KNOWLEDGESHARE Team

William Harvey Library, GETEC, George Eliot Hospital NHS Trust, College St, Nuneaton, CV10 7DJ.

Email: library@geh.nhs.uk

Content

Patient Safety ........................................................ 4 Managing and Leading People ............................. 3 Using Guidelines and Evidence ............................ 6 Education and Professional Practice .................... 4 Finance and Procurement ..................................... 5 Managing Knowledge and Information ................. 6

Patient Experience ................................................ 7 Service Design and Commissioning ..................... 8 Measuring Outcomes and Performance ............... 9 Conducting Research .......................................... 10 Innovation ............................................................ 10 Public Health ....................................................... 11

Quality improvement in healthcare The Healthcare Improvement Studies (THIS) Institute commissioned RAND Europe to conduct a rapid evidence review on what influences quality improvement processes in healthcare, and to inform potential themes to explore in future research. What influences improvement processes in healthcare? A rapid evidence review found the key influences on improvement processes in

healthcare: Leadership; Relationships and interactions that support an improvement culture; Skills and competencies; Use of data; Patient and public involvement, engagement and participation; Working as an interconnected system of individuals and organisations, influenced by internal and external contexts The study author of Teams of healthcare professionals from a wide range of disciplines and pay grades are most effective at delivering improvements in patients' experiences, stated ““The bottom line is that where people came together from different disciplines we found strength and creativity, with teams benefitting from a wider

range of different resources. There needs to be more reflection on the composition of teams in quality improvement work, and greater recognition of the capital that patients themselves can bring.”.

NHS information support for evidence-based practice

Alert 105 Resources published in September/October 2020

Alert 105 September/October 2020

Alert 105 September/October 2020

All NICE guidance is available from the NICE web site: www.nice.org.uk.

Support and resources to maximise uptake and use of evidence and guidance:

https://www.nice.org.uk/about/what-we-do/into-practice

2

NICE – COVID-19 Rapid Guideline

COVID-19 rapid guideline: managing symptoms (including at the end of life) in the community www.nice.org.uk/guidance/ng163

COVID-19 rapid guideline: antibiotics for pneumonia in adults in hospital www.nice.org.uk/guidance/ng173

COVID-19 rapid guideline: cystic fibrosis www.nice.org.uk/guidance/ng170

COVID-19 rapid guideline: dialysis service delivery www.nice.org.uk/guidance/ng160

COVID-19 rapid guideline: critical care in adults www.nice.org.uk/guidance/ng159

NICE – Guideline

Neuropathic pain in adults: pharmacological management in non-specialist settings www.nice.org.uk/guidance/cg173

Suspected cancer: recognition and referral www.nice.org.uk/guidance/ng12

Low back pain and sciatica in over 16s: assessment and management www.nice.org.uk/guidance/ng59

Insect bites and stings: antimicrobial prescribing www.nice.org.uk/guidance/ng182

Behaviour change: digital and mobile health interventions www.nice.org.uk/guidance/ng183

NICE – Quality Standard

Heavy menstrual bleeding www.nice.org.uk/guidance/qs47

Community pharmacies: promoting health and wellbeing www.nice.org.uk/guidance/qs196

NICE – Interventional Procedures Transcranial magnetic stimulation for auditory hallucinations www.nice.org.uk/guidance/ipg680

Pressurised intraperitoneal aerosol chemotherapy for peritoneal carcinomatosis www.nice.org.uk/guidance/ipg681

Balloon cryoablation for Barrett’s oesophagus www.nice.org.uk/guidance/ipg682

Balloon cryoablation for squamous dysplasia of the oesophagus www.nice.org.uk/guidance/ipg683

NICE - Technology Appraisals

Avelumab with axitinib for untreated advanced renal cell carcinoma www.nice.org.uk/guidance/ta645

Glasdegib with chemotherapy for untreated acute myeloid leukaemia (terminated appraisal) www.nice.org.uk/guidance/ta646

Eculizumab for treating relapsing neuromyelitis optica (terminated appraisal) www.nice.org.uk/guidance/ta647

Dupilumab for treating chronic rhinosinusitis with nasal polyps (terminated appraisal) www.nice.org.uk/guidance/ta648

Polatuzumab vedotin with rituximab and bendamustine for treating relapsed or refractory diffuse large B-cell lymphoma www.nice.org.uk/guidance/ta649

Pembrolizumab with axitinib for untreated advanced renal cell carcinoma www.nice.org.uk/guidance/ta650

Naldemedine for treating opioid-induced constipation www.nice.org.uk/guidance/ta651

Alpelisib with fulvestrant for treating hormone-receptor positive, HER2-negative, PIK3CA-positive advanced breast cancer (terminated appraisal) www.nice.org.uk/guidance/ta652

Osimertinib for treating EGFR T790M mutation-positive advanced non-small-cell lung cancer www.nice.org.uk/guidance/ta653

Osimertinib for untreated EGFR mutation-positive non-small-cell lung cancer www.nice.org.uk/guidance/ta654

Alert 105 September/October 2020

Nivolumab for advanced squamous non-small-cell lung cancer after chemotherapy www.nice.org.uk/guidance/ta655

NICE - Medical Technologies Guidance

Axonics sacral neuromodulation system for treating refractory overactive bladder www.nice.org.uk/guidance/mtg50

SEM Scanner 200 for preventing pressure ulcers www.nice.org.uk/guidance/mtg51

NICE - Highly Specialised Technologies Guidance

Volanesorsen for treating familial chylomicronaemia syndrome www.nice.org.uk/guidance/hst13

NICE - Diagnostics Guidance

Implantable cardiac monitors to detect atrial fibrillation after cryptogenic stroke www.nice.org.uk/guidance/dg41

Testing strategies for Lynch syndrome in people with endometrial cancer www.nice.org.uk/guidance/dg42

Patient Safety

Systematic Review / Meta-Analysis Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. Franklin BJ. BMJ Quality & Safety 2020;29(10):1-2.

Toolkit Patient safety - BMJ Improvement Hub. BMJ; 2020. https://improve.bmj.com/patient-safety-2-2/ [Collection of quality assessed resources to help you improve patient safety. Other topics in the BMJ Improvement hub are Mental health, Leadership, and Patient centred care.]

Managing and Leading People

Report Workforce race equality standard (WRES): indicators for the NHS medical workforce. NHS England; 2020. www.england.nhs.uk/publication/workforce-race-equality-standard-wres-indicators-for-the-nhs-medical-workforce/ [This document outlines the rationale for the bespoke WRES indicators and explains how they will work. A full set of data against these indicators will be analysed and presented as part of the annual WRES data report for NHS trusts later this year.]

Action for equality: The time is now. NHS Confederation; 2020. https://www.nhsconfed.org/resources/2020/09/action-for-equality-the-time-is-now [This report expands the work undertaken for the 2017 NHS Women on Boards 50:50 by 2020 report. The report concludes that we need 150 more women in board level positions to reach our goal of truly diverse boards.]

An inclusive approach to disability leave. NHS Employers; 2020. https://www.nhsemployers.org/case-studies-and-resources/2020/09/an-inclusive-approach-to-disability-leave [Following the introduction of the NHS Workforce Disability Equality Standard (WDES), it is perhaps more important than ever that the NHS is inclusive and welcomes disabled people. A positive and proactive approach by employers towards disability and working flexibly is key to creating an inclusive and open culture.]

Full instruction to register for an NHS OpenAthens username and password at: https://openathens.nice.org.uk/

3

Alert 105 September/October 2020

NHS nursing workforce. House of Commons Public Accounts Committee; 2020. https://publications.parliament.uk/pa/cm5801/cmselect/cmpubacc/408/40802.htm [This report says that the progress on increasing the number of nurses in the NHS is too slow and expresses concerns about the Department of Health and Social Care’s approach to addressing shortages in adult social care nurses.]

Understanding LGBT+ employee networks and how to support them. University of York & NHS Employers; 2020. www.nhsemployers.org/case-studies-and-resources/2020/10/research-on-understanding-lgbt-employee-networks [This new report follows a three-year study to understand how LGBT+ employee networks operate within the NHS 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.]

Whistleblowing disclosures report 2020. Healthcare Professional Regulators; 2020. https://www.pharmacyregulation.org/sites/default/files/document/2020-whistleblowing-report.pdf [As with previous years, healthcare professional regulators have compiled a joint whistleblowing disclosures report to highlight their coordinated effort in working together to address the serious issues raised to them.]

Toolkit Inclusive recruitment - opening the door to diverse communities. NHS Employers; 2020. https://www.nhsemployers.org/case-studies-and-resources/2020/10/inclusive-recruitment-document [This guidance pulls together a suite of information, tools and resources NHS Employers can offer as a starting point to help you meet some of the actions of the NHS People Plan around recruitment found in Belonging to the NHS and Growing for the Future.]

Education and Professional Practice

Guideline Decision making and consent. General Medical Council (GMC); 2020. https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/decision-making-and-consent [The GMC has published updated Decision making and consent guidance, which comes into effect on 9 November 2020. The guidance will support doctors to practise shared decision making and help their patients to make healthcare decisions that are right for them.]

Preparation of Ready To Administer Medicines, COVID-19 Wave 2 Update. Specialist Pharmacy Service (SPS); 2020. https://www.sps.nhs.uk/articles/batch-worksheets-for-s10-preparation-of-injectable-medicines-for-icu/ [The provision of Ready To Administer (RTA) medicines supports releasing time to care for nursing staff during the COVID-19 pandemic. Guidance has been produced on the options for Pharmacy to support clinical areas in the preparation of RTA medicines.]

Report So what now? Supporting students through a global pandemic and beyond. Royal College of Midwives (RCM); 2020. https://www.rcm.org.uk/media-releases/2020/october/debt-dole-worry-student-midwives-facing-triple-whammy-threat/ [This report finds that many student midwives are struggling under the weight of financial concerns, poor mental health and an unpredictable job market. The survey shows that by the end of July just 36 per cent of students in their final year of midwifery training had been offered a job in the NHS.]

Creating the workforce of the future: a new collaborative approach for the NHS and colleges in England. NHS Confederation; 2020. https://www.nhsconfed.org/resources/2020/09/creating-the-workforce-of-the-future-collaborative-nhs-colleges [This report focused on the relationship between colleges and the NHS through the lens of integrated care systems. By embedding colleges into core NHS workforce development, and better using their local recruitment and training power, we can help to ensure a sustainable, agile and innovative future health and care workforce.]

Follow us on Twitter: @GEHLibrary

4

Alert 105 September/October 2020

Implementing a just and learning culture. NHS Employers; 2020. https://www.nhsemployers.org/case-studies-and-resources/2020/10/implementing-a-just-and-learning-culture [Read how Mersey Care NHS Foundation Trust has adopted and embedded its just and learning culture and its training package. A just and learning culture is one focused on fairness and learning, and absent of blame when things go wrong. It aims to encourage staff to feel able to speak up.]

Professional Development Using nurse degree apprenticeships webinar. NHS Employers; 2020. https://www.nhsemployers.org/case-studies-and-resources/2020/09/using-nurse-degree-apprenticeships-webinar [Watch the recording of our webinar and find out what funding is available to support you to train nursing apprentices. Hear good practice from University Hospitals Southampton NHS Foundation Trust and Newcastle Upon Tyne Hospitals NHS Trust about how they've used nurse degree apprenticeships within their organisations.]

Caring with Confidence: The Code in Action. Nursing and Midwifery Council (NMC); 2020. https://www.nmc.org.uk/standards/code/code-in-action/ [Caring with Confidence is a series of bite-sized animations about key aspects of your role as a nursing or midwifery professional, and how the Code can support you. Our first animation is about accountability. Then we will cover

Personalised Care Institute. Personalised Care Institute; 2020. https://www.personalisedcareinstitute.org.uk/ [The Personalised Care Institute (PCI) is a virtual organisation aims to train at least 75,000 health and care workers over 5 years. The aim is to deliver on the NHS England Long Term Plan commitment to ensure 2.5 million people receive personalised care by 2024.]

Finance and Procurement

Guideline Who pays? Determining responsibility for NHS payments to providers. NHS England; 2020. https://www.england.nhs.uk/publication/who-pays-determining-responsibility-for-nhs-payments-to-providers/ [This revised Who Pays? guidance sets out a framework, for the NHS in England for establishing which NHS organisation has responsibility for commissioning an individual’s care and which has responsibility for paying for that care.]

Report Covid-19 guidance map. Healthcare Financial Management Association (HFMA); 2020. https://www.hfma.org.uk/publications/details/covid-19-guidance-map [The HFMA has produced a Covid-19 guidance map which brings together the key guidance to support NHS finance and governance professionals as they respond to the current pandemic. This map supplements HFMA’s existing NHS efficiency map and NHS corporate governance map.]

Dealing with organisational change: case studies from the finance team of the year award 2019. Healthcare Financial Management Association (HFMA); 2020. www.hfma.org.uk/publications/details/dealing-with-organisational-change-case-studies-from-the-finance-team-of-the-year-award-2019 [This briefing shares the experiences of finance teams in supporting significant organisational change in Hampshire and Isle of Wight Partnership of Clinical Commissioning Groups; Pennine Care NHS Foundation Trust; and Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust.]

BMJ Best Practice https://bestpractice.bmj.com/info/

Alert 105 September/October 2020

Healthcare UK annual review 2019 to 2020. Healthcare UK https://www.gov.uk/government/publications/healthcare-uk-annual-review-2019-to-2020 [Healthcare UK's activities and performance for the year ending 31 March 2020. Healthcare UK is a joint initiative of the Department for International Trade (DIT), the Department for Health and Social Care (DHSC), NHS England and NHS Improvement.]

Inquiry into Specials: a report of the All-Party Parliamentary Group on Access to Medicines and Medical Devices. All Party Parliamentary Group on Access to Medicines and Medical Devices; 2020. https://www.appgs.co.uk/publication/appg-on-access-to-medicines-and-medical-devices-specials-report/ [The APPG examined specially manufactured unlicensed medicines known as ‘specials’. The inquiry was set up after concerns were raised to the Group over the costs of specials prescribed in the community being excessively high and some patients struggling to access them.]

Using Guidelines and Evidence

Systematic Review / Meta-Analysis Approaches of integrating the development of guidelines and quality indicators: a systematic review. Langendam MW. BMC Health Services Research 2020;20(1):875.

Implementation strategies used to implement nursing guidelines in daily practice: A systematic review. Spoon D. International Journal of Nursing Studies 2020;111:103748 ..

Professional Development Understanding the evidence Bite-sized sessions showing you how to critically appraise quantitative research and interpret medical statistics to inform patient care or service development. Each 45 minute session is stand-alone and focuses on a specific aspect of the process, allowing you to pick and choose the session most relevant to your needs. https://www.bsuh.nhs.uk/library/information-skills/understanding-the-evidence/

Identifying study designs

AEB Library, Tuesday 10 November 2020 9.45am - 10.30am

Online-only session, Tuesday 17 December 2020 11.45pm - 1.00pm

Interpreting statistics

PRH Library, Friday 20 November 2020 11.00am - 12.15pm

Online-only session, Thursday 3 December 2020 12.00am - 1.15pm

Recognising bias AEB Library, Thursday 26 November 2020 2.00pm - 2.45pm

Online-only session, Tuesday 17 December 2020 2.00pm - 3.00pm

Managing Knowledge and Information

Guideline Clinical communications procurement framework. NHS Digital; 2020. www.nhsx.nhs.uk/key-tools-and-info/procurement-frameworks/clinical-communications-procurement-framework/ [The Procurement Framework aims to support NHS organisations with dedicated clinical facing communication and tasks management tools, to accelerate the adoption of proven technologies and to phase out pagers by the end of 2021.]

HCPC guidance on the use of social media. Health and Care Professions Council (HCPC); 2020. https://www.hcpc-uk.org/registration/meeting-our-standards/guidance-on-use-of-social-media/ [This page sets out how our standards relate to the use of social media, tips for using social networks effectively and answers to questions that we are frequently asked.]

6

Alert 105 September/October 2020

Digital Technology Assessment Criteria (DTAC) for health and social care. NHS X; 2020. https://www.nhsx.nhs.uk/key-tools-and-info/designing-and-building-products-and-services/ [The Digital Technology Assessment Criteria for health and social care, beta (DTAC) forms a baseline assessment criteria that validates the suitability and function of digital health technologies for use by the NHS, social care staff or directly by citizens.]

National Data Strategy. Department for Digital, Culture, Media & Sport; 2020. https://www.gov.uk/guidance/national-data-strategy [The aim of the National Data Strategy (NDS) is to drive the collective vision that will support the UK to build a world-leading data economy. Following the publication of the strategy on 9 September 2020, a period of open consultation commenced. You can submit your views until 11:45pm on 2 December 2020.]

Report AHSN Network Digital & AI Reset report; lessons and legacy from the COVID-19 pandemic in health and care. AHSN Network; 2020. https://www.ahsnnetwork.com/wp-content/uploads/2020/09/The-AHSN-Network-Digital-and-AI-Report.pdf [The findings underline the importance of a robust data infrastructure, This will help to empower people, communities and NHS and social care staff to serve local needs, thereby minimising health inequalities and rebuilding communities in line with the ‘levelling up’ agenda in a distributed health resilience model.]

Diagnostics: recovery and renewal Independent Review of DiagnosticServices for NHS England; 2020. https://www.england.nhs.uk/wp-content/uploads/2020/10/BM2025Pu-item-5-diagnostics-recovery-and-renewal.pdf [A report by Sir Mike Richards which focuses on the most acute problems facing imaging, endoscopy, pathology, genomics and physiological measurement services (especially cardiorespiratory diagnostic services).]

Realising digital-first primary care: shaping the future of UK healthcare. Deloitte Centre for Health Soutions; 2020. https://www2.deloitte.com/uk/en/pages/life-sciences-and-healthcare/articles/realising-digital-first-primary-care.html [This report focuses on digitalisation of primary care and discusses the current state, challenges and potential of digital transformation in general practice. It highlights the key steps needed to improve the adoption of technology by patients, practitioners and the wider healthcare system.]

Understanding resource consumption across a system Healthcare Financial Management Association (HFMA); 2020. https://www.hfma.org.uk/publications/details/understanding-resource-consumption-across-a-system [This case study describes how the Derbyshire health and care system set about linking up data from four providers, including establishing data sharing agreements, so that they had a better understanding of the use of resources across the system.]

Toolkit Information Governance portal. NHS X; 2020. https://www.nhsx.nhs.uk/information-governance/ [This portal will bring together national guidance on information governance - with the aim of ensuring IG guidance is clear and consistent for those working in health and care organisations, so they are empowered to use and share information appropriately to support care.]

Patient Experience

Report Caring behind closed doors: six months on. Carers UK; 2020. www.carersuk.org/images/News_and_campaigns/Behind_Closed_Doors_2020/CaringbehindcloseddoorsOct20. [Carers UK online survey finds that carers are desperately worried about how they will continue to care safely through the coming winter, and that they are already exhausted and close to burn-out. Without urgent action from the government, many carers simply do not think they will be able to cope in the coming months.]

7

Alert 105 September/October 2020

GP premises survey: post Covid-19. Patients Association; 2020. https://www.patients-association.org.uk/Blogs/reports/patients-views-on-gp-premises-during-covid-19 [With the emergency response to the Covid-19 pandemic disrupting many patients’ access to GP services, this survey investigated what patients felt about their GP’s premises, and whether they would be confident to return to them. It found ongoing high levels of confidence about visiting GP premises, and a strong expectation among patients that they would feel welcome, confident and safe on future visits.]

Patient Experience in England 2020. Patient Experience Library; 2020. http://pexlib.net/?226419= [Patient Experience in England rounds up twelve months of reporting, and summarises key findings. As well as a blow by blow review of the national patient surveys, our thematic overview of recent research draws out cross-cutting learning on matters such as online engagement, patient safety and the evidence-practice gap in patient experience.]

Patient Noun Adjective: understanding the experience of waiting for care. National Voices; 2020. https://www.nationalvoices.org.uk/publications/our-publications/patient-noun-adjective-understanding-experience-waiting-care [National Voices was asked by NHS England and Improvement to explore the experience of waiting for care. We wanted to understand how waits, delays and cancellations impact on people and their families, particularly those living with long term and multiple conditions.]

Service Design and Commissioning

Evidence-Based Summary Planned care rapid evidence review: Tranforming outpatients Midlands DSU Network; 2020. https://midlandsdecisionsupport.nhs.uk/documents/transforming-outpatients/ [This pack is presented as a directory of interventions, covering eight main interventions for transforming outpatient appointments, including: One-stop clinics; community-based clinics; alternatives to consultant-led care; virtual consultations; and, virtual follow-up clinics.]

Report Adult social care: coronavirus (COVID-19) winter plan 2020 to 2021. Department of Health and Social Care (DHSC); 2020. https://www.gov.uk/government/publications/adult-social-care-coronavirus-covid-19-winter-plan-2020-to-2021 [The government's ambitions for the sector and the challenges facing adult social care this winter. Published 18 September 2020.]

Connecting Services, Transforming Lives: The Benefits of Technology Enabled Care Services. Public Policy Projects; 2020. https://publicpolicyprojects.com/blog/publications/connecting-services-transforming-lives-the-benefits-of-technology-enabled-care-services-2/ [This report explores the accelerated development of digital innovation in health care during the coronavirus pandemic, focusing on telehealth, telecare, telemedicine and assistive technologies.]

How we can protect patients as we approach the end of Brexit transition. NHS Confederation; 2020. https://www.nhsconfed.org/resources/2020/10/bha-briefing-how-we-protect-patients-after-brexit-transition [In this briefing, the Brexit Health Alliance highlights the key agreements that are required to protect patients as part of the UK’s future relationship with the EU from 1 January 2021. It also lays out the considerations required to protect patients in the case of a non-negotiated outcome.]

Social prescribing. House of Commons Library; 2020. https://commonslibrary.parliament.uk/research-briefings/cbp-8997/ [Social prescribing is a means for GPs and other healthcare professionals to refer patients to non-clinical services in the local community. This paper details the development of social prescribing policies in England and provides an overview of schemes in the devolved nations.]

8

Alert 105 September/October 2020

The long-term impacts of new care models on hospital use: An evaluation of the Integrated Care Transformation Programme in Mid-Nottinghamshire. The Health Foundation; 2020. www.health.org.uk/publications/reports/the-long-term-impacts-of-new-care-models-on-hospital-use-midnotts [In this briefing, the Improvement Analytics Unit has found evidence that integrated care programmes have the potential to reduce hospital utilisation and that the best results are delivered when new ways of working start to become embedded.]

The state of the adult social care sector and workforce in England. Skills for Care; 2020. https://www.skillsforcare.org.uk/adult-social-care-workforce-data/Workforce-intelligence/publications/national-information/The-state-of-the-adult-social-care-sector-and-workforce-in-England.aspx [This report shows employers still need to fill around 112,000 job vacancies on any given day. The report also reveals that the percentage of days lost to sickness in adult social care across England during the pandemic increased to 7.5 per cent between March and August 2020, compared with 2.7 per cent pre Covid-19.]

Consultant workforce shortages and solutions: now and in the future. British Medical Association (BMA); 2020. www.bma.org.uk/advice-and-support/nhs-delivery-and-workforce/workforce/consultant-workforce-shortages-report [The NHS faces a perfect storm of consultants choosing to retire earlier, a significant proportion approaching retirement age and a growing trend of younger doctors walking away from their career. This report sets out the actions that the government and employers need to take to ensure consultants are retained in the NHS.]

Toolkit National Day Surgery Delivery Pack Getting it Right First Time (GIRFT); 2020. www.gettingitrightfirsttime.co.uk/wp-content/uploads/2020/10/National-Day-Surgery-Delivery-Pack_Sept2020_final.pdf [The GIRFT programme has coproduced this guidance with BADS and CPOC to support Trusts and systems to maximise their use of day case surgery to support the recovery and delivery of safe elective services in the current Covid-19 era and beyond.]

Quality Improvement

Evidence-Based Summary What influences improvement processes in healthcare? A rapid evidence review. RAND Europe; 2020. https://www.rand.org/randeurope/research/projects/influences-on-healthcare-improvement-processes.html [This rapid review of literature explored the influence on improvement processes in health care. The study identified a number of themes and issues relevant to future research in this space, including the key influences affecting the implementation of improvement processes in health care.]

Teams of healthcare professionals from a wide range of disciplines and pay grades are most effective at delivering improvements in patients' experiences. NIHR Evidence; 2020. https://evidence.nihr.ac.uk/alert/teams-of-healthcare-professionals-from-a-wide-range-of-disciplines-and-pay-grades-are-most-effective-at-delivering-improvements-in-patients-experiences/ [A study looked at the resources, or ‘team capital’ of groups aiming to make improvements to the quality of service. They found teams with members from a range of pay levels and disciplines were most successful at delivering change.]

Report State of Care 2019/20. Care Quality Commission (CQC); 2020. https://www.cqc.org.uk/publications/major-report/state-care [CQC annual assessment of health care and social care in England. The report looks at the trends, shares examples of good and outstanding care, and highlights where care needs to improve. It describes the impact of the coronavirus pandemic, including the unequal impact, DOLS and innovation.]

9

Alert 105 September/October 2020

The bigger picture: Learning from two decades of changing NHS care in England. The Health Foundation; 2020. https://www.health.org.uk/publications/reports/the-bigger-picture [An understanding of the past helps us to prepare for the future. In this, the REAL Centre's first report, the Health Foundation look back at the care and treatment provided by the NHS in England over the past two decades – as measured by health care activity.]

The state of health care and adult social care in England 2019/20. Care Quality Commission (CQC); 2020. https://www.cqc.org.uk/publications/major-report/state-care [This report looks at the trends, shares examples of good and outstanding care, and highlights where care needs to improve. It finds that the care that people received in 2019/20 was mostly of good quality. It concludes that while quality was largely maintained compared with the previous year, there was no improvement overall.]

Cost effectiveness analysis: health economic studies. Public Health England (PHE); 2020. https://www.gov.uk/guidance/cost-effectiveness-analysis-health-economic-studies [How to use a cost effectiveness analysis (CEA) to evaluate your digital health product. CEA is one type of economic evaluation that compares the costs and effects of alternative health interventions. CEA focuses on assessing the intervention’s impact on clinical measures, unlike other types of economic evaluation that consider broader effects.]

Conducting Research

Report Clinical trials: How the UK can transform the clinical research environment. Association of the British Pharmaceutical Industry; 2020. https://abpi.org.uk/publications/clinical-trials-how-the-uk-can-transform-the-clinical-research-environment/ [This second annual report on the state of clinical trials in the UK finds the UK has been leading the rest of Europe in early-stage clinical research, and is third for Phase III trials. However a strategy to restart non-COVID research safely and sustainably is needed.]

Innovation

Toolkit Guidance to support rapid successful changes to health and social care that will last during and beyond the COVID-19 pandemic. NIHR Appled Research Collaboration South London; 2020. arc-sl.nihr.ac.uk/news-insights/latest-news/supporting-implementation-and-improving-evaluation-health-and-social-care [An interactive resource to support the rapid implementation and evaluation of health and social care innovations, interventions and new services during, and after, the Covid-19 pandemic.]

Skills for collaborative change: a map and user guide. Q Health; 2020. https://q.health.org.uk/resource/skills-for-collaborative-change/ [A practical tool setting out the skills and attitudes needed for collaborative and creative problem-solving. It has been developed in partnership with Nesta. It draws on Q’s experience of large-scale collaborative approaches, the Health Foundation’s quality improvement expertise, and Nesta’s extensive experience of government innovation.]

10

Alert 105 September/October 2020

Public Health

Report Public health commissioning in the NHS: 2020 to 2021. Department of Health and Social Care (DHSC); 2020. https://www.gov.uk/government/publications/public-health-commissioning-in-the-nhs-2020-to-2021 [Information about NHS England's objectives and funding arrangements as it commissions public health services in the ongoing context of coronavirus (COVID-19). Published 26 October.]

The future of public health: the NIHP and other public health functions. Department of Health and Social Care (DHSC); 2020. https://www.gov.uk/government/publications/the-future-of-public-health-the-nihp-and-other-public-health-functions [Sets out the government's plans for protecting and improving the public's health, including the creation of the National Institute for Health Protection (NIHP). 15 September 2020.]

Pandemic fatigue - Reinvigorating the public to prevent COVID-19. World Health Organization (WHO); 2020. https://apps.who.int/iris/bitstream/handle/10665/335820/WHO-EURO-2020-1160-40906-55390-eng.pdf [This framework document provides key considerations for the planning and implementation of national and subnational strategies to maintain and reinvigorate public support to prevent COVID-19.]

Using economic development to improve health and reduce health inequalities. The Health Foundation; 2020. https://www.health.org.uk/publications/reports/using-economic-development-to-improve-health-and-reduce-he [The coronavirus (COVID-19) pandemic has shown us that people’s health and the economy cannot be viewed independently. Both are necessary foundations of a flourishing and prosperous society.]

Towards resilience: redesigning our systems for a better future. New Local Government Network (NLGN); 2020. http://www.nlgn.org.uk/public/2020/towards-resilience-redesigning-our-systems-for-a-better-future/ [This paper identifies five pillars that need to form the centrepiece of any approach: economic resilience; public sector resilience; community resilience; environmental resilience; and workforce resilience.]

Health and Wellbeing Interventions in Healthcare: A rapid evidence review. Institute for Employment Studies; 2020. https://www.employment-studies.co.uk/resource/health-and-wellbeing-interventions-healthcare [NHS Employers commissioned the Institute for Employment Studies to investigate the evidence base of health and wellbeing interventions used in health care and their implications for wellbeing outcomes.]

Professional Development Population health global summit. [In this free one-day virtual event you will hear national and international examples of best practice and explore how addressing the wider determinants of health as part of a population health approach can help reduce health inequalities. Register for a place.] Online Event Date: 2nd December, 2020, 10:00am- 4:00pm https://www.kingsfund.org.uk/events/population-health-global-summit

Toolkit The Equality and Health Inequalities Hub. NHS England; 2020. https://www.england.nhs.uk/about/equality/equality-hub/ [The Hub is designed to provide support and assistance to the NHS, and beyond, in promoting equality and tackling health inequalities for all patients, communities and the NHS workforce.]

KnowledgeShare: Update your knowledge, share your knowledge

What is KnowledgeShare? KnowledgeShare makes it easier to access personalised resources and services from the Library and

Knowledge Service. The library service uses KnowledgeShare to provide services to you (including search requests, information skills teaching and evidence updates) and you can log in with your NHS OpenAthens account to access these services directly.

We are committed to safeguarding your information. The information you supply will be used to contact you about services or resources you have requested from the Library and Knowledge Service. For further information on

BMJ Best Practice - Use it to find the latest evidence-based information to support your practice. Also available

as an app on Apple or Google Play store. 11

Alert 105 September/October 2020

how we keep your information secure, and your rights to access it, read the full KnowledgeShare Privacy Policy.

How do I access it? You can log into KnowledgeShare with your NHS OpenAthens account at www.knowledgeshare.nhs.uk. If you don’t have an NHS OpenAthens account, you can register at https://openathens.nice.org.uk

What can I do with KnowledgeShare? Receive personalised updates. To receive email current awareness updates once logged in to

KnowledgeShare, click on your name in the top right of the screen and click Your Profile. Then click on Edit in the top right of the Professional Interests box. Enter your interests in the text box or use the categories below.

Book on to skills session Once logged in to KnowledgeShare, scroll down the page to see a selection of skills sessions. Click on the desired session and then click the Book Place button.

Request an evidence search Once logged in to KnowledgeShare, click on Evidence on the grey tool bar and then click on Request an Evidence Search. Fill in the form with details of the search.

.

12