MARSIPAN: Management of really sick patients with anorexia nervosa (2nd Ed)

Royal College of Psychiatrists, October 2014

This report aims to clarify the situation and provides recommendations and unambiguous guidelines on the management of patients with severe anorexia nervosa in a number of settings, in order to help reduce the number of avoidable deaths of patients with severe anorexia nervosa. It provides:

  • Advice on physical assessment.
  • Advice to the primary care team and criteria for admission to both medical units and specialist eating disorder units as well as non-specialist psychiatric units, and criteria for transfer between those services.
  • Advice on the required members of the in-patient medical team.
  • Medical, nutritional and psychiatric management of patients with severe anorexia nervosa in medical units, including the appropriate use of mental health legislation.
  • Advice for commissioners on required services for this group of very ill patients.

This is a joint report from the Royal College of Psychiatrists, the Royal College of Physicians (London) and the Royal College of Pathologists.

Click here to download the full report.

Experiences of person-centred care – patients’ perceptions: qualitative study

BMC Nursing, 8 October 2014

Patient care models have been implemented and documented worldwide. Many studies have focused on features that hinder and facilitate the shift to such models, including the implementation process, staff involvement, resistance to new models and cultural dimensions. However, few studies have identified the potential effects of such new care models from a patient perspective. The aim of the present study was to investigate whether patients did in fact perceive the intentions of partnership in the new care model 1 year after its implementation.

Click here to view the full text article.

Improving the delivery of adult diabetes care through integration

Diabetes UK, October 2014

The Diabetes UK report ‘Improving the delivery of adult diabetes care through integration’, published in October 2014, explains how diabetes care can be improved to achieve better outcomes for people with diabetes. The challenge for commissioners and healthcare providers locally is to make the system work to support that.

Click here for further information and to download the full report.

The NHS Five Year Forward View

NHS England, 23 October 2014

NHS England have published their Five Year Forward View today setting out a vision for the future of the NHS.  It has been developed by partner organisations which deliver and oversee health and care services in England together with patient groups, clinicians and independent experts to create a view of how the health service needs to change over the next five years if it is to close the gaps in the health of the population, quality of care and funding.   The Five Year Forward View outlines why change is needed, what the change might look like and how it can be delivered.  It calls on NHS leaders and staff, patients and the public to all play their part and defines the framework for further detailed planning about how the NHS needs to evolve over the next five years.

Click here for further information and to download the report.


Careless Eating Costs Lives

2020health, 12 October 2014

A new report released by 2020health calls for a cross-sector 5-10 year strategy to tackle the obesity crisis, covering both education and regulation.  The report, ‘Careless eating costs lives’, grasps the extent of the obesity explosion and sets out the essential responses to halting progression and reversing the drastic effects of overweight on individual health, employment, social care and the wider economy.

Click here for further information and to download the full report.


Why are we failing young patients with ADHD?

BMJ, 17 October 2014

Many clinicians will have spent time with a child or adult with a diagnosis of attention deficit hyperactivity disorder (ADHD) and wondered if they were just attention seeking, naughty, or badly parented. Some may have been all three. But it is clear that a definitive diagnosis, early intervention with evidence based treatments, and continued support through important stages of life can hugely improve the quality of life, academic performance, and economic prospects of someone with ADHD.

Click here to view the full text article.  You will need to login with your Athens password to view this article.

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‘Too many’ mentally ill end up in cells not hospital

BBC News, 22 October 2014

Too many people in the middle of a mental health crisis end up locked in police cells after being turned away from hospitals, says a report.

People are being turned away because of full wards, staff shortages or because they are too young or too drunk, said the Care Quality Commission (CQC)…

Click here to view the full story.