half-term holiday! I notice in their method they don't say when to add the banana but my guess is you just mash it in with everything else!  

    150 grams of oats

    150 grams of peanut butter

    100 grams of honey

    1 or 2 ripe bananas mashed

    1. Melt peanut butter, mix in oats and honey ...and bananas

    2. Spread onto a greased baking tin.

    3. Cook for 20 minutes at 175 or gas mark 5.

    Cut into squares before it cools completely.

    Friday, 23 October 2020

    Things in the library 23 Oct...

     Things to do... 

    Don't forget to take part in our Catalogue Treasure Hunt and the chance to win a £30 gift voucher.

    Don't forget to sign-up to take part in our November Randomised Coffee Trial - Ruth Brown (Deputy Chief Executive, Sheffield Children's NHS Foundation Trust) tweeted about them this week 

    "works really well and great way to meet up with new people". 

    Sixty people signed up so far - and if you recruit new participants you might win a prize!

    Working at home things ... 

    If you are working at home as we go into Tier 3 remember we can still support you and provide services for you. We can do literature searches, train you virtually, you can join in our reading group, we can supply your articles and we can help you meet up with new people in the trust (see RCT above). Just contact us via our email address or via our Book a Librarian form. 

    If someone in your family is having to work from home due to COVID-19 it is worth checking out if they are eligible for tax-relief for job expenses.

    Things about Paediatricians of the Future... 

    The RCPCH launched their 'Paediatrician of the Future' document this week, setting out their vision for the future of paediatric training across the UK. Healthcare is changing, and this has been incredibly evident over the last few months. But while COVID-19 has forced innovations at a rapid pace, they were already aware that the paediatrician of the future would face different challenges to those of consultants today.

    The Paediatrician of the Future: Delivering really good training, is their guide to the principles for postgraduate paediatric training and how to apply them within local training programmes. This document, written in collaboration with consultants and trainees across the four nations, sets out the College’s vision for the future of training and will form part of the submission to the General Medical Council (GMC) in early 2021.

    Their vision for paediatric training explores a more holistic approach to child health, with mental and physical health seen as one alongside an increased focus on prevention and equity. For trainees, there will also be more flexibility with opportunities for out of programme study and an encouragement for trainees to find learning opportunities at every stage.

    Things about safeguarding... 

    An article in the most recent issue of  Paediatrics and Child Health discusses the topic of  the difficult subject of honour-based violence. Honour-based violence is fundamentally different to domestic violence or other forms of violence against women. Honour-based crimes are violent crimes or other forms of abuse that are carried out in order to protect the so-called ‘honour’ of a family or community. The code of ‘honour’ to which it refers is set by the male relatives of a family, and women who break the rules of the code are punished for bringing shame upon the family. Violence against women and girls includes domestic abuse, rape and sexual offences, human trafficking, female genital mutilation, forced prostitution, child abuse and pornography. It also includes honour-based violence and forced marriage that go hand in hand. Honour-based killings are seen as the most extreme form of honour-based violence, however the degree of abuse and violence that women may be subjected to even without or before being killed can be extreme.

    Things about food banks...

    There are many more finding this time very difficult in Sheffield, a situaltion which is only likely to get worse. There is a network of foodbanks in Sheffield and if you want to help out with donations or practical help they are listed here.

    Things to read... 

    Our reading group has continued to meet every month this year - switching (almost) seamlessly to a virtual group. If you would like to be informed of the link each month then please contact the library ans ask us to put you in the mailing list. Our next meeting is on Wed 4th November and our current book is Ella Minnow Pea by Mark Dunn and our December meeting is Silver Sword (a children's classic) by Ian Serraillier.

    Things cheap and nutritious...

    Switch your normal jacket potato to a sweet potato and choose a filling such as tuna for a cheap quick and healthy meal.  

    Friday, 16 October 2020

    Things in the library 16th Oct...

     Things to inspire... 

    Despite yesterday being my day off I made sure I was able to listen to the Clinical Summit keynote speaker Liz O'Riordan who I have heard before on the radio. She did not disappoint and i strongly recommend you catching up with the presentation. She recommended several books which we will try to buy for the library. If you - or those around you - struggle with work-life balance then this is the talk for you. One of her passions (as a surgeon turned patient) is the dissemination and sharing of good quality information and signposting patients/parents to useful resources. One such resource that you might find useful for your patients and their families is Contact a charity for families with disabled children. They also have part of their website aimed at health professionals.

    Things to join in... 

    (photo taken in February)
    Our next Randomised Coffee Trial will run in November so now is the time to sign-up. This is the chance to be randomly matched with someone else in the trust and to take 30-40 minutes out of your day to connect. You can talk about work if you want and possibly learn something new or make new connections or just share your interests. If you wish you can take a socially distanced walk outside in the park instead of a virtual meeting. On previous participants 95% said it was a positive experience. Click on this link for a form to sign-up, you will be matched and informed what to do next at the end of October and if someone recommended RCTs to you then give us their name and they might win a prize donated by Starbucks for our 70th birthday celebrations.  

    Things competitive...  

    (photo taken in February)

    If you haven't yet joined in the competition we are running with a Book token from Blackwells as the prize (can be used online). Don't miss your chance. Treasure to be found... no-one has yet got all the correct answers!

    Things LGBT+ in the NHS... 

    This new report from The University of York follows a three-year study to understand how LGBT+ employee networks operate within the NHS, how they are run, what they can do to improve  relationships between colleagues, and ultimately, how they can improve the wellbeing of LGBT+ employees. The report sets out a series of recommendations on how networks could be used in inclusive work environments. The report concludes unequivocally that, while the NHS provide a very positive space for many LGBT+ networks students, there is a real need for the sector to engage with LGBT+ networks and to review how it provides support for networks to ensure NHS trusts get the most from their LGBT+ networks.

    Things about evidence... 

    For more than 30 years hundreds of organisations and tens of thousands of individuals have been driving improvements in the quality and outcomes of healthcare by promoting and supporting the synthesis, transfer and implementation of evidence into clinical practice. On October 20th 2020 World Evidence-Based Healthcare Day celebrates the impact of researchers, academics, students, clinicians, consumers, patients and other agents of change who are driving improvements in the quality and outcomes of healthcare globally. There are many inspiring stories here of where evidence has made a difference. If you need help searching for the right evidence to support you and inform your work then please use our Book a Librarian service or sign up for our Current Awareness services when you join the library.

    Things diagnostic... 

    Professor Sir Mike Richards was commissioned by NHS chief executive Sir Simon Stevens to review diagnostic services as part of the NHS Long Term Plan. The review’s proposals will help save lives and improve people’s quality of life including for cancer, stroke, heart disease and respiratory conditions. In his report, presented to the NHS England and NHS Improvement board meeting 1st October, leading medical expert Sir Mike says that these new services would be ‘covid free’, with diagnostic checks in A&E separated from tests taken ahead of routine procedures. Such an approach would be quicker and safe for patients, so anyone who is in hospital should be able to get a scan on the day.Access to blood tests in the community should also be expanded so that people can give samples close to their homes, at least six days a week, without having to go to hospital.Professor Sir Mike, who was the first NHS national cancer director and the CQC’s chief inspector of hospitals, said that the need for radical change has been further amplified by the pandemic.The report adds that any new services will need to be implemented over time, requiring significant investment in facilities, equipment and workforce alongside replacing outdated testing machines. More information here.

    Things to make... 

    I love fish and it is often my choice on a restaurant menu (if I remember correctly!) so here is a quick dish you can make 'Honey & orange roast sea bass with lentils'