Guidelines for the Provision of Intensive Care Services (GPICS) 2nd ed

Guidelines for the Provision of Intensive Care Services (GPICS) 2nd ed
Faculty of Intensive Care Medicine (FICM) and the Intensive Care Society (ICS) June 2019

• The source for the planning, commissioning, delivery and quality enhancement of adult critical care services across the UK.
• The second edition includes a number of new chapters including guidance for:
• Remote and rural units
• Capacity management
• Focused ultrasound
• Serious infection outbreak

Adult Critical Care service specification

Adult Critical Care service specification
NHS England 3 May 2019

• This service specification covers the provision of Adult Critical Care services. Also consultation and engagement reports and Clinical Priorities Advisory Group recommendation report.

National Competency Framework for Registered Practitioners: Level 1 Patients and Enhanced Care Areas

National Competency Framework for Registered Practitioners: Level 1 Patients and Enhanced Care areas
Faculty of Intensive Care Medicine, Enhanced Care Working Party, 7 July 2018

• The latest evidence based competencies for registered practitioners working in enhanced care areas and with Level 1 patients on general wards.

Frailty in Hospitalized Older Adults: Comparing Different Frailty Measures

Frailty in hospitalized older adults: comparing different frailty measures in predicting short- and long-term patient outcomes. [Abstract]
J Am Med Dir Assoc. 2018 May;19(5):450-457.e3. doi: 10.1016/j.jamda.2017.10.006.

• A study to understand if the SOFA frailty rating scale to predict hospital mortality among elderly critically ill patients could be improved by combination with Clinical Frailty Scale (SOFA-CFS) concluded that the combination did not improve performance of the SOFA score alone. 
• Study details: French prospective observational study performed between February 2015 and February 2016 including 189 patients aged ≥65 years and hospitalized ≥24 h in the intensive care unit.

A structured approach to cognitive rehabilitation for critical care patients

Introduction of a structured approach to cognitive rehabilitation for critical care patients
NICE Shared Learning from Nottingham University Hospitals NHS Trust, April 2018

• Development of a structured approach to delivering cognitive rehabilitation to critical care patients at high risk of developing long-term non-physical symptoms e.g. delirium, loss of memory, attention deficits, lack of insight and awareness, sequencing problems,
• The programme was designed to implement NICE’s guidance for rehabilitation after critical illness in adults (CG83).

Critical care outreach teams

Critical care outreach teams: Does the provision of a critical care outreach team in secondary care improve outcomes?
NICE 28 March 2018

• An evidence review for the "Emergency and acute medical care in over 16s: service delivery and organisation" [NICE guideline 94] identified one Cochrane review and 3 RCTs. 
• The review recommends that organisations "consider providing access to critical care outreach teams (CCOTs) for people in hospital who have, or are at risk of, acute deterioration, accompanied by local evaluation of the CCOT service".