Translations of a Collection of Norwegian Dementia-Related Systematic Reviews (NIPH)

Summary

The Norwegian Directorate of Health commissioned the Norwegian Institute of Public Health (NIPH) to produce a series of evidence reviews – dating back to 2014 (and earlier) – with a view to the development of national evidence-based guidelines. These reviews draw largely on previous Cochrane reviews, and are accordingly cautious in their approach; being characteristically reluctant to take much of the published literature “on trust”.

On Psychological Interventions for People With Dementia

A 2014 summary of evidence on the efficacy of psychological interventions for people with dementia; with respect to outcomes including cognition, agitation, depression, anxiety, quality of life, activities of daily living and 24-hours care.

Full Text Link

Reference

Dahm, KT. Dalsbø, TK. Håvelsrud, K. [et al] (2014). Effect of psychological interventions for people with dementia. Oslo: Knowledge Centre for the Health Services at The Norwegian Institute of Public Health (NIPH); December 2014.

On Physical Activity and Various Other Care Interventions for People with Dementia

A 2014 summary of evidence on the efficacy of physical activity and other care interventions for people with dementia with respect to the same broad set of outcomes.

Full Text Link

Reference

Dahm, KT. Dalsbø, TK. Håvelsrud, K. [et al] (2014). Effect of physical activity and other care interventions for people with dementia. Oslo: Knowledge Centre for the Health Services at The Norwegian Institute of Public Health (NIPH); December 2014.

On Day Care Centers for People With Dementia

A 2011 summary of evidence on the efficacy of daycare for reducing admissions to nursing homes / care homes or hospital, and on other outcomes relevant to carers / families etc.

Full Text Link

Reference

Reinar, LM. Fure, B. Kirkehei, I. [et al] (2011). Effect of day care centers for people with dementia. Oslo: Knowledge Centre for the Health Services at The Norwegian Institute of Public Health (NIPH); December 2011.

Note: The full technical reports for each of these studies are available, although they are written in Norwegian.

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Posted in Commissioning, Community Care, Depression, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Guidelines, International, Management of Condition, Mental Health, Models of Dementia Care, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Quick Insights, Standards, Systematic Reviews, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Transformation of Health and Care in Wales: a Revolution from Within (BBC News / Welsh Government)

Summary

The Parliamentary Review of Health and Social Care in Wales provides an inspiring vision of future directions in service provision, with proposals which are likely to be studied more widely. Dr Ruth Hussey the former Chief Medical Officer for Wales, worked with nine international experts to produce the “A Revolution from Within: Transforming Health and Care in Wales” report on how the NHS and social care should work together “seamlessly” to better cater for people’s needs and deliver care closer to home.

“ …there is too much focus on narrow hospital targets rather than looking at the bigger picture”.

Section headings in the final report include:

  • Recommendation 1: One Seamless System for Wales.
  • Recommendation 2: The Quadruple Aim for All.
  • Recommendation 3: Bold New Models of Seamless Care – national principles local delivery.
  • Recommendation 4: Put the People in Control.
  • Recommendation 5: A Great Place to Work.
  • Recommendation 6: A Health and Care System that’s always learning.
  • Recommendation 7: Harness Innovation, and Accelerate Technology and Infrastructure Developments.
  • Recommendation 8: Align System Design to achieve results.
  • Recommendation 9: Capacity to Transform, Dynamic Leadership, Unprecedented Cooperation.
  • Recommendation 10: Accountability, Progress and Pace.

Full Text Link

Reference

Clarke, O. (2018). Revolution in health and social care urged in Wales. Wales: BBC Health News / BBC Wales News, January 16th 2018.

This relates to:

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Reference

Parliamentary Review of Health and Social Care in Wales (2018). A Revolution from Within: Transforming Health and Care in Wales. Final Report. Wales: Welsh Government, January 2018.

There was an earlier, and longer, interim report:

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Reference

Clarke, O. (2017). Faster changes to Wales’ health and care system urged. Wales: BBC Health News / BBC Wales News, July 11th 2017.

This relates to:

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Reference

Parliamentary Review of Health and Social Care in Wales. Interim Report. Wales: Welsh Government, July 2017.

Further background on the Welsh context:

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Reference

Clarke, O. (2017). Q&A: Social care and Wales. Wales: BBC Health News / BBC Wales News, May 26th 2017.

Posted in Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, National, NHS, Non-Pharmacological Treatments, Parkinson's Disease, Person-Centred Care, Personalisation, Quick Insights, Standards, Statistics, Stroke, Telecare, Telehealth, UK, Universal Interest, Wales | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Preparations for the NHS’s 70th Birthday Year: Happy Watershed Moment? (NHS England / Department of Health and Social Care / BBC News / King’s Fund / HFMA)

Summary

In preparation for the NHS’s 70th Birthday on July 5th 2018, NHS England has started work, with numerous partner organisations, on plans for celebrating the NHS’s past achievements and ongoing aims / philosophy.

Full Text Link

Reference

About NHS 70. [Online]: NHS England, January 2018.

Background information on the NHS 70 celebrations:

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Reference

Background. [Online]: NHS England, January 2018.

NHS 70: partner organisations joining in the celebrations:

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Reference

Partners. [Online]: NHS England, January 2018.

The objectives of the NHS 70th birthday celebrations:

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Reference

Objectives and narrative. [Online]: NHS England, January 2018.

Background NHS history:

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Reference

The history of the NHS in England. [Online]: NHS Choices, circa July 2015.

NHS statistics, facts and figures in brief:

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Reference

NHS statistics, facts and figures. NHS Confederation, July 14th 2017.

January 2018 Re-Shuffle: Integrated Challenges Deserve Integrated Solutions

Under-performance within the NHS has long been intricately linked to the state of social care. Accordingly, the Department of Health has been rebranded as the Department of Health and Social Care (DHSC), as it will have greater responsibility for social care.

“There will be no change to the funding stream which takes Treasury cash through the Department for Housing, Communities and Local Government (itself renamed from the DCLG) and out to local authorities to provide social care in England. Town halls will continue to raise some of the money for social care from council tax. There will be no legislative or organisational changes [at present]”.

Jeremy Hunt, Secretary of State for Health and Social Care, is now in charge of preparation for the government’s policy development and future green paper on social care – expected in Summer 2018. This is mostly about funding the longterm care of elderly people, including re-examining the Dilnot Commission’s recommendations for capping an individual’s lifetime care costs.

Full Text Link

Reference

Pym, H. (2018). Will a rebranded Department of Health change anything? London: BBC Health News, January 12th 2018.

Plans for a Seamless System in Wales

Wales leads the way, again? The NHS, we are reliably told, was born in Wales; based on a model developed by the Tredegar Workmen’s Medical Aid Society. Perhaps it is no coincidence that Wales has been first off the starting blocks in 2018 with a proposed “revolution” in how health and social care should be delivered in Wales

Observations on the Fine Blurred Lines Between Celebration, Informed Debate and Partisan Lobbying

There is no shortage of raging ongoing debate concerning the NHS’s funding, relationships with social care, and the balancing of priorities for the future. It will be interesting to observe how well (i) good-natured NHS celebrations, (ii) an open-minded search for fresh solutions, and (iii) the heavy-handed bludgeoning of public and political opinion by special interest groups, sit together in the coming year.

The time is right for a basic re-think – the question is who frames the debate?:

Full Text Link

Reference

Pym, H. (2018). Funding the NHS: Is it finally time for a new approach? London: BBC Health News, January 6th 2018.

Further BBC political analysis:

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Reference

Kuenssberg, L. (2018). Time for an answer on the NHS? London: BBC Politics News / BBC Health News, January 11th 2018.

Regarding recent claims of an imminent “watershed moment” for the NHS, from the NHS Providers chief and a letter, signed by 68 A&E consultants, addressed to the Prime Minister:

Full Text Link

Reference

Triggle, N. (2018). Patients ‘dying in hospital corridors’. London: BBC Health News, January 11th 2018.

Light-touch persuasion is usually more conducive to rational thought. There is a recent King’s Fund compilation of insights on the state of the NHS:

Full Text Link

Reference

NHS winter pressures. [Online]: King’s Fund, January 2018.

Updated NHS Efficiency Map (HFMA and NHS Improvement)

The Health Finance Managers Association (HFMA) and NHS Improvement have updated the NHS efficiency map. This tool is designed to identify opportunities for cost-improvement programmes (CIPs), on numerous fronts, for the NHS.

Full Text Link

Reference

NHS Efficiency Map. London: Health Finance Managers Association (HFMA) and NHS Improvement, January 2018.

Posted in Acute Hospitals, Charitable Bodies, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Local Interest, National, National Voices, NHS, NHS Choices, NHS Confederation, NHS Employers, NHS England, Quick Insights, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Animal Study Explores the Potential of a Novel Diabetes Drug for Reducing Memory Loss in Dementia – In Mice (NHS Choices / Brain Research)

Summary

Early animal research indicates that a new drug designed for the future treatment of diabetes may (one day) have an alternative re-use for reducing the memory-loss symptoms of Alzheimer’s Disease. Mice given a modified version of a so-called triple receptor agonist (TA) drug appear to show reduced / reversed memory loss (as measured by better performance in water mazes) in transgenic mice.

The following NHS Choices Behind the Headlines critical appraisal offers a sense of perspective and cautions against jumping to premature conclusions based on this interesting research.

Full Text Link

Reference

Diabetes drug may help with memory loss in dementia. London: NHS Choices; Behind the Headlines, January 2nd 2018.

This relates to:

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Reference

Tai, J. Liu, W. [and] Li, Y. [et al] (2018). Neuroprotective effects of a triple GLP-1/GIP/glucagon receptor agonist in the APP/PS1 transgenic mouse model of Alzheimer’s disease. Brain Research. January 1st 2018; 1678: pp.64-74.

Posted in Alzheimer's Society, Animal Studies, Charitable Bodies, For Researchers (mostly), In the News, International, NHS Choices, Pharmacological Treatments, Quick Insights, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

A Further Set-Back for Progress in Dementia Drug Development? (BBC News)

Summary

Drug company Pfizer is to cease activity in its neuroscience drug discovery programmes, which will impact on ongoing research into drugs for Alzheimer’s Disease and Parkinson’s Disease.

Paradoxically the company does promise plans to create a new fund dedicated to neuroscience research in the future.

Full Text Link

Reference

Pharma giant Pfizer pulls out of research into Alzheimer’s. London: BBC Health News, January 10th 2018.

Posted in BBC News, For Researchers (mostly), In the News, International, Management of Condition, Pharmacological Treatments, Quick Insights, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

NICE Consultation on Draft Guidelines for Dementia Assessment, Management and Support for People Living With Dementia and Their Carers (NICE)

Summary

The National Institute for Health and Care Excellence (NICE) has released draft updated guidelines concerning the care – i.e. the assessment, management and support – for people living with dementia and their families / carers. The official update, planned for June 2018 release, will replace NICE Guideline CG42. Registered stakeholders have until February 13th 2018 to submit comments and feedback.

Full Text Link

Reference

Dementia – assessment, management and support for people living with dementia and their carers: Draft guidance consultation. London: National Institute for Health and Care Excellence (NICE), January 3rd 2018.

There is also a shorter Guideline Summary and numerous appendices, including a review of the evidence.

Likely interest (missed previously):

Full Text Link

Reference

Overview of systematic reviews of non-pharmacological interventions for dementia. York: York Health Economics Consortium (YHEC), April 19th 2017.

Posted in Acute Hospitals, Antipsychotics, Commissioning, Community Care, Depression, Diagnosis, End of Life Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, National, NICE Guidelines, Non-Pharmacological Treatments, Patient Care Pathway, Person-Centred Care, Personalisation, Pharmacological Treatments, Quick Insights, Standards, Systematic Reviews, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

New Year – Same Old NHS Winter Pressures: Some Recent Responses to Excess Public Demand for Services (BBC News / RCGP / NHS England / King’s Fund)

Summary

Other Northern European nations, North America etc. have more extreme and colder Winters, yet their health systems appear not to buckle under these predictable seasonal pressures. Here are some recent responses and initiatives, as mentioned in the news, aiming to minimise the harmful / disruptive effects of this possibly unique UK socio-political phenomenon.

Mitigation Strategies in General Practice / Primary Care

The Royal College of General Practitioners (RCGP)’s “three before GP” mantra advises patients to consider three alternatives before accessing their GPs.

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Reference

Take three steps before visiting GP, public urged. London: BBC Health News, December 29th 2017.

This relates to:

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Reference

‘3 before GP’: new RCGP mantra to help combat winter pressures in general practice. London [Online]: Royal College of General Practitioners (RCGP), December 29th 2017.

The Role of Community Pharmacists

An example regional community pharmacists’ “Right Care, First Time” campaign, based in Bristol, North Somerset and South Gloucestershire.

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Reference

Winter pressure health campaign launched in Bristol. London: BBC Health News / BBC Bristol News, December 26th 2017.

Mitigation Strategies in Acute / Secondary Care

Around 55,000 non-urgent NHS routine operations and elective hospital procedures in England will be deferred for a further month, as part of a planned strategy to divert key staff into emergency care.

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Reference

Therrien, A (2018). Hospitals to delay non-urgent operations. London: BBC Health News, January 3rd 2018.

See also, the rationale for this step from NHS England’s National Emergency Pressures Panel (NEPP):

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Reference

Operational update from the NHS National Emergency Pressures Panel. [Online]: NHS England, January 2nd 2018.

Further commentary from BBC News:

“As well as the cancelling of non-urgent treatments, such as knee and hip replacements, hospitals have been given the green light to put patients on mixed sex wards and to bring GPs into A&E to help deal with patients”.

Full Text Link

Reference

Therrien, A [and] Triggle, N. (2018). Health secretary Jeremy Hunt sorry as A&Es struggle to cope. London: BBC Health News, January 3rd 2018.

This builds on earlier prioritisation decisions to cancel non-emergency operations, along similar lines a couple of weeks previously:

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Reference

Triggle, N. (2018). Hospitals to cancel ops to cope with winter surge. London: BBC Health News, December 21st 2017.

The impact of delays on elective patients:

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Reference

Operation delays: ‘Everything is up in the air’. London: BBC Health News, January 4th 2018.

Ambulance delays:

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Reference

Triggle, N. [and] Calver, T. (2018). Ambulance A&E delays hit one in eight. London: BBC Health News, January 4th 2018.

More anecdotal reports:

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Reference

A&E: People on beds ‘as far as you could see’. London: BBC News: Hereford and Worcester / BBC Health News, January 3rd 2018.

The pressure (on public opinion) never lets up:

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Reference

Triggle, N. (2018). We’ve run out of beds, warn hospital bosses. London: BBC Health News, January 10th 2018.

Regarding Scotland

Scottish A&E performance no longer bucking the general UK trend

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Reference

Scottish A&E waits at highest level in final week of 2017. London: BBC Scotland News / BBC Health News, January 9th 2018.

This despite earlier optimism about system resilience:

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Reference

Scottish A&E bucks trend on long waits. London: BBC Scotland News / BBC Health News, December 7th 2017.

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Reference

Scottish NHS waiting times performance at new low. London: BBC Scotland News / BBC Health News, January 16th 2018.

Struggling to Comprehend

Big-picture analyses of the many issues at play:

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Reference

Triggle, N. (2018). 10 charts that show why the NHS is in trouble. London: BBC Health News, January 5th 2018.

Flu, an additional contributory factor (yet hardly unpredictable)?

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Reference

Sharp rise in flu hospital admissions in England. London: BBC Health News, January 4th 2018.

Flu cases increase:

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Reference

Flu cases: surge in hospital admissions. London: BBC Health News, January 11th 2018.

Politics Via the A&E Front-Door?

The NHS has prepared specially for Winter over the past year (more so than ever before); not that the Prime Minister has been thanked for reminding the nation of self-congratulatory statements, just a few months old, arising from NHS England and NHS Improvement. Who would have believed a deterioration so stark, rapid, and so soon, would be possible?

There are underlying political narrative(s), which may shed more light on current events, and the battle for public opinion, than first meets the eye. A King’s Fund compilation of insights is available:

Full Text Link

Reference

NHS winter pressures. [Online]: King’s Fund, January 2018.

Quick insights:

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Reference

Triggle, N. (2018). Why 2018 will be a very special year for the NHS. London: BBC Health News, December 27th 2017.

The need for a non-partisan style of long-term funding solution is under discussion (not that throwing money at certain problems would necessarily solve them, going by past experience):

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Reference

Pym, H. (2018). Funding the NHS: Is it finally time for a new approach? London: BBC Health News, January 6th 2018.

Further political analysis:

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Reference

Kuenssberg, L. (2018). Time for an answer on the NHS? London: BBC Politics News / BBC Health News, January 11th 2018.

Playing the “patient safety” joker card? Yet another “watershed moment” in the making for the NHS, pressed home by NHS Providers and a letter, signed by 68 senior A&E doctors, to the Prime Minister:

Full Text Link

Reference

Triggle, N. (2018). Patients ‘dying in hospital corridors’. London: BBC Health News, January 11th 2018.

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, King's Fund, National, NHS, NHS England, Quick Insights, Scotland, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment