Health E-News Friday 25 September

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

New guidance on preparing anaesthesia and critical care for a second COVID-19 surge

New joint guidance produced by the Faculty of Intensive Care Medicine, the Intensive Care Society, the Association of Anaesthetists and the Royal College of Anaesthetists, outlines key principles for clinical directors to consider when planning service changes. The guidance aims to enable services to increase the availability of critical care facilities for COVID-19, while also protecting planned surgery, preserving training, and protecting the health and wellbeing of healthcare staff.

COVID-19 related news

New discovery in structure of Coronavirus could offer way of stopping virus

A new discovery in the structure of the SARS-CoV-2 Spike protein could offer a potentially significant means of eliminating the COVID-19 virus. An international team led by the University of Bristol, who have been examining the molecular composition of the virus, have made a finding that suggests that it might be possible to develop anti-viral drugs to target a particular part of the virus spike, thereby stopping its infectivity. The full findings are available in an article published in Science.

Cochrane blog offers summary of existing evidence on COVID-19

A piece on the Cochrane blog offers a summary of the existing Cochrane Reviews and Special Collections on various aspects of the virus. These include reviews on detecting COVID-19, testing and screening options, measures for controlling the spread – which include PPE, quarantine and travel-based measures – and treatment options for patients with COVID-19. The piece also considers the impact of the pandemic on other areas of health and wellbeing, and links to relevant reviews. Keep up to date with Cochrane news and reviews on COVID-19 at their page dedicated to Coronavirus resources.

Other news

Healthcare regulators publish annual joint report on whistleblowing disclosures

The GMC, NMC and the six other UK healthcare regulators have published their joint ‘Whistleblowing disclosures report 2020’. The report covers any disclosures made between 1 April 2019 and 31 March 2020, and outlines the number of disclosures received by each of the regulating bodies, as well as summarising the actions taken as a result of these disclosures.

Latest evidence from Cochrane on psychological therapies for chronic pain

A recently published Cochrane review investigates the use of three common psychological therapies for chronic pain in adults: cognitive behavioural therapy (CBT), behavioural therapy (BT) and acceptance and commitment therapy (ACT). The review is based upon studies of face to face treatment delivered by trained psychological therapists, and found that CBT offers small benefits on pain, disability and distress, while the evidence for ACT and BT was uncertain.

King’s Fund report examines the workplace needs of nurses and midwives

A report from the King’s Fund, ‘The courage of compassion: Supporting nurses and midwives to deliver high-quality care’, examines the pressures faced by nursing and midwifery staff, and investigates the workplace transformations that could contribute to improved health and wellbeing, decreased stress, and increased motivation. The report suggests that three core needs of autonomy, belonging and contribution must be met, and provides recommendations for how these can be achieved.

Flu vaccination programme aiming to reach 30 million people

This year’s flu vaccination programme will be expanded in an attempt to provide the vaccine to 30 million people, as findings from Public Health England (PHE) research earlier this year suggests that the risk of death more than doubled for people who tested positive for both flu and COVID-19, compared to those with COVID-19 alone. The vaccine will first be offered to all primary school children, two and three year olds, and the most at-risk groups, including adults over 65 and those with long term health conditions, before being rolled out to others later in the season. All staff at St George’s can, of course get their flu jab from the daily flu clinic.

Evidence review on the influences of improvement processes in healthcare

An evidence review commissioned by The Healthcare Improvement Studies (THIS) Institute at the University of Cambridge, and carried out by the RAND Corporation, explores the key influences affecting the implementation of improvement processes in healthcare. Based upon a review of publications covering a range of improvement approaches, six factors were found to be key influences on the successful implementation of improvement. These include leadership, patient and public involvement, and the use of data. The review is intended to highlight the issues that need to be considered when designing improvement initiatives.

NICE guidance

Clinical guideline

CG173 Neuropathic pain in adults: pharmacological management in non-specialist settings Updated

Interventional procedures guidance

IPG680 Transcranial magnetic stimulation for auditory hallucinations

Medtech innovation briefing

MIB227 t:slim X2 insulin pump for managing blood glucose levels in type 1 diabetes

MIB228 Novii Wireless Patch System for maternal and fetal monitoring

NICE guideline

NG59 Low back pain and sciatica in over 16s: assessment and management Updated

NG182 Insect bites and stings: antimicrobial prescribing

Technology appraisal

TA649 Polatuzumab vedotin with rituximab and bendamustine for treating relapsed or refractory diffuse large B-cell lymphoma


NIHR alerts 

New research provides insights into the distress experienced by transgender adults

More precise classification of risk in prostate cancer reveals a huge variation in treatment

Terminally ill patients and their families often need more help to manage their medicines

More health research should take place in the areas and populations with most disease

Cultural and language barriers need to be addressed for British-Pakistani women to benefit fully from breast screening

Community-based medicine collection improves access to lifesaving HIV treatment in South Africa

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