Five years on - are we half way there? May 12, 2008
Posted by western4uk in Diabetes, Endocrinology, Grey Literature.Tags: Diabetes, Grey Literature, National Service Framework, Quality, Standards
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Five years on - are we half way there? from Diabetes UK suggests that half way through the ten-year plan, the NHS’s progress in achieving person-centred, co-ordinated care that aims to ensure fewer people develop diabetes and better care for those who have the condition will fail to deliver on the standards it set itself five years ago if it doesn’t refocus NHS efforts.
It finds that while some people with diabetes in some parts of the country receive excellent care, many are still not benefiting from the effective delivery of diabetes services that the NSF set out to achieve. This puts almost 1.9 million people with diabetes in England at increased risk of serious complications including heart disease, stroke and blindness.
NICE, NICE, Baby - Latest Clinical Guidelines from NICE April 23, 2008
Posted by western4uk in Arthritis, Cancer, Clinical Governance, Clinical Guidelines, Diabetes, Evidence Based Practice, Haematology.Tags: Abatacept, Arthritis, Blood, Cancer, Clinical Guidelines, Cost Effectiveness, Cystectomy, Diabetes, Drug Therapy, Evidence Based Practice, Haematology, Infliximab, NICE, Photodynamic Therapy, Prostatectomy, Rheumatoid Arthritis, Surgery, Transplantation, Ulcerative Colitis
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- Allogeneic pancreatic islet cell transplantation for type 1 diabetes mellitus
- Intraoperative red blood cell salvage during radical prostatectomy or radical cystectomy
- Interstitial photodynamic therapy for malignant parotid tumours
- Perioperative hypothermia (inadvertent)
- Ulcerative colitis - infliximab
- Abatacept for the treatment of rheumatoid arthritis
Twice as NICE - Latest NICE Guidance March 26, 2008
Posted by western4uk in Adults, Antenatal Care, Anxiety, Children, Clinical Guidelines, Education, Evidence Based Practice, Infants, Mental Health, Psychology, Respiratory Diseases.Tags: Antenatal Care, Asthma, Children, Clinical Guidelines, Corticosteroids, Diabetes, Diet Nutrition, Education, Endocarditis, Incontinence, Mental Health, Mothers, Pregnancy, Sleep Apmoea, Surgery
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- Antenatal care
- Diabetes in pregnancy
- Prophylaxis for Infective Endocarditis
- Maternal and child nutrition
- Mental wellbeing of children in primary education
- Sleep apnoea hypopnea syndrome (obstructive) - continuous positive airway pressure
- Asthma (in adults) - corticosteroids
- Intraoperative nerve monitoring during thyroid surgery
- Suburethral sling insertion for stress urinary incontinence in men
Scaling Up for Diabetes with the NSF - Interview with Dr Sue Roberts, National Clinical Director for Diabetes March 4, 2008
Posted by western4uk in Commissioning, Diabetes, Multimedia Link, Patient Education, Practice Based Commissioning, Self Care.Tags: Commissioning, Diabetes, Multimedia, National Service Framework, Patient Education, Self Care
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To access this video you will be required to give some details about yourself to HealthExecTV.
The Diabetes NSF and transformation of care services is crucial to addressing the escalating Diabetes epidemic thought to be affecting the lives of 2 million people in the UK and imposing a £3.5 billion a year cost on the health service, equivalent to 5% of the NHS budget
Dr Sue Roberts, National Clinical Director for Diabetes, reviews the key factors and changes required to manage the scale of the epidemic and to deliver better outcomes for people with diabetes. It considers:
- Impact of the transition from Acute to Primary Care setting for diabetes services
- Building capacity to screen and treat 750,000 hidden sufferers
- Revolutionising commissioning
- Scaling up patient education programmes to support self-care
SI 2008 No. 224 February 11, 2008
Posted by western4uk in Legislation.Tags: Diabetes, Legislation, Proton Beam Therapy, Transplantation Services
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SI 2008 No. 224 NATIONAL HEALTH SERVICE, ENGLAND The National Health Service (Functions of Strategic Health Authorities and Primary Care Trusts and Administration Arrangements) (England) (Amendment) Regulations 2008 amends legislation so that Strategic Health Authorities may secure the provision of the following health services, namely islet transplantation service and proton beam therapy service.
Diabetes and Web 2.0 January 9, 2008
Posted by western4uk in Diabetes, Information Technology, Useful Weblinks, Web 2.0.Tags: Diabetes, Information Technology, Web 2.0
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Tracking sugar site that charges users for access. Allows users to track and monitor sugar levels.
Site that allows you to monitor your sugar levels along with your foods. It provides users with graphs and trends.
Community for those affected by Diabetes. The site contains social networking features such as blogging, adding friends, and groups.
Diabetes resource that contains Q&A with experts, recipes, the “Wall”, and blood sugar management, among others.
Maternal deaths linked to obesity December 4, 2007
Posted by western4uk in Diabetes, Grey Literature, Mortality, Obesity, Statistical Data.Tags: Diabetes, Grey Literature, Maternal Mortality, Mortality, Obesity, Statistical Data
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From the Confidential Enquiry into Maternal and Child Health today is the report Saving Mothers’ Lives Reviewing maternal deaths to make motherhood safer 2003-2005. It finds that obesity is the fastest growing cause of women dying in pregnancy or childbirth in the UK. More than half the 294 women who died during or after pregnancy between 2003 and 2005 were overweight or obese. Experts say the number of deaths - from a total of two million pregnancies - is low - but the trend is very worrying.
They have also published:
Diabetes in Pregnancy: Caring for the baby after birth which sets out the results of a special audit set up to examine in greater depth a number of neonatal care issues including neonatal morbidity, establishment of breast feeding, separation of mothers and babies, and NHS resources. The CEMACH report contains recommendations for policy and practice and should be considered by health service commissioners and managers, and clinical staff of all disciplines, not simply those directly involved in neonatal care.
Insight into pay-for-performance, quality and reducing health disparities November 15, 2007
Posted by western4uk in Diabetes, Equity, Health Economics, Primary Care, Quality.Tags: Diabetes, Equity, Ethnicity, Pay, Primary Care
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Opinion on a report about the effect of the NHS P4P programme on different ethnic groups.
This perspective describes a report about improving quality and reducing health disparities by implementing pay-for-performance initiatives. The authors look at the impact of pay-for-performance, in the NHS, on different ethnic groups.
Citation:
Can pay-for-performance improve quality and reduce health disparities?
K Coleman, R Hamblin
PLoS Medicine, 2007, 4(6), e216
View print version
Ethnic disparities in diabetes management and pay-for-performance in the UK: the Wandsworth Prospective Diabetes Study
C Millett, J Gray, S Saxena, G Netuveli, K Khunti, A Majeed
PLoS Medicine, 2007, 4(6), e191
View print version
Diabetic Retinopathy November 13, 2007
Posted by western4uk in Diabetes, Multimedia Link, Ophthalmology.Tags: Diabetes, Diabetic Retinopathy, Ophthalmology
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A video report from HealthExec TV rounding up key issues raised at the All Party Parliamentary Group Meeting for diabetes and eye health held at the House of Commons on 23rd October 2007. The meeting discussed the current situation, challenges and progress towards tackling diabetes eye health issues and diabetic retinopathy in particular.
Adrian Sanders, MP and Chair of APPG on Diabetes and Dr Peter Scanlon, Director of National Retinopathy Screening Programme sum-up the meeting’s key messages and discuss what healthcare managers should be doing to tackle the condition and the reduce the risk of diabetic retinopathy.
To view, click:
http://www.healthexec.tv/cgi-bin/details.pl?action=pre&id=269
You’ll have to give HealthExec.TV some details about yourself to view the video.
The Commissioner 2(11) Just Released November 12, 2007
Posted by western4uk in Clinical Governance, Clinical Guidelines, Commissioning, Current Awareness, Evidence Based Practice, Management, Practice Based Commissioning, Public Health, Quality, RSS Feeds, Staying Up-to-Date.Tags: , Age-Related Macular Degeneration, Best Practice, Care Pathways, Clinical Effectiveness, Clinical Guidelines, Commissioning, Diabetes, Efficiency, Financial Management, Glaucoma, Guidance, Health Visiting, Hospitals, Mental Health, NHS Operating Framework, North West of England, NSF, Ophthalmology, Out of Hospital Care, Practice Based Commissioning, Primary Care, Priorities, Public Health, Quality, Smoking, Smoking Cessation, Specialist Commissioning, Waiting TimesLearning Disabilities
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The Commissioner 2(11) (link to this months contents) has just been published. You can sign up for the e-mail alert on its blog, contact Katherine Bell its editor to get a mail of the pdf version or just subscribe to its RSS feed using the icon below.
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This month’s contents are:
- Diabetes in the NHS: Commissioning and providing specialist services
- NHS Stop Smoking Services
- Commissioning for Patient Pathways
- Commissioning specialist adult learning disability health services
- Care Outside Hospital
- Delivering the 18 week patient pathway
- Eye care
- Commissioning Roadmap
- Facing the Future
- Report of the High Level Group (HLG) on Clinical Effectiveness
- Other documents
Health Profile of England October 22, 2007
Posted by western4uk in Alcohol, Diabetes, Epidemiology, Equity, Housing, Mortality, Obesity, Pregnancy, Public Health, Road Accidents, Smoking Cessation, Young People.Tags: Alcohol, Cancer, Circulatory Diseases, Diabetes, Epidemiology, EU, Health, Infant Mortality, International Comparisons, Mortality, Obesity, Regional Comparisons, Road Accidents, Statistical Data, Suicide, Teenage Pregnancy
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The Health profile of England 2007 provides a collation of national and regional data to provide a baseline against which people can compare data from their own Local Health Profile (LHP). The 2007 report updates tables showing regional comparisons and national trends for indicators presented in LHP, as well as a wide ranging snapshot of public health and well-being in England and a section on international comparisons.
- A general improvement in health outcome
The report shows recent improvements in a number of critical areas, e.g.:
• declining mortality rates in targeted killers (cancers, all circulatory diseases and suicides)
• increasing life expectancy, now at its highest ever level
• reducing infant mortality, now at its lowest ever level
Challenges remain to achieve and sustain progress, e.g.:
• rising rates of diabetes
- Similarly for the determinants of health,
• Improvements in some important areas, e.g.:
• the number of people who smoke
• quality of housing stock
• Areas of concern, e.g.:
• increasing levels of obesity in adults and children
• high levels of teenage pregnancy - Health inequalities are often present
• The report illustrates various geographical inequalities across the UK - International comparisons give a wider context presenting national progress in comparison to countries of the European Union (EU), or to the 15 countries that were members of the EU prior to 2004 (EU-15), e.g.:
• Premature mortality rates from the two biggest killers, circulatory diseases and cancer, are reducing faster in England than the average for the EU
• Death rates from motor vehicle traffic accidents in the United Kingdom are amongst the lowest in EU
• The prevalence of obesity in England is the highest in the EU
• Death rates for chronic liver disease and cirrhosis have risen markedly, particularly since the mid-1990s, and for females, latest data show England has risen above the EU-15 average
• The percentage of all live births to mothers under age 20 in the United Kingdom remains the highest when compared to other EU-15 countries.
You can see the mass media’s take on this report on 23rd October 2007.
