Reasons why people do not attend NHS Health Checks: a systematic review and qualitative synthesis

British Journal of General Practice, Br J Gen Pract 2017; DOI: https://doi.org/10.3399/bjgp17X693929 

Review of 9 qualitative studies reports people do not attend NHS Health Checks because of the lack of awareness, misunderstanding the purpose of the Health Check, aversion to preventive medicine, time constraints, and difficulties with access to general practices.

The findings particularly highlight the need for improved communication and publicity around the purpose of the NHS Health Check programme and the personal health benefits of risk factor detection.

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Enhanced health in care homes

Enhanced health in care homes: learning from experiences so far | The King’s Fund

This report draws on published literature about joining up and co-ordinating care homes and health services. It also draws on interviews with a range of providers, local authorities and CCGs. It aims to help care homes and NHS providers (including GPs), local authorities and CCGs who are thinking through how to join up and co-ordinate services locally and how to manage the complexities involved.

The report makes recommendations for extending enhanced health in care homes to all areas, supporting and developing leaders, and ensuring that people living in care homes can access high-quality health care.

Full report: Enhanced health in care homes: learning from experiences so far

Integrated Care Services (iCares). Transforming and Integrating Community Services within admission avoidance, care management and community rehabilitation services

NICE Shared Learning Database

Sandwell and West Birmingham Hospitals NHS Trust

This summary highlights outcomes from implementation of an integrated care service, a single point of access for service users with long term conditions. It demonstrates how key recommendations from NICE’s guideline for intermediate care (NG74) can be delivered in practice.

Transforming children and young people’s mental health

Ways for schools and colleges to support pupils’ mental health are set out in a green paper, as well as plans for new mental health support teams.

The government has published proposals to improve mental health support for children and young people in England. Over £300 million has been made available to fund them.

The government is asking people for their views on the planned measures, which are set out in a green paper. The measures include:

  • encouraging every school and college to have a ‘designated senior mental health lead’
  • setting up mental health support teams working with schools, to give children and young people earlier access to services
  • piloting a 4-week waiting time for NHS children and young people’s mental health services

Other proposals in the green paper include:

  • a new working group to look at mental health support for 16 to 25-year-olds
  • a report by the Chief Medical Officer on the impact that technology has on children and young people’s mental health, to be produced in 2018

The consultation on the green paper will run for 13 weeks until 2 March 2018.

Full document: Transforming children and young people’s mental health provision: a green paper

This short video describes the main proposals in the green paper.

Urgent and emergency care: best practice

This CQC report offers practical examples of how leading emergency departments are meeting the challenges of managing capacity and demand, and managing risks to patient safety .

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This report from the Care Quality Commission details the good practice identified following the Commission’s work with consultants, clinical leads, senior nursing staff and managers from leading emergency departments in 17 NHS acute trusts.

This resource identifies:

  • strategies staff use to meet the challenge of increased demand and manage risks to patient safety
  • positive actions to address potential safety risks and to manage increased demand better
  • how working with others can manage patient flow and ensure patients get the care they need
  • that rising demand pressures in emergency departments are an issue for the whole hospital and local health economy.

Full report: Sharing best practice from clinical leaders in emergency departments

Supporting transformational change

Supporting Change In Your NHS: The Non-Executive Community In Transformational Change | NHS Clinical Commissoners | NHS England |  NHS Improvement

This joint publication with NHS England and NHS Improvement summarises discussions held at two events earlier this year that brought together more than 200 CCG lay members and trust non-executive directors. These events focused on how lay members and NEDs can contribute to the integration and transformation of their local health communities.

Full document available here

Comprehensive geriatric assessment & independent living

Comprehensive geriatric assessment may increase the likelihood that frail older people can be discharged to independent living | Cochrane Database of Systematic Reviews | via National Institute for Health Research

Older people who received comprehensive geriatric assessment when in hospital were slightly more likely to be living in their own homes one year later. Sixty percent were discharged to independent living compared with 56% receiving standard ward care. People who had received this proper assessment were also 20% less likely to be in a nursing home after three months or more.

Comprehensive geriatric assessment is a careful review by a multidisciplinary specialist team of people’s medical, functional, mental and social capabilities. It aims to improve recovery and enable people to maintain function and independence.

This updated Cochrane review covered 29 trials compares this assessment with routine care for people over 65, excluding those with stroke and orthopaedic conditions. It may save NHS resources, but the quality of evidence was too low to assess this reliably.

Further details at National Institute for Health Research

Full reference: Ellis G, Gardner M, Tsiachristas A, et al. Comprehensive geriatric assessment for older adults admitted to hospital. Cochrane Database of Systematic Reviews. 2017;(9)