Thousands of patients to benefit from NHS At Home roll out

Thousands of patients to benefit from NHS At Home roll out [News]
NHS X 8 June 2020

• Thousands of patients with cystic fibrosis and dozens recovering from coronavirus are being given devices and apps so that medics can monitor their condition remotely, as part of the NHS drive to give more people connected, supported, personalised care in their own homes.

COVID-19 ICU Preparation Simulation

COVID-19 ICU Preparation Simulation
SIMUL8 5 June 2020

• A covid-19 ICU preparation simulation tool from SIMUL8, designed to help hospitals evaluate the bed, ventilator and staffing levels needed to cope with covid-19 patients is now available to download. 

Legal guidance for mental health, learning disability and autism, and specialised commissioning services supporting people of all ages during the coronavirus pandemic

Legal guidance for mental health, learning disability and autism, and specialised commissioning services supporting people of all ages during the coronavirus pandemic,
NHS England updated 3 June 2020

• This guidance concerns the impact of the coronavirus (COVID-19) pandemic on the use of the Mental Health Act (MHA) and supporting systems to safeguard the legal rights of people receiving mental health, learning disability and autism services, including specialised commissioned services. It will be regularly updated to reflect the rapidly changing context and questions/concerns as well as feedback from the sector.

Planning Hospital Needs for Ventilators and Respiratory Therapists in the COVID-19 Crisis

Planning Hospital Needs for Ventilators and Respiratory Therapists in the COVID-19 Crisis
RAND May 2020

• Description of a model that can be used to calculate the number of ventilators and RTs needed to achieve a target wait time — the average delay for a ventilator experienced by a new patient.

Recovery of surgical services during and after COVID-19

Recovery of surgical services during and after COVID-19
Royal College of Surgeons updated 26 May 2020

• This page is regularly updated with new tools to help put this guidance into practice. 
• Includes Checklist for restarting elective services

Oral cancer in England - Incidence, survival and mortality rates

Oral cancer in England
PHE 27 May 2020

• This report presents oral cancer data for England held by the National Cancer Registration and Analysis Service (NCRAS) and includes incidence, survival and mortality rates. It covers the period from 2012 to 2016, and the data is presented at national, regional, upper-tier and lower-tier local authority level.
• Stark inequalities in oral cancer exist between geographic areas and population groups, and there are opportunities to prevent oral cancer and to support early detection and treatment. The data in this report identifies the geographic areas and population groups most at risk to facilitate the planning of health improvement initiatives and clinical services.

Bridging guidance for critical care during restoration of NHS services

Bridging guidance for critical care during restoration of NHS services [after COVID-19]
Faculty of Intensive Care 22 May 2020

• Guidance as we move in to the next phase and recognise the importance of initiating and managing this phase in a methodical and realistic way.
• Enhanced Care may present an opportunity to maintain an upskilled reserve workforce for future pandemics and other significant emergency events.

Tele-orthopaedics: A systematic mapping study

Tele-orthopaedics: A systematic mapping study
J Telemed Telecare. 2020;1357633X20919308. doi:10.1177/1357633X20919308

• Tele-orthopaedics is widely acknowledged for decreasing travel, time and cost, increasing accessibility and quality of care. 
• A systematic mapping to identify and classify the tele-orthopaedic applications and services concludes that telemonitoring (teleconsultation and telemetry) and telesurgery (telerobotics and telementoring) were found to be the two major forms of tele-orthopaedics. Mobile phones were used asynchronously in most of the teleconsultations. The development of different applications may result in the use of multiple smartphones applications in real-time teleconsultation.

Abstract

Strategic investment in MRI Simulators for radiotherapy services in Scotland

Strategic investment in MRI Simulators for radiotherapy services in Scotland
Scottish Heath Technology Group 7 May 2020

• Analytic support as part of a strategic proposal to introduce magnetic resonance imaging (MRI) Simulators onto the radiotherapy capital equipment replacement programme.

The management of emergency spinal surgery duringthe COVID-19 pandemic in Italy. A preliminary report

The management of emergency spinal surgery during the COVID-19 pandemic in Italy. A preliminary report
Bone Joint J 2020;102-B(6):1–6. 23 Apr 2020 https://doi.org/10.1302/0301-620X.102B6.BJJ-2020-0537

• “The structural organization and the management protocol we describe allowed us to reduce the time to surgery and ultimately hospital stay, thereby maximizing the already stretched medical resources available. We hope that our early experience can be of value to the medical communities that will soon be in the same emergency situation.”

Robotic Surgery in the Frail Elderly: Analysis of Perioperative Outcomes

Robotic Surgery in the Frail Elderly: Analysis of Perioperative Outcomes
Ann Surg Oncol 23 Apr 2020 doi: 10.1245/s10434-020-08475-w.

• Analysis of 982 patients (71 frail and 911 non-frail patients) from Memorial Sloan Kettering Cancer Center, New York, who underwent a robotic surgical procedure May 2007 - December 2016 confirms other research findings that the frail elderly have longer hospital stays and more complications after surgery than the general population.

Abstract

Chemotherapy, Radiotherapy and Surgical Tumour Resections in England

Chemotherapy, Radiotherapy and Surgical Tumour Resections in England
PHE 8 April 2020

• Population-based statistics on cancers treated with chemotherapy, radiotherapy and surgical tumour resection which were diagnosed between 2013 and 2016 in England. 
• This commentary accompanies an interactive tool that breaks down treatment by age at diagnosis, stage at diagnosis, broad ethnic group, Charlson comorbidity index, income deprivation, sex, year of diagnosis and Cancer Alliance.

ICNARC Report on COVID-19 in critical care

Report on COVID-19 in critical care
Intensive Care National Audit and Research Centre (ICNARC) 04 April 2020

• A report on the first reported 2249 patients critically ill with COVID-19 across all NHS adult, general intensive care and combined intensive care/high dependency units in England, Wales and Northern Ireland, plus some specialist and non-NHS critical care units.
• Includes breakdown by demographics (incl ethnicity) shows a significantly higher % of non white patients than in general population.

Thrombectomy Service – Final report from the Stakeholder Forum

Thrombectomy Service – Final report from the Stakeholder Forum
Thames Valley Clinical Senate December 2019

• Only hospitals with a neuroscience centre can meet the requirements for a thrombectomy service and so the hospitals delivering the service will need to cover a wide geographical catchment.
• The Clinical Senate reviewed the requirements for safe and effective delivery of a thrombectomy service across a wider geography and looked ahead to the potential delivery of a 24/7 service and the implications for the service in the interim. This report aims to understand the issues from the different perspectives of the local trusts, the hyper-acute stroke unit and the patients and their families.