Record numbers of people in England will be offered a flu vaccine this winter. For the first time, all primary school children will be offered the nasal spray | via Public Health England
The health service in England has prepared for its largest ever flu protection drive to help keep people well and ease pressure on urgent care services over the colder months.
The number of people eligible has topped 25 million this year as the offer of the vaccine is now extended to all primary school aged children – an extra 600,000 children. NHS commissioned school vaccination teams, maternity services, general practices and local pharmacies are all now preparing to provide vaccines to primary school aged children, 2 and 3 year olds, those with underlying health conditions, pregnant women and older adults (aged 65 years and over).
Employers of frontline health and social care workers also have a responsibility to ensure their staff can get the free vaccine. A record number of NHS staff – almost 3 quarters of a million, or 70.3% of frontline workers – took up their workplace jab last year.
Full article at Public Health England
See also: Flu vaccination: The main things to know about the 2019 programme | Public Health England
NICE | September 2019 | Healthcare-associated infections: prevention and control
The Public health guideline on Healthcare-associated infections: prevention and control (PH36) has been checked by NICE for the need for update. NICE is now seeking responses in its consultation on this guideline, it is open until 5pm on Friday, 20 September 2019.
Full details from NICE
Healthcare-associated infections: prevention and control
The NHS has saved hundreds of people from sepsis thanks to better use of digital technology in hospitals | NHS England
In a major nationwide push to tackle sepsis, including a one hour identification and treatment ambition, new ‘alert and action’ technology is being introduced which uses algorithms to read patients’ vital signs and alert medics to worsening conditions that are a warning sign of sepsis.
Sepsis – also known as blood poisoning – is a life-threatening response to an infection in the body, where the immune system damages tissues and organs.
Three leading hospitals are using alerts to help identify sepsis and tell doctors when patients with the serious condition are getting worse..
NHS leaders in Cambridge, Liverpool and Berkshire are now helping the rest of the health service to adopt tools to spot it, which costs 37,000 lives a year and is notoriously difficult to identify.
In Liverpool, the hospital’s digital system brings together lab results and patient observations into one place to help staff diagnose and treat suspected sepsis, saving up to 200 lives a year.
In Cambridge, deaths from sepsis have fallen consistently over the last three years, with at least 64 lives saved in the past year thanks to the innovative alert and action feature.
In Berkshire since introducing a digital system, the Trust has increased screening rates by 70% with nine in 10 patients now consistently screened for sepsis during admission as opposed to two in ten beforehand, allowing doctors to spot more cases sooner.
Full story at NHS England
This leaflet provides resources for GP practices to support the Measles, Mumps and Rubella (MMR) catch-up programme | Public Health England
In April 2019, NHS England and the BMA General Practitioners Committee (GPC) agreed to a catch-up campaign for the Measles, Mumps and Rubella (MMR) vaccine.
The campaign includes checking and updating the child’s computerised records and inviting those children missing one or both doses of the MMR to make an appointment.
The leaflet can be viewed here
World Health Organization | May 2019 | No Time to Wait: Securing the future from drug-resistant infections
A new report from WHO- No Time to Wait: Securing the future from drug-resistant infections– makes recommendations for urgent action in the global response to antimicrobial resistance.
No Time to Wait: Securing the future from drug-resistant infections
Joint NHS England and NHS Improvement Medical Director Professor Stephen Powis has written to CCG Directors of Quality, Nursing and Medicines Optimisation about two new antimicrobial resistance schemes supporting NHS acute providers to implement the five-year UK Antimicrobial Resistance (AMR) national action plan in 2019/20.
The NHS Standard Contract now includes a target of reducing total antibiotic consumption by 1%, from the 2018 baseline, by the end of Q4 2019/20 Commissioning for Quality and Innovation (CQUIN) indicators now includes improving the management of lower urinary tract infections in older people and improving appropriate use of antibiotic surgical prophylaxis in elective colorectal surgery.
Full detail at NHS Improvement
Fernandes Agreli H, Murphy M, Creedon S, et al. | Patient involvement in the implementation of infection prevention and control guidelines and associated interventions: a scoping review | BMJ Open | 2019 | doi: 10.1136/bmjopen-2018-025824
Objective To explore patient involvement in the implementation of infection prevention and control (IPC) guidelines and associated interventions.
Methods A methodological framework was followed to identify recent publications on patient involvement in the implementation of IPC guidelines and interventions. Initially, relevant databases were searched to identify pertinent publications (published 2013–2018). Reflecting the scarcity of included studies from these databases, a bidirectional citation chasing approach was used as a second search step. The reference list and citations of all identified papers from databases were searched to generate a full list of relevant references. A grey literature search of Google Scholar was also conducted.
Results From an identified 2078 papers, 14 papers were included in this review. Our findings provide insights into the need for a fundamental change to IPC, from being solely the healthcare professionals (HCPs) responsibility to one that involves a collaborative relationship between HCPs and patients. This change should be underpinned by a clear understanding of patient roles, potential levels of patient involvement in IPC and strategies to overcome barriers to patient involvement focusing on theprofessional–patient relationship (eg, patient encouragement through multimodal educational strategies and efforts to disperse professional’s power).
Conclusions There is limited evidence regarding the best strategies to promote patient involvement in the implementation of IPC interventions and guidelines. The findings of this review endorse the need for targeted strategies to overcome the lack of role clarity of patients in IPC and the power imbalances between patients and HCPs.
Full document available at BMJ Open