Health E-news Friday 14 August

Health E-News is a weekly update on policy and guidelines from organisations including NICE and individual Royal Medical Colleges, and news and views on health related subjects and research from trusted sources such as The King’s Fund, Cochrane, The Health Foundation, the NHS and the Department of Health and Social Care.

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COVID-19 guidance and policy

NHS publishes guidance for phase three response to COVID-19

The NHS has published a guidance document offering recommended actions across several key areas, including: addressing inequalities in provision and outcomes; mental health planning; and the restoration of community health services. Responding to the publication of the guidance, the NHS Confederation welcomed the emphasis on tackling the health equalities exposed by the pandemic.

COVID-19 related news

Briefing from NHS Providers explores trusts’ experiences of COVID testing regime

A new report from NHS Providers, drawing on the responses from 112 trusts to a survey conducted during June and July, explores the experiences that trusts have had with the national testing strategy so far. The report examines levels of confidence in the government’s approach and strategy, and trust leaders’ confidence in being able to meet testing requirements; considers issues relating to variable turnaround time for test results, and the implications of these; and calls for greater local involvement and control in testing in order to manage routine testing of staff and patients as services resume.

REACT study publishes first findings

The REACT (REal Time Assessment of Community Transmission) study, which has been using antibody finger-prick tests to track past infections and monitor the progress of the pandemic, has published pre-print findings on antibody prevalence based on 100,000 study participants. The findings indicate that 3.4 million people – 6% of the population – had been infected by COVID-19 by 13 July 2020. People living in London were most likely to have been infected, as were those working in care homes and health care, and people from Black, Asian and other minority ethnic groups and people living in larger households. All findings from the study can be found on the group’s page on the Imperial website.

COVID-19 pay protection FAQs

The NHS Staff Council Executive has published FAQs on pay protection relating to workforce issues arising from COVID-19. The document is an addition to existing guidance from the Department of Health and Social Care, and answers questions relating to staff who are redeployed to help service and patient needs, or in cases of redeployment following a risk assessment.

Study reveals extent of symptoms or infection of healthcare staff resulting from intubation

A new study published in Anaesthesia, explores the extent to which healthcare staff involved in procedures such as intubation might be exposed to elevated risk of acquiring COVID-19. The study of 1,718 healthcare workers from 503 hospitals in 17 countries shows that overall, 1 in 10 healthcare workers involved in intubating seriously ill patients with COVID-19 later reported symptoms, or had lab-confirmed COVID-19 themselves. The study authors recommend use of the findings to inform service planning, and suggest future work should aim at identifying interventions to reduce risks to healthcare professionals.

Other news

Research finds breast screening women aged 40-49 reduces cancer mortality

Research published in The Lancet Oncology, from a trial involving 23 breast screening units across Great Britain, suggests that yearly mammography commencing at age 40 or 41 years could lead to reductions in breast cancer mortality. The trial involved over 160 thousand women, recruited between October 1990 and September 1997, and the publication offers analysis of the data at 23 years of follow-up.

BMA report on disability in the medical profession

A new report from the BMA examines the experiences of disabled people studying, training and working in medicine, and offers recommendations for improving the support on offer. The report, based upon responses to a BMA survey, shows that just over half of respondents receive adjustments that they need, and which are a legal duty to provide. Over three quarters of respondents also expressed concerns over being treated unfavourably if disclosing a disability or long-term health condition.

NICE guidance

Interventional procedures guidance

IPG678 Deep brain stimulation for refractory epilepsy in adults

IPG679 Implanted vagus nerve stimulation for treatment-resistant depression

Medtech innovation briefing

MIB221 Healthy.io test for home testing of urine albumin to creatinine ratio

MIB222 pCONUS2 Bifurcation Aneurysm Implant for complex intracranial aneurysms

MIB223 Spartan RX point-of-care CYP2C19 test to guide treatment in acute coronary syndrome

Quality standard

QS194 Decision making and mental capacity

NICE Guideline

NG160 COVID-19 rapid guideline: dialysis service delivery Updated

NG174 COVID-19 rapid guideline: children and young people who are immunocompromised Updated

Technology appraisal

TA641 Brentuximab vedotin in combination for untreated systemic anaplastic large cell lymphoma

TA642 Gilteritinib for treating relapsed or refractory acute myeloid leukaemia

TA643 Entrectinib for treating ROS1-positive advanced non-small-cell lung cancer

TA644 Entrectinib for treating NTRK fusion-positive solid tumours

NIHR alerts 

Early warning scores used in hospitals must be based on sound science

High rates of delirium, persistent fatigue and post-traumatic stress disorder were common after severe infection in previous coronavirus outbreaks

Fluoxetine does not improve outcomes after stroke

Statistics

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