Professor Sir Mike Richards has launched a major overhaul of cancer screening as part the NHS Long Term Plan’s renewed drive to improve care and save lives | via NHS England
Early detection of cancer, while the condition is easier to treat, is central to the plan which aims to prevent tens of thousands more deaths each year. Sir Mike Richards, who was the NHS’ first cancer director and is the former CQC chief inspector of hospitals, is leading an independent review of national screening programmes.
He will recommend how they should be upgraded to ensure they remain world leading and that patients benefit from new technologies and treatments.
As part of his work, Sir Mike wants to hear views and ideas from staff, patients and other groups to inform recommendations for the future of cancer screening.
Sir Mike is seeking feedback on a number of areas including:
Future management, delivery and oversight of screening programmes
How to ensure maximum screening uptake across the country and particularly in vulnerable and minority groups
Opportunities for the use of AI and other technology to help with cancer screening
Feedback on current and future IT and equipment
Having the right number of staff with the right training to deliver the programmes
Views on what screening should look like in ten years’ time
New organisation will take forward digital transformation in the NHS, allowing patients and staff to benefit from the latest digital systems and technology | Department of Health and Social Care
A new joint unit, NHSX, will be created to bring the benefits of modern technology to every patient and clinician. It will combine the best talent from government, the NHS and industry. NHSX will aim to create the most advanced health and care service in the world to diagnose diseases earlier, free up staff time and empower patients to take greater control of their own healthcare. NHSX will work with the NHS and the wider digital economy to build world-class digital services. These will improve care for patients and enable medical research.
NHSX’s responsibilities will include:
setting national policy and developing best practice for NHS technology, digital and data – including data-sharing and transparency
setting standards – developing, agreeing and mandating clear standards for the use of technology in the NHS
ensuring that NHS systems can talk to each other across the health and care system
helping to improve clinical care by delivering agile, user-focused projects
supporting the use of new technologies by the NHS, both by working with industry and via its own prototyping and development capability
ensuring that common technologies and services, including the NHS App, are designed so that trusts and surgeries don’t have to reinvent the wheel each time
making sure that all source code is open by default so that anyone who wants to write code for the NHS can see what we need
reforming procurement – helping the NHS buy the right technology through the application of technology standards, streamlined spend controls and new procurement frameworks that support our standards
setting national strategy and mandating cyber security standards, so that NHS and social care systems have security designed in from the start
championing and developing digital training, skills and culture so our staff are digital-ready
delivering an efficient process for technology spend, domain name management and website security
This project introduced by the Palliative Care Team at the Royal United Hospitals Bath NHS Foundation Trust aims to support the education, development and support for staff to increase the quality of end of life care for patients, families and staff across the Trust | NHS England | The Atlas of Shared Learning
Nursing leadership in the Palliative Care Team at the Royal United Hospitals Bath NHS Foundation Trust identified that staff had more confidence in supporting patients with palliative and end of life care in the last few days of life compared to the weeks and months prior to a patient dying. This unwarranted variation led to the Palliative Clinical Nurse Specialists initiating a response with ‘The Conversation Project’.
The Conversation Project was developed to support and provide the focus for change that had been identified as needed.
The things that needed to change included:
An earlier recognition that the patient is approaching the end of their life or is facing an uncertain future;
To facilitate and raise awareness for the need for earlier conversations with patients and families about their current situations;
To improve the documentation of those important conversations;
To include these discussions in the ward multidisciplinary team (MDT) meetings to support a shared involvement and understanding of the needs of the patient and family;
To improve the transfer of information pertaining to a patient’s end of life on discharge or transfer of care;
To bring about a cultural shift in how their hospital recognised and engaged in the care of the dying;
To ‘normalise’ end of life conversations and to help staff recognise that anyone of us could be with patients when they wish to discuss their fears and wishes as their condition deteriorates.
Health Education England | February 2019 | Topol review
The Topol Review, led by cardiologist, geneticist, and digital medicine researcher Dr Eric Topol and produced by HEE, explores how to prepare the healthcare workforce, through education and training, to deliver the digital future.
The Topol Review is now published and it makes recommendations that will enable NHS staff to make the most of innovative technologies such as genomics, digital medicine, artificial intelligence and robotics to improve services. These recommendations support the aims of the NHS Long-Term Plan, and the workforce implementation plan, helping to ensure a sustainable NHS.
Winter 2019 will be a landmark for the National Health Service, as it will mark the opening of the NHS’s first high energy proton beam therapy unit, at the Christie NHS Foundation Trust in Manchester. Adrian Crellin, NHS England clinical lead for proton beam therapy says: “It is a confirmation that radiation oncology is absolutely a key part of modern cancer treatment.”
The two new £125m centres will each treat up to 750 patients a year. “Many of the patients we’ll be treating will be children, young people, and those with what could loosely be termed as rarer tumours,” says Ed Smith, who heads the Christie unit.
Research has advanced since the NHS announced investment in the two national proton beam centres in 2012. Smith, a consultant clinical oncologist, says protons now have “an increasingly proved role in the indications we will treat” and suggests the evidence is “beginning to firm up” for the reduction of long term toxicities.
Conventional radiotherapy uses x rays from multiple directions; a modern variant is high precision, intensity modulated radiotherapy (IMRT), which aims to maximise the dose to the tumour while minimising the dose to the surrounding tissue (Source: The BMJ).
Helpforce | February 2019 | Developing Innovative Volunteer Services in the NHS
This report summarises the key Insight and Impact findings from the five hospital trusts in the first Helpforce innovators programme. The publication of this report coincides with the launch of Helpforce’s new Volunteering Innovators Programme.
Over the next 18 months, Helpforce will work with 12 new NHS hospital trusts (with 10 being funded by NHS England and two by the Royal Voluntary Service) to develop high-impact volunteer innovations that will be refined and shared to help other trusts in the UK adopt effective volunteer services.
The ten funded by the NHS England grant will each receive a £75,000 grant, and all twelve will have access to a range of supporting services, digital tools, resources and guidance. The trusts, who were chosen through a competitive process which received 115 applications from 90 trusts, will focus on a range of specific volunteer roles. The volunteer interventions have been identified as those which could make the most impact if refined, tested and scaled to other NHS settings.
In order to support continuous improvement and impact management, the trusts collected both insights data, which is predominantly anecdotal and observational, and impact data, which is designed to measure impact in a more systematic, robust way. Insight gathering took precedence during the early parts of the project, especially as the trusts were establishing their new interventions and learning how to run and measure their projects. Impact work still played a role in this early stage – mainly through talking with patients, staff and volunteers, as well as capturing data from these stakeholders through surveys (Source: Helpforce).
Public Health England | January 2019 | Empowering staff to make informed wellbeing choices
A new case study from Public Health England (PHE) demonstrates how Barking, Havering and Rebridge Hospitals Trust have established a health and wellbeing team to provide a wide variety of programmes to help employees lead a healthier lifestyle.
Some of the actions taken by the Trust include:
establishing of a fruit and vegetable stall in the hospital entrance
a weekly timetable of various health initiatives for staff to participate in; in addition to a ‘green gym’ and an on-site tennis table
Health and wellbeing MOTs available to staff
Introduction of ‘Go by Bike’ staff pool bike scheme for commuting and cycling for work purposes
the Trust becoming smoke-free
The case study also includes challenges, key successes and next steps
University of Sheffield | January 2019 | University of Sheffield supports only second scanner of its kind in the UK for Sheffield Children’s Hospital
The University of Sheffield has helped fund a life-changing EOS scanner to help young patients at Sheffield Children’s Hospital, only the second of its kind for children in the UK.
Based on a Nobel prize-winning invention, EOS provides an ultra-low dose 2D and 3D digital X-ray system and will hugely improve the diagnosis and treatment of orthopaedic patients. Patients can sit or stand, with a complete head-to-toe image provided in 15 seconds or less.
The machine also ensures an 80% reduction in X-ray exposure, reduced waiting times and improved image quality enabling more accurate assessments and surgical planning. It will enhance the already world-leading spinal service at Sheffield Children’s Hospital, which became the first hospital in Europe last year to perform ground-breaking ‘trolley’ surgery to correct a spine curvature.
The machine was made possible thanks to a donation from the Morrisons Foundation, a charity set up by the supermarket, and large donations from The University of Sheffield and David and Jean Fyfe’s 2018 Daffodil Ball in aid of The Children’s Hospital Charity.
The new equipment will particularly aid those patients requiring limb and spine curvature examinations, who will now be able to get a much clearer X-ray. The reduction in radiation exposure will also help those requiring regular scans, such as scoliosis spine patients.
John Somers, Chief Executive of Sheffield Children’s NHS Foundation Trust, said “We are incredibly grateful to the people who support our work here at Sheffield Children’s. Our staff are amazing, providing specialist care with compassion every day. But with the latest equipment and donor-funded facilities, we can go even further to help children both locally and nationally.” (Source: University of Sheffield)
NHS England | January 2019 | Quality improvement using the principles of the Leading Change, Adding Value framework
A new case study on NHS England’s Atlas of Shared Learning looks at how the Senior Development Team nurse undertook a programme of quality improvement (QI).
The programme has supported the continued professional development of nursing staff to carry out a series of improvement projects, all targeting quality improvement and leadership.
The senior development team nurse collaborated with colleagues from across their organisation to identify principles of the Leading Change, Adding Value framework (LCAV) which could be embedded in practice. They supported colleagues to be aware of and understand these principles, as well as aligning quality improvement projects with the ten aspirational commitments embedded in Leading Change, Adding Value framework (LCAV).
A nursing development conference was hosted by the Trust to launch the programme including 70 key stakeholder nursing colleagues from across the Trust.
The senior development nurse helped to create a culture shift in approach to quality improvement through empowering staff at all levels to lead change and add value (Source: NHS England).
NHS | January 2019 | Introducing a Children’s Health Smartphone App at Walsall Healthcare NHS Trust
NHS England shares a case study that considers the impact of a smartphone app on the development and implementation of a children’s health smartphone application. The app has significantly improved patient, carer and family experience as well as better use of resources locally (Source: NHS England).