British Journal of Healthcare Assistants – December 2017

The December edition of British Journal of Healthcare Assistants has been published.  This issue includes articles on the RCN guidance on infection prevention and the rare health conditions: diabulimia, precocious puberty and intersex/hermaphrodite.

Click here to view the table of contents.

Click here to request an article from the Library.

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Modifiable pathways in Alzheimer’s disease: Mendelian randomisation analysis

BMJ 2017;359:j5375

This study aims to determine which potentially modifiable risk factors, including socioeconomic, lifestyle/dietary, cardiometabolic, and inflammatory factors, are associated with Alzheimer’s disease.  The design of the study is a Mendelian randomisation study using genetic variants associated with the modifiable risk factors as instrumental variables.  The study concludes that the results provide support that higher educational attainment is associated with a reduced risk of Alzheimer’s disease.

Click here to read the full text paper.

A framework for mental health research

Department of Health, December 2017

This framework provides a collective view of how mental health research should develop in the UK over the next decade. It sets out a structure to improve co-ordination and strengthen the focus on areas where mental health research is likely to translate into significant health benefit.

Click here to view the guidance.

Improving Lives: The Future of Work, Health and Disability

Department of Work and Pensions, December 2017

This paper that establishes how government, employers, charities, healthcare providers and local authorities will work to break down employment barriers for disabled people and people with health conditions over the next ten years. The actions outlined for health services focus on ensuring that health professionals are ready to talk about health barriers to work, timely access to appropriate treatments, and effective occupational health services accessible by all in work.

Click here to view the full report.

We change the world: What can we learn from global social movements for health?

Nesta, December 2017

This report presents actionable ways to grow social movements based on the practical experience of over 40 people representing four social movements.  It finds social movements:

  • Grow in influence by engaging the right people in the right places at the right time
  • Focus on an important set of early actions including mobilising people, experimenting with effective strategies, deploying assets and resources creatively
  • Understand the value of cultivating a diverse set of voices and the unique experiences, skills and interests they bring
  • Make smart trade-offs about where and how to invest their energy in relationships to achieve the highest level of influence and impact

This report provides conversation starters about what learnings might be applicable to movements in the UK and to broader movements affecting the social determinants of health.

Click here to view the full report.

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Ignoring the alarms: How NHS eating disorder services are failing patients

Parliamentary and Health Service Ombudsman, December 2017

Reports on the Parliamentary and Health Service Ombudsman’s investigation that found that Averil Hart’s death from anorexia would have been avoided if the NHS had cared for her appropriately. It highlights five areas of focus to improve eating disorder services.

  1. General Medical Council (GMC) should conduct a review of training for all junior doctors on eating disorders to improve understanding of these complex mental health conditions.
  2. Health Education England (HEE) should review how its current education and training can address the gaps in provision of eating disorder specialists. If necessary HEE should consider how the existing workforce can be further trained and used more innovatively to improve capacity. It should also look at how future workforce planning might support the increased provision of specialists in this field.
  3. The Department of Health and NHS and availability of adult eating disorder services to achieve parity with child and adolescent services.
  4. The National Institute for Clinical Excellence should consider including coordination in its new Quality Standard for eating disorders to help bring about urgent improvements in this area.
  5. Both NHS Improvement and NHS England have a leadership role to play in supporting local NHS providers and commissioners to conduct and learn from serious incident investigations. NHSE and NHSI should use the forthcoming Serious Incident Framework review to clarify their respective oversight roles in relation to serious incident investigations. They should also set out what their role would be in circumstances where local NHS organisations are failing to work together to establish what has happened and why, so that lessons can be learnt.

Click here to read the full report.

The 2,000 days project: Practical ideas for reforming health and care

Healthcare at Home, November 2017

An Industry Coalition Group of clinicians, senior leaders in hospitals, primary care, the central bodies, charities and the private sector met earlier this year to take on the challenge of re-energising the NHS approach to handling rising demand, hospital debt, slow technological innovation and growing public expectations.  This report from Healthcare at Home identifies many examples of new care provision,  but also that current reform struggles to deliver the change needed, and integrated care is not happening on the scale required.  This report identifies seven key principles for reform:

  • Person-centred care must be at the heart of every NHS decision and action.
  • Person-centred care means taking every opportunity to maximise our ability to manage our own health. The NHS needs to focus on what we can do, not just try to fix what we can’t.
  • NHS leaders need to see joy and fulfilment in the workplace as key to delivering person-centred care and nurturing innovation.
  • Care services must stop being health and safety police, and take a more balanced approach to risk, to empower staff and let people live the lives they want.
  • Clinicians and managers need to be taught how to think digitally so they develop their own solutions using consumer technology. Online and face-to-face services should be integrated.
  • Where possible there should be direct access, including digital access, to community services.
  • The costs, benefits and practicalities of developing care at home need to be understood and debated.

Click here to view the full report.