Safety in numbers: moderate drinking in a group reduces attraction to risk

New research led by the University of Kent shows that individuals who have consumed moderate amounts of alcohol in social situations are likely to view risky situations with greater caution when considering them as part of a group.

The research, by psychologists from the University of Kent and the University of East Anglia, produced the first evidence found outside of laboratory conditions that being in a group can reduce some effects of alcohol consumption. The findings could lead to the design of new interventions designed to promote safer recreational drinking.

Researchers asked University of Kent students who were drinking in groups in bars and at a music festival at its Canterbury campus to decide what levels of risk they thought was acceptable before recommending someone should take various actions. They accepted a higher level of risk when they were drinking and deciding alone, rather than when they were drinking and deciding in a group of others.

In the study, 101 participants aged 18-30 who were in groups were approached to take part. The researchers compared groups of people who were just under the drink-driving limit with groups that had not consumed any alcohol.

The participants first gave their private judgements about how much risk they would accept before recommending a potentially risky action – for example, whether it would be acceptable to drive to collect a friend from an airport after drinking. They then re-joined the group and discussed a second problem and the group had to agree how much risk would be acceptable.

Dr Tim Hopthrow, of Kent’s Centre for the Study of Group Processes, said: ‘When intoxicated, it is known that people are more likely to engage in risky behaviour, including the use of illicit drugs, engaging in violent and other criminal activity and driving at dangerous speeds. Our findings confirmed that individual risk decisions are increased by higher alcohol consumption.

‘Our previous research, which had been conducted in laboratory conditions, showed that effects of alcohol consumption that affect people drinking alone, such as becoming riskier, are reduced or eliminated when people make judgements together with other drinkers in a group. We wanted to establish whether this would hold true in real drinking situations outside the laboratory, such as a bar or concert, where there are many other influences at work.

‘Our findings showed that, even in these natural settings, social interaction in groups can reduce the tendency of individual drinkers to accept risks. Alcohol consumers accepted more risk when deciding alone but the least risk when deciding as a group. We think that this is because drinkers in groups monitor one another closely, becoming more cautious when directly asked whether to take a risk.’

The research, titled Drinking in social groups: does ‘groupdrink’ provide safety in numbers when deciding about risk?, is published in the journal Addiction (http://onlinelibrary.wiley.com/doi/10.1111/add.12496/abstract).

The research team comprised: Dr Hopthrow, Dr Georgina Randsley de Moura, Professor Dominic Abrams and Dr Hannah Swift of the Centre for the Study of Group Processes, School of Psychology at the University of Kent, and Dr Rose Meleady, of the School of Psychology at the University of East Anglia.

Dr Meleady said: ‘We know that individuals are more likely to engage in risky behaviour when they are intoxicated, whether it be having unprotected sex, or engaging in violent or other criminal activity. This research demonstrates that drinking as part of a social group may mitigate the effects of alcohol consumption on risk-taking.

‘Rather than seeing groups as part of the problem, we need to see them as part of the solution. Groups over-compensate for alcohol consumption in the face of risk. When drinking moderately, there may be safety in numbers.’

The universities of Kent and East Anglia are members of the Eastern Arc Research Consortium, alongside the University of Essex.

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Successful start for parenting research centre

A Kent research centre exploring all aspects of parenting culture is marking a highly successful first three years.

29th April 2014

The Centre for Parenting Culture Studies (CPCS) is the subject of a feature article in the new edition of Kent Staff magazine. The Centre, which Dr Jan Macvarish of CHSS regularly collaborates, has been up and running for three years and so far has published articles, attracted much media attention and produced a book, co-authored by Dr Macvarish,Parenting Culture Studies, published in March 2014.

The Kent Staff magazine has more information.

Who is involved?
Dr Jan Macvarish

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KSS AHSN Newsletter – 23 May 2014

Research prize launch!

With just under a month until our 17 June Partnership Day, we’re delighted to launch a competition for the best recent clinical or social care research paper with important relevance to preventable emergency admissions. Entries must be published and emanate from KSS. There is a £5,000 prize and the winner will be announced at the event.

Through this prize, we’re looking to raise awareness and promote the application of the best research on preventable emergency admissions, for example:

  • highlighting innovative new solutions within the NHS
  • demonstrating an impact and benefit to patients and/or organisations
  • increasing the numbers of patients benefiting from research related to reducing preventable emergency hospital admissions
  • demonstrating collaborations within the sector which approach needs
  • from new angles, or projects that apply existing technology in novel ways

  • showcasing good practice and lessons learnt from Kent, Surrey and Sussex and beyond.

Entry is simple – we’d just need a copy of the research paper and a one page supporting statement. You can view the full details on our website.

The closing date is 5pm on 4th June. Good luck!

Enjoyable, interactive, encouraging

The prize is part of a really exciting programme for 17 June. There will be innovative commissioning examples from the Ministry of Justice, the Behavioural Insights Team from Number 10’s Nudge Unit and KSS members showcasing successful integrated provision and innovative procurement.

We have confirmed contributions from thought leaders across academia, industry and health and social care. These include Professor David Oliver, Consultant Geriatrician at the Royal Berkshire Hospital and a Fellow for the Kings Fund, on the ‘Crisis in Emergency Admissions’; Ella Jaczynska from GlaxoSmithKline and the Big Innovation Centre on the opportunities Big Data brings us; and the Coastal West Sussex health economy on the impressive two-year reduction of emergency admissions in their health economy.

I can promise it’ll be enjoyable, highly interactive and, above all, encouraging the right debate and action for this increasing challenge. There’s still a few remaining spaces if you haven’t already registered.

Kind regards,

Guy Boersma
Managing Director, KSS AHSN

P.S.

Stop press

Congratulations to Dementia Friendly Crawley who have beaten 150 others to
win the local Initiative category at the National Dementia Awards.

Partnership day 17 June – few remaining spaces

Our partnership day on June 17 is an opportunity to meet with colleagues from across the patch and across the sectors in response to the challenge of avoidable emergency admissions. It’s also the chance
to build the relationships needed to spread and adopt best practice at scale – meaning more patients benefiting faster from the best innovations.

The event is filling up, so please email Georgina Margetts

Patient empowerment for quality and sustainability

This report takes a global perspective on how to empower patients to play a more active role in their care.

Drawing lessons from over 100 innovative case studies submitted to the review, it outlines how much the UK has to learn from high, middle and low income countries – and how these lessons should be applied.

To read full report, please click here.

Invitation to attend KSS AHSN: “Making Information Beautiful” event

Opportunity to participate in this major regional event on July 1. It’s aimed at senior clinicians and managers with a practical interest in information and how it’s linked to improving patient care. With speakers from the NHS, industry and academia, we aim to develop an information strategy across the region. The day will include a series of workshops to consider why and how we should be linking data in Kent, Surrey and Sussex.

For further information and to register interest please email, Gill Potts: gill.potts1@nhs.net

SEHTA AGM 2014 & Medical Technologies Evaluation Workshop – Save the date

As a small health technology company – you need evidence to persuade clinicians and care workers that your product is safe, efficacious and cost-effective. But you need help to get the evidence.

This meeting will help introduce you to people and programmes who might be able to help.

For more information and registration, please click here.

HSJ Clinical Research Impact Award 2014 – now open for entries

Could your Trust or CCG be a winner in 2014? This prestigious award is now in its fourth year, and provides an opportunity to celebrate and recognise the inspirational work that is taking place across the NHS to make clinical research core business.

Past winners, Dr Mark Hayward, Director of Research and Dr Kay Macdonald, Strategic Director of Therapies tell us why Sussex Partnership were determined to make clinical research everyone’s
business.

Watch The Guardian interview.

Further information including entry criteria is available on the HSJ website.

The closing date for entries is 20 June.

The views of healthcare leaders on the future of the NHS

The NHS Confederation 2015 Challenge brings into focus the scale and nature of the change needed to ensure a sustainable healthcare system for the future.

Click here to view infographic with the views of healthcare leaders from their national survey.

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Newsletter 19th May 2014

Variation dangers
 Last week a report highlighting variations in the quality of care received by heart failure (HF) patients prompted heart specialists to warn of the risks this creates. Often these patients are elderly with multiple long term conditions. This can limit medication options and treatment is based around personalised care planning and access to support after discharge from hospital. Care delivered by HF specialist clinicians and teams in hospital and by nurses working across primary and secondary care is a major contributor to improved results for patients.
 
Improving the quality of care for people with HF is a priority of our Enhancing Quality programme, established in 2010 and now a central focus for service development in KSS AHSN.
 
Optimal
 Anticipating new guidance proposed by NICE, the EQ HF programme centres around optimal organisation of diagnostic testing, alongside specialist team input and treatment for HF patients in hospital. EQ makes data available for all participating hospitals in the region allowing the level of care to be compared and improved through collaborative learning.   
 
The proposed guidance lends fresh emphasis to the importance of best care being provided consistently. It is complemented by the work of AHSN EQ programme, which is now addressing areas where improvement has, to date, been less marked. EQ is also working with the National Heart Failure Audit to ensure that comparative data regarding best care is consistently available for all people with heart failure across the region. 
 
Continued improvement
 The internationally recognised EQ heart failure programme is unique in covering both hospital and community aspects of care.  For heart failure the standard of care is measured through the delivery of four indicators, covering timeliness of diagnosis, the start of evidence based medication, delivery of an organised continuing plan of care (including follow up) agreed with the patient at the time of discharge and smoking cessation advice if appropriate. To date optimal care – measured as the delivery of all four care indicators to all admitted patients with a diagnosis of heart failure – has continued to improve across the region. However variation in the standard of care remains an issue and highlights the need for the sustained improvement. 
 
EQ is helping to address this variation and ensure that everyone with HF in KSS hospitals is seen by a specialist HF practitioner to confirm diagnosis, ensure treatment with evidence based medication and provide discharge instructions.
 
Please get in touch if you’d like to know more.
Invitation to attend KSS AHSN: “Making Information Beautiful” event
 
Opportunity to participate in this major regional event on July 1. It’s aimed at senior clinicians and managers with a practical interest in information and how it’s linked to improving patient care. With speakers from the NHS, industry and academia, we aim to develop an information strategy across the region. The day will include a series of workshops to consider why and how we should be linking data in Kent, Surrey and Sussex.
 
For further information and to register interest please email,
Gill Potts: gill.potts1@nhs.net
 
Partnership day 17 June 
 
Our partnership day on June 17 is an opportunity to meet with colleagues from across the patch and across the sectors in response to the challenge of avoidable emergency admissions. It’s also the chance to build the relationships needed to spread and adopt best practice at scale – meaning more patients benefiting faster from the best innovations.
                      
The event is filling up, so please email Georgina Margetts if you’d like to attend.
 
Integrated PhD in Health and Social Care programme
[University of Surrey]
 
Developed in partnership with local NHS organisations and health and social care providers, this pioneering new programme aims to develop practitioners who can contribute to the quality, quantity and sustainability of health care research locally, nationally and internationally.
 
 
Another £240m on offer for NHS trusts to go digital
 
The second wave of the £500m Integrated Digital Care Fund, (formerly the Safer Hospitals, Safer Wards Technology Fund), has started.
 
 Acute heart failure: guideline consultation
[NICE]
 
A clinical practice guideline on Acute Heart Failure is being developed for use in the NHS in England, Wales and Northern Ireland.
 
Improvement Science Fellowships – now open for application
 
The Health Foundation’s post-doctoral Improvement Science Fellowships are now open for application. The Fellowships will fund full salary for up to five individuals to develop original, applied research dedicated to improving healthcare in the UK together with tailored leadership development. Deadline: 12 noon Tuesday 1 July 2014.
 
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KSS AHSN Newsletter -12 May 2014

Southern exposure

When the Mayor of London launched MedCity last month he talked about transforming the life sciences sector in London and the Greater South East and creating a world-leading cluster for life sciences which would bring benefits to both local and global patient populations. This ³smart specialisation² in a geographical cluster is a well-trodden path. Who hasn¹t heard of Silicon Valley?!
Last week, a group of senior leaders from across KSS visited the Region of Southern Denmark, an exemplar health and well-being smart specialisation cluster.

Of course there can¹t be a simplistic lift and shift but understanding their success can help us accelerate our own development and delivery of better solutions.

Success

Cross sector ­ industry, research, health and social care – collaboration in Southern Denmark has led to enviable innovation for patients. This includes improvements in the patient environment, telemedicine, process re-design and diagnostic devices. My particular favourite was seeing the collaboration between the performance measurement tools for elite sports men and women, being applied to personalised rehabilitation programmes for patients.

The Region of Southern Denmark is marketing itself well as a Living Lab and testbed for innovation.

Opportunity

That¹s where I think we can challenge ourselves. The innovative technologies and products were eye-catching and improved patient care. The region-wide collaboration was equally impressive, leading us to leave with the desire to create a virtual Living Lab (for developing assisted living technologies in a real world setting) in KSS. We are now on the case!

Allow me to finish by quoting Peter Wilkinson, Consultant Cardiologist, Ashford & St Peter¹s Hospital NHS FT:

The active involvement of patients and staff from the healthcare sector in suggesting new products and improving their design was impressive in Denmark Although we talk about rehabilitation in a hospital environment in reality patients get a very limited time each day (Monday to Friday normally) with a therapist. Surely simple bits of kit, such as the elastic web which measured performance, could be developed for patients.

These would allow the patients to have a series of physical challenges during each day when the therapist was absent which would be captured electronically. I was reminded of the considerable expertise developed by our athletes and cyclists over the last decade. Could that expertise, which has been aimed at the younger age groups, be used to optimise all forms of physical therapy for our older population both within the hospital and in the community? See Dave Brailsford who is in charge of UK cycling looking at every step of the way in optimising performance ­ nutrition, training, technique, psychology and equipment to name but some.
Partnership day 17 June

Our partnership day on June 17 is an opportunity to meet with colleagues from across the patch and across the sectors in response to the challenge of avoidable emergency admissions. It¹s also the chance to build the relationships needed to spread and adopt best practice at scale ­ meaning more patients benefiting faster from the best innovations.

The event is filling up, so please email Georgina Margetts if you’d like to attend.
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An alternative guide to the urgent and emergency care system in England
[The Kings Fund]

A&E is often seen as a service in crisis and is the focus of much media and political interest. But A&E is just the tip of the iceberg ­ the whole urgent and emergency care system is complex, and surrounded by myth and confusion.
Triple Helix Opportunities Workshop

A workshop on Entrepreneurial University, England Industry & Active Government: Triple Helix Opportunities is being held in Guildford, UK in May 29-30, 2013. It¹s the first joint event between the Triple Helix Association and The University of Surrey.

For further information and registration, please click here.
Launch of Regional Innovation Fund – Round 1

The Regional Innovation Fund (RIF) of £3million is available this year to support and promote the adoption of innovation and spread of innovation across the NHS. The closing date for submitting applications is 5pm on 30th May 2014.

For more information and to access the application form and guidance, please visit the NHS England¹s Innovation web-portal: https://nhs-ihw-colab.induct.no
Free webinar on Horizon 2020 ­ learning from the 2014 call and looking ahead to 2015
[NHS European Office]

The NHS European Office will be hosting a free webinar with the Horizon 2020 UK Health National Contact Point 12.30pm on Thursday 22 May. It will review the early results of the 2014 call and look forward to the 2015 call, to be launched later this year.

Please contact Michael.Wood@nhsconfed.org to register.

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KSS AHSN Newsletter – 1 May 2014

Data reveals AKI prevalence

Many of you will have heard the recent item on Radio 4’s Today programme about the new study into the prevalence of acute kidney injury (AKI). Publication of The economic impact of acute kidney injury in England raises awareness of the scale and impact of AKI.

It affects so many patients and yet, in a significant number of cases, it’s preventable. The report concludes that up to 30 AKI patients die needlessly every day in England. An abstract of the report is available here.

Spotlight

The report’s authors include Dr Michael Bedford at East Kent Hospitals University NHS Foundation Trust. By comparing records from hospital admission data, they found that potentially more than four in every five AKI cases escapes routine data collection. Taking all cases into account – in addition to the extent of patient suffering exposed – the condition could be costing the NHS up to £1billion annually.

No one wants to hear that things are much worse than we thought. But getting the real picture, by understanding and interrogating the data, is fundamental. Then commissioners and providers can concentrate efforts and resources in the right places.

Avoiding AKI

Across Kent, Surrey and Sussex, the EQ service quality improvement programme reduces variation in clinical practice, in part through making better use of information, data and knowledge.

To quote Dr Ed Kingdon, EQ Clinical Lead for AKI, “Acute kidney injury is not a new problem. It may be seen in up to 20% of all acute admissions to hospital and a proportion of cases will develop after admission to hospital. Analysis of hospital episode statistics suggests AKI is associated with a 30% mortality at 30 days.”

Working with partners, our EQ programme has established ways to identify patients with AKI and piloted them in seven hospital trusts in KSS. At each one, all patients with AKI undergoing hip and knee replacement surgery or suffering pneumonia, heart failure, acute myocardial infarction and dementia have their care audited. This creates a data set which empowers clinicians to improve care.

Data collection at scale and clinical collaboration across a number of trusts gives best practice and innovation the chance to flourish. It means health professionals are better equipped to prevent potential AKI or care for affected patients. It means more patients benefit more quickly.

Let me finish by quoting Dr Bedford: “Most people haven’t heard of AKI and most doctors overlook it. Improvements in basic care led by data can significantly improve clinical care and patient safety.”

If you’d like to hear more about how we speed up the adoption of existing best practice and the spread of the best new innovations, please get in touch.

Best wishes,

Guy Boersma
Managing Director, KSS AHSN

Partnership Day: preventable emergency admissions

Registration is now open for Preventable emergency admissions and integrated care: new insight and innovations.

This event is intended for senior leaders from industry, research and health and social care across Kent, Surrey and Sussex.

For further information and registration, please click here.


Thousands of Hospital Kidney Deaths ‘Avoidable’

View the Sky News report following publication of The economic impact of acute kidney injury in England.

STFC CLASP 2014 Healthcare Launch Event

STFC Innovations Club is pleased to announce that the launch event for our new £1.5m Challenge Led Applied Systems Programme (CLASP) Healthcare funding call will be held on 20th May 2014.

For further information and event registration, please click here.

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Athena SWAN Bronze award for Kent

Athena SWAN Bronze award for Kent

The University of Kent’s success in developing employment practices to support the career progression of women in science, technology, engineering, maths and medicine (STEMM) has been recognised with an Athena SWAN Charter Bronze award.

The Bronze award recognises that Kent has established a solid institutional foundation through the development of policies, practices and systems to advance gender equality and to embed an inclusive culture that values all staff.

The beliefs underpinning the Athena SWAN Charter are:

  • the advancement of science, technology, engineering, maths and medicine (STEMM) is fundamental to quality of life across the globe
  • it is vitally important that women are adequately represented in what has traditionally been, and is still, a male-dominated area
  • science cannot reach its full potential unless it can benefit from the talents of the whole population, and until women and men can benefit equally from the opportunities it affords.

Kent’s Vice-Chancellor Professor Dame Julia Goodfellow said: ‘I congratulate all those who have contributed to this important achievement. Whilst Kent has always promoted equality of opportunity and celebrated diversity, we have been concerned about the lower representation of women in senior positions in STEMM areas. This award demonstrates our determination to understand the reasons for this and, through the policies and practices we have put in place, our commitment to tackle the unequal representation of women in science.’

Professor Mark Burchell, Dean of Sciences at Kent and Chair of the University’s Athena SWAN Working Group, added: ‘I am delighted that the hard work that is already underway to improve equality at Kent has been recognised by this award. Major strides have already been taken and all the Schools in the Faculty are fully committed to this important goal of equality.’

Kent will receive its award at a ceremony at Durham University on Thursday 10 July.

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KSS AHSN Newsletter – 23 April 2014

Issues, trends and opportunities

Complex and persistent issues like emergency admission rate rises and the relationship with A&E attendance trends require a close and careful understanding of the data to understand where the opportunities and barriers lie.

Connecting attendances and admissions

Did you know that autumn and winter are the periods with fewest A&E attendances in Kent and Medway, Surrey and Sussex?
Or that emergency admissions are at their lowest in July when A&E attendance peaks – and rise when attendances are lower in late December / early January?

And that the number of admissions increases when the percentage of patients waiting over four hours for treatment rises.

These are some of the findings detailed in a parliamentary research paper published last week which presents a new analysis of A&E attendance patterns in England in 2013/14. One section of the paper looks at emergency admissions via major A&E departments. It provides data about the number of emergency admissions as a percentage of A&E attendance at NHS England’s area team level, where the range extends from 22.1% in one area to 30.9% in another. Kent and Medway’s percentage of A&E attendance resulting in emergency admission was 24.8% in 2013/14, with Surrey and Sussex recording 27.3%.

The efficiency conundrum

Back in July 2010 The Nuffield Trust published “Trends in emergency admissions in England 2004-2009: is greater efficiency breeding inefficiency?” It observed that the four hour target did not in itself seem to have accelerated the rate of emergency admissions or led to growth in the number of zero bed day admissions. Finding an increase in the number of patients admitted for one day or less, it found an implication that the threshold for emergency admission had lowered in the five year period. The paradox it described was greater efficiency resulting in shorter stays for patients, freeing up beds which in turn led to more preventable emergency admissions.

New analysis

We will be publishing a new analysis of regional data about preventable emergency admissions in June at our multi-sector Partnership Day. It offers the opportunity to see a richer picture and hear what is working where as local health economies unite to find the elusive key to reversing the upward trend in emergency admissions. To register your interest in attending and participating in an event with a wide range of platform speakers, debate and seminar topics, click here.

Leadership scholarship opportunities
[Florence Nightingale Foundation]

The Florence Nightingale Foundation is offering scholarships to healthcare professionals working in Kent, Surrey and Sussex who aspire to be leaders in healthcare.
Leadership scholarships will be awarded for up to £15,000 and recipients will undertake a bespoke programme tailored to their needs to develop leadership skills and define long term career objectives.
Applications are open now and close on 24th September 2014.

Read more

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The ethics of embryo profiling

Ethical issues surrounding embryo profiling will come under the spotlight at an international genetics conference at the University of Kent’s Canterbury campus, 29 April-2 May.

Other topics to be discussed at the Preimplantation Genetic Diagnosis International Society (PGDIS) annual meeting include the impact of IVF on embryonic and long-term health and various aspects of whole genome analysis of IVF embryos.

More than 300 experts from the field of preimplantation genetics are expected to attend the conference, with IVF pioneer Professor Sir Robert Winston giving the keynote address on 2 May. The conference is expected to see the reuniting of many members of the original research teams, led by Professor Winston and Professor Alan Handyside, which pioneered pre-implantation genetic diagnosis (PGD) in the 1980s.

Alongside debate and discussion, the conference will provide a showcase for announcements of advances in the science of PGD – which involves the genetic profiling of embryos prior to implantation and can be used for the diagnosis of specific diseases.

Journalists are invited to attend all or any part of the conference. For link to full programme and accreditation details, see notes to editors below.

Darren Griffin, Professor of Genetics at the University of Kent and conference organiser, said: ‘PGD continues to be a controversial topic. This conferences aims to address the past, present and future of this ever-evolving area of science.’

Professor Griffin, of the University’s School of Biosciences, will give a presentation entitled Counting chromosomes: from sexing to Karyomapping, which will take place as part of a session looking at early discoveries in the history of PGD and how they have led to more recent innovations.

Other participants include Professor Robert Taylor, of the University of Newcastle (Preventing the transmission of mitochondrial DNA disease); Professor Daniel Brison, of the University of Manchester (The impact of IVF on embryonic and long-term health); Professor Stephen Wilkinson, of the University of Lancaster (Is there a case for testing of anything? Non-medical PGD) and Gary Harton, of Illumina Ltd (Karyomapping: clinical validation).

For further information or interview requests contact Martin Herrema in the University of Kent Press Office.

Tel: 01227 823581/01634 888879

Email: M.J.Herrema@kent.ac.uk

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News releases can also be found at http://www.kent.ac.uk/news

University of Kent on Twitter: http://twitter.com/UniKent

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Stakeholder Briefing – April 2014

Welcome

This month marks the first anniversary of the inception of Health Education Kent, Surrey and Sussex. It has been a year of significant transition and achievement.

We look forward to working with our partners in 2014/15 as we continue to implement our five-year skills development strategy, making a real difference to the careers of staff across the region and, more importantly, to the lives of the people they serve.

We have held several important events since our last stakeholder briefing, including an innovative workshop to help board members challenge their organisations’ performance on safety and compassion. In partnership with the CCGs in Sussex we held a sustainable workforce summit. We held our annual GP conference and, along with South Thames Foundation School, we welcomed over 600 new doctors to begin planning the first steps in their careers.

More information on these and other events, and a new pilot to map the community pharmacy workforce, are detailed in this month’s briefing.

Thank you for your continued support.

Best Wishes,

Philippa Spicer
Managing Director

View the Stakeholder Briefing

Please note: You will be taken to another site to view the Stakeholder Briefing

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