Update - Hinchingbrooke Health Care NHS Trust

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Current Awareness Bulletin
11th – 31st August 2014
Welcome to the latest issue of our weekly Current Awareness Bulletin, a
publication from the Library and Knowledge Services at Hinchingbrooke
Hospital. This bulletin provides a digest of information focusing on primary
care and public health. If you are unable to access any of the internet links,
please contact us and we can forward the relevant information to you.
If you would like to register for free to this on a permanent basis, or simply
find out more about the service, please email Liza Alderman, Specialist
Librarian, Primary Care and Public Health, at the address below.
If you would like to suggest any new headings for the bulletin, or other
sources of information to be reviewed and included in subsequent editions,
please contact Liza Alderman. (Tel no: 01480 416114 or
liza.alderman@nhs.net). For information about other library services including
NHS Athens, please go to our website:
http://www.hinchingbrooke.nhs.uk/page/our-services/library-services
News
Thursday, 11th September
Introduction to searching
the healthcare databases
10.00 – 12.00
Wed, 24th September
Searching NHS Evidence
12.00 – 1.00
Thursday, 2nd October
Searching UpToDate
12.30 – 1.30
Wednesday, 8th October
Introduction to searching
the healthcare databases
10.00 – 12.00
Thursday, 16th October
Searching NHS Evidence
12.00 – 1.00
Wednesday, 22nd October
Searching UpToDate
12.30 – 1.30
See our website http://www.hinchingbrooke.nhs.uk/page/our-services/libraryservices/library-skills-training for details of training session content.
To book a place on any of our training sessions, or to simply find out more,
please email hch-tr.libraryteam@nhs.net
*Alternative training is available for those staff working within Peterborough
and Luton. Please contact your local NHS library for details
Contents
Cancer
Obesity
Cardiovascular Disease
Offender & Prison Health
No items this week
Child & Adolescent Health
Older People
Communicable Diseases
Patient Safety
Commissioning
Physical Activity
CQC Standards
Primary Care
Dental Services
Respiratory Conditions (including COPD)
Diabetes
Safeguarding vulnerable adults
Diet & Nutrition
Sexual Health
No items this week
Disabilities
Smoking & Tobacco
Drugs & Alcohol
Social Care & Social Work
Evidence Updates
Stroke
Health Inequalities
Waiting Times
No items this week
Long Term Conditions
Women’s Services
Medicines
Miscellaneous
Mental Health
NICE
Cancer
Salt injections: not a cure for cancer
“Salt injection ‘kills cancer cells’ by causing them to self-destruct,” reports the Mail Online.
Source: Behind the Headlines
Macmillan finds cancer survival 'postcode lottery'
“Cancer postcode lottery ‘costs 6,000 lives a year’,” reports The Times.
Source: Behind the Headlines
Caution urged over CT scan radiation doses
BBC News reports on a sharp rise in the number of CT scans being performed, exposing
people to the potential health risks of radiation.
Source: Behind the Headlines
Botox may be useful in treating stomach cancers
"Botox may have cancer fighting role," BBC News reports after research involving mice found
using Botox to block nerve signals to the stomach may help slow the growth of stomach
cancers. Botox, short for botulinum toxin, is a powerful neurotoxin that can block nerve
signals.
Source: Behind the Headlines
See also Physical Activity section:
Exercise may cut breast cancer risk,
study finds
See also Obesity section:
Is UK obesity fuelling an increase in 10
cancers?
See also Mental Health section:
Depression therapy aids other cancer
symptoms
See also Diet & Nutrition section:
Tomato-rich diet 'reduces prostate cancer
risk'
Cardiovascular Disease
Cardiovascular disease profiles
http://www.yhpho.org.uk/ncvinc
These profiles aim to help the NHS and local authorities understand more about these
conditions in their communities, highlighting important facts and including information on the
leading risk factors such as smoking and obesity. The profiles bring together information
about coronary heart disease, diabetes, kidney disease and stroke as a single family of
conditions. In coming weeks, Public Health England will release an interactive version of the
data which allows CCGs to compare themselves with others, including those in their strategic
clinical network.
Source: PHE (Please note that the link may only work by pasting the address into Google
Chrome)
Are good neighbours really life-savers?
“Having good neighbours can help cut heart attack risk,” reports The Independent.
Source: Behind the Headlines
See also Diet & Nutrition section:
High-salt diet linked to 1.6 million heart
deaths
See also Medicines section:
Common antibiotic linked to 'tiny' rise in
heart deaths
Child & Adolescent Health
Guide to Producing Health Information for Children and Young People
The new edition of this guide aims to help anyone who communicates with children and
young people about their health improve what they do. There is practical advice as well as
examples of current best practice.
Source: Patient Information Forum
Growth of newborn babies' brains tracked
"Scans chart how quickly babies' brains grow," reports BBC News Online.
Source: Behind the Headlines
Transfer of 0-5 children’s public health commissioning to local authorities
Planning and paying for public health services for 0 to 5 year olds will transfer from the NHS
to local authorities in October 2015.
Source: DoH
Motivational interviewing for alcohol misuse in young adults
Source: The Cochrane Library
Antibiotics for early onset neonatal infection
Source: Evidence Update
See also CQC section:
Getting inspections right for children and
young people
See also Mental Health section:
Antidepressant use in pregnancy linked to
ADHD
Commissioning
Bulletin for CCGs: Issue 62, 03 July 2014
Source: NHS England
Maternity pathway payment system: guidance for NHS providers and commissioners
Source: Monitor/NHS England
The Engagement Cycle
This model was developed by InHealth Associates to support commissioners aiming to
engage with patients and the public throughout the commissioning cycle. It has been updated
to align with current statutory guidance, new commissioning arrangements and current
healthcare challenges.
Source: Centre for Leadership/King’s Fund
NICE support for commissioning for varicose veins in the legs
NICE support for commissioning [SFCQS67]
NICE support for commissioning for intravenous fluid therapy in adults in hospital
NICE support for commissioning [SFCQS66]
Bulletin for CCGs: Issue 65, 14 August 2014
Source: NHS England
Specialised commissioning stakeholder newsletter: Issue 3
Source: NHS England
Bulletin for CCGs: Issue 66, 28 August 2014
Source: NHS England
Population level commissioning for the future
This paper presents analysis of a Kent 'whole population' dataset, linking whole population
demographics with activity and cost data for the population from acute, community, mental
health and social care providers. The data helps commissioners to understand the impact of
different selections methods for people with 'very complex' health and social care needs,
particularly in relation to the development of a LTC year of care currency.
Source: NHS Improving Quality
Learning, developing and improving working practices
Clarity of purpose, timescale and communication are crucial to establishing a practice
federation. The latest issue of Commissioning Excellence draws together an arsenal of top
tips that will help make federating (relatively) easy. The issue also looks at how Central
Manchester CCG is piloting new ways to manage a local rise in emergency department
attendances and how Integrated Community Teams in Gloucestershire are transforming the
way health and care services are provided within the county.
Source: PCC
Lessons learned: implementing an electronic palliative care co-ordination system
(EPaCCS)
An NHS England funded taskforce focused on overcoming barriers to implementation of
EPaCCS (Electronic Palliative Care Co-ordination Systems) is working with CCGs to provide
technical and clinical expertise supported by NHS Improving Quality (NHS IQ). EPaCCS
enable the recording and sharing of people’s care preferences and key details about their
care at the end of life. This factsheet details key learning and implementation advice.
See also Cardiovascular Disease section:
Cardiovascular disease profiles
See also Diabetes section:
London’s Diabetes Care Pathway:
Commissioning Recommendations For
Psychological Support
See also Disabilities section:
Joint health and social care learning
disability self-assessment framework
Communicable Diseases
Communicable disease outbreak management operational guidance
Source: Public Health England
Vaccine update for immunisation practitioners
Source: Public Health England
Who to screen for MRSA
Outlines a more focused, cost-effective approach to MRSA screening whilst concentrating on
reducing infections and improving patient health.
Source: DoH
CQC Standards
Getting inspections right for children and young people
This report has resulted in 73 recommendations; a number of which formed the basis of two
successful pilot inspections of specialist children’s hospitals (Sheffield and Alder Hey) that
took place in May-June 2014. All the recommendations have now been considered and CQC
accepts in whole or in part 70 of these recommendations. CQC has deferred making a
decision on the remaining three. The CQC has also published its inspection report into
Sheffield Children's NHS Foundation Trust.
Dental Services
Toothbrushing advice 'conflicting'
"Teeth-brushing advice unacceptably inconsistent," reports The Guardian, while the Mail
Online states that a "simple, gentle scrub is best"
Source: Behind the Headlines
Number of people seen by an NHS dentist nearing 30 million
Source: HSCIC
NHS Dental Statistics for England - 2013-14
This annual report includes information on all patients that received NHS dental care in
England for the 12-month period to 31 March 2014. Subjects covered include: dental activity,
clinical treatment and dental workforce. Information on the number of patients seen by an
NHS dentist for the 24-month period to 30 June 2014 is also included. This information is
used by the Department of Health to inform government policy on NHS dentistry and by local
NHS managers in the planning and delivery of local dental services.
Source: HSCIC
Diabetes
2.2 million pounds spent every day on diabetes drugs in primary care
Source: HSCIC
London’s Diabetes Care Pathway: Commissioning Recommendations For
Psychological Support
This document provides guidance on emotional and psychological support on the London
diabetes care pathway. It uses information gathered from discussions with professionals and
patients, and from surveys about local provision.
Source: NHS Networks/King’s Fund
Diet & Nutrition
Preoperative carbohydrate treatment for enhancing recovery after elective surgery
Source: The Cochrane Library
High-salt diet linked to 1.6 million heart deaths
"Salty diet 'causes 1.6 million deaths worldwide each year'," reports The Daily Telegraph. It
goes on to quote a researcher saying this is "nearly 1 in 10 of all deaths from cardiovascular
causes worldwide".
Source: Behind the Headlines
Breakfast 'not the most important meal of the day'
"Breakfast might not be the most important meal of the day after all,” the Mail Online reports.
Source: Behind the Headlines
Common bacteria could help prevent food allergies
"Bacteria which naturally live inside our digestive system can help prevent allergies and may
become a source of treatment," BBC News reports after new research found evidence that
Clostridia bacteria helps prevent peanut allergies in mice.
Source: Behind the Headlines
Tomato-rich diet 'reduces prostate cancer risk'
“Tomatoes ‘cut risk of prostate cancer by 20%’,” the Daily Mail reports, citing a study that
found men who ate 10 or more portions a week had a reduced risk of the disease.
Source: Behind the Headlines
Establishing food standards for NHS hospitals
Source: DoH
Disabilities
Autistic brain 'overloaded with connections'
"Scientists discover people with autism have too many brain 'connections'," the Mail Online
reports. US research suggests that people with an autistic spectrum disorder have an
excessive amount of neural connections inside their brain
Source: Behind the Headlines
Joint health and social care learning disability self-assessment framework
CCGs should be aware that the results of the 2013/14 joint health and social care selfassessment have been published on the Public Health England website. The details of the
2014/15 self-assessment are currently being developed by the Winterbourne View working
group. Local authorities should complete the self-assessment with local partners, including
CCGs. Local discussions should occur between CCGs, area teams, learning disability
partnership boards and regional ADASS to agree an approach to undertaking and quality
assuring the self-assessment.
Source: PHE
Drugs and Alcohol
Ambitious For Recovery: Tackling Drug And Alcohol Addiction In The UK
This report outlines and forecasts addiction problems in the UK and warns that deaths linked
to ‘legal highs’ could overtake those linked to heroin by 2016. Amongst some of the
recommendations suggested is a 'treatment tax' which should be added to the cost of alcohol
in shops to fund a new generation of rehabilitation centres and stem the tide of Britain's
addiction problem.
Source: Centre for Social Justice/King’s Fund
Motivational interviewing for alcohol misuse in young adults
Source: The Cochrane Library
Alcohol dependence and harmful alcohol use quality standard
NICE quality standards [QS11]
Health inequalities
See also Medicines section:
Research shows potential of community
pharmacies to cut health inequalities
Long Term Conditions
Integrated disease management programmes for chronic obstructive pulmonary
disease
Source: Eyes on Evidence
See also Medicines section:
Depression 'common' in early Parkinson's
Medicines
Bone marrow drug could treat alopecia
“Alopecia sufferers given new treatment hope with repurposed drug,” The Guardian reports.
Source: Behind the Headlines
Common antibiotic linked to 'tiny' rise in heart deaths
An antibiotic given to millions of people in the UK to treat chest infections has been linked to
an increased risk of heart death, report The Daily Telegraph and The Independent.
Source: Behind the Headlines
Dual vaccine approach could help eradicate polio
Double vaccines "could hasten the end of polio", BBC News reports. Researchers in India
found that using a combination of the oral and injected vaccines provided enhanced
protection against the disease.
Source: Behind the Headlines
Research shows potential of community pharmacies to cut health inequalities
Research has confirmed the unique position that community pharmacies have at the heart of
even the most deprived communities and highlighted the potential for the sector to be better
used to help tackle health inequalities and public health issues. The study, which was carried
out at the University of Durham, looked at the phenomenon known as the “inverse care law”
which states that those who are the most able to access healthcare are the least likely to be
in need of it. Researchers found that in the world of community pharmacy the opposite is true.
Source: BMJOpen
The New Medicine Service Evaluation
The New Medicine Service (NMS) can significantly increase patients’ adherence to their new
medicines and will save the NHS money through better patient outcomes at overall reduced
costs, an evaluation of the service has concluded. The evaluation, which was led by
researchers at Nottingham University, recommended that the service could be improved by
expanding the range of conditions covered, improving training and engagement with GPs,
and giving pharmacies access to GP records.
Source: University of Nottingham
Aglomelatide for depression
Source: Eyes on Evidence
Adverse effects after quadrivalent human papillomavirus vaccination
Source: Eyes on Evidence
Pharmacological interventions for sleepiness and sleep disturbances caused by shift
work
Source: The Cochrane Library
Antibiotics for early onset neonatal infection
Source: Evidence Update
Dimethyl fumarate for treating relapsing‑remitting multiple sclerosis
NICE technology appraisals [TA320]
See also Obesity section:
Anti-obesity drugs 'may still work in
middle-age'
See also Mental Health section:
Antidepressant use in pregnancy linked to
ADHD
Mental Health
Depression 'common' in early Parkinson's
“Depression more common in early Parkinson’s,” BBC News reports, as a new study
investigates the impact this degenerative condition can have on mental health.
Source: Behind the Headlines
Is breastfeeding inability causing depression?
Mothers who plan, but are unable, to breastfeed their babies are more likely to suffer from
postnatal depression, report BBC News and The Independent.
Source: Behind the Headlines
A manifesto for better mental health
This manifesto produced by 6 mental health organisations sets out straightforward, practical
changes that a future Government could make in order to ensure mental and physical health
are valued equally. The five key priorities for action are: fair funding for mental health; give
children a good start in life' improve physical health care for people with mental health
problems; improve the lives of people with mental health problems; and better access to
mental health services.
Source: Centre for Mental Health
Antidepressant use in pregnancy linked to ADHD
“Pregnant women who take anti-depressants 'could raise their child's risk of ADHD',” reports
the Mail Online, saying that this could explain “the rise in children with short attention spans”.
Source: Behind the Headlines
Depression therapy aids other cancer symptoms
"Depression therapy could help cancer patients fight illness," reports The Daily Telegraph.
Source: Behind the Headlines
No Assumptions: A Narrative For Personalised, Coordinated Care And Support In
Mental Health
This resource describes the critical outcomes and success factors in the care, support and
treatment of people who use mental health services, from their perspective. It is aimed at
NHS and council commissioners and providers of services to organise person-centred care
and recovery-oriented support for mental and physical health and to know when they are
achieving it.
Source: National Voices/King’s Fund
Aglomelatide for depression
Source: Eyes on Evidence
Psychotherapy for depression
Source: Eyes on Evidence
Psychotherapy for anorexia nervosa
Source: Eyes on Evidence
See also Diabetes section:
London’s Diabetes Care Pathway:
Commissioning Recommendations For
Psychological Support
Obesity
Anti-obesity drugs 'may still work in middle-age'
“Drug to halt the dreaded spread of middle age,” reports The Daily Telegraph, with similar
headlines on the Daily Express and Daily Mail websites
Source: Behind the Headlines
Surgery for weight loss in adults
Source: The Cochrane Library
Is UK obesity fuelling an increase in 10 cancers?
“Being overweight and obese puts people at greater risk of developing 10 of the most
common cancers,” reports BBC News.
Source: Behind the Headlines
'Fat and 30' link to dementia is inconclusive
“People as young as 30 who are obese may be at greater risk [of dementia],” The
Independent reports.
Source: Behind the Headlines
Does weight loss surgery affect dementia risk?
"Weight loss surgery 'reduces chance of Alzheimer's disease'," reports The Daily Telegraph.
This misleading headline reports on a small Brazilian study of severely obese women before
and after weight loss surgery. None of the women had any signs or symptoms of Alzheimer's.
Source: Behind the Headlines
Data Factsheets On Weight, Obesity And Physical Activity
These factsheets compile up-to-date key information and data about obesity and its
determinants in an easily readable format. The data factsheets will be a useful resource for
policy makers, practitioners and anyone with an interest in obesity.
Source: PHE/King’s Fund
Offender and Prison Health
No items this week
Older People
Claims magnetic brain stimulation helps memory
“Magnetic brain stimulation treatment shown to boost memory,” The Guardian reports. A new
study found that magnetic pulses improved recall skills in healthy individuals. It is hoped that
the findings of this study could lead to therapies for people with memory deficits such
as dementia.
Source: Behind the Headlines
See also Obesity section:
'Fat and 30' link to dementia is
inconclusive
See also Smoking & Tobacco section:
Tobacco use knowledge summaries:
tobacco use and dementia
See also Obesity section:
Does weight loss surgery affect dementia
risk?
Patient Safety
Patient safety alert on risks arising from breakdown and failure to act on
communication during handover at the time of discharge from secondary care
Source: NHS England
Physical activity
Exercise may cut breast cancer risk, study finds
"Exercise lowers risk of breast cancer after menopause," reports The Independent. This and
similar headlines were sparked by a large study of postmenopausal teachers that found
increased recreational activity was associated with a 10% decrease in the risk of breast
cancer.
Source: Behind the Headlines
See also Obesity section:
Data Factsheets On Weight, Obesity And
Physical Activity
Primary Care
2.2 million pounds spent every day on diabetes drugs in primary care
Source: HSCIC
Avoiding unplanned admissions enhanced service: proactive case finding and care
review for vulnerable people: Guidance and audit requirements
A programme of action for general practice and clinical commissioning groups
Source: NHS England
See also Medicines section:
The New Medicine Service Evaluation
Respiratory Conditions (including COPD)
Asthma emergency admissions: fall in August, rise in September
Source: HSCIC
Integrated disease management programmes for chronic obstructive pulmonary
disease
Source: Eyes on Evidence
Safeguarding of vulnerable adults
See also Primary Care section:
Avoiding unplanned admissions
enhanced service: proactive case finding
and care review for vulnerable people
Sexual Health
No items this week
Smoking & Tobacco
Numbers using NHS Stop Smoking Services in decline for the second year
Source: HSCIC
Tobacco use knowledge summaries: tobacco use and dementia
This document is prepared with the objective to summarize the current evidence on this topic
(tobacco use includes smoked tobacco, smokeless tobacco and exposure to second-hand
smoke). This is also intended as an advocacy tool to widely include other health care
professionals (such as brain health specialists, neurologists etc.) in the fight for tobacco
control and prevention of tobacco related diseases.
Source: WHO
Study finds plain cigarette pack fears 'unfounded'
"Cigarette plain packaging fear campaign unfounded," reports The Guardian
Source: Behind the Headlines
Social Care & Social Work
See also Disabilities section:
Joint health and social care learning
disability self-assessment framework
Stroke
'Safe' stem cell therapy may help stroke recovery
BBC Online today reports that "Stem cells show promise in stroke recovery".
Source: Behind the Headlines
Targeted brain stimulation 'could aid stroke recovery'
"Stimulating the part of the brain which controls movement may improve recovery after a
stroke," BBC News reports after researchers used lasers to stimulate a particular region of
the brain with promising results in mice
Source: Behind the Headlines
Waiting Times
No items this week
Women’s Services
Maternity pathway payment system: guidance for NHS providers and commissioners
Source: Monitor/NHS England
Interventions to reduce haemorrhage during myomectomy for fibroids
Source: The Cochrane Library
Monitoring of stimulated cycles in assisted reproduction (IVF and ICSI)
Source: The Cochrane Library
Muscle training for pelvic organ prolapse
Source: Eyes on Evidence
See also Physical Activity section:
Exercise may cut breast cancer risk,
study finds
See also Mental Health section:
Is breastfeeding inability causing
depression?
Antidepressant use in pregnancy linked to
ADHD
Miscellaneous
Testing The Bed-Blocking Hypothesis: Does Higher Supply Of Nursing And Care
Homes Reduce Delayed Hospital Discharges?
Hospital bed blocking occurs when hospital patients are ready to be discharged to a nursing
home but no place is available, so that hospital care acts as a more costly substitute for longterm care. This paper investigates the extent to which higher supply of nursing home beds or
lower prices can reduce hospital bed blocking. It uses new local authority level administrative
data from England on hospital delayed discharges in 2010-13. The results suggest that
delayed discharges do respond to the availability of care-home beds but the effect is modest:
an increase in care-homes bed by 10% (250 additional beds per local authority) would reduce
delayed discharges by about 4%-7%. It also finds strong evidence of spillover effects across
local authorities: higher availability of care-homes or fewer patients aged over 65 in nearby
local authorities are associated with fewer delayed discharges.
Source: Centre for Health Economics/King’s Fund
NHS News: Issue 70
Source: NHS England
New data show rates of common NHS operations and resulting patient benefit
August 14, 2014: The Health and Social Care Information Centre has published information
about four common NHS operations, and patient feedback about the health outcomes of
these operations.
The Patient Reported Outcome Measures (PROMs) programme focuses on four procedures knee replacements; varicose vein surgery; hip replacements; and groin hernia surgery and
reports on results at provider, Clinical Commissioning Group (CCG) and national level.
NHS Five Year Forward View (“5YFV”)
Source: NHS England
Update on Urgent and Emergency Care Review
Source: NHS England
Informed: Issue 1
Source: NHS England
Mutuals In Health: Pathfinder Programme - Supporting Health And Care Organisations
Explore The Benefits Of Mutualisation
Chris Ham, Chief Executive of the King’s Fund, recently published an independent review of
staff engagement and empowerment in the NHS. The review recommended that government
support a pathfinder programme to help NHS trusts and foundation trusts explore the benefits
of the mutual model. In response to the review’s recommendation, Department of Health and
Cabinet Office launched a joint initiative on 15 July 2014 to support health and care
organisations explore the potential advantages of mutualising their services. The Pathfinder
Programme is designed to support a small number of pioneering trusts, either individually or
in partnership. It is open to all foundation trusts and NHS trusts.
Source: DoH/King’s Fund
Spend And Outcome Tool (SPOT) For Local Authorities
This tool gives local authorities an overview of spend and outcome across key areas of
business for public health and its sub-programmes. The tool is an interactive spreadsheet and
is also accompanied by factsheets for each local authority.
Source: PHE/King’s Fund
NHS Health Check quarterly returns: August 2014
Public Health England has published the NHS Health Check data update for April to June
2014. This update contains data from 152 local authorities for April to June 2014 (quarter 1 for
2014 to 2015).
Remote health advice bulletin
This update monitors the numbers of people calling NHS 111 for health advice. It monitors
patterns in phone calls to the service each day across England, tracking the spread of
infectious diseases like flu and norovirus. The data provides early warning of communitybased infectious diseases.
Source: PHE
Evidence Updates
Eyes on Evidence August 2014
Topics this month include: Integrated disease management programmes for chronic
obstructive pulmonary disease, Agomelatine for depression, Psychotherapy for anorexia
nervosa, Muscle training for pelvic organ prolapse, Adverse effects after quadrivalent human
papillomavirus vaccination.
Evidence Update
Antibiotics for early onset neonatal infection
NICE
New Guidance
Varicose veins in the legs
NICE quality standards [QS67]
NICE support for commissioning for varicose veins in the legs
NICE support for commissioning [SFCQS67]
NICE support for commissioning for intravenous fluid therapy in adults in hospital
NICE support for commissioning [SFCQS66]
Intravenous fluid therapy in adults in hospital
NICE quality standards [QS66]
Acute kidney injury: Prevention, detection and management of acute kidney injury up
to the point of renal replacement therapy
NICE quality standards [CG169]
Patient Group Directions
NICE medicines practice guidelines [MPG2]
Alcohol dependence and harmful alcohol use quality standard
NICE quality standards [QS11]
Dimethyl fumarate for treating relapsing‑remitting multiple sclerosis
NICE technology appraisals [TA320]
Total prosthetic replacement of the temporomandibular joint
NICE interventional procedures guidance [IPG500]
Mimimally invasive video-assisted thyroidectomy
NICE interventional procedures guidance [IPG499]
Minimally invasive video‑assisted parathyroidectomy
NICE interventional procedures guidance [IPG501]
Disclaimer:
Whilst we make every effort to check the content when it is first published, we cannot guarantee
its correctness or completeness. The information on this website is subject to change and we cannot guarantee that
it will remain up-to-date.
All links from this website are provided for information only. A link does not imply endorsement of that site. We do not
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Copyright and liability
You are welcome to use the information from the Current Awareness Service for Health so long as the source is
acknowledged. Copyright restrictions may apply to material from other sites.
Sources used: The Audit Commission, Cabinet Office, Care Quality Commission, Commission for Rural
Communities, Communities and Local Government, Dept for Business, Innovation and Skills, Dept for Children,
Schools and Families, Dept for Culture, Media and Sport, Dept for the Environment, Food and Rural affairs, Dept for
Transport, Dept for Work & Pensions, Dept of Energy & Climate Change, Dept for Health, Directgov, Economic and
Social Research Council, Electoral Commission, Environment Agency, Equality and Human Rights Commission,
Food Standards Agency, Gambling Commission, General Social Care Council, Government Connect, Govt Office for
London, Govt Office for the East Midlands, Govt Office for the East of England, Govt Office for the North East, Govt
Office for the North West, Govt Office for the South East, Govt Office for the South West, Govt Office for the West
Midlands, Govt Office for Yorkshire & The Humber, Health and safety Executive, HM Prison Service, HM Revenue
and Customs, HM Treasury, Home Office, Homes and Communities Academy, Homes, and Communities Agency,
Law commission, Local Better Regulation Office, Ministry of Defence, Ministry of Justice, Museums, Libraries and
Archives Council, Natural England, Office for Standards in Education, Children’s Services and Skills, Office of Fair
Trading, Office of Government Commerce, Office of Public Sector Information, Qualifications and Curriculum
Development Authority, Sport England, Standards for England, Sustainable Development Commission, Tenant
Services Authority, Training and Development Agency for Schools.
Other sources: APHO, CASH, NICE, NHS Choices, King’s Fund, BBC Health News.
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