MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'health services'. Sat, 03 Sep 2011 02:12:15 +0100 http://www.medworm.com/index.php?rid=5158857&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F23%2Fhow-to-guide-improving-transitions-from-the-hospital-to-post-acute-care-settings-to-reduce-avoidable-rehospitalizations%2F Scan or click to download 'How-to Guide Improving Transitions from the Hospital to Post-Acute Care Settings to Reduce Avoidable Rehospitalizations' Title: How-to Guide Improving Transitions from the Hospital to Post-Acute Care Settings to Reduce Avoidable Rehospitalizations The Skinny: Guide from Institute for Health Improvement on avoiding avoidable rehospitalisations as a result of poor co-ordination of care settings. Avoiding this is a key step toward achieving broader delivery system transformation. Based on the healthcare system of the USA this guide is of use to those looking at intermediate care/rehabilitation settings. Publisher: Institute for Health Improvement Published: August 2011 Size: 144p. Filed under: Ooops Missed Category! Tagged: Clinical Governance, finance, Gr... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5158857 Tue, 23 Aug 2011 08:27:37 +0100 5158857 http://www.medworm.com/index.php?rid=5139633&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F17%2Fdiagnostic-tool-for-emerging-clinical-commissioning-groups%2F Title: Diagnostic tool for emerging clinical commissioning groups Scan or click to download ‘Diagnostic tool for emerging clinical commissioning groups’ The Skinny: A developmental, self-assessment tool to enable emerging clinical commissioning groups (CCGs) to understand and reflect upon their values, culture, behaviours and wider organisational health has been issued as an Excel spreadsheet. It allows CCG leadership teams to assess the capability of their emerging CCG across six domains, identify their development needs and access further resources and examples of good practice. The tool is intended to encourage conversations about the roles and responsibilities that will be expected of CCGs as statutory bodies and their readiness to take these on. It includes some of the ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5139633 Wed, 17 Aug 2011 14:35:50 +0100 5139633 http://www.medworm.com/index.php?rid=5139638&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F17%2Fcommissioning-prison-based-substance-misuse-services-201112%2F Title: Commissioning prison based substance misuse services 2011/12 Scan or click to download 'Commissioning prison based substance misuse services 2011/12' The Skinny: Dear Collegue letter that recommends the composition of Joint Commissioning Groups for Commissioning prison based substance misuse services 2011/12 should comprise of: • Prison governor or member of the prison senior management team (NOMS1) • PCT • DAAT lead • Local Authority representative • Probation (NOMS) • Police Publisher: DH Published: 27/07/11 Size: 3p. Filed under: Ooops Missed Category! Tagged: Addiction, Addiction units, Alcohol Abuse, Alcohol abuse services, Behaviour disorders, Commissioning, Drug Abuse, Drug abuse services, Dual Diagnosis, Grey Literature, Health Services, Management cont... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5139638 Wed, 17 Aug 2011 13:58:20 +0100 5139638 http://www.medworm.com/index.php?rid=5139639&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F17%2Fnational-cancer-patients%25e2%2580%2599-experience-survey-programme-2011%2F Title: National Cancer Patients’ Experience Survey programme 2011 Scan or click to download ‘National Cancer Patients’ Experience Survey programme 2011 ‘ The Skinny: Dear Colleague letter that announces the launch of the 2011 Cancer Patient Experience Survey, and informs that the Review of Central Returns steering committee has approved this survey in all trusts offering adult acute in-patient cancer services. This is a priority in Improving Outcomes: A Strategy for Cancer, and the NHS Operating Framework 2011/12 recognises the value of patient surveys for measuring performance and driving improvement in NHS services. Publisher: DH Published: 21/07/11 Size: 3p. Additional Document:  Annex A National Cancer Patients’ experience survey programme 2011 – survey ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5139639 Wed, 17 Aug 2011 07:26:40 +0100 5139639 http://www.medworm.com/index.php?rid=5130646&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F15%2Fsafe-effective-service-improvement-delivering-the-safety-and-productivity-agenda-in-healthcare-using-a-lean-approach%2F Title: Safe & Effective Service Improvement: Delivering the safety and productivity agenda in healthcare using a Lean approach Scan to download Safe and Effective Service Improvement: Delivering the safety and productivity agenda in healthcare using a Lean approach. The Skinny: Guide for those with a responsibility for safety and productivity working in healthcare organisations, introducing the concept that Lean can, and already is, being used to tackle both of these important agendas. Aims to show that an absence of “Lean Thinking” inside healthcare organisations can lead to increased patient safety risks. Tackling patient safety incidents in all their many forms, from near misses through to events that cause severe harm or even death, is a priority for healthcare organisations. I... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5130646 Mon, 15 Aug 2011 15:21:41 +0100 5130646 http://www.medworm.com/index.php?rid=5130654&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F15%2Fthe-queen%25e2%2580%2599s-ambulance-service-medal-qam%2F Scan or Click to Download 'The Queen’s Ambulance Service Medal (QAM)' Title: The Queen’s Ambulance Service Medal (QAM) The Skinny: Details the issue of a Queen’s Ambulance Service Medal (QAM) to recognise distinguished service by the ambulance service. The Command Paper [Cm 8140] was laid before Parliament on 11 July 2011 instituting the QAM. A copy of the Command Paper is available with further information on the criteria for eligibility, along with details on how to nominate individuals for the Medal. Publisher: DH Published: 11/07/11 Size: 5p. Additional Documents: The Queen’s Ambulance Service Medal (QAM) Guidance Filed under: Ooops Missed Category! Tagged: Ambulance care assistants, Ambulance Services, Ambulance staff, Ambulance technicians, Awards, Control assistant... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5130654 Mon, 15 Aug 2011 14:21:38 +0100 5130654 http://www.medworm.com/index.php?rid=5130656&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F15%2Fmanual-for-cancer-services-brain-and-cns-measures%2F Title:  Manual for Cancer Services: Brain and CNS measures  Scan or Click to download 'Manual for Cancer Services: Brain and CNS measures' The Skinny: Following a three month consultation period, the final Brain and CNS Measures are now published for inclusion in the Manual for Cancer Services. The measures can also be found on the CQUINS website at http://www.cquins.nhs.net/ Publisher: DH Published: 11/07/11 Size: 66p. Filed under: Ooops Missed Category! Tagged: Brain cancer, Cancer, Grey Literature, Health Outcomes, Neoplasms, Outcomes, Quality, Quality Assurance, Quality assurance in health services, Quality Improvement, Quality management (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=5130656 Mon, 15 Aug 2011 14:10:18 +0100 5130656 http://www.medworm.com/index.php?rid=5130657&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F08%2F15%2Fpiloting-payment-by-results-for-drugs-recovery-%25e2%2580%2593-draft-outcome-definitions%2F Title: Piloting Payment by Results for Drugs Recovery – draft outcome definitions Scan or click to download 'Piloting Payment by Results for Drugs Recovery – draft outcome definitions' The Skinny: The Government has set the following high-level outcomes: Free from drug(s) of dependence Offending Employment Health and well-being A Co-design Group has developed proposals to measure these outcomes and set eligibility criteria and now invites comments from the sector on draft proposals. Publisher: DH Published: 13/07/11 Size: 13p. Filed under: Ooops Missed Category! Tagged: Addiction, Addiction units, Alcohol Abuse, Alcohol abuse services, Alcohol and drug consumption, Clinical Governance, Drug Abuse, Drugs of Abuse, Grey Literature, Health Outcomes, Health Services, Outcomes, ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=5130657 Mon, 15 Aug 2011 14:04:28 +0100 5130657 http://www.medworm.com/index.php?rid=5069405&cid=t_165102_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2011%2F07%2Fprepare-them-to-die-for-profit-hospices.html A Bloomberg news investigative report illustrated the adverse effects of having for-profit corporations taking care of patients.Hospice as a Social MovementThe corporations in question this time are for-profit hospices. Hospices in general gained a good reputation for improving the quality of life for patients near life's end:Hospice got its start in the 1960s as a social movement. Volunteers, often meeting in schools and church basements, organized care so patients could die at home with loved ones, instead of at the hospital laced with tubes. Dame Cicely Saunders, the pioneering English physician who opened St. Christopher’s Hospice in London in 1967, fought traditional methods of unconditional resistance to death, and brought the concept to U.S. shores. Hospices Become CommercialSubse... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=5069405 Tue, 26 Jul 2011 16:21:00 +0100 5069405 http://www.medworm.com/index.php?rid=4952990&cid=t_165102_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F06%2F18%2Famericas-mental-health-budget-cuts-poor-training-and-stephanie-moulton%2F Anybody who’s been an administrator in a community mental health system in America in the past three decades knows the drill. During bust times, state governments actually come close to doing a good job with members of society who are at their most vulnerable. Services are — while never fully-funded — well-funded, and for the most part, there’s enough staff to cover the huge need in communities for mental health care for the poor. But when budgets tighten, the first place governors look to cut are social services. High on the list of social services to be cut are mental health services, because they are often people intensive. Nevermind that most of those people are poorly trained “aides” or others who often have little direct education or experience wit... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4952990 Sat, 18 Jun 2011 15:11:39 +0100 4952990 http://www.medworm.com/index.php?rid=4758786&cid=t_165102_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2011%2F04%2F27%2Fnominate-someone-for-the-samhsa-voice-awards%2F I pass this news release along, in case anyone knows of someone (or themselves!) who might be a good candidate for nomination for this year’s SAMHSA Voice Awards. Join the Substance Abuse and Mental Health Services Administration (SAMHSA) in recognizing consumer/peer leaders and TV and film professionals who have given a voice to individuals with behavioral health problems (mental health and/or addiction issues). This year, SAMHSA is putting special emphasis on the impact of trauma and the significant effects it can have on individuals, families and friends, communities, and our Nation. Consideration is being given to consumer/peer leaders who have successfully advocated for the rights of trauma survivors and promoted the importance of trauma-informed care. Additional considerat... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4758786 Wed, 27 Apr 2011 16:01:13 +0100 4758786 http://www.medworm.com/index.php?rid=4592397&cid=t_165102_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ftalk-is-cheap-unless-its-talk-therapy%2F2011.03.14 Gardiner Harris had a [recent] article in the New York Times called “Talk Doesn’t Pay So Psychiatrists Turn to Drug Therapy.” The article is a twist on an old Shrink Rap topic, “Why your Shrink Doesn’t Take Your Insurance.” Only in this article the shrink does take your insurance, he just doesn’t talk to you. With his life and second marriage falling apart, a man said he needed help. But the psychiatrist, Dr. Donald Levin, stopped him and said: “Hold it. I’m not your therapist. I could adjust your medications, but I don’t think that’s appropriate.” Dr. Levin sees 40 patients a day. And he’ss 68 years old. This guy is amazing. There’s no way I could see 40 patients a day for even one day. He’s worried about his retireme... Better Health blogs http://www.medworm.com/rss/comments.php?id=4592397 Mon, 14 Mar 2011 21:00:00 +0100 4592397 http://www.medworm.com/index.php?rid=4429018&cid=t_165102_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fa-food-culture-change-is-upon-us%2F2011.02.02 As a pediatric endocrinologist, I am on the frontline of the childhood obesity epidemic. In fact, I am now seeing 100-pound two year olds and 150-pound three-year-old kids in my clinic and I am concerned. The obesity epidemic is perpetuated by a processed food-culture that lacks healthier local whole foods.    Diets dominated by processed foods (refined carbohydrates with high fat- and/or high-sugar content and artificial ingredients) over whole foods (fruits, vegetables, whole grains) spur more obesity and diabetes, and have even been shown to negatively change gene expression of the offspring during pregnancy. All-processed ingredients reflect the balance of desirable factors in the modern way of life such as shelf life (long), taste (sweet), texture (fat) convenience (high), and pric... Better Health blogs http://www.medworm.com/rss/comments.php?id=4429018 Wed, 02 Feb 2011 21:00:50 +0100 4429018 http://www.medworm.com/index.php?rid=4355719&cid=t_165102_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ffive-dead-babies-a-lesson-in-prenatal-politics%2F2011.01.16 When the Nebraska lawmakers voted to end Medicaid prenatal care for approximately 1,500 women, their unborn babies paid the ultimate price. Any labor room hospitalist who is responsible for the care of unassigned pregnant women will tell you that it is far easier to take care of pregnant women who have had prenatal care than it is to take care of women who haven’t. The recent vigil of the Equality Nebraska Coalition in front of their state capitol to honor five dead babies whose death can be related to the lack of access to prenatal care speaks volumes. On or about February of 2010, Nebraska expectant mothers received a “Dear John” letter from Nebraska’s Health and Human Services stating that their pregnancies were no longer covered under Medicaid. It appeared that the rationale fo... Better Health blogs http://www.medworm.com/rss/comments.php?id=4355719 Sun, 16 Jan 2011 14:00:17 +0100 4355719 http://www.medworm.com/index.php?rid=4225252&cid=t_165102_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fprison-overcrowding-does-it-affect-mental-health%2F2010.12.02 In California, the U.S. district court has ordered that tens of thousands of prisoners be released to reduce overcrowding. The case, Schwarzenegger v. Plata, was argued this past Tuesday and the transcript is online. This is relevant to a psychiatry blog because one of the arguments used in support of the releases is the contention that overcrowded facilities reduce access to mental health and medical services and that overcrowding causes mental deterioration and breakdown. The APA filed an amicus brief in the case, but the brief isn’t available online yet. (Keep an eye out for it here.) The challenge with this case is that there is no (or extremely little) actual research to support the link between overcrowding and psychological problems. Correctional systems have spent a lot of ti... Better Health blogs http://www.medworm.com/rss/comments.php?id=4225252 Thu, 02 Dec 2010 23:00:00 +0100 4225252 http://www.medworm.com/index.php?rid=4074150&cid=t_165102_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F10%2F14%2Fon-the-red-carpet-at-the-voice-awards-2010%2F It was an honor and a pleasure to attend the 2010 Voice Awards, hosted by SAMHSA, the Substance Abuse and Mental Health Services Administration. SAMHSA is the agency responsible for helping to get the word out about substance abuse and mental health issues, so their focus is much aligned with ours. This year’s theme was focused on honoring portrayals of men and women who serve in the military but come home to grapple with mental health issues and friends and family who often just don’t understand how to help. It also featured a lifetime achievement award given to Former First Lady Rosalynn Carter for her decades’ long work on helping advance mental health care in the U.S. The annual ceremony is held to honor the realistic and often-poignant depiction of people struggling ... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4074150 Thu, 14 Oct 2010 18:46:09 +0100 4074150 http://www.medworm.com/index.php?rid=4060649&cid=t_165102_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2010%2F10%2F12%2F2010-voice-awards-in-hollywood%2F I’m excited to be attending and reporting from the 5th anniversary of the Voice Awards tomorrow evening in Hollywood. This annual award program sponsored by the federal Substance Abuse and Mental Health Services Administration (SAMHSA) honors screenwriters, producers, and behavioral health advocates raising awareness and understanding of mental and behavioral health problems The 2010 Voice Awards — co-hosted by Emmy Award winner Hector Elizondo and Academy Award winner Louis Gossett, Jr. — will take place on Wednesday, October 13, 2010, at Paramount Studios in Hollywood, Calif. The annual event brings together representatives from the entertainment industry and the behavioral health community for an evening of awareness raising about the contributions people living with m... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=4060649 Tue, 12 Oct 2010 16:02:09 +0100 4060649 http://www.medworm.com/index.php?rid=3880798&cid=t_165102_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2010%2F08%2Fhow-fallacy-of-perfect-health-care.html We began this blog way back in 2005 to discuss threats to physicians' values, especially from concentration and abuse of power.  Personal experience, and cases and anecdotes described by colleagues suggested that a dysfunctional health care system was making patients and physicians miserable.  Interviews with more physicians suggested pervasive threats to their values, many stemming from how leaders of health care organizations wielded their power.   Threats to Professional ValuesIn a 2007 post, based on an article in JAMA by Dr Arnold Relman, I asserted that the notion that threats to physicians' professional values are a major cause of health care dysfunction was becoming mainstream.  Furthermore, Dr Relman's review of the history of the probl... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=3880798 Wed, 18 Aug 2010 16:37:00 +0100 3880798 http://www.medworm.com/index.php?rid=3822918&cid=t_165102_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwe%25e2%2580%2599re-making-fewer-babies-what-to-expect%2F2010.08.04 Recently I ran into the office manager for one of Houston’s largest pediatric practices. New patient visits are way down and their doctors are looking for ways to keep business rolling. The same day I picked up this piece in the Wall Street Journal which shows declining admissions and doctor visits as a national trend. This is bad news and shows how our faltering economy is finally working its way more visibly into healthcare. And apparently we’re making fewer babies –- admissions to neonatal intensive care units are down. This is a problem. For large tertiary medical centers and hospitals specializing in maternal-child health, babies are the critical customers of a healthy operation. A few thoughts on what to look for (or dare I say, what to “expect”) with fewer ba... Better Health blogs http://www.medworm.com/rss/comments.php?id=3822918 Thu, 05 Aug 2010 01:11:40 +0100 3822918 http://www.medworm.com/index.php?rid=3676610&cid=t_165102_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F06%2Fer-visits-narcotic-overdoses-increase-sharply%2F A recent study sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA) showed an 111% increased in recreational narcotics used overdoses requiring attention in an emergency room. According to Dr. Gil Kerlikowske, Director of the Office Of National Drug Control Policy, the most commonly abused addictive drug in the US is prescription narcotics. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=3676610 Fri, 18 Jun 2010 23:08:08 +0100 3676610 http://www.medworm.com/index.php?rid=3635692&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F06%2F07%2Fwhat-women-want-a-manifesto-for-health-2010%2F Title: What Women Want: A Manifesto For Health 2010 Skinny: Report from the 2020 Health think tank with recommendations for the incoming government on different aspects of health and health care from a woman’s perspective to address the gender imbalance in health literature (this report is about health in general not women’s health) . Considers: Public Health Pharmaceutical and Biotechnology Domiciliary Care to Reduce hospital Admissions Primary Care Surgery Nursing Preventive Health Physiotherapy Nutrition and Dietetics Patient Information Demand Management Self Care Older People Health Visiting Foundation Trusts Sharing Information and Communication Publisher: 2020 Health Size of Publication: 32p. Published: March 2010 Filed under: AHPs, Grey Literature, Medical Staff, NHS... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3635692 Mon, 07 Jun 2010 11:23:17 +0100 3635692 http://www.medworm.com/index.php?rid=3599322&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F05%2F26%2Fnursing-times-2010-vol-106-no-20%2F This article explains why ulceration occurs and how an outreach team developed skills to reach IV drug users and manage these wounds. Contact the Library for a copy of this article Filed under: Current Awareness Tagged: Drugs of Abuse, Intravenous Drug Users, Leg Ulceration, Outreach Health Services, Wound Management (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3599322 Wed, 26 May 2010 10:50:33 +0100 3599322 http://www.medworm.com/index.php?rid=3126552&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F29%2Fimproving-health-supporting-justice%2F Title: New Horizons: the next stage of mental health policy The Skinny: Briefing on the national delivery plan of the Health and Criminal Justice Programme Board which aims to aid early identification, by providing easier read materials, and assisting front-line professionals to develop skills and a knowledge base to support them in managing offenders with learning disabilities more effectively. This delivery plan contributes to key Government initiatives around protecting the public, reducing health inequalities, reducing reoffending and health improvement and protection.  Key points are: Offenders are more likely to experience mental health problems, have learning disabilities or have problems with drugs and alcohol. Improving outcomes for this group will reduce re-offending rates and ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=3126552 Tue, 29 Dec 2009 14:26:53 +0100 3126552 http://www.medworm.com/index.php?rid=3115031&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F23%2Fpals-in-prison-a-toolkit-and-good-practice-guidance-for-implementing-patient-advice-and-liaison-services-in-a-secure-setting%2F Title: PALS in prison: a toolkit and good practice guidance for implementing Patient Advice and Liaison Services in a secure setting Skinny: Toolkit and good practice guidance for commissioners and providers of healthcare in the criminal or youth justice sectors, covering the implementation of the Patient Advice and Liaison Service in a secure setting. Publisher: DH Size of Publication: 30p. Published: 23/12/2009 Posted in Commissioning, Grey Literature, NHS, Primary Care, Prison Health Services, Prisons, Quality Tagged: Advocacy, Commissioning, Grey Literature, PALS, Prison Health Services, Toolkits (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3115031 Wed, 23 Dec 2009 15:28:23 +0100 3115031 http://www.medworm.com/index.php?rid=3108318&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F21%2Fget-out-of-jail-bbv-free%2F Title: Get out of jail BBV-free! Skinny: Leaflet on bloodborne viruses for use in prisons and covering letter. Publisher: DH Size of Publication: 2p. Published: 18/12/2009 Posted in Grey Literature, Health Promotion, Prison Health Services, Prisons, Virology Tagged: Grey Literature, Haematology, Health Promotion, Prison Health Services, Prisons, Viruses (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3108318 Mon, 21 Dec 2009 12:55:57 +0100 3108318 http://www.medworm.com/index.php?rid=3084728&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F12%2F14%2Fthe-swine-flu-vaccination-programme-prisoners-in-the-clinical-risk-groups-2009-2010%2F Title: The swine flu vaccination programme: prisoners in the clinical risk groups – 2009-2010 Skinny: Letter providing information for prison health care teams, to assist them in delivering the swine flu (influenza A (H1N1v) 2009) vaccine to those prisoners in the clinical priority groups. Publisher: DH Size of Publication:8p. Published: 20/11/2009 Posted in Grey Literature, Influenza, Pandemic Tagged: Grey Literature, H1N1, Immunisation, Influenza, Pandemic, Prison, Prison Health Services (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3084728 Mon, 14 Dec 2009 11:00:59 +0100 3084728 http://www.medworm.com/index.php?rid=3056699&cid=t_165102_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F12%2F03%2Fmental-health-parity-loopholes%2F While the national mental health parity law takes effect on January 1, 2010, it does not trump existing state laws that mandate that mental disorder diagnoses are treated and covered equally as their physical health brethren. If you are covered by health insurance, come January 1, your mental health treatment cannot be any more limited than your physical health coverage. California is one such state that has had such a mental health parity law on the books since 2000, so we have nine years of lessons from that state. Recently, a study was released that examined how the law affected people who sought out mental health treatment. Shari Roan with the Los Angeles Times has the coverage. The study, conducted by Mathematica Policy Research and the Substance Abuse and Mental Health Services Admin... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=3056699 Thu, 03 Dec 2009 17:45:38 +0100 3056699 http://www.medworm.com/index.php?rid=2984846&cid=t_165102_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F11%2F12%2Fthe-carter-centers-mental-health-program%2F Last week while attending the 25th Annual Rosalynn Carter Symposium on Mental Health Policy, I had the pleasure of sitting down and chatting for a few moments with Thomas Bornemann, Ed.D. who has served as the Director of The Carter Center Mental Health Program for the past seven years. If you didn’t know, The Carter Center has been a leading force in helping to coordinate national mental health policy over the past two and a half decades. It does most of its work behind the scenes and is rarely noted for what it does best — bringing all stakeholders to the same table to talk and work on how they can advance policy and mental health agendas in the country. They do this through year-round work and collaborations with legislatures, advocates, organizations, non-profits, and other... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2984846 Thu, 12 Nov 2009 13:51:54 +0100 2984846 http://www.medworm.com/index.php?rid=2924777&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F10%2F25%2Fprotecting-the-nhs-in-relation-to-patient-mobility-and-cross-border-healthcare-draft-regulations-and-guidance%2F Title: Draft Guidance: Cross Border Healthcare & Patient Mobility Skinny: Case law from the European Court of Justice (ECJ) on patient mobility under Article 49 of the EU Treaty means that patients are able to seek any healthcare (including private care) in another European Economic Area (EEA) Member State, and, as long as they are entitled to the treatment in question under their home healthcare system, they are eligible to have their costs reimbursed. For patients travelling from the UK, this reimbursement can be up to the level of the cost for the same treatment provided in the UK under the NHS. Any additional costs must be met by the individual. The draft regulations and draft accompanying guidance is intended to provide greater clarity to the NHS about the application of case law ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2924777 Sun, 25 Oct 2009 09:00:43 +0100 2924777 http://www.medworm.com/index.php?rid=2855506&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F10%2F02%2Feuro-health-consumer-index-2009%2F Title: Euro Health Consumer Index 2009 The Skinny: The 2009 Euro Health Consumer Index (EHCI) finds a general improvement trends among most of the measured healthcare systems, with examples of reform making impact not only in Netherlands but in Ireland and the Czech Republic as well. The UK performs poorly on waiting times but is seen as good on pharmaceuticals. Publisher: Health Consumer Powerhouse Size of Publication: 67p Published: 10/09/2009 Posted in Grey Literature, NHS, Quality Tagged: Grey Literature, Health Services, Quality, Waiting Times (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2855506 Fri, 02 Oct 2009 14:17:20 +0100 2855506 http://www.medworm.com/index.php?rid=2842449&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F09%2F29%2Fseeing-double-meeting-the-challenge-of-dual-diagnosis%2F Title: Seeing double: meeting the challenge of dual diagnosis The Skinny: Dual diagnosis is the term used to describe people who have concurrent mental health and substance misuse or alcohol problems. It affects a third of mental health service users, half of substance misuse service users and 70 per cent of prisoners. Key Issues: Dual diagnosis affects a third of mental health service users, half of substance misuse service users and 70 per cent of prisoners. There are some examples of excellent mainstreamed services in this area. However, at a national level provision is patchy and remains an area of concern. Service users with a dual diagnosis typically use NHS services more and cost more. Improving provision for users with dual diagnosis could save money. Providing effective care and ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2842449 Tue, 29 Sep 2009 17:10:53 +0100 2842449 http://www.medworm.com/index.php?rid=2751845&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F09%2F01%2Fguidelines-for-the-clinical-management-of-people-refusing-food-in-immigration-removal-centres-and-prisons%2F Title: Guidelines for the clinical management of people refusing food in immigration removal centres and prisons The Skinny: Information, for health professionals in prisons and immigration removal centres, on the physical effects of food refusal, the most effective practical and clinical management of individuals refusing to eat and drink, legal aspects and the relevance of the Mental Capacity Act 2005. It also addresses the considerable dangers and risks associated with refeeding individuals who have been starving but who then decide to eat again. Publisher: DH Size of Publication: 51p Published: 28/08/2009 Posted in Clinical Governance, Clinical Guidelines, Diet, Ethics, Grey Literature, Legislation, Mental Health, Prison Health Services, Prisons Tagged: Asylum Seekers, Clinical Guide... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2751845 Tue, 01 Sep 2009 09:37:02 +0100 2751845 http://www.medworm.com/index.php?rid=2601929&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F07%2F15%2Fjournal-of-the-american-medical-association-2009-vol-302-no-3%2F Contents Fade Fave: Integrating clinical care and community health Fade Skinny: Public health professionals generally think about how to improve health at a population level, whereas clinicians generally address the needs of individuals. These streams converge in systems of clinical care and are also embodied in population health principles of measurement, system change, and accountability. Posted in Current Awareness, Journals Tagged: Clinical Care, Clinical Effectiveness, Community Care, Community Health Services (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2601929 Wed, 15 Jul 2009 08:58:29 +0100 2601929 http://www.medworm.com/index.php?rid=2452334&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F06%2F03%2Fvariation-notices-for-gds-contracts-and-pds-agreements-to-bring-contracts-in-line-with-current-regulations%2F PCTs may wish to review their existing contracts and agreements in the light of the following RTF templates of the Standard General Dental Services Variation Notice 2009 and Personal Dental Services Agreements Variation Notice 2009 prepared by the Department of Health’s Solicitors. Both are prepared on the basis that the numbering adopted in the signed contract or agreement follows that used in the Standard General Dental Services Contract and PDS Agreement templates dated 2006. Revised standard contract and agreement templates, which incorporate these changes, are available for new contracts and agreements and supersede those published in 2006. 2009 GDS variation notice 2009 revised standard GDS contract 2009 PDS variation notice 2009 revised standard PDS agreement Posted in Dental Heal... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2452334 Wed, 03 Jun 2009 15:14:43 +0100 2452334 http://www.medworm.com/index.php?rid=2389928&cid=t_165102_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F05%2F07%2Fnational-childrens-mental-health-awareness-day%2F In 2006, the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Center for Mental Health Services launched an annual national initiative called “National Children’s Mental Health Awareness Day.” Awareness Day is designated as a day in May of each year to coincide with May Is Mental Health Month. This day presents an opportunity for children’s mental health initiatives within SAMHSA to promote positive youth development, resilience, recovery, and the transformation of mental health services delivery for children and youth with serious mental health needs and their families. The theme of Awareness Day is “Thriving in the Community.” Children’s mental health initiatives will hold similar events and other activities throughout the country to b... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2389928 Thu, 07 May 2009 07:00:06 +0100 2389928 http://www.medworm.com/index.php?rid=2367352&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F04%2F15%2Fcore-interventions-in-the-treatment-and-management-of-schizophrenia-in-primary-and-secondary-care-update%2F Title: Core interventions in the treatment and management of schizophrenia in primary and secondary care (update) Source: NICE The Skinny: Updates and replaces: Schizophrenia: core interventions in the treatment and management of schizophrenia in primary and secondary care. NICE clinical guideline 1 (2002) Guidance on the use of newer (atypical) antipsychotic drugs for the treatment of schizophrenia. NICE technology appraisal guidance 43 (2002) Documents For healthcare professionals: CG82 Schizophrenia (update): NICE guideline (41p, 256.26 Kb) CG82 Schizophrenia (update): NICE guideline (MS Word format) (41p, 605 Kb) CG82 Schizophrenia (update): full guideline (399p, 3.16 Mb) CG82 Schizophrenia (update): full guideline - clinical evidence summary tables (194p, 2.54 Mb) CG82 Schizophren... Fade Library blogs http://www.medworm.com/rss/comments.php?id=2367352 Wed, 15 Apr 2009 09:38:28 +0100 2367352 http://www.medworm.com/index.php?rid=2305910&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F03%2F27%2Fguidance-notes-prison-health-performance-and-quality-indicators%2F contains statements of good practice, rationale for the inclusion of the indicators, suggests evidence that may be gathered to support the indicators and offers links to evidence sets for further information. These provide a set of voluntary indicators specifically to measure the quality of prison health services and to help achieve the objective of NHS-equivalent standards. Posted in Clinical Governance, Equity, Grey Literature, NHS, Primary Care, Prison Health Services, Prisons, Quality, Standards Tagged: Clinical Governance, Equity, Grey Literature, Performance Management, Prison, Prison Health Services, Quality (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2305910 Fri, 27 Mar 2009 18:22:29 +0100 2305910 http://www.medworm.com/index.php?rid=2294329&cid=t_165102_125_f&fid=34820&url=http%3A%2F%2Fwww.dentalblogs.com%2Farchives%2Fadministrator%2Fnew-pediatric-dentists-accept-medicaid-get-loans-paid-by-state%2F Everything’s bigger in Texas, even the benefits of being a new pediatric dentist in the Lone Star State. Pediatric dentists and physicians can receive up to $140K for student loan reimbursement, dispersed over four years, if they accept Medicaid. What prompted this move by the Texas Department of State Health Services? And more importantly, what’s the catch? Why is Texas paying for dental student loans? A lawsuit regarding lack of access to medical and dental care for children in the Medicaid program was settled in 2007. During this process, the student loan replayment plan for childen’s dentists and doctors was created with $150 M set aside by the state Legistlature. More than 80 dentists and physicians have applied for the program since registration opened on Marc... dental blog for dentists about dentistry blogs http://www.medworm.com/rss/comments.php?id=2294329 Fri, 27 Mar 2009 13:29:23 +0100 2294329 http://www.medworm.com/index.php?rid=2255633&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2009%2F03%2F11%2Fsexual-orientation-a-practical-guide-for-the-nhs%2F gives practical advice to enable NHS organisations to address their responsibilities relating to sexual orientation and employment or healthcare delivery Posted in Employment, Equity, Grey Literature, Homosexuality, Human Resources, NHS Tagged: Equal Opportunities, Equity, Grey Literature, Health Services, Human Resources, Sexuality (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=2255633 Wed, 11 Mar 2009 04:29:29 +0100 2255633 http://www.medworm.com/index.php?rid=2258171&cid=t_165102_109_f&fid=34750&url=http%3A%2F%2Fpsychcentral.com%2Fblog%2Farchives%2F2009%2F03%2F10%2Ftexas-state-hospital-heres-the-bus-station-see-ya%2F Just as you believe that maybe, perhaps, the tide is turning and the government that is charged with the responsibility and care of those most in need — the severely mentally ill who are hospitalized — actually “gets” it, you read a story like this one. Raquel Padilla was discharged from a state inpatient psychiatric hospital in San Antonio, Texas and dropped off at the bus station. That and a phone call to a sibling who also suffers from schizophrenia was apparently the extent of her discharge planning. Raquel suffered from schizophrenia herself and also apparently had mild mental retardation. Needless to say, bad things soon followed and three days later, she was found dead in a concrete ditch. She never made it on the bus. The family is rightfully outraged: &#8... World of Psychology blogs http://www.medworm.com/rss/comments.php?id=2258171 Tue, 10 Mar 2009 12:22:52 +0100 2258171 http://www.medworm.com/index.php?rid=2223392&cid=t_165102_113_f&fid=36670&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Fmsdn%2Fhealthblog%2F%7E3%2Fqk-yNw2D9PI%2Fyour-healthcare-organization-s-new-front-door.aspx Portal   (pôr'tl, pōr'-)  n.   A doorway, entrance, or gate, especially one that is large and imposing. An entrance or a means of entrance: the local library, a portal of knowledge. A website considered as an entry point to other websites, often by being or providing access to a search engine.     It’s true!  A website or portal is your healthcare organization’s new front door.   A hospital or clinic website is no longer a “nice to have”.  It  is a “have to have”.  And it isn’t enough for your organization’s website to offer brochure-ware about your facility and service lines.  A portal is now the hospital’s or clinic’s transactional nervous center for patients, staff, business partners, and community m... HealthBlog blogs http://www.medworm.com/rss/comments.php?id=2223392 Thu, 26 Feb 2009 22:28:56 +0100 2223392 http://www.medworm.com/index.php?rid=2210327&cid=t_165102_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F02%2Fconflicts-of-interest-and-george.html In the Washington Post is this story of continuing troubles at George Washington University's medical school. The school is currently on academic probation, and despite previous protests to the contrary, its troubles are more than superficial.When the medical school at George Washington University was put on academic probation last fall, school officials said the reasons were mostly superficial matters, such as problems with administrative paperwork and student complaints about a shortage of lounge space.In fact, according to interviews and documents obtained by The Washington Post, the school had deficiencies that were considerably more serious.According to a confidential evaluation document and interviews, GWU has done an inadequate job of monitoring students' time with patients and ensu... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2210327 Tue, 24 Feb 2009 04:18:00 +0100 2210327 http://www.medworm.com/index.php?rid=2048807&cid=t_165102_88_f&fid=38129&url=http%3A%2F%2Fsandnsurf.medbrains.net%2F2008%2F12%2Fhealth-services-online%2F Health Sciences Online (HSO) has launched claiming to be a ‘virtual learning center’ which aims to deliver authoritative, comprehensive, free, and ad-free health sciences knowledge using the search technology of Vivisimo. HSO (www.hso.info) is a portal with browse and search functions with access to a comprehensive collection of top-quality courses and references in medicine, public health, pharmacy, dentistry, nursing, basic sciences, [...] (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=2048807 Thu, 18 Dec 2008 14:01:32 +0100 2048807 http://www.medworm.com/index.php?rid=2011234&cid=t_165102_99_f&fid=35344&url=http%3A%2F%2Fzackarysholemberger.blogspot.com%2F2008%2F12%2Fwhat-we-do-in-improving-quality-can.html That's what Neera Tanden, a member of Obama's transition team, had to say in this morning's conference call organized by Doctors for Obama, which had over a thousand people listening in.* I wish it were true. As I expected, the focus of the call was on outreach and recruitment. Tom Daschle (Obama's pick for HHS Secretary) spent some time talking about the transition team's Change.gov and the umpteen zillion comments that have been offered up there about needed healthcare reform, all of this by way of example of the transparency Obama emphasized during the campaign. "He wants the administration to change the way people interact with their government," said Daschle, "and this is especially true when it comes to healthcare." "We have to have better transparency," he said later - "we can't un... Zackary Sholem Berger blogs http://www.medworm.com/rss/comments.php?id=2011234 Wed, 03 Dec 2008 16:04:00 +0100 2011234 http://www.medworm.com/index.php?rid=1975276&cid=t_165102_99_f&fid=35344&url=http%3A%2F%2Fzackarysholemberger.blogspot.com%2F2008%2F11%2Fintoxicado-does-not-mean-drunk.html Among Cubans, “intoxicado” is kind of an all encompassing word that means there’s something wrong with you because of something you ate or drank. I ate something and now I have hives or an allergic reaction to the food or I’m nauseous. On the day Willie’s intracerebellar bleed began, he had lunch at a fast food restaurant, the newly opened Wendy’s. His mother and his girlfriend’s mother assumed that the severe headache he experienced that night was related to eating a bad hamburger at Wendy’s - that Willie was “intoxicado.”More at the Health Affairs Blog about a terrible linguistic misunderstanding. "Neither the ER doctor nor the family requested a professional medical interpreter because each side believed they were communicating adequately." (Source: Zackary Sholem Be... Zackary Sholem Berger blogs http://www.medworm.com/rss/comments.php?id=1975276 Fri, 21 Nov 2008 08:41:00 +0100 1975276 http://www.medworm.com/index.php?rid=1927874&cid=t_165102_99_f&fid=35344&url=http%3A%2F%2Fzackarysholemberger.blogspot.com%2F2008%2F11%2Fpublic-appearances-1.html I got an award, so I'll be giving a talk at General Internal Medicine Grand Rounds at Johns Hopkins on November 14th. Drop by. (Source: Zackary Sholem Berger) Zackary Sholem Berger blogs http://www.medworm.com/rss/comments.php?id=1927874 Sun, 02 Nov 2008 19:02:00 +0100 1927874 http://www.medworm.com/index.php?rid=1768794&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F09%2F05%2Flatest-pandemic-guidance%2F Pandemic influenza Surge capacity and prioritisation in health services (draft for comment) is designed to give guidance on managing the surge capacity needed to respond to an increased volume of patients during an influenza pandemic. Pandemic influenza Guidance for Dental Practices provides a brief overview of pandemic flu, how it is transmitted and the recommendations for containing its transmission with reference to a dental setting. Pandemic influenza Guidance on the delivery of and contract arrangements for primary care dentistry provides specific advice to the NHS on the delivery and contract arrangements for primary care dentistry in the event of a Pandemic. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1768794 Fri, 05 Sep 2008 13:06:42 +0100 1768794 http://www.medworm.com/index.php?rid=1563802&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F07%2F02%2Fdental-services-health-committe-queries-value-of-the-general-dental-services-contract%2F Dental Services: Fifth Report of Session 2007–08: Volume I Report, together with formal minutes and Dental Services: Fifth Report of Session 2007–08: Volume III: Oral and written evidence from the Commons Health Committee identifies that the aim of the new General Dental Services contract ensure patient access to dental services would improve from April 2006 has not been realised. (for mass media coverage see this post at Another 15 Minutes … Health News from Fade) Charges The introduction of the new charging system has simplified the system for patients. However some courses of treatment such as those involving a single filling have become more expensive. In addition, different patients are charged the same amount for very different treatments which fall within the same charging... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1563802 Wed, 02 Jul 2008 10:54:53 +0100 1563802 http://www.medworm.com/index.php?rid=1543005&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F06%2F25%2Ffrom-the-inside%2F : executive summary from the Sainsbury Centre from Mental Health is based on interviews with 98 prisoners in five West Midlands prisons. It finds that the ‘average’ prisoner has a combination of mental health, substance use and other problems. Mental ill health is not the exception but the rule. Women prisoners suffer especially high levels of distress when they are separated from their children. It sets out what prisoners themselves say they need to improve their mental health: ’someone to talk to’, ’something to do’ during the day and practical help to plan for what they will do after they are released. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1543005 Wed, 25 Jun 2008 05:52:21 +0100 1543005 http://www.medworm.com/index.php?rid=1518632&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F06%2F14%2Freview-of-prison-based-drug-treatment-funding%2F is a report from Price Waterhouse Coopers commissioned by the Ministry of Justice to consider prison based drug funding.  It recommends the following actions: Establish a National Prisoner and Offender Drug Strategy Group. The early tasks of this group, in its first 100 days, would be to establish the membership and terms of reference, and commissioning a series of projects to include the following. Articulate and agree the key outcomes for prisoners and offenders in prison and in the community. Demonstrate how the partner organisations will work together to successfully deliver those outcomes. Identify measures (key performance targets) which will help the partner organisations to understand how their performance contributes to the achievement of the outcomes. Establish a set of Na... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1518632 Sat, 14 Jun 2008 16:06:02 +0100 1518632 http://www.medworm.com/index.php?rid=1491960&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F06%2F04%2Fnew-location-for-rsm-journals-and-new-access-to-journal-of-integrated-care-pathways%2F RSM Journals have just got a whole lot easier to use, you can now find all of them on one page at http://www.rsmjournals.com. Key link to look for is the Sign In via User Name/Password which is where you type your Athens (you can get one here if you work for a PCT in the North West and view the Getting an NHS Athens Password Flash Video 2.21 min here) password to get access. Alternatively you can go straight to each journal’s individual archive: Annals of Clinical Biochemistry Clinical Ethics Clinical Risk He@lth Information on the Internet Health Services Management Research International Journal of STD & AIDS Journal of Health Services Research & Policy Journal of Integrated Care Pathways Journal of Medical Biography Journal of Medical Screening Journal of the Royal Soci... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1491960 Wed, 04 Jun 2008 11:09:59 +0100 1491960 http://www.medworm.com/index.php?rid=1469561&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F05%2F27%2Fshort-changed-spending-on-prison-mental-health-care%2F from the Sainsbury Centre for Mental Health details the postcode lottery in funding for prison mental health and reports they one-third of the money they need. £20.8 million was spent on mental health care in prisons through inreach teams. This is 11% of total prison health care spending or just over £300 for each member of the prison population. Prison inreach teams aim to provide the specialist mental health services to people in prison that are provided by community-based mental health teams for the population at large. In reach teams are constrained by limited resourcing, the prison environment, difficulties in ensuring continuity of care and wide variations in local practice. The Government’s policy for prison health care is based on the principle of equivalence with regards ... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1469561 Tue, 27 May 2008 08:18:44 +0100 1469561 http://www.medworm.com/index.php?rid=1417830&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F05%2F03%2Fcommon-core-principles-to-support-self-care%2F The Common core principles to support self care have been developed by Skills for Health and Skills for Care with key stakeholders, including service users and carers, to develop a set of common core principles to support self care. The principles capture best practice in order to enable service reform and encourage choice, control, independence and participation of those using health and social services. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1417830 Sat, 03 May 2008 04:28:14 +0100 1417830 http://www.medworm.com/index.php?rid=1324962&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F03%2F25%2Fa-consultation-on-the-framework-for-the-registration-of-health-and-adult-social-care-providers%2F follows on from the previous consultation on the future regulation of health and adult social care (November 2006), and the response to that consultation, which was published in October 2007. It seeks views on: which health and adult social care services should require registration with the Care Quality Commission; and what the requirements for registration should be. It also seeks views on when providers of regulated services should be required to have a registered manager, and how primary care services should be included in the new registration system. A partial Impact Assessment of the Scope of Registration of Primary Medical and Dental Care has been completed as part of this consultation. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1324962 Tue, 25 Mar 2008 14:29:31 +0100 1324962 http://www.medworm.com/index.php?rid=1307618&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F03%2F17%2Freducing-drug-use-reducing-reoffending%2F (summary)  from the UK Drug Policy Commission considers whether the evidence supports programmes in the UK for problem drug-using offenders in the criminal justice system (CJS).  It finds: The principle of using CJS-based interventions to encourage engagement with treatment is supported by the evidence. Following a period of expansion and a focus on quantity, attention should now focus on quality. “Net-widening” to include additional groups of drug-using offenders in CJS‑based interventions may have negative consequences. Community punishments are likely to be more appropriate than imprisonment for most problem drug-using offenders. Prison drug services frequently fall short of even minimum standards. Given the sizeable investment in CJS interventions for drug-depende... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1307618 Mon, 17 Mar 2008 11:07:24 +0100 1307618 http://www.medworm.com/index.php?rid=1303150&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F03%2F14%2Fa-survey-of-buprenorphine-misuse-in-prisons%2F From the Ministry of Justice, A Survey of Buprenorphine Misuse in Prisons looks at drug use in prisons, as measured by random mandatory drug tests. The findings support the Government’s plan to institute universal testing for the opiate substitute buprenorphine. Rates for Misused Drugs  Drug  rMDT Rate  No. of Prisons  Opiates  4.2%  101  Cannabis  4.0%  101  Buprenorphine  1.9%  63  Benzodiazepines  0.9%  53  Methadone  0.4%  25 (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1303150 Fri, 14 Mar 2008 11:23:32 +0100 1303150 http://www.medworm.com/index.php?rid=1296012&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F03%2F12%2Fthink-tank-suggest-insurance-based-health-systems-would-improve-patient-care%2F Why the NHS is the sick man of Europe by James Gubb of the think tank CIVITAS argues that market-based reform in the NHS is being crushed by central direction and will fail if this pressure continues. It recognises that the NHS’s ideals of universal and comprehensive health care are admirable, but suggests the delivery mechanism is not. The report compares the NHS with health systems in countries such as France, Germany, Switzerland and the Netherlands which it states succeed in delivering much higher standards of health care than the NHS for all. The key difference between the NHS and these health systems is that the state is not cast as either the main funder or provider of health care, but effective regulator. It suggests that rather than a tax based health system, social insuranc... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1296012 Wed, 12 Mar 2008 05:21:57 +0100 1296012 http://www.medworm.com/index.php?rid=1296013&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F03%2F11%2Fvolunteering-in-the-public-services-health-and-social-care%2F The Cabinet Office have produced Volunteering in the Public Services: Health and Social Care which is the first in a series examining the role of volunteers and volunteering in public services. Through consultation with over 1000 volunteers and organisations it found much potential to expand volunteering in health and social care to build more people centred services. It identifies a largely untapped source of volunteers in service-users. It argues that they could make an enormous contribution as volunteers in health and social care because no one understands what it is like to have a condition like a person who has it themselves. The main recommendations are: In-house ‘volunteering hubs’ should be established within government agencies to help mainstream volunteering in health and so... Fade Library blogs http://www.medworm.com/rss/comments.php?id=1296013 Tue, 11 Mar 2008 20:40:33 +0100 1296013 http://www.medworm.com/index.php?rid=1239192&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F18%2Fmedical-care-for-the-armed-forces-seventh-report-of-session-2007%25e2%2580%259308-report-together-with-formal-minutes-oral-and-written-evidence%2F identifies that clinical care for servicemen and women injured on military operations is now “world-class” but the government needs to do more to look after families and veterans, especially in providing mental health care.  Emphasise support had to go beyond the period of an individual’s service, and should form part of the compact between the services and society. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1239192 Mon, 18 Feb 2008 12:38:55 +0100 1239192 http://www.medworm.com/index.php?rid=1211996&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F06%2Fi-exist%2F : the message from adults with autism in England from the National Autistic Society considers the experiences of adults with autism and the changes that required to make their lives better. It is based on the largest-ever survey of adults with autism and their parents and carers.It considers existing provision by local authorities and health services. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1211996 Wed, 06 Feb 2008 09:12:47 +0100 1211996 http://www.medworm.com/index.php?rid=1166314&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F01%2F21%2Fimproved-health-system-performance-through-better-care-coordination-health-working-paper-no-30%2F from the OECD attempts to assess whether–and to what degree–better care coordination can improve health system performance in terms of quality and cost-efficiency. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1166314 Mon, 21 Jan 2008 13:55:18 +0100 1166314 http://www.medworm.com/index.php?rid=1159466&cid=t_165102_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F01%2F18%2Fwasting-lives-a-statistical-analysis-of-nhs-performance-in-a-european-context-since-1981%2F More than 17,000 people receiving treatment in the UK have died unnecessarily because of the inadequacies of the NHS, it is claimed today. The figure, in Wasting Lives: A statistical analysis of NHS performance in a European context since 1981 published by the Taxpayers’ Alliance, is calculated using data given to the World Health Organisation. It compares the number of people who died prematurely, even though their illness was treatable in the UK to that of Germany, France, the Netherlands and Spain. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1159466 Fri, 18 Jan 2008 08:30:31 +0100 1159466 http://www.medworm.com/index.php?rid=999649&cid=t_165102_111_f&fid=36538&url=http%3A%2F%2Fernursey.blogspot.com%2F2007%2F11%2Fdo-they-think-they-are-first.html Mental health patients are going to be dumped on ER's in Austin. Hmmmm. That certainly sounds familiar. A few months ago our county legislature, in their infinite wisdom (not), decided that it would help balance the budget if they closed the psychiatric hospital. So now, all the patients in psychiatric crisis come to one of the local ER's while we try to locate a bed for them elsewhere in the state, often fruitlessly. It is nothing for a patient to spend their whole 72-hour hold in the ER. When the 72-hours is up we have to let them go. In the meantime they have received no treatment and are in no better condition than when they arrived. Sickening.Some of these patients are a danger to staff and other patients. They are disruptive and upsetting to the sick and dying patients who are also i... ERnursey - An emergency room nurse blog blogs http://www.medworm.com/rss/comments.php?id=999649 Fri, 02 Nov 2007 03:12:00 +0100 999649 http://www.medworm.com/index.php?rid=896009&cid=t_165102_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2007%2F09%2Fweb-of-deception-ensnares-us-nursing.html The New York Times just published a report of some important investigative reporting about changes in how US nursing homes are currently managed, or mismanaged, leading to bad effects on patients' outcomes and safety. As an example, the report recounted the case of an elderly women who died in the Habana Health Center in Tampa, FL. The article made a series of key points,The homes were acquired by private equity companies not usually associated with health care. The companies drastically cut the costs of their acquisitions. These cost cuts decreased care, apparently leading to poor outcomes. The private equity companies set up complex corporate structures for their acquisitions, hiding their ownership, and thwarting lawsuits and regulation.I have summarized supporting quotes for each point... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=896009 Mon, 24 Sep 2007 18:08:00 +0100 896009 http://www.medworm.com/index.php?rid=867256&cid=t_165102_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2007%2F09%2Fdialysis-providers-and-restraint-of.html This story almost made it under the radar. Our local Providence Journal provided this exclusive,Two area dialysis clinic operators — American Renal Associates and Fresenius Medical Care Holdings — have signed consent orders with the Federal Trade Commission settling charges that they unlawfully tried to restrain competition.According to the FTC, the parties entered into an asset purchase agreement on Aug. 3, 2005, under which ARA proposed to purchase five Rhode Island dialysis clinics from Fresenius. The agreement also required Fresenius to close an additional three clinics — two in Rhode Island and one in Fall River. The parties terminated the asset purchase agreement on March 13, 2006, after FTC staff raised antitrust concerns.The FTC’s complaint alleges two separate violations o... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=867256 Wed, 12 Sep 2007 15:36:00 +0100 867256