October 22, 2008
NICE e-newsletter - October 2008
NICE News, October 2008 - including links to this month's guidance.
Read newsletter here
October guidance:
Clinical guidelines
CG74 Prevention and treatment of surgical site infection
Technology appraisals
TA159 Spinal cord stimulation for chronic pain of neuropathic or ischaemic origin
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August 12, 2008
Equality and Diversity in the North East - new report
Equality and Diversity in the North East : a statistical profile
NEEDP (North East Equality and Diversity Partnership)
August 2008
This report, prepared by the Centre for Public Policy at Northumbria University, provides an up-to-date and comprehensive statistical baseline of equality and diversity issues faced by different communities within the region. The full report, executive summary and appendices can be accessed on the NERIP (North East Regional Information Partnership) website at: http://www.nerip.com/reports_briefing.aspx?id=626
The report draws on a vast number of national and regional sources, enabling it to present statistical information about each of twelve identified population groups. It also describes the issues each group faces with regard to employment, crime and safety, education and skills, social capital, health and social care, housing and transport. The report concludes with a series of recommendations to improve the availability and quality of data relating to equality and diversity in the North East.
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July 30, 2008
Clinical Knowledge Summaries (CKS)- July 2008
NHS Clinical Knowledge Summaries (CKS) – updated topics July 2008
The PRODIGY guidance topics below have been reviewed and converted into CKS clinical topic structure, and are now available on the CKS website
* Ankylosing spondylitis
* Dyspepsia - proven non-ulcer
* Eczema - atopic
* Seborrhoeic dermatitis
* Sprains and strains
Feedback on draft topics is a key part in the knowledge development process for the Clinical Knowledge Summaries. In addition to feedback from experts, professional organizations and patient groups, we are particularly interested to receive feedback from healthcare professionals who use CKS. Find out more about Getting involved at:
http://www.cks.library.nhs.uk/about/getting_involved/introduction
The draft topics listed below are now available for feedback:
* Carpal tunnel syndrome
* Diabetes - type 2
* Enuresis - nocturnal
* Erectile dysfunction
* Hiccups
* Leg cramps - unknown cause
* Warts - genital
* Varicocele
The draft topics below will be available for feedback mid-August 2008:
* Lipids management - drug treatment
* Cardiovascular disease - risk assessment and management
* Shoulder pain
* Breast pain
* Vitiligo
* Molluscum
* Obsessive compulsive disorder
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June 27, 2008
NPCRDC QOF reports
National Primary Care Research and Development Centre
The 28 reports, in areas already included and considered for inclusion
in QOF 2008, are available to read and download.
Each report was written by one or more academic experts often supported
by a group of academics and clinicians with a special interest in the
area. This report leads comprise the QOF Expert Panel, a group of senior
primary care based academics, working across the United Kingdom. The
academic process has been led by a collaboration between the
Universities of Birmingham and Manchester, the Society of Academic
Primary Care and the Royal College of General Practitioners.
Each report follows a similar structure and includes a review of issues
generated by the nationwide 'call for evidence' to health professionals
and patient groups in Spring 2007 and the published evidence base. Each
report and set of indicators was also commented on by members of the
Royal College of General Practitioners Patient Participation Group and
IT experts to ensure that proposed indicators made sense to patients and
would work within primary care IT systems.
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June 26, 2008
Under One Roof: Will polyclinics deliver integrated care?
Under one roof: Will polyclinics deliver integrated care?
King's Fund, June 2008
Read or download the report here.
This report is a major analysis of the opportunities and risks involved in developing polyclinics. It draws on published information and original research into similar facilities in the United Kingdom and abroad. As government policy drives a fundamental shift of care from hospitals to more community-based settings it asks if the polyclinics model will improve the quality and accessibility of health care and deliver cost savings.
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June 24, 2008
Shifting the Balance of Care to Local Settings: The SeeSaw report
Shifting the balance of care to local settings: the SeeSaw report
King' Fund, June 2008
Read or download the report here.
The Department of Health commissioned The King's Fund, in partnership with Loop2, to undertake a simulation-based project to understand how a shift in the balance of care from hospital to community settings could take place. This report shares the learning that emerged from this project.
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Making it Happen: Next steps in NHS reform. Report of an expert working group
Making it happen: next steps in NHS reform. Report of an expert working group
King's Fund, June 2008
Read or download the report here.
The King's Fund set up an expert working group to examine how effective the current systems and incentives are in improving the NHS, focusing on the role of PCTs as commissioners and practice-based commissioning. This paper outlines specific proposals for government and the wider health care world.
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May 12, 2008
NPCRDC executive summary 47 - What do patients want from their GP?
Delivering services in line with the preferences of patients is an important part of government health policy. These preferences relate to ideas about what services should be provided and how they should be delivered. The consultation with the GP is the bedrock of effective primary care and patient preferences concerning consultations are crucial.
There are many different aspects of the consultation which may be important to patients including the time they wait to get an appointment, choice about appointment times, the communication skills of the GP and the continuity of care they receive. Giving patients everything they want may not be possible within the limited resources of the National Health Service. So it is important to understand the priority that patients place on different aspects of the consultation with their GP. It is also important to know if those priorities vary between different groups of patients, or between patients with different types of problems.
Download the summary from the NPCRDC website.
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National Knowledge Week for Rhinitis 12-16 May 2008
National Knowledge Week on Rhinitis (ENT & Audiology Specialist Library)
12 - 16 May 2008
http://www.library.nhs.uk/ent/
As a unique resource, the Rhinitis National Knowledge Week will provide expert opinion and evidence updates on key rhinitis topics:
• Allergic Rhinitis
• Non-Allergic Rhinitis
• Infectious Rhinitis
• Rhinosinusitis and Nasal Polyps
• Paediatric Rhinitis
• Comorbidities
• Rhinitis and Pregnancy
National Knowledge Weeks aim to highlight the best current evidence for selected healthcare topics - they consist of the good quality evidence from an Annual Evidence Update (a search of research evidence on a particular topic over a 12 month period), plus user-friendly summaries written by relevant experts, and links to guidelines, secondary research and primary research, if applicable. All information included in National Knowledge Weeks has been subject to rigorous selection criteria.
The National Library for Health (NLH) Specialist Libraries have been developed to identify and meet the information needs of particular communities of practice. They are web-based collections containing clinical and non-clinical information on the major health priority areas. Each NLH Specialist Library identifies and provides access to quality assessed information of relevance to the community that it serves.
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April 27, 2008
National Library for Public Health (NLPH) launched
The National Library for Public Health (NLPH) is an online specialist library of the National Library for Health. It replaces the Public Health electronic Library (PHeL).
The NLPH was made available in mid-November 2007 with an initial focus on three key areas: Obesity, Alcohol, and Tobacco. The library was relaunched in April 2008.
The project is being directed by the North East Public Health Observatory on behalf of the Association of Public Health Observatories, as part of the Information and Intelligence Strategy published by the Department of Health.
The library can be accessed at: www.library.nhs.uk/publichealth
What is it?
The purpose of the NLPH is to be the central point of reference for research evidence and guidance on best practice relating to the health of the population. It covers all aspects of population health including:
* health inequalities
* health improvement
* quality and safety
* health protection
Who is it for?
The NLPH aims to provide resources relevant to:
* public health specialists
* commissioners
* academics
* professionals whose role includes certain public health goals but who are not themselves specialists
* members of the public with an interest in public health matters
We also hope that it will be of value to those working in non-health organisations whose role includes responsibility for services that have a direct or indirect impact on health including Police, Transport and Education.
What will I find in the library?
Resources identified for inclusion in the library are:
* national strategies
* policies
* guidelines
* systematic reviews and other research papers
* statistical information
* patient information
* current news and events
The National Library for Public Health is also holding its first National Knowledge Week (NKW) and Annual Evidence Update on childhood obesity from 28th April 2008.
Find out more at http://www.library.nhs.uk/publichealth/
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March 26, 2008
National Knowledge Week for TB: 24-28 March 2008
National Knowledge Week on Tuberculosis (Infection Specialist Library)
http://www.neli.org.uk/IntegratedCRD.nsf/NeLI_Home1?OpenForm
The National electronic Library of Infection is hosting its next National Knowledge Week from 24th March. It highlights important developments in tuberculosis in the last year, and includes a collection of recent, peer-reviewed publications, expert commentaries and links to useful resources. This is hosted by the National electronic Library of Infection (NeLI-www.neli.org.uk) and the National Knowledge Service for TB, and has been timed to link in with World TB day on 24th March 2008.
The National Library for Health (NLH) Specialist Libraries have been developed to identify and meet the information needs of particular communities of practice. They are web-based collections containing clinical and non-clinical information on the major health priority areas. Each NLH Specialist Library identifies and provides access to quality assessed information of relevance to the community that it serves. An aspect of this involves the production of Annual Evidence Updates and National Knowledge Weeks (NKWs). National Knowledge Weeks aim to highlight the best current evidence for selected healthcare topics - they consist of the good quality evidence from an Annual Evidence Update (a search of research evidence on a particular topic over a 12 month period), plus user-friendly summaries written by relevant experts, and links to guidelines, secondary research and primary research, if applicable. All information included in National Knowledge Weeks has been subject to rigorous selection criteria.
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March 6, 2008
National Knowledge Weeks - 3 March 2008
ACNE VULGARIS and ENDOMETRIOSIS
National Knowledge Week on Acne Vulgaris (Skin Disorders Specialist Library)
http://www.library.nhs.uk/skin/
The NLH Skin Disorders Specialist Library is holding its second National Knowledge Week and Annual Evidence Update on Acne Vulgaris (common acne) from 3-7 March 2008.
This year the search for newly published evidence for the Annual Evidence Update has been extended to randomised controlled trials as well as systematic reviews. Also included is a range of commentaries that interpret the clinical significance of the new evidence, a mapping by topic of systematic reviews on acne published since 1999, and links to a range of other information sources on acne.
National Knowledge Week on Endometriosis (Women's Health Specialist Library)
http://www.library.nhs.uk/womenshealth/
The NLH Women's Health Specialist Library is also holding its next National Knowledge Week from 3-9 March. Focusing on endometriosis, this knowledge week aims to provide clinicians with the most up-to-date knowledge on the diagnosis and management of endometriosis. We know that it is very difficult for busy clinicians to keep up-to-date with the huge volume of literature that is published each year and so the Women's Health Specialist Library does this for you so that you don't have to!
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December 15, 2007
Clinical Knowledge Summaries - December 2007
Updated CKS topics – December 2007
We are pleased to announce that the below PRODIGY guidance topics have been reviewed and converted into CKS Topic Review structure, and are now available on the CKS website:
Asthma
Conjunctivitis — infective
Gingivitis and periodontitis
Herpes simplex — oral
MI—secondary prevention
Clinical Summaries: these are in the 'In summary' section of CKS Topic Reviews, in htnl or PDF format, and provide concise recommendations for management, and information to enable the writing of a prescription for recommended drugs and devices.
To view a summary of changes to the updated topics please visit Latest changes to clinical topics
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CKS work programme – Topic Reviews in development We are keen to receive feedback on draft Topic Reviews. In addition to feedback from experts, professional organizations and patient groups, we are particularly interested to receive feedback from healthcare professionals who use the service. If you or your organization would like to comment on Topic Reviews currently being developed or reviewed please apply. Topic Reviews currently in development To access CKS through your PDA or SmartPhone go to http://www.cks.library.nhs.uk/mobile and a mobile version of the CKS site will automatically load onto your device.
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Updated CKS topics – October 2007 Infertility Clinical Summaries: these are in the 'In summary' section of CKS Topic Reviews and provide concise recommendations for management, and information to enable the writing of a prescription for recommended drugs and devices. To view a summary of changes to the updated topics please visit Latest changes to clinical topics.
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The effectiveness in primary care of a computerised decision aid to enhance decision making and improve the quality of life of women with menorrhagia: results of the MENTIP randomised controlled trial. For more information about the NPCRDC visit
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Updated CKS topics – September 2007 Candida — female genital Clinical Summaries: these are in the 'In summary' section of CKS Topic Reviews and provide concise recommendations for management, and information to enable the writing of a prescription for recommended drugs and devices. To view a summary of changes to the updated topics please visit Latest changes to clinical topics.
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Atopic Eczema National Knowledge Week (Skin Disorders Specialist Library) The Skin Disorders Specialist Library is holding its first National Knowledge Week on Atopic Eczema from 17th to 21st September 2007. The National Knowledge Week is particularly aimed at NHS health professionals, and will highlight sources of information and guidance on atopic eczema and its treatment.
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Hepatitis B and C Annual Evidence Update (Gastroenterology & Liver Diseases Specialist Library) The Hepatitis B and C Annual Evidence Update will include all high quality systematic reviews carried out from 2006 to present on Hepatitis B and C.
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In 2006/07, the SDO Programme carried out an extensive review of research needs and priorities. The review began with an online survey that was completed by more than 1000 professionals and members of the public, and successfully captured a broad range of opinions on important issues relating to the delivery and organisation of NHS services and potential future research questions. The survey results were used as part of a wider process of research needs identification and prioritisation that has resulted in six research priority areas, which will be the focus of SDO funding and commissioning over the coming years. This review has now been published and is available to download from the SDO website at
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Osteoporosis and Fragility Fractures National Knowledge Week (Musculoskeletal and Trauma & Orthopaedics Specialist Libraries) The Osteoporosis and Fragility Fractures National Knowledge Week provides an opportunity for the Musculoskeletal and Trauma & Orthopaedics Specialist Libraries to present a comprehensive up-to-date collection of information on osteoporosis and fragility fracture.
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Each NLH Specialist Library identifies and provides access to quality assessed information of relevance to the community that it serves.
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The National Library for Health (NLH) Specialist Libraries have been developed to identify and meet the information needs of particular communities of practice. They are web-based collections containing clinical and non-clinical information on the major health priority areas. All specialist libraries can be accessed via the NLH web site, under the Resources section, at: SLs focusing on particular health problems: SLs focusing on types of health service: SLs focusing on patient groups:
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"Improving care for patients with angina - how to help clinicians make the right decisions" Other SDO Programme research summaries are available to download at: NCCSDO
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Clinical guidelines
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The PRODIGY guidance topics below have been reviewed and converted into CKS Topic Review structure, and are now available on the CKS website. Clinical Summaries: these are in the 'In summary' section of CKS Topic Reviews and provide concise recommendations for management, and information to enable the writing of To view a summary of changes to the updated topics please visit http://www.cks.library.nhs.uk/clinical_knowledge/work_programme/latest_changes_to_clinical_topics
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The new Patient and Public Involvement (PPI) Specialist Library - managed by the King's Fund for the National Library for Health was officially launched today. The library aims to support the implementation of patient, user, carer and public involvement in health care by providing access, in one location, to the best information which is available on the Web. Go to the PPI home page
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Clinical guidelines Technology appraisals
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The PRODIGY guidance topics listed below have been reviewed and converted into CKS Topic Review structure, and are now available on the CKS website: Bites — human and animal To view a summary of changes to the updated topics please visit the Latest changes to clinical topics page of the CKS website.
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National Primary Care Research and Development Centre This bulletin, produced by the Library & Information Services at NPCRDC, is an extensive collection of references, including abstracts, of recently published research articles on a wide range of primary care topics: Access to Care
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Clinical guidelines Technology appraisals Interventional procedure guidance
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The following PRODIGY guidance topics have been reviewed and converted into CKS Topic Review structure, and are now available on the CKS website: Adverse drug reactions To view a summary of changes to the updated topics please visit the Latest changes to clinical topics page of the CKS website.
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Two new publications from the National Co-ordinating Centre for NHS Service Delivery and Organisation Research & Development (NCCSDO): The relative importance attached to cost-effectiveness, equity and access in the provision of health services The costs and benefits of managing low priority 999 ambulance calls by NHS Direct nurse advisors
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November 30, 2007
Clinical Knowledge Summaries (CKS) - November 2007
*Anaemia – iron deficiency
*Anaemia – macrocytic
*Diverticular disease
*Dry eye syndrome
*Herpes simplex ocular
*Hyperthyroidism
*Leg ulcer – venous
*Smoking cessation
*Sore throat
*Urinary tract infection - children October 18, 2007
Clinical Knowledge Summaries - October 2007
The PRODIGY guidance topics below have been reviewed and converted into CKS Topic Review structure, and are now available on the CKS website:
Lacerations
Meniere's disease
Otitis externa
Palliative cancer care — nausea & vomit
October 5, 2007
NPCRDC executive summary 46 - menorrhagia
National Primary Care Research and Development Centre
Download executive summary
http://www.npcrdc.ac.uk/October 3, 2007
Clinical Knowledge Summaries - 19 September 2007
The PRODIGY guidance topics below have been reviewed and converted into CKS Topic Review structure, and are now available on the CKS website:
Colic — infantile
Contraception
Menorrhagia
Obesity
September 17, 2007
National Knowledge Week 17 September 2007
http://www.library.nhs.uk/skin/
This event has been arranged to correspond with National Eczema Week.
Included will be the Library's first Annual Evidence Update on Atopic Eczema, with the results of a comprehensive search for systematic reviews on atopic eczema and eczema therapies.
There will also be commentaries from a range of invited experts.September 10, 2007
Annual Evidence Update 10 September 2007
http://www.library.nhs.uk/gastroliver/
A panel of 6 leading clinicians will assess the systematic reviews for quality and relevance. To tie in with this, the Gastroenterology & Liver Diseases Specialist Library will attend the inaugural meeting of the British Viral Hepatitis group during the British Association of the Study of the Liver annual meeting to promote their library and their Annual Evidence Update.
September 4, 2007
SDO publication: Review of research needs and priorities 2007
http://www.sdo.lshtm.ac.uk/needspriorities.htmlAugust 31, 2007
National Knowledge Week 3 September 2007
http://www.library.nhs.uk/musculoskeletal/ and
http://www.library.nhs.uk/trauma_orthopaedics/
Leading experts in this field who provided summaries for last year's National Knowledge Week have reviewed and updated their synopses. Links will be provided to relevant guidance, systematic reviews, clinical trials and patient information.
Annual Evidence Updates and National Knowledge Weeks
An aspect of this involves the production of Annual Evidence Updates and National Knowledge Weeks. National Knowledge Weeks aim to highlight the best current evidence for selected healthcare topics - they consist of the good quality evidence from an Annual Evidence Update (a search of research evidence on a particular topic over a 12 month period), plus user-friendly summaries written by relevant experts, and links to guidelines, secondary research and primary research, if applicable.
All information included in National Knowledge Weeks has been subject to rigorous selection criteria.
NLH Specialist Libraries
Each NLH Specialist Library identifies and provides access to quality assessed information of relevance to the community that it serves.
http://www.library.nhs.uk/Default.aspx
Cancer
Cardiovascular Diseases
Diabetes
ENT & Audiology
Eyes and Vision
Gastroenterology & Liver Diseases
Infection
Kidney Diseases
Learning Disabilities
Mental Health
Musculoskeletal Diseases
Oral Health
Respiratory
Skin Disorders
Trauma and Orthopaedics
Clinical Genetics
Complementary & Alternative Medicine
Emergency Care
Health Management
Palliative and Supportive Care
Screening
Surgery, Theatres & Anaesthesia
Child Health
Ethnicity & Health
Later Life
Women's Health August 30, 2007
New NCCSDO Programme research publication
This is a research summary of a study that piloted a new ratings system to assesses the most appropriate testing options for individual patients with angina (Hemingway et al, 2006). Download a copy here:
http://www.sdo.lshtm.ac.uk/files/adhoc/33-research-summary.pdf
http://www.sdo.lshtm.ac.uk/researchsummaries.html
99 Gower Street
London WC1E 6AA
Website: http://www.sdo.lshtm.ac.uk/August 22, 2007
NICE guidance published August 2007
CG54 Urinary tract infection: diagnosis, treatment and long-term management of urinary tract infection in children
CG53 Chronic fatigue syndrome / Myalgic encephalomyelitis (or encephalopathy); diagnosis and management
Technology appraisal guidance
TA27 Natalizumab for the treatment of adults with highly active relapsing-remitting multiple sclerosis
TA26 Rituximab for the treatment of rheumatoid arthritis
TA25 Adalimumab for the treatment of psoriatic arthritis
TA24 Pemetrexed for the treatment of non-small-cell lung cancer
Interventional procedure guidance
IPG230 Arthroscopic knee washout, with or without debridement, for the treatment of osteoarthritis
IPG229 Laparoscopic repair of abdominal aortic aneurysm
IPG228 Laparoscopic cervical cerclage for prevention of recurrent pregnancy loss due to cervical incompetenceAugust 21, 2007
Clinical Knowledge Summaries - topic updates August 2007
Burns and scalds
Chest infections - adult
Chronic obstructive pulmonary disease
Earwax
Palliative cancer care - dyspnoea
a prescription for recommended drugs and devices
July 27, 2007
New PPI Specialist Library
July 26, 2007
NICE guidance published July 2007
CG50 Recognition of and response to acute illness in adults in hospital
CG51 Drug misuse: psychosocial interventions
CG52 Drug misuse: opioid detoxification
TA123 Varenicline for smoking cessation
Interventional procedure guidance
IPG224 Insertion of extraurethral (non-circumferential) retropubic adjustable compression devices for stress urinary incontinence in men
IPG225 Corneal implants for the correction of refractive error
IPG226 Laparoscopic deroofing of simple renal cysts
IPG227 Corneal implants for keratoconusJuly 23, 2007
Clinical Knowledge Summaries - topic updates July 2007
Immunizations — travel
Malaria prophylaxis
Poisoning or overdose
Pre-conception — advice and management
July 4, 2007
NPCRDC Current Awareness Bulletin May-June 2007
Current awareness bulletin: May-June 2007
Chronic Disease
Commissioning
Health Economics
Health Inequalities
Health Policy
Information and Communication Technologies and Health
Medicines Management
Mental Health
Mental Health Services
Need and Demand for Care
Organizations
Patient and Public Involvement
Primary/Secondary Care Interface
Quality of Care
Randomised Controlled Trials
Research and Development
Research Methods
Self Care
Statistical Methods
Workforce
July 2, 2007
NICE guidance published June 2007
CG49 Faecal incontinence: the management of faecal incontinence in adults
TA121 Carmustine implants and temozolomide for the treatment of newly diagnosed high-grade glioma
TA122 Alteplase for the treatment of acute ischaemic stroke
IPG221 Closure of anorectal fistula using a suturable bioprosthetic plug
IPG222 Endoscopic augmentation of the lower oesophageal sphincter using hydrogel implants for the treatment of gastro-oesophageal reflux disease
IPG223 Therapeutic percutaneous image guided aspiration of spinal cord cystsJune 26, 2007
Clinical Knowledge Summaries - updated CKS topics - June 2007
Palliative cancer care — cough
Palliative cancer care — general issues
Roundworm
ThreadwormNew NCCSDO research summaries
[Access to health care series]
Research summary of a study that looked at NHS decision-makers' understanding of the terms 'cost-effectiveness', 'equity' and 'access', and how they are prioritised and applied in the health services (Dolan et al).
[Evaluating models of service delivery series]
Research summary of a study that looked at an alternative method of responding to non-urgent 999 calls. The study found that the transfer of non-urgent 999 calls to nurse advisors for further advice may be an acceptable and cost-effective alternative to the current approach (Turner et al).