Friday, 7 October 2016

Things in the library 7th October...

Things about medicines for children...
NHS England has launched a 30 day public consultation on a clinical commissioning policy proposition for commissioning medicines in children.  There has already been extensive engagement on this national policy, it has been developed with the support and input of lead clinicians and patient and public representatives. This approach has helped ensure that the views of key stakeholders have informed and influenced the development of this policy to date. They now wish to test them further with wider groups of stakeholders.


Things about acute paediatric services...
The RCPCH is developing a set of service level measures designed to support acute paediatric services to monitor the effects of service change at a local level, and to facilitate quality improvement. They are doing this:

  • To enable and support child health services to monitor the effect of service interventions at a local level.
  • To provide a strong evidence base for the development and revision of service standards, such as the Facing the Future suite of standards.
  • To identify and share examples of best practice, to aid the improvement of child health outcomes across the four UK nations

The future of the NHS?...
Good Governance (GGI) has published ‘The Future of the NHS’ that critically examines and provides some context to the direction in which the NHS is headed – consuming more and more public money to provide an increasingly worse service. With commentary from eminent colleagues including former secretaries of state for health, the publication Sir William Wells, presented his concerns at a seminar hosted by GGI in Westminster.


Things about TB...
Public health England have published their 2016 report (presenting data to end of 2015)





Mental health of Girls...
Girlguiding has published a report on the mental well-being of girls. Key findings include: girls of all ages face compounding pressures across all areas of their lives including sexist pressures; girls tend to dismiss or play down the issues they face and feel they should be able to cope alone. Recommendations include: all decision-makers need to listen to girls’ voices and engage them in the decisions that affect their lives; schools should take a zero-tolerance approach to sexual harassment; Personal, Social, Health and Economic Education (PSHE) should be a statutory entitlement for all young people.

Things about numbers...
"Numbers needed to mislead, meta-analysis and muddled thinking" a lecture  at ScHARR by Honorary Professor Stephen Senn FRSE on Wednesday 26 October 2016 at 17.15 - 18.00pm Lecture Theatre 4, The Diamond. 
Free - book tickets here  Professor Senn says "The ardent espousal by the evidence based medicine movement of numbers needed to treat (NNT) as a way of making difficult statistical concepts simple and concrete, has had the unintended consequence of sowing confusion. Many users, including many in the evidence based movement themselves, have interpreted these statistics as indicating what proportion of patients benefit from treatment. I shall explain this, with the example of a recent Cochrane Collaboration meta-analysis of paracetamol against placebo in trials of tension headache for which the plain language summary is plain wrong" 

Things about childhood obesity...
Public Health England outline their priority for reducing the proportion of overweight children leaving primary school in their Childhood Obesity Plan

Things about understanding sustainability and transformation plans ...
STPs are place-based, multi-year plans that are built around the needs of local areas and their populations, rather than the activities of individual organisations. In the NHS shared planning guidance 2015, NHS England asked every local health and care system in England to come together to create their own ambitious local STP to accelerate the aims of the Five Year Forward View, including addressing the funding gap, improving service quality and enhancing population health and wellbeing.
This briefing discusses the policy context, development to date, the timetable for further development and implementation, as well as the key messages from local political, commissioning and provider leaders on how the STP process could most helpfully develop in the coming months.

Something warm and comforting...
Seeing as the weather is feeling more nippy we thought this looks a nice weekend eat - Melting meatball macaroni....mmmm must be nearly lunchtime now!





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