Spend and Outcome Tool (SPOT) for Local Authorities (PHE)

Summary

This Public Health England (PHE) tool provides local authorities and clinical commissioning groups in England with an overview of spending and outcome across various aspects of public health. The Spend and Outcome Tool (SPOT) is an interactive spreadsheet, accompanied by factsheets for each local authority. Organisations can be compared using a different benchmarks.

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Reference

New tool for local authorities on outcomes and expenditure. London: Public Health England, August 27th 2014.

Posted in Commissioning, Community Care, For Researchers (mostly), For Social Workers (mostly), Integrated Care, Local Interest, National, Public Health England, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Further Dementia Diagnostic Test Accuracy Systematic Review Protocols (Cochrane Database)

Summary

This is an additional list of diagnostic testing-related protocols, further to the Cochrane Dementia and Cognitive Improvement Group (CDCIG) Diagnostic Test Accuracy (DTA) protocols and protocol templates listed earlier in Generic Protocol(s) for Diagnostic Test Accuracy Reviews in Dementia (Cochrane Database).

These reviews of various neuropsychological tests are part of the National Institute for Health Research (NIHR) Cochrane Collaboration Programme.

Concerning the use of 11C-PIB-PET for the early diagnosis of Alzheimer’s Disease and other dementias in people with mild cognitive impairment (MCI):

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Reference

Zhang, S. Smailagic, N. [and] Hyde, C. [et al] (2014). 11C-PIB-PET for the early diagnosis of Alzheimer’s disease dementia and other dementias in people with mild cognitive impairment (MCI). Cochrane Database of Systematic Reviews. July 23rd 2014, Issue 7. No. CD010386.

Concerning the use of AD-8 for diagnosis of dementia in various healthcare settings:

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Reference

Hendry, K. Leesm RA, [and] McShane, R. [et al] (2014). AD-8 for diagnosis of dementia across a variety of healthcare settings (Protocol). Cochrane Database of Systematic Reviews. May 19th 2014, Issue 5. No. CD011121.

Concerning use of the APOE-4 allele for the diagnosis of Alzheimer’s Disease and other dementia disorders in people with mild cognitive impairment in primary care:

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Reference

Elias-Sonnenschein, LS. Viechtbauer, W. [and] Ramakers, I. [et al] (2014). APOE-ε4 allele for the diagnosis of Alzheimer’s and other dementia disorders in people with mild cognitive impairment in a primary care setting (Protocol). Cochrane Database of Systematic Reviews. January 31st 2014, Issue 1. No. CD010949.

Concerning use of the APOE-4 allele for the diagnosis of Alzheimer’s Disease and other dementias in people with mild cognitive impairment in secondary care settings:

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Reference

Elias-Sonnenschein, LS. Viechtbauer, W. [and] Ramakers, I. [et al] (2014). APOE-ε4 allele for the diagnosis of Alzheimer’s and other dementia disorders in people with mild cognitive impairment in a secondary care setting (Protocol). Cochrane Database of Systematic Reviews. January 31st 2014, Issue 1. No. CD010950.

Concerning use of the APOE-4 allele for the diagnosis of Alzheimer’s Disease and other dementias in people with mild cognitive impairment in community settings:

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Reference

Elias-Sonnenschein, LS. Viechtbauer, W. [and] Ramakers, I. [et al] (2014). APOE-ε4 allele for the diagnosis of Alzheimer’s and other dementia disorders in people with mild cognitive impairment in a community setting (Protocol). Cochrane Database of Systematic Reviews. January 31st 2014, Issue 1. No. CD010948.

Concerning the use of Plasma and Cerebrospinal Fluid (CSF) Abeta42 for the differential diagnosis of Alzheimer’s Disease in participants previously diagnosed with dementia in specialist care settings:

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Reference

Kokkinou, M. Smailagic, N. [and] Noel-Storr, AH. [et al] (2014). Plasma and Cerebrospinal fluid (CSF) Abeta42 for the differential diagnosis of Alzheimer’s Disease dementia in participants diagnosed with any dementia subtype in a specialist care setting (Protocol). Cochrane Database of Systematic Reviews. January 31st 2014, Issue 1. No. CD010945.

A possibly related systematic review on the use of this testing technology for people with mild cognitive impairment has been published more recently: see Diagnosis, Screening, Assessment and Symptoms-Related Systematic Reviews and Meta-Analyses.

Concerning the use of rCBF SPECT for detecting frontotemporal dementia in people with suspected dementia:

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Reference

Coulthard, EJ. Archer, HA. [and] Smailagic, N. [et al] (2014). rCBF SPECT for detection of frontotemporal dementia in people with suspected dementia (Protocol). Cochrane Database of Systematic Reviews. December 23rd 2013, Issue 12. No. CD010896.

Concerning the use of Mini-Cog for diagnosis of Alzheimer’s Disease and other dementias in community settings:

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Reference

Fage, BA. Seitz, DP. [and] Gill, SS. [et al] (2014). Mini-Cog for the diagnosis of Alzheimer’s disease dementia and other dementias within a community setting (Protocol). Cochrane Database of Systematic Reviews. November 29th 2013, Issue 11. No. CD010860.

Concerning the use of CSF Tau and the CSF Tau / ABeta Ratio for the diagnosis of Alzheimer’s Disease and other dementias in people with mild cognitive impairment (MCI):

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Reference

Ritchie, C. Smailagic, N. [and] Ladds, EC. [et al] (2014). CSF tau and the CSF tau / ABeta ratio for the diagnosis of Alzheimer’s disease dementia and other dementias in people with mild cognitive impairment (MCI) (Protocol). Cochrane Database of Systematic Reviews. Oct 26th 2013, Issue 10. No. CD010803.

Concerning the use of IQCODE for the diagnosis of Alzheimer’s Disease and other dementias in general practice (primary care) settings, a more recent systematic review has been published: see Diagnosis, Screening, Assessment and Symptoms-Related Systematic Reviews and Meta-Analyses.

Concerning the use of IQCODE for the diagnosis of Alzheimer’s Disease and other dementias in secondary care settings, a more recent systematic review has been published: see Diagnosis, Screening, Assessment and Symptoms-Related Systematic Reviews and Meta-Analyses.

Concerning dopamine transporter imaging for the diagnosis of dementia with Lewy bodies:

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Reference

McCleery, J. Morgan, S. [and] Hyde, C. [et al] (2014). Dopamine transporter imaging for the diagnosis of dementia with Lewy bodies (Protocol). Cochrane Database of Systematic Reviews. July 10th 2013, Issue 7. No. CD010633.

Concerning the accuracy of 18FDG-PET in the early diagnosis of Alzheimer’s Disease and other dementias in people with MCI:

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Reference

Vacante, M. Smailagic, N. [and] Sachpekidis, C. [et al] (2014). The accuracy of 18FDG-PET in the early diagnosis of Alzheimer’s Disease dementia and other dementias in people with MCI (Protocol). Cochrane Database of Systematic Reviews. July 5th 2013, Issue 7. No. CD010632.

Concerning the role of MRI in the early diagnosis of Alzheimer’s Disease or other dementias in persons with mild cognitive impairment (MCI):

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Reference

Filippini, G. Casazza, G. [and] Bellatorre, AG. [et al] (2014). The role of MRI in the early diagnosis of Alzheimer’s disease or other dementias in persons with mild cognitive impairment (MCI) (Protocol). Cochrane Database of Systematic Reviews. February 15th 2012, Issue 2. No. CD009628.

Posted in Diagnosis, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Models of Dementia Care, NIHR, Systematic Reviews, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Patient Complaints in the NHS: No Shortage of Feedback (BBC News / HSCIC)

Summary

The number of complaints made about NHS care in England increased to roughly 480 per day, according to the Health and Social Care Information Centre (HSCIC). 174,872 complaints were made during 2013-14.

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Reference

NHS complaints rise to 480 every day. London: BBC Health News, August 28th 2014.

This relates to:

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Data on written complaints in the NHS 2013-14. London: Health & Social Care Information Centre (HSCIC), August 2014.

Posted in Acute Hospitals, BBC News, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, National, NHS, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , | Leave a comment

Non-Invasive Brain Stimulation Improves Memory / Ability to Learn? (BBC News / Science)

Summary

A small US study indicates that electromagnetic stimulation of specific regions of the brain may improve the ability to remember. Researchers are already speculating whether similar techniques could help people with memory disorders and / or reduce memory loss in later life.

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Reference

Mundasad, S. (2014). Electrical brain stimulation ‘boosts memory’. London: BBC Health News, August 29th 2014.

This relates to:

Full Text Link (Note: This article requires a suitable Athens password, a journal subscription or payment for access).

Reference

Wang, JX. Rogers, LM. [and] Gross, EZ. [et al]. (2014). Targeted enhancement of cortical-hippocampal brain networks and associative memory. Science. August 29th 2014, 345(6200), 1054-1057.

Posted in BBC News, For Doctors (mostly), For Researchers (mostly), In the News, International, Quick Insights, Universal Interest | Tagged , , , , , , , , , , , , , , , | Leave a comment

Population Level Commissioning: LTC Year of Care Programme (NHS IQ)

Summary

NHS Improving Quality (NHS IQ) has released a paper analysing a Kent “whole population” dataset, which links whole population demographics with activity and cost data from acute, community, mental health and social care providers. The data / analyses are intended to help commissioners understand the impact of different selection methods for people with complex health and social care needs. This data has relevance to the development of a LTC year of care currency.

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Reference

Population level commissioning for the future: implementing capitated budgets within long term conditions for people with complex needs. London: NHS Improving Quality, August 15th 2014.

Posted in Commissioning, Community Care, For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Person-Centred Care, Quick Insights, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Generic Protocol(s) for Diagnostic Test Accuracy Reviews in Dementia (Cochrane Database)

Summary

The Cochrane Dementia and Cognitive Improvement Group (CDCIG) is working – in collaboration with the Cochrane Diagnostic Test Accuracy Review Unit (DTA Unit) and the Institute of Public Health (IPH) – on a series of Cochrane Diagnostic Test Accuracy (DTA) reviews in dementia. These reviews are to be part of the National Institute for Health Research (NIHR) Cochrane Collaboration Programme.

There is, for example, the protocol for a review concerning the Mini-Mental State Examination (MMSE) for the detection of Alzheimer’s dementia and other dementias in asymptomatic and previously clinically unevaluated people aged over 65 years in community and primary care populations:

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Reference

Creavin, ST. Noel-Storr, AH. [and] Smailagic, N. [et al] (2014). Mini-Mental State Examination (MMSE) for the detection of Alzheimer’s dementia and other dementias in asymptomatic and previously clinically unevaluated people aged over 65 years in community and primary care populations (Protocols). Cochrane Database of Systematic Reviews. June 10th 2014, Issue No. 6. No. CD011145.

The above protocol is based on broadly the same format and structure as the following protocol(s).

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Reference

Davis, DHJ. Creavin, ST. [and] Noel-Storr, A. [et al] (2013). Neuropsychological tests for the diagnosis of Alzheimer’s disease dementia and other dementias: a generic protocol for cross-sectional and delayed-verification studies (Protocol). Cochrane Database of Systematic Reviews. March 2013, Issue 3. No. CD010460.

A rare insight into how the experts produce these world-class reviews. These documents have been created to aid authors writing Cochrane Dementia and Cognitive Improvement Group (CDCIG) Diagnostic Test Accuracy (DTA) protocols for various neuropsychological tests. The required protocol headings are described with examples to help explain the rationale for each review and the methods used. Authors typically use text from the examples provided and adapt it (as necessary) for variables such as index test and clinical setting. Links to appropriate sections of the DTA Handbook are supplied. Appendix 1 describes content and structure of the National Institute for Health Research (NIHR) Cochrane Collaboration Dementia and Cognitive Improvement Group (CDCIG) Diagnostic Test Accuracy (DTA) Programme (as of 2013).

See also:

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Reference

Davis, DHJ. Creavin, ST. [and] Yip, JLY. [et al] (2013). The Montreal Cognitive Assessment for the diagnosis of Alzheimer’s Disease and other dementia disorders (Protocol). Cochrane Database of Systematic Reviews. October 10th 2013, Issue 10. No. CD010775.

Note: Further protocols of this nature are to be discovered here: Further Dementia Diagnostic Test Accuracy Systematic Review Protocols (Cochrane Database).

Posted in Diagnosis, For Doctors (mostly), For Researchers (mostly), International, NIHR, Systematic Reviews, UK | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Dementia Data Extraction Process Revised (HSCIC)

Summary

The Health and Social Care Information Centre (HSCIC) has introduced a different sign-up process concerning automated data extraction for the Quality and Outcomes Framework (QOF) and enhanced services. The QOF subset 2014-15 dementia extraction supports the Prime Ministerial challenge to increase national diagnosis rates of dementia.  General practices are opted in to this service automatically; but practices can opt-out if they wish.

The new approach replaces separate processes for the Calculating Quality Reporting Service (CQRS) and the General Practice Extraction Service (GPES) documented in earlier GPES training materials. General Practices and Area Teams in England can view details of the new sign-up process via the GPES website:

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Reference

New data extraction process for Quality Services: QOF subset 2014-15 dementia extraction through GPES. London [Online]: Health & Social Care Information Centre (HSCIC), July / August 2014.

See also:

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Reference

Dementia Data Extract. Action required: set your participation in the QOF subset 2014-15 dementia data extraction. London [Online]: Health & Social Care Information Centre (HSCIC), July 23rd 2014.

This relates to:

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Reference

Your new data extraction process for Quality Services. London: Health & Social Care Information Centre (HSCIC), August 18th 2014.

Posted in Commissioning, Community Care, Diagnosis, For Doctors (mostly), Integrated Care, Local Interest, National, NHS, Person-Centred Care, Practical Advice, Statistics, UK | Tagged , , , , , , , , , , , , , , , , , , , | Leave a comment