Prof Murphy appointed Chair of the NICE Guideline Development Group

We are delighted to announce that Prof Glynis Murphy (Co-Director and Professor of Clinical Psychology & Disability at the Tizard Centre) has been appointed to the prestigious position of Chair of the NICE Guideline Development Group for Challenging Behaviour in People with Learning Disabilities. Prof Murphy was interviewed for the position by the National Collaborating Centre for Mental Health, which is one of the four Centres within NICE.

The National Institute for Clinical Excellence (NICE) was established as a Special Health Authority for England and Wales on 1 April 1999. It is part of the NHS and provides authoritative and reliable guidance on healthcare for patients, healthcare professionals and the wider public. One of its core responsibilities is to produce clinical guidelines to improve the quality of clinical care. On 1 April 2005 NICE joined with the Health Development Agency to become the new National Institute for Health and Clinical Excellence.

NICE guidelines are evidence-based, systematically developed statements that assist clinicians and patients in making decisions about appropriate healthcare for specific clinical circumstances. The advice contained must be derived from the best research evidence available using predetermined and internationally agreed methods, and including consideration of cost-effectiveness.

There are 4 professionally led National Collaborating Centres (NCCs) established to support the development and delivery of NICE guidelines, one of these being the National Collaborating Centre for Mental Health (NCCMH). Established in 2001, the NCCMH is responsible for developing mental health guidelines, and is a partnership between the Royal College of Psychiatrists (RCPsych) and the British Psychological Society (BPS). The aims of guidelines looked at by the Groups (Centres) being to bring about genuine and lasting improvements in patient care

Guidelines are based on the best available research evidence. The NCCMH establishes a Guideline Development Group (GDG) for each guideline, consisting of health and social care professionals, lay representatives, and technical experts. The GDG develops each guideline by assessing the available evidence and deriving from it a series of clinical recommendations. Research recommendations are also developed which highlight gaps in the evidence to inform future research in this area.

For more information http://www.nccmh.org.uk/guidelines_methodology.html

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‘Is Breast Best?’

Dr Joan B. Wolf, US author of controversial book Is Breast Best? Taking on the Breastfeeding Experts and the New High Stakes of Motherhood, will give an open lecture at the University of Kent on Wednesday 13 February.

Dr Wolf’s lecture will consider issues raised by the response to her book since its publication. She will review the book’s central arguments, examine how the public and academics have reacted to its publication, and then pose some broad questions about what the book and its reception tell us about carework in the 21st century.

In a recent interview, Dr Wolf said some commentators have responded to her by placing her ‘in the same camp as Holocaust deniers and advocates of cold fusion’.

She said that the academic community had been ‘less churlish but equally unequivocal’ in their reaction to her book.

‘Those who consider themselves scientists accuse me, sometimes with bemusement, of being completely unqualified to judge breastfeeding research even though, as a PhD in political science, I have been trained in the very methods breastfeeding studies use,’ she said.

‘Those who write from the humanities dismiss me as part of a broad feminist conspiracy against motherhood. Mostly critics think I’m just plain daft.’

Dr Wolf has been invited to deliver the lecture by Dr Ellie Lee, Reader in Social Policy at the University’s School of Social Policy, Sociology and Social Research and Director of its Centre for Parenting Culture Studies.

Dr Lee said: ‘This promises to be a fascinating lecture. Joan’s book, and the reaction to it, reveal a great deal about the intolerance of our present public discourse on breastfeeding.

‘They also raise critical questions about how the dynamics of science and the communication of its findings, and cultural precepts about what it means to be a ‘good parent’, work together to create a moralised environment in which it becomes harder and harder to develop constructive discussion about how we as adults best care for children.’
Dr Wolf’s lecture at the University of Kent is titled Is breast really best? Breastfeeding, motherhood, and the politics of care. The lecture, which is free and open to all, will take place on Wednesday 13 February at 6pm in the University’s Grimond Lecture Theatre at its Canterbury campus.

For further information or interview requests for Dr Wolf contact Martin Herrema in the Press Office at the University of Kent
Tel: 01227 823581
Email: M.J.Herrema@kent.ac.uk

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Targeting hearts and minds

“The last era of management was about how much performance we could extract from people … the next is all about how much humanity we can inspire.” Dov Seidman

I wrote last week’s email update with the quote above included, just before attending a NHS Institute session on mobilising individuals committed to a common cause.

A central focus of that day was about getting the most out of busy people who come to work to make a difference for patients, carers and the local community.

Getting a better balance between ‘central targets’ and ‘hearts and minds levers’ was seen as an opportunity for many of the delegates attending from Clinical Commissioning Groups, NHS and non-NHS care providers, and national programme teams.

Balance

What does a better balance look like in practice? Well, for reporting compliance or non-compliance on, say, intraoperative fluid management (an evidence-based best practice process recommended for rapid diffusion across the NHS) more impact is being achieved by sharing comparative performance with clinical teams across Kent and Medway, Surrey and Sussex and by reporting the number of patients who have benefited from the process compared to the number who could have benefited. Metrics such as these encourage clinicians to adopt best practice. They also build public confidence.

In this spirit, the AHSN is working to get the balance right when it comes into existence with a license to operate and a remit that includes supporting members to achieve 100% adoption of NICE TAs, more patients participating in clinical trials and wider use of telehealth and telecare assistive technology. Get the balance wrong and we will just build resistance amongst our membership and miss an opportunity to support local improvement efforts.

Kind regards

Guy Boersma
Managing Director (interim)
Kent, Surrey & Sussex Academic Health Science Network

 

Publications, guidance, research

Service improvement in blood sciences

Working in partnership with the Department of Health Pathology Programme, NHS Improvement has supported a number of blood sciences teams to learn how Lean methodology can enable the service to achieve improvements to support the QIPP transformation programme.

 

Way forward for clinical senates

The NHS Commissioning Board has published The Way Forward: Clinical Senates.

 

National board reports on quality

The National Quality Board (NQB) has published its final report setting out how quality will be maintained and improved in the new health system.

 

NICE affordability test

Methods for the estimation of the NICE cost effectiveness threshold study.

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Research within ethical bounds

Professor Ulf Schmidt, of the School of History, has been awarded £20,200 from the Wellcome Trust for an international conference on ‘Research Within Bounds: Protecting Human Participants in Modern Medicine – The Declaration of Helsinki, 1964-2014’ in Switzerland on 12/13 September 2013.

The aim of the Symposium, which Professor Schmidt is jointly organising with colleagues from Germany and Switzerland, is to mark the 50th Anniversary of the Declaration of Helsinki by the World Medical Association (WMA), one of the most important landmarks in biomedical research ethics.

By bringing together leading world experts from the medical humanities, biomedicine, the medical sciences, bioethics and health law, including keynote speakers who served on President Obama’s Presidential Commission for the Study of Bioethical Issues, the Symposium will reflect upon and critically examine our current global regulatory system which is aimed at protecting experimental participants in developed and developing countries.

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Time for change

Time for change

Dear Colleagues

Health and social care commissioners and providers are currently in the process of agreeing contracts and associated pathway changes for 2013/14, making it the right time to consider the opportunities presented by telecare and telehealth.

This is one area where our patch is providing national and international leadership.

Before Christmas, I had the opportunity to join delegates from across Europe in their study tour to hear more about how assistive technology usage is modernising care and changing lives in Kent. There were inspiring case studies about the use of weather forecasts to help COPD patients, GPS tracking services in dementia care, and how telemedicine can provide rapid access clinic services seven days a week for patients who have suffered a transient ischemic attack (TIA) or minor stroke.

Locally, from Kent’s participation in the Whole System Demonstrator and from work in both Surrey and Sussex, we have invaluable experience of the opportunities and limitations of telecare and telehealth.  More than this, there is knowledge and learning on the implementation challenges that need to be overcome in getting more patients across Kent, Surrey and Sussex supported by assistive as the whole country delivers the 3 million lives and digital first, high impact innovation click here for more information.

The local experience and the opportunities available from assistive technology should make telehealth and telecare a key consideration in care pathway redesign.

Guy Boersma

Managing Director (interim)

Kent, Surrey & Sussex Academic Health Science Network

 

NIHR launches new Clinical Trials Toolkit for researchers

National Institute for Health Research

The National Institute for Health Research (NIHR) announces the launch of the new Clinical Trials (CT) Toolkit website. This innovative website is designed to help researchers navigate through the complex landscape of setting up and managing clinical trials in line with regulatory requirements.

 

£120 million investment for research to improve NHS services

NHS Networks

The Department of Health has announced funding of £120 million for an open competition to research ways of improving NHS services.

 

Better together: sharing learning to improve care

NHS Networks

NHS Kidney Care has published an evaluation study that highlights the importance of learning networks in improving care for long term conditions

 

The value of integrating housing, care and support

NHS Networks

A report for local commissioners of health and social care tells the real stories of five people who receive integrated care, housing and support.

 

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National dementia challenge funding awarded

It’s great to have good news to report to kick off 2013.

Our Academic Health Science Network (AHSN) bid to the national Dementia Challenge has been successful. We’ve been awarded £500,000 to allocate grants to support the successful adoption of existing dementia products and services. Grants will be made by the end of March.

The project will also provide valuable learning for the AHSN about working effectively with industry.

For further information, please contact Rob Berry.

Scoping joint technology procurement

We are also initiating a scoping exercise this week. It’s  come about as a result of interest amongst our members in joint working to learn lessons from others and avoid duplication.

The AHSN tested support for greater collaboration amongst local acute trusts currently exploring the benefits of using technology to monitor and identify patients whose health is deteriorating. Positive responses from three NHS trusts (one in each of Kent, Surrey and Sussex) has led to us starting to scope the potential benefits of a collaborative procurement.

Progress

I hope these two projects signal to you, our members, that the AHSN is making tangible progress in line with our commitment to address local priorities and  ensure we add value and make a difference straight away.

With best wishes for 2013. I look forward to working together with you.

Guy Boersma

Managing Director (interim)

Kent, Surrey & Sussex Academic Health Science Network

Government backs businesses with £5m funding boost

The Department of Health has announced £5m of funding for businesses to come up with new products or services that will help improve the experience of people with mental health illnesses and people at the end of their life. Click here for more details.

 

Royal College of General Practice video on telehealth – NHS Networks

A new telehealth video from the Royal College of General Practitioners (RCGP) highlights some of the key reasons why clinicians are recommending telehealth for their patients. Click here for more details.

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Major milestone achieved in Kent autism project

Imagining Autism, a pioneering research project led by the University of Kent to investigate how drama-based activities may play a key role in helping autistic children’s development has reported preliminary success at a special milestone event.

The 30 month research project, funded by a 350k grant from the Arts and Humanities Research Council (AHRC), involves undertaking a series of immersive, play-based methods and improvisation, puppetry, physical performance and interactive digital technologies with autistic children in multisensory environments – portable tent like structures.

The project is a collaboration between staff from the University of Kent’s School of Arts, School of Psychology and Tizard Centre, as well as support from the University’s Gulbenkian Theatre.

Imagining Autism shared some of its findings at a dedicated event to mark the end of the practical phase of interventions. Held on 11 December at the Helen Allison School, one of three special schools in Kent involved in the project, the event was attended by over 50 invited guests, including teachers and families associated with the work, as well as professionals from health, education and the arts.

The event enabled the research team to demonstrate the methods used during the research, including an experience of ‘Outer Space’, one of the five sensory environments designed for the project. The environments allow the children to encounter a range of stimuli and respond to triggers, created through lighting, sound or physical action. Using performers in each of the environments, the work is designed to promote communication, socialization, playful interaction and creative engagement, encouraging participants to find new ways of connecting with the world around them. Researchers from the project are investigating whether this experience enhances language, social interaction, empathy and imagination, three areas identified as deficits in autism.

Principal researcher, Nicola Shaughnessy, said: ‘The practical work has been incredibly exciting and has led to some unexpected outcomes such as insights into the unusual imagination, perception and humour in autism. As a collaboration between arts and science, we are also developing new ways of working across subject areas as well as new approaches to training for work of this kind.

‘We have been overwhelmed by the positive responses we’ve had to the work from schools and families and it is the breakthrough moments with the individual children which make this project so rewarding.’

The event featured presentations from the research team, led by Professor Nicola Shaughnessy and Dr Melissa Trimingham from the University’s School of Arts, who explained the practical methods and processes involved, whilst Dr Julie Beadle-Brown of Kent’s Tizard Centre also spoke about the evaluation measures being used.

Presentations from Victoria Scott, an educational psychologist based at the Helen Allison School, reported her perceptions of the impact of the project and a testimonial from a parent whose child has been participating was also featured. The parent spoke about the transformation she has seen in her child’s behaviour and communication since the interventions started, describing it as “a little miracle”.

The research will now enter its final phase where results will be analysed by Dr Julie Beadle-Brown and Dr David Wilkinson from the University’s School of Psychology to see if the practical interventions have made a difference to the children through a range of tests undertaken before and after the practical phase.

The project’s innovative methods, which differ from more conventional skills-based and behavioural approaches, have attracted international interest resulting in Kent’s drama researchers undertaking presentations in the USA. The project will also be featured at the National Autistic Society’s annual conference in the UK in March.

It is hoped that the results from the research could lead to a full-scale trial and may also prompt changes in approaches to other communication disorders in children.

For more information on the project, visit www.imaginingautism.org.

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Kent health expert closely involved in major health shake-up report

Professor Stephen Peckham, Director of the University’s Centre for Health Services Studies (CHSS), has been closely involved in the first in-depth study into how the government’s planned shake-up of the NHS next year is progressing.

Professor Peckham is Director of the Policy Research Unit in Commissioning and the Healthcare System (PRUComm), which provides evidence to the Department of Health to inform the development of policy on commissioning. It is collaboration between the University of Kent, the University of Manchester and the London School of Hygiene and Tropical Medicine.

The reorganisation of the NHS in England, which will see new Clinical Commissioning Groups (CCGs) – led by GPs – take responsibility for spending some £60 billion of public money, has generated much debate and discussion over the last two years. These groups were established during 2012 and have been preparing their organisations and plans ready to take on their new functions from next April.

The Department of Health-funded PRUComm researched these developments and published its first major report about the early development of CCGs on 16 November. The research was led by Dr Kath Checkland, of the University of Manchester.

Professor Peckham said: ‘This study provides a comprehensive look at what is happening as the most significant NHS reorganisation in a generation unfolds.’

Professor Peckham joined the University of Kent as CHSS Director earlier this year. CHSS is part of the University’s School of Social Policy, Sociology and Social Research.

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Volunteers sought for migraine study

Volunteers are being sought to help test the effectiveness of a potential cure for migraine headache.

More information can be found on the University news article.

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University of Kent attracts near £1.7m in national health research funding

The University of Kent has attracted research funding from the National Institute for Health Research (NIHR) worth nearly £1.7 million over the last fifteen months.

Research projects being undertaken at the University funded by the NIHR include a project to study the prevention of challenging behavior of adults with complex needs in supported accommodation and research into adult social service environments.

Professor Peter Jeffries, Director of KentHealth, the University’s one-stop-shop for health and social care expertise in research, training, innovation and partnerships with the regional NHS, welcomed the funding.

He said: ‘The high level of research funding from the NIHR over the last 15 months highlights our success in building partnerships with the NHS.

‘We have a range of important projects being undertaken across a number of our discipline areas within the University, which demonstrates the breadth of our expertise in health-related fields.

‘We will continue to work to build partnerships with health-related agencies and organisations across the region and I’m sure will achieve further success in attracting funding.’

For further information or interview requests contact Martin Herrema at the University of Kent

Tel: 01227 823581

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

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