5 Years On: Responses to Francis: changes in board leadership and governance in acute hospitals in England since 2013 – University of Manchester Alliance Business School, Nuffield Trust and University of Birmingham Health Services Management Centre

Report from the University of Manchester Alliance Business School, Nuffield Trust and University of Birmingham Health Services Management Centre that finds that hospital leadership has generally changed for the better since the Francis Inquiry. There are, however, worrying signs that

Transition from Child and Adolescent Mental Health Services to Adult Mental Health Services – Healthcare Safety Investigation Branch

This bulletin relates to an investigation into the transition from Child and Adolescent Mental Health Services to Adult Mental Health Services. A combined community and mental health Trust reported the case of an 18-year-old man who died by suicide shortly after

Provision of mental health care to adults in the emergency department – Healthcare Safety Investigation Branch

This bulletin relates to an investigation of a woman experiencing a mental health crisis who, having presented to her general practitioner, ambulance service and the emergency department of her local hospital, subsequently took her own life. A preliminary investigation reviewed

Lenvatinib with everolimus for previously treated advanced renal cell carcinoma: Technology appraisal guidance [TA498] – NICE

Evidence-based recommendations on lenvatinib (Kisplyx) with everolimus for previously treated advanced renal cell carcinoma in adults.

Glecaprevir–pibrentasvir for treating chronic hepatitis C: Technology appraisal guidance [TA499] – NICE

Evidence-based recommendations on glecaprevir–pibrentasvir (Maviret) for treating chronic hepatitis C in adults.

Ceritinib for untreated ALK-positive non-small-cell lung cancer: Technology appraisal guidance [TA500] – NICE

Evidence-based recommendations on ceritinib (Zykadia) for untreated anaplastic lymphoma kinase (ALK)-positive non-small-cell lung cancer in adults.

Mental Health Act: the rise in the use of the MHA to detain people in England – Care Quality Commission

Between 2005/06 and 2015/16, the reported number of uses of the Mental Health Act (MHA) increased by 40%. It is well established that people from Black and minority ethnic groups are much more likely to be detained than those in

Age-related macular degeneration: NICE guideline [NG82] – NICE

This guideline covers diagnosing and managing age-related macular degeneration (AMD) in adults. It aims to improve the speed at which people are diagnosed and treated to prevent loss of sight.

Standard Personal Medical Services Agreement Variation Notice 2017 – NHS England

This document gives notice under paragraph 104(2) of Schedule 6 to the National Health Service (General Medical Services Contracts) Regulations 2004 (S.I. 2004/291) that the terms of the general medical services contract are varied as set out in the document.  It requires area teams

Diabetes commentary: CCG Improvement and Assessment Framework (CCG IAF) – NHS England

The CCG Improvement and Assessment Framework (CCG IAF) provides information to health care organisations, professionals and patients about how their local NHS services are performing and is used by national teams to drive organisational improvement through focused support. This document provides a commentary

Safeguarding Adults Protocol: Pressure Ulcers and the interface with a Safeguarding Enquiry – Department of Health & Social Care

Provides  a framework for health and care organisations when developing guidance for staff in all sectors and agencies that may see a pressure ulcer. If the staff member is concerned that the pressure ulcer may have arisen as a result of poor

Sustainability and transformation in the NHS: Department of Health and Social Care – National Audit Office

Report from the National Audit Office that finds that the NHS has received extra funding, but this has mostly been used to cope with current pressures and has not provided the stable platform intended from which to transform services. Despite

Screening Quality Assurance visit report NHS Bowel Cancer Screening Programme: North East London Bowel Cancer Screening Centre

Executive summary of quality assurance (QA) visit to North East London Bowel Cancer Screening Centre held on 17 March 2017.  The QA visit team identified 9 high priority findings as summarised below: Barts Health NHS Trust does not have an agreed

Screening Quality Assurance visit report NHS Breast Screening Programme Gloucestershire Breast Screening Service – Public Health England

Executive summary of quality assurance (QA) visit to Gloucestershire Breast Screening Service held on 27 September 2017. The QA visit team identified 8 high priority findings as summarised below: the current staffing for breast care nurses does not meet nursing guidelines for

The impact of the ‘Food First’ approach in a residential care home: Warrington and Halton NHS Foundation Trust – NHS Improvement

Warrington and Halton NHS Foundation Trust looks at how staff need to recognise where a diet may result in nutritional depletion and the impact on wound healing.

Supporting weight loss to minimise the risk of pressure ulcers: Sheffield Teaching Hospitals – NHS Improvement

Case study from Sheffield Teaching Hospitals that looks at the importance of patients with reduced mobility losing weight gradually to ensure skin integrity is not compromised.

Learning from root cause analysis investigation into a grade 3 pressure ulcer: Leeds Teaching Hospitals NHS Trust – NHS Improvement

Case study from Leeds Teaching Hospitals NHS Trust Nursing staff who look at how malnutrition can contribute to development of pressure ulcers and poor wound healing.

Five top tips to prevent pressure ulcers – NHS Improvement

Malnutrition and dehydration are risk factors for the development of pressure ulcers  this paper takes the advice of some dietitians and nutrition specialist nurses to identify their five top tips for eating well and drinking well to keep skin well.

Eat well, drink well and keep the skin well: Key nutrition and hydration messages to prevent pressure ulcers and promote wound healing – NHS Improvement

Nutrition and hydration play a key role in keeping the skin healthy. The National Institute of Health and Care Excellence recognises deficiencies in diet as a risk for developing pressure ulcers and international guidance recommends using a nutritional screening tool

Developing People Improving Care Together: one year on – NHS England

One year on from the launch of the Developing People- Improving Care, we highlight how leaders across health and social care have implemented the framework.  This involves ensuring systems of compassion, inclusion and improvement, are at the core of the health