NICE NEWS February 2016

New guidance and standards Place young people moving into adult services at the heard of decisions about care Young people who are moving from children's to adults' services should be placed at the heard of decisions about their care, NICE says. Latest social care guidance aims to improve and standardise the support for young people who are receiving health or social care as they become adults, by ensuring care is more person-centred.

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Motor neurone disease guidelines to have "hugely significant" impact on care Updated motor neurone disease guidelines will have a "hugely significant" impact on care, according to one national charity. The guidelines aim to improve and standardise care for people who have the disease.

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NICE greenlights clot removal procedure for use on NHS NICE has approved a procedure for use on the NHS that removes clots from stroke patients. Following new evidence on long-term safety and effectiveness, NICE has published updated guidance which approves mechanical clot retrieval for removing blood clots in people who have had an acute ischaemic stroke.

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Ensuring trauma care is delivered effectively and consistently NICE has launched a suite of guidelines to ensure that trauma services are delivered more effectively and consistently. The guidelines cover fractures, complex fractures, spinal injury assessment, major trauma, and trauma services.

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Guidelines launched on the risks and benefits of sunlight exposure New public health guidelines have been launched to help balance the risks and benefits of sunlight exposure. The guideline will help tailor public health activities focused on those groups most at risk from over or under exposure to sunlight, and includes a section with supporting information for practitioners.

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Improving and standardising care for people with incurable blood cancer NICE has published guidance that aims to help improve and standardise the diagnosis, treatment and monitoring of myeloma. The guideline features recommendations that cover a range of areas, such as offering communication and support, imaging tests, and palliative care services.

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News Membership of social groups after retirement 'boosts health and wellbeing' New research published by BMJ Open suggests that membership of social groups such as book clubs or church groups after retirement is linked with improved health and wellbeing. The research backs NICE's recommendations advising councils to do more to offer group activities to older people in order to tackle loneliness and improve wellbeing.

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Consultation open on potential new NICE indicators Indicators focused on atrial fibrillation, diabetes care, and weight management are proposed for the latest NICE indicator menu. Based on NICE guidance and quality standards the potential indicators, now open for consultation, aim to improve healthcare by supporting both national frameworks and local quality improvement initiatives.

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Have your say Comment on our draft sepsis guidance Our draft guidelines on Non-Hodgkin's lymphoma are currently open for consultation. The guidelines aim to help improve the diagnosis and management of the condition among adults and young people aged 16 years and over. Organisations can register as a stakeholder and have until Friday 11 March 2016 to submit their comments.

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Get involved  Tell us what you think about our new and improved forward planner We've updated our forward planner to help you plan and implement NICE guidance. Recent improvements include: financial planning time frames consistent with health and social care organisations new worksheets showing previous, current and future financial years resource impact profiles showing costs and savings over 5 years where possible colour coded categories showing cost saving, cost neutral, low cost, medium cost, and high cost guidance published Quality & Productivity and Cochrane case studies.

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Into Practice  Take a look at examples of organisations putting NICE guidance into practice Have a look at examples of organisations of putting NICE guidance into practice. A number of CCGs worked together to reduce variation in prescribing behaviour between GPs practices using NICE guidance on neuropathic pain. Liverpool City Council and Liverpool Primary Care Trust joined forces to deliver recommendations in NICE guidelines on excess winter deaths. And Lancashire Care NHS Foundation Trust implemented a nicotine management policy in response to guidance from NICE on smoking cessation.

New quality standard service improvement template NICE has developed a new template that allows providers to assess how their services compare to NICE quality standards. The template is an interactive Excel spreadsheet, which allows users to track progress over time, and to create an audit dependent on their own specific needs and requirements. The template is currently available on the tools and resources tab, for quality standards 1-102.

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Guidance, standards and advice      Guidance Motor neurone disease: assessment and management support tools NICE Pathway Transition from children’s to adults’ services for young people using health or social care services support tools NICE Pathway Fractures (non-complex): assessment and management support tools NICE Pathway Fractures (complex): assessment and management support tools NICE Pathway Major trauma: assessment and initial management support tools NICE Pathway Major trauma: service delivery support tools NICE Pathway Spinal injury: assessment and initial management support tools NICE Pathway Myeloma: diagnosis and management support tools NICE Pathway Sunlight exposure: risks and benefits support tools NICE Pathway Cancer of the upper aerodigestive tract: assessment and management in people aged 16 and over support tools NICE Pathway Mechanical clot retrieval for treating acute ischaemic stroke Angioplasty and stenting to treat peripheral arterial disease causing refractory erectile dysfunction Endovascular aneurysm sealing for abdominal aortic aneurysm Normothermic extracorporeal preservation of hearts for transplantation following donation after brainstem death Quality standards Antenatal and postnatal mental health Healthcare-associated infections Irritable bowel syndrome in adults Technology appraisals  Ezetimibe for treating primary heterozygous-familial and non-familial hypercholesterolaemia Nivolumab for treating advanced (unresectable or metastatic) melanoma TNF-alpha inhibitors for ankylosing spondylitis and non-radiographic axial spondyloarthritis Diagnostics guidance Therapeutic monitoring of TNF-alpha inhibitors in Crohn’s disease (LISA-TRACKER ELISA kits, IDKmonitor ELISA kits, and Promonitor ELISA kits) Integrated sensor-augmented pump therapy systems for managing blood glucose levels in type 1 diabetes (the MiniMed Paradigm Veo system and the Vibe and G4 PLATINUM CGM system) Tests for rapidly identifying bloodstream bacteria and fungi (LightCycler SeptiFast Test MGRADE, SepsiTest and IRIDICA BAC BSI assay)

UpToDate Anywhere...you can now access UpToDate from your mobile!

The Library Team will be holding a registration event next week to help you quickly register for UpToDate Anywhere, please come along...

• Wednesday 2nd March between 11:30 – 14:00
• The Spice of Life Restaurant
• Please bring your smartphone/tablet

UpToDate clinical decision support is as close as your smartphone, tablet, or computer. UpToDate Anywhere gives you evidence-based guidance when and where you need it.

UpToDate Anywhere gives you…

Free UpToDate Mobile App for your iOS®, Android™ or Windows 8 device; chosen as one of “The Best Apps in Publishing” by EContent Magazine

Easy access to UpToDate by logging in from any computer with an Internet connection

Accrue free continuing education credits (CME/CE/CPD) when you research a clinical question using UpToDate onsite or remotely – including on your mobile device

Registration is easy…

1. Access UpToDate via the desktop icon on a Trust computer
2. Click on Log in/Register in the top navigation bar of the UpToDate log in page
3. Create a unique user name and password on the UpToDate Anywhere registration page
4. You are now registered and will receive a confirmation email about installing the UpToDate Mobile App
5. You will need to log in via the Trust network once very 3 months to keep your account active.

Any questions? Please contact…

The Library Team on x4247 / rsc-tr.library@nhs.net

NICE Eyes on Evidence - Issue 81 February 2016

This month in Eyes on Evidence

Risk of intracranial bleeding when antidepressants are used with NSAIDs
A Korean cohort study found that use of antidepressants in combination with non-steroidal anti-inflammatory drugs (NSAIDs) was associated with an increased risk of bleeding inside the skull within 30 days of first taking the drugs together.

Early identification of dementia with IQCODE in secondary care
A Cochrane review reported that the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) test could be used to identify risk of dementia in older people presenting to secondary care, although this tool was less effective in specialist memory settings than in general hospital settings.

Smoking during pregnancy and risk of stillbirth
A meta-analysis reported that the risk of stillbirth was higher in women who smoked during pregnancy than in pregnant women who did not smoke.

Parental perceptions of child weight
A UK cross-sectional study found that around a third of parents underestimated their child’s weight and less than 1% overestimated the weight of their child.

Long working hours, stroke and coronary heart disease
A meta-analysis found that working 55 hours a week or more was associated with an increased risk of stroke and a smaller increase in the risk of coronary heart disease.

Evidence summaries from NICE’s Medicines and Prescribing Programme

NICE has recently published summaries on:

• Restless legs syndrome: Oxycodone/naloxone prolonged release
• External genital and perianal warts: green tea (Camellia sinensis) leaf extract 10% ointment
• Pregnancy: Effect of metformin on pregnancy outcomes in obese women without diabetes (EMPOWaR study)
• Obesity: liraglutide for weight loss among people with type 2 diabetes (SCALE study)

Apps survey for pharmacists
The National Information Board has asked NICE to develop a framework to evaluate health and medical apps for mobile devices. NICE has developed a short online survey for pharmacists who work in the community or primary care to understand how they use health and medical apps in their practice, and their opinions around app evaluation.