The A&E 'Live Waiting Times' app, developed by UHNM, has been taken on and implemented by Betsi Cadwaladr University Health Board, in North Wales. Now, people in that area who need treatment for an injury can now get up to the minute information on waiting times for Emergency Departments via their smartphone or tablet.
This is a discussion paper which considers the potential implications of the introduction of the Professional Capabilities Framework as part of social work reform in England. The paper compares and contrasts the 2002 degree with the Professional Capabilities Framework, which is one of the changes introduced by the Social Work Reform Board. The 2002 degree is argued to have contained a double curriculum, which reflected the existing tensions within contemporary social work.
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A weekly, multi-purpose Good Practice Group has been set up on the unit, and is attended by all team members who are on duty. On alternate weeks, the group is a staff support session aimed at helping staff to reflect on their practice and their working experiences, and come together to offer mutual support and solve problems.
In the other sessions, case studies, relevant theories, and psychological formulations are fed back to the staff team, and are used to inform systemic behaviour support plans for individual patients.
Objective To assess the efficacy of active treatment targeted at underlying disease (TTD)/potentially curative treatments versus palliative care (PC) in improving overall survival (OS) in terminally ill patients. Open Access Article
Residents and organisations across Shropshire are being invited to give their views on what more the council can do in light of its financial challenges due to ongoing cuts in government funding.
Starting in January 2017 is a FREE 12 week digital art course, open to people with low mental health needs and carers.
The course starts Wednesday 11 January and runs every Wednesday for 12 weeks
Course provided by partnership of organisations including council but not NHS Trust.
A service that helps prevent homelessness in Stafford Borough is on its way to achieving a top national rating.
Stafford Borough Council has become the first in the West Midlands to have been awarded silver status in the Government’s ‘Gold Standard Programme.’
The local authority prevented around 570 people and families from becoming homeless over the last 12 months and now says it is expecting to achieve the gold award for its service later this year.
The Trust which runs Shropshire’s acute hospitals has introduced a range of initiatives to support the health and wellbeing of staff at work – including those whose absence is due to stress.
Instant messaging applications have the potential to improve and facilitate communication between hospital doctors and students, hence generating and improving learning opportunities. This study aims to demonstrate the feasibility and acceptability of instant messaging communication to supplement medical education for medical students whilst on clinical attachment.
The MODEM project (A comprehensive approach to MODelling outcome and costs impacts of interventions for DEMentia) explores how changes in arrangements for the future treatment and care of people living with dementia, and support for family and other unpaid carers, could result in better outcomes and more efficient use of resources.
Before the Nursing and Midwifery Council (NMC) introduced revalidation in 2016, the proposed model for revalidation was piloted in 19 healthcare organisations in the UK. Aneurin Bevan University Health Board (ABUHB) was among the pilot sites, and invited more than 1,000 registered nurses and midwives to take part. One of these participants, a member of the ABUHB practice facilitator team, used this experience to identify links between mentorship activities and the NMC requirements for revalidation. This article discusses how becoming a mentor and maintaining mentor status can provide registered nurses and midwives with evidence to assist them in their revalidation. To read the full article, log in using your NHS OpenAthens details
Tobacco control benefits economies as well as public health, a major report from the World Health Organization has found.
The report, published in conjunction with the National Cancer Institute of the United States, found that tobacco use costs the global economy $1 trillion (€0.94trn; £0.82trn) a year in terms of healthcare expenditure and lost productivity from ill health.
The world currently has 1.1 billion smokers aged 15 or over, around 80% of whom live in low or middle income countries. Smoking rates have fallen in most regions of the world over the past 15 years, and smoking rates among adults in Europe have fallen from 59.2% in 2000 to 47.2% in 2015. In South East Asia the rate has fallen from 40.6% to 30.8%. To read the full article, log in using your NHS OpenAthens details
To assess the predictive validity at 4 years of the Movement Assessment Battery for Children - Second Edition (MABC-2) for motor impairment at 8 years in children born preterm. We also aimed to determine if sex, cognition, medical, or social risks were associated with motor impairment at 8 years or with a change in MABC-2 score between 4 years and 8 years. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Initially, six schools signed up for the innovative scheme, which is designed to encourage local primary school pupils to be more active and learn healthy habits for life.
Delivered via a partnership of NHS West Cheshire Clinical Commissioning Group, Cheshire West and Chester Council and Active Cheshire, a further 11 primary schools have since signed up.
As this trial was not able to look at the effects of the two different forms of acupuncture on colic, a larger trial is required to confirm whether acupuncture could be an effective and acceptable form of treatment for colic, and how it could be delivered.
In July we published the multispecialty community provider (MCP) emerging care model and contract framework.
This framework signalled that we would make available a draft contract for MCPs and aspirant providers.
We are pleased to share a draft version of the contract, which you can view on the NHS England website. This draft Contract has been published for a period of informal feedback and we are inviting you to let us have your views on it.
Carers Corner: – Health Care Assistants upon each of the two ward areas took on the responsibility for identifying appropriate space within the ward areas to set up the Carer’s Corner. Then relevant health and social care information was obtained, as was a refurbished computer and phone, to enable carers to use the phone or Internet (supported if required) to assist their loved one and also their health and wellbeing.
Senior clinicians across Staffordshire and Stoke on Trent are appealing for families to help reduce the pressure on struggling services by supporting patients to return home from hospital as soon as they are ready.
Patients staying longer than necessary in hospital have added to the strain on A&E departments, which are already experiencing increased demand. This has caused even longer delays for patients who arrive requiring a bed.
Results from the NDTMS on the number of young problem drug and alcohol users in contact with specialist treatment agencies and general practitioners between 1 April 2015 and 31 March 2016.
Public Health England (PHE) commissioned The Children’s Society to undertake scoping research in early 2016, to understand some of the opportunities and challenges currently facing those now responsible for commissioning and delivering young people’s specialist substance misuse services and to outline some critical good practice principles.
Wonderful Outstanding Work (WOW) Boards: – The Memory Service, initially started by CPN Maggie Livingstone, have introduced a ‘WOW Board’ (WOW standing for – Wonderful Outstanding Work) within the community older adults team office space.
This allows any team member, clinical or non- clinical, to share their ideas and any changes that they have made within their work.
In the first two months of a new service seeing patients in the community rather than hospital, almost 1000 people have been seen at their local opticians.
Since the launch of the community eye care service on the 6th September, 908 people have been seen at their local opticians for minor eye conditions and follow up appointments.
A pioneering health and information service launched across South Staffordshire is making great strides in supporting older people to stay healthy, safe and independent in their own home.
The Care Navigation Service is delivered by Age UK South Staffordshire and South Staffordshire Community and Voluntary Action (CVA).
It is a free service helping community health teams to increase the levels of access to information and support that people who are undergoing challenges in their lives can get in the local community.
This practical guidance helps commissioners understand why and how they can deliver support after suicide (also known as postvention support) in their local areas.
Compared with people who did no physical activity, all active groups – including insufficient activity, regular activity and weekend patterns – saw a reduction in their risk of death from any cause or cardiovascular disease.
But weekend activity had no significant effect on reducing cancer risk, unlike the people in the regularly active groups, and surprisingly the insufficiently active group.
While this large and reliable study is unable to prove cause and effect, the results do seem to confirm the Mail's headline: "It's all good: Any exercise cuts risk of death, study finds".
The newly appointed Director of Integration leading on the personalisation agenda across Gloucestershire explains how local organisations are working more closely together than ever before in the national Integrated Personal Commissioning programme.
337 people who are recovering from mental illness have been helped by the Employment Support Service at North Essex Partnership (NEP) to get back into work in the last 12 months. A further 207 were helped to retain their current employment. In addition, the service has also helped a further 167 people to achieve their vocational goals, making an impressive total of 711 people helped by the Employment Support Service at NEP.
This report sets out the government’s response to the work of the Mental Health Taskforce. The taskforce report to NHS England, the Five Year Forward View for Mental Health, is an independent and far-reaching overview of what modern mental health services should be.
The government will accept the taskforce report’s recommendations in full. This report provides full responses to each of the 58 recommendations made to government.
Optimism was high that the first disease-modifying antiamyloid medications would be effective in slowing the rate of decline in those with symptomatic Alzheimer disease (AD). When these studies failed, it set off conversations that still continue about whether the medications were ineffective, the disease was too advanced to be slowed by such agents, or amyloid was the correct pathology to target. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Psychiatric evaluations of patients' diagnoses and symptoms largely rely on their autobiographical memory, ability to reflect and verbalise their inner experience and behaviour, and the interviewers' ability to conceptualise these communications. Reliable biomarkers for purposes of diagnosis and follow-up of illness course and treatment effectiveness are constantly sought. Both clinical experience and longitudinal research on mood variability among patients with mood disorders indicate a need for improved methods for patient monitoring. Pioneering online mood charting tools1 have existed for over a decade. Accumulating studies have already demonstrated that smartphone data can serve as an electronic biomarker of illness activity in bipolar disorder (BD). To read the full article, log in using your NHS OpenAthens details.
The Department of Health (DH) has launched a public consultation on plans to expand undergraduate medical school numbers in England by up to 1500 places by 2020.
We are seeking your views on the current proposals
Research News. People with attention deficit hyperactivity disorder (ADHD) had a lower risk of motor vehicle crashes when they had received their medication, research published in JAMA Psychiatry shows.
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Whether this reported decline in uptake is real, and fewer children are being immunised or whether this is a reflection of data quality issues is unclear. Either way, it serves as a reminder that we can never take high immunisation rates for granted.
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A poll of 2051 teaching staff found 98% of them had come into contact with pupils experiencing mental health issues. Of those polled -- all members of the teachers' union NASUWT -- 91% said they were aware of pupils suffering from panic attacks, 79% suspected depression and 64% knew a student who was self-harming. While most of the children in question were teenagers -- with 58% of teachers saying they had seen issues in 15 to 16-year-olds -- almost a fifth said they had been in contact with four- to seven-year-olds showing mental health issues. The impact of these problems was seen in a pupil's inability to concentrate, participate fully and make friends.
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Question Does the severity of incident depression influence a patient’s risk of developing epilepsy?
Findings When used as a surrogate for depression severity, analyses stratified by antidepressant treatment type demonstrate a clear, statistically significant gradient in the hazard of epilepsy and the odds of seizure outcomes.
Meaning Using depression treatment as a surrogate of severity, we found that worsening depression appears to augment the risk of epilepsy and the odds of worse seizure outcomes. Future prospective studies designed to address causation between depression and epilepsy are warranted.
Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
In most instances, inductions are the first time that users will be introduced to health library services. The time available in which to deliver library orientation sessions within a broader, Trust induction programme is often limited, and this can present challenges for health librarians. Inductions are a great marketing tool, and it is important that induction sessions make the right impact. Within a brief window of opportunity, the health librarian must impart key information to the inductees whilst ensuring the session is relevant and memorable. In this article, guest writer Nicola Healey, Library Manager of North Somerset Healthcare Library, discusses the range of approaches she and her colleagues have explored in delivering library inductions, explaining what worked, what did not and what areas still remain for development.
Major efforts have been made to prevent ultra-high-risk (UHR) participants from transitioning to psychosis. Previous studies have examined the efficacy of ω-3 fatty acid, antipsychotic medication and cognitive–behavioural therapy (CBT) as preventive interventions, without conclusive results.To read the full article, log in using your NHS OpenAthens details.
To identify and systematically review the psychometric properties and clinical utility of dystonia and choreoathetosis scales reported for children with cerebral palsy (CP).
Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Sleep disturbances are common across bipolar spectrum disorders. Reduced need for sleep, insomnia and hypersomnia (excessive sleep or sleepiness) are diagnostic features of illness episodes; these sleep disturbances persist into the interepisode period and are associated with functional impairment and risk for relapse.1 Few studies have investigated subtypes of sleep disturbances within bipolar spectrum disorders, and these have been limited to specific illness states (eg, depression)2 or to specific bipolar subtypes (eg, bipolar I disorder).3 To read the full article, log in using your NHS OpenAthens details.
Major depressive disorder is a leading global cause of lifelong disability, with the greatest increase in incidence occurring in mid-to-late adolescence into young adulthood. Onset in childhood predicts poor long-term educational, social and health outcomes. Therefore, interventions to prevent depression in children and adolescents have considerable potential to reduce the global burden of depression. Prior research has suggested that selective and indicated prevention interventions targeted, respectively, at high risk or subsyndromal children and young people may outperform universal interventions that deliver to all individuals in the population.1–3 To read the full article, log in using your NHS OpenAthens details.
The NHS Employers Widening Participation programme creates a sustainable approach for employers to engage with different community groups. The programme will support employers with addressing workforce supply challenges whilst improving the diversity of the NHS workforce and enabling delivery of the highest standard of care.
In Parkinson's disease (PD), psychosis is associated with cognitive impairment that may be more profound in particular cognitive domains. Our goal was to determine whether psychosis in non-demented PD participants is associated with domain-specific cognitive impairment on the Mini-Mental State Exam (MMSE). Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Practice Pointer. What you need to know
Addiction to exercise might form part of a broader eating disorder or may occur in isolation
Inability to stop or reduce exercising, for example in response to an injury, may indicate addiction
Treatment broadly follows the principles of treating other addictions, for example cognitive behavioural therapy and exercise reprogramming
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Observational studies have identified inflammatory changes in depression,1 ,2 and randomised controlled trials (RCTs) suggest that depression may respond better when anti-inflammatory drugs are used to augment antidepressant drugs.3 Statins have anti-inflammatory properties. The present study is the first population-level investigation of the benefits and risks of a selective serotonin reuptake inhibitor (SSRI)–statin combination. To read the full article, log in using your NHS OpenAthens details.
The aim was to investigate the personality profile of bipolar disorder I and II, and healthy controls, and to study whether personality influences the course of bipolar disorder.
Following her recent visit to the recent International Forum for Quality & Safety in Healthcare conference in London, she shares her thoughts on challenging leadership culture, and using root cause analysis for improvement
Around 80 community based nurses are coming together next month for a special event to discuss better ways to diagnose and support people with dementia and their families.
The event is being jointly organised by two of Staffordshire’s NHS Clinical Commissioning Groups (CCGs) who together serve over 275,000 patients (see Notes to Editors), with South Staffordshire and Shropshire Healthcare NHS Foundation Trust (SSSFT), the University of Worcester’s Association for Dementia Studies and The Alzheimer’s Society.
Question Does the suicide of a spouse affect the health of the surviving partner?
Findings In this nationwide register-based cohort study, an increased risk of mental and physical disorders, mortality, and adverse social events were noted among people bereaved by spousal suicide. Bereavement by suicide differed from bereavement by other manners of death.
Meaning Surviving partners are affected on a broad range of mental, physical, and social health outcomes, suggesting a need for more proactive outreach. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The article discusses the necessity of rehabilitation for dementia patients, emphasized by University of Exeter professor Linda Claire in a report published in a 2017 issue of "PLoS Medicine" journal.
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NHSCC’s publication ‘Excellence in commissioning diabetes care’ showcases examples of where clinically led commissioning is changing the way diabetes care is commissioned and improving people’s lives.
As the NHS seeks to move away from competition towards integration and to develop new models of care, individuals and organisations across the health and care system need to learn to work together to make the best use of collective skills and knowledge.
This paper looks at compassion – which involves attending, understanding, empathising and helping – as a core cultural value of the NHS and how compassionate leadership results in a working environment that encourages people to find new and improved ways of doing things.
In March, the National Institute for Health and Care Excellence (NICE) published new quality standards on vaccine uptake in the under-19s. Here are its recommendations.
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To the Editor Brown et al1 analyzed data for a large prospective birth cohort study in Finland and reported that serotonin reuptake inhibitor (SSRI) exposure during pregnancy is associated with later speech and language disorders. The authors’ interpretation was that SSRI use during pregnancy increases the risk for speech and language disorders in offspring. Their analysis is flawed, and applying it to clinical decision making (eg, discontinuing or otherwise avoiding use of SSRIs when otherwise clinically indicated) could have adverse public health consequences. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Travel training is delivered through Enable and is aimed at children of secondary school age, up to the age of 19, who need support with using public transport. The objective is to build up the students’ confidence, knowledge and independence, allowing them to become familiar with their route to school or college. This covers the use of public transport, but also looks at getting to their local bus stop, payment of fares, travel planning and safety and how to cope in an emergency.
Invited commentary. Adult attention-deficit/hyperactivity disorder (ADHD) was a rare diagnosis 30 years ago, but epidemiological studies in the 2000s estimated a prevalence between 2% and 5%.1 More recent reports suggest there may be a rapid increase in new diagnoses, much as has been found for childhood ADHD.2 Changes to diagnostic criteria in DSM-5 (compared with DSM-IV) are likely to lead to further increases. These include lowering the number of symptoms for diagnosis in adults from 6 to 5 and raising the age at onset of childhood symptoms from 7 years to 12 years. Additionally, there has been a switch from an emphasis on clinically significant impairment in DSM-IV to the more lenient requirement that symptoms “interfere” or “lower quality” of day-to-day functioning. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The new centre will provide community resources in Ellesmere alongside the provision of library services, customer services, daytime opportunities for adults with learning disabilities, and day care for older people. The Ellesmere Community Nursing Home will continue to provide support for the elderly on the first floor.
1) To explore the meaning that coping with Parkinson's disease has for patients and family carers; 2) To suggest the components of an intervention focused on enhancing their coping with the disease. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Cardiff and Vale University Health Board’s (CVUHB) Parkinson’s disease (PD) service cares for nearly 1,000 people who have the disease in Cardiff and parts of the Vale of Glamorgan in Wales.
Login using your SSSFT NHS OpenAthens details for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you requesting.
An Alzheimer’s Society investigation has laid bare the unachievable cost of dementia care, calculating that the typical person’s bill for dementia social care would take 125 years to save for.
Residents of Stafford Borough are being asked their views on a new policy that will ensure affordable housing is given to those in most need.
The proposals will set out how housing is allocated and will see more support provided to vulnerable clients.
People will also be invited to take part in the Borough Council’s consultation on its Tenancy Strategy. Local authorities are required to have a Tenancy Strategy, which sets out what Registered Housing Providers in the Borough need to consider when developing their policies.
New study results suggest cycling to work is associated with a 45% lower risk of developing cancer and a 46% lower risk of heart disease, compared with a non-active commute.
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Young people with long-term health conditions diagnosed in childhood are supported by children’s services and usually move to adult health services as they get older. However, this process can be stressful and confusing, especially if there are problems with communication or gaps in care delivery.
Login using your SSSFT NHS OpenAthens details for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you requesting.
Skills for Health, Health Education England and Skills for Care have launched a new end of life education and training framework to provide tailored, high-quality care and support to patients with advanced incurable illness and their families.
Login using your SSSFT NHS OpenAthens details for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you requesting.
Research and evidence from service users has consistently reported that service users are not involved in care planning, despite mental health policy that advocates a collaborative process and evidence that involvement facilitates recovery (Bee et al, 2015; Simpson et al, 2016). Service users want the care plan to go beyond being a record of clinical decisions and include aspects of their lives in which they need support, such as housing, employment and benefits.
Grundy et al (2016) looked at what ‘user-involved’ care planning might look like. They found that meaningful relationships were key to the successful involvement of service users in care planning. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Is health-related quality of life 12 months after randomisation in participants with functional neurological symptoms better after discussion of the diagnosis by trained neurologists who schedule at least two follow-up visits (intervention group) than after the same discussion of the diagnosis by these neurologists and immediate referral to the general practitioner (control group)? To read the full article, log in using your NHS OpenAthens details.
Objectives To evaluate the cost-effectiveness of a therapist-guided internet-delivered cognitive behaviour therapy (ICBT) intervention for adolescents with obsessive–compulsive disorder (OCD) compared with untreated patients on a waitlist.
Open Access Article
Premises licensed for the sale and consumption of alcohol can contribute to levels of assault-related injury through poor operational practices that, if addressed, could reduce violence. We tested the real-world effectiveness of an intervention in Wales, designed to change premises operation, whether any intervention effect changed over time, the effect of intervention dose and cost effectiveness of the intervention. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
To identify the early signs of mood disorder development, specifically bipolar disorder (BD), in a population at familial risk for BD. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
To explore variation in clinical course and steroid treatment in Duchenne muscular dystrophy (DMD) by ethnic origin and socio-economic status. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
A survey, which asks people their views on Healthwatch Shropshire, will form part of the recommissioning of the service, whose contract expires in March 2018.
Since it launched in 2013, Healthwatch Shropshire has been the independent health and social care champion for people in Shropshire, providing a voice for local people about their health and care services.
Despite many headlines flagging the negative effects, the report – published by the Royal Society for Public Health (RSPH) – also explored the potential positive benefits for teenagers, such as improved sense of community and self-identity.
Vision impairment (VI) has a significant impact on an individual's ability to engage with everyday tasks. Severe early-onset VI presents different challenges to adult onset visual loss since reduced visual input presents a major obstacle to the acquisition and development of fundamental developmental skills in early and later childhood. Early referral of the child with reduced vision is vital to ensure accurate diagnosis and prompt treatment of any modifiable aspects of the condition. Guidance to ensure optimisation of developmental opportunity through adaptation of play and care is vital from the earliest stages. To read the full article, log in using your NHS OpenAthens details.
Are you interested in Mental Health Services across South Staffordshire? We are holding an event to ensure services are equal for everyone.
The mental health partnership event takes place on 6 June 2017, 10.00am to 2.00pm at the Aquarius Ballroom, Hednesford, WS12 1BT, with lunch provided.
According to recent statistics from NHS Digital, there were an estimated 1.1 million hospital admissions where alcohol was the primary or secondary issue in 2015-16. In the UK, it is estimated that 24% of adults drink in a hazardous or harmful way, while around 9% of men and 4% of women show signs of alcohol dependence.
To read the full article, log in using your NHS OpenAthens details
A case study is presented in relation to a group debrief in which the critical incident stress management (CISM) model was carried out for six staff involved in a serious incident. Staff were assessed prior to the debrief and in a two-month follow up using the impact of events scale – revised (IES-R) (Weiss and Marmar, 1997). You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
Hardly any studies exist on the duration of major depressive disorder (MDD) and factors that explain variations in episode duration that lack biases. This limits clinical decision-making and leaves patients wondering when they will recover. Data was used from the Netherlands Mental Health Survey and Incidence Study-2, a psychiatric epidemiological cohort study among a nationally representative adult population. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
This article describes pilot testing of an adaptive mobility device-hybrid (AMD-H) combining properties of two primary mobility tools for people who are blind: the long cane and adaptive mobility devices (AMDs). You can request a copy of this article by replying to this email. Please be clear which article you are requesting.
The report, Mental health and new models of care, looks at mental health in vanguard areas – flagship NHS schemes that bring services together. These include groups of GP surgeries working collaboratively to cater for up to 50,000 patients and NHS organisations coming together to deliver the full range of health care in their area.
The findings show promise but this is only preliminary work, as the sample is too small to be conclusive. The next stage is to see if the results can be verified in a much larger sample of people.
The May edition of vaccine update contains details of:
the Public Health England rabies team;
MenACWY coverage;
shingles vaccine coverage;
ordering restrictions for Infarix IPV Hib;
flu vaccination for children: resources for 2017 to 2018;
new shingles eligibility poster available to order;
May bank holiday ordering;
The objective of this study is to describe the prevalence of depression and cognitive impairment among newly admitted nursing home residents in the USA and to describe the treatment of depression by level of cognitive impairment. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.