Monday, 18 May 2015

A New Priority for Mental Health

"The IAPT programme costs commissioners nothing. This is because people with depression and anxiety disorders cost the NHS a huge amount in terms of their physical healthcare. Thus people with long-term physical conditions cost the NHS around £6,000 per year in physical healthcare if they are mentally ill, but only £4,000 if they are not mentally ill. This difference of £2,000 compares with the cost per person treated in IAPT of around £650 – a one-off cost. "

A New Priority for Mental Health
R Layard
Centre for Economic Performance
London School of Economics and Political Science
May 2015

Read more here.

Commissioning Guide: Cataract Surgery

"Commissioning of cataract care should encompass the whole cataract care pathway from initial assessment and treatment planning to final postoperative review"

Commissioning Guide: Cataract Surgery
The Royal College of Ophthalmologists
February 2015

Read more here.

Constructive comfort: accelerating change in the NHS

"To achieve change at the pace and scale now needed in the NHS requires much careful thinking about the mechanisms employed to effect change. In this report we have focused how best to design national policy on the NHS to accelerate improvements to health care."

Constructive comfort: accelerating change in the NHS 
C Allcock, F Dormon, R Taunt, J Dixon
February 2015

Read more here.

Keeping patients with epilepsy safe

"While there is no proven intervention or national surveillance of epilepsy mortality, the safety checklist is a simple and practical tool that can be used to demonstrate effective clinical and corporate governance while enhancing patient safety. It can also help give some assurance to bereaved families that every effort was made to reduce risk and prevent a fatality."

Keeping patients with epilepsy safe: a surmountable challenge?
R Shankar et al.
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u208167.w3252

Read more here.

Improving the handover and care of acute urological admissions

"The 3 simple changes made to our practice both inwardly and outwardly have made great improvements to the care of our patients. Our handovers are more successful and the middle grade urologists are involved in the care of their patients at a much earlier stage much more commonly."

Improving the handover and care of acute urological admissions
E Bass, S Patel
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u204762.w3422

Read more here.

The use of conscious sedation in elective external direct current cardioversion

"Hospitals that are still using general anaesthesia for patients undergoing DC cardioversion for atrial fibrillation / atrial flutter should consider switching to the use of conscious sedation. This can improve efficiency, cut costs, and reduce waiting times for patients, resulting in improved clinical outcomes."

The use of conscious sedation in elective external direct current cardioversion: a single centre experience
R Lobo, T Kiernan
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u208437.w3377

Read more here.

Tuesday, 12 May 2015

The cost-effectiveness of testing strategies for type 2 diabetes: a modelling study

"Based on the multiethnic LEADER population, among individuals currently attending NHS Health Checks, it is more cost-effective to screen for diabetes using a HbA1c test than using a FPG test. However, in some localities, the prevalence of diabetes and high risk of diabetes may be higher for FPG relative to HbA1c than in the LEADER cohort."

The cost-effectiveness of testing strategies for type 2 diabetes: a modelling study 
Gillett M, Brennan A, Watson P, Khunti K, Davies M, Mostafa S, et al.
Health Technology Assessment 2015;19(33)

Read more here.