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Priceless - thanks John :)


Avril

Avril Wayte
Consultant Biochemist
Clinical Biochemistry
Ysbyty Gwynedd
Bangor
Clinical Director for Biochemistry, BCUHB
Chair RCPath WRC
01248 384262

________________________________
From: Clinical biochemistry discussion list [mailto:[log in to unmask]] On Behalf Of OConnor John (ROYAL DEVON AND EXETER NHS FOUNDATION TRUST)
Sent: 22 August 2014 12:24
To: [log in to unmask]
Subject: Some amusement for a Friday

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22 August 2014


The weekly newsletter from NHS Networks
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Then there was interim light

How many NHS managers does it take to change a light bulb?

This is not the simple question it appears. Have illumination needs been properly assessed? Have patients and the public been consulted? Are stakeholders onside? Have roles and responsibilities been discussed? Are resources available for another change programme at a time of austerity?

All of these must be considered before the question of numbers can be addressed, starting with the policy context and implications.

The NHS is committed to providing appropriate lighting to patients, the public and staff in all care settings now and in future.

The five-year strategy Towards a Well-lit NHS: Lighting for All, 2014-19 clearly states that: "We will aim to provide illumination at the point of need for all service users, with particular regard to older people, minorities and hard to reach groups, children and young people, carers, families, working people, the vulnerable and at-risk, the less well-off, migrants, travellers, taxpayers, the worried well, NHS staff, their friends, people they once met and anyone living with long-term dimness."

The NHS Constitution adds that "decent lighting is a basic human right without which the provision of basic health services is impossible" and notes the role of lighting in all aspects of healthcare from diagnosis of disease, prevention of falls, safe prescribing and emptying of bedpans to the performance of complex surgical procedures.

As Lord Osram noted in his far-reaching review of 2010, Beyond the Gloom: a Strategy for a Brighter Future, "lack of sufficient light has profound implications for patient safety, quality of care, workforce productivity and the completion of far-reaching reviews such as this".

Lord Osram concluded that "there is a very real and urgent risk that the NHS could descend into complete darkness unless I am commissioned to come up with a strategy for a fully integrated, whole-system approach to sustainability of illumination for the foreseeable future".

The resulting regulations impose new duties on NHS commissioners to make adequate arrangements for continuity of lighting supply, including drafting of comprehensive resilience plans and competitive tendering for change-leadership programmes. The regulations also stipulate mandatory training for all staff in the rapid deployment and safe use of secondary lighting devices (candles and torches).

For a full explanation of what to do if you find yourself plunged into darkness, please see the 2014 draft guidance Interim Transformational Procedures for Standard Overhead Incandescent Light Emitting Units. Annex A includes an Excel-based action planning tool for calculating how many of your colleagues should be involved in the transition process.

Change-management editor: Julian Patterson

Comment on the blog<http://www.networks.nhs.uk/editors-blog/then-there-was-interim-light/view>

Follow him on Twitter @jtweeterson


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Cooperation, collaboration and competition in the NHS<http://www.networks.nhs.uk/news/cooperation-collaboration-and-competition-in-the-nhs>
Delivered with Hempsons, a leading law firm specialising in healthcare procurement, the workshop looks at the rules governing competition and choice and where they impact on the ability to commission integrated services.
Read more »<http://www.networks.nhs.uk/news/cooperation-collaboration-and-competition-in-the-nhs>




Understanding accounts e-learning<http://www.networks.nhs.uk/news/understanding-accounts-e-learning-1>
Knowing the ongoing financial position is essential for all businesses. This will be increasingly true for general practice as the pressure on practice finances grows.
Read more »<http://www.networks.nhs.uk/news/understanding-accounts-e-learning-1>




Regional mental health commissioning networks portal<http://www.networks.nhs.uk/news/regional-mental-health-commissioning-networks-portal>
The Regional Mental Health Commissioning Networks Portal brings together like minded people involved in mental health commissioning from a wide range of organisations in health and social care, enabling active discussion and exchange of ideas to cope with the challenges of treating people with mental health problems in a more integrated way across health and social care in England.
Read more »<http://www.networks.nhs.uk/news/regional-mental-health-commissioning-networks-portal>




Patients to benefit from accessible information standard<http://www.networks.nhs.uk/news/patients-to-benefit-from-accessible-information-standard>
NHS England will be consulting on improving access to information formats such as "easy read" and braille and to British Sign Language interpreters.
Read more »<http://www.networks.nhs.uk/news/patients-to-benefit-from-accessible-information-standard>




Safety of blood, tissues and organs annual report 2013 to 2014<http://www.networks.nhs.uk/news/safety-of-blood-tissues-and-organs-annual-report-2013-to-2014>
This report sets out the work of the advisory committee on the safety of blood, tissues and organs (SaBTO) in 2013 to 2014.
Read more »<http://www.networks.nhs.uk/news/safety-of-blood-tissues-and-organs-annual-report-2013-to-2014>




Guidance for the detection of gonorrhoea in England<http://www.networks.nhs.uk/news/guidance-for-the-detection-of-gonorrhoea-in-england>
Public Health England has published revised guidance for the detection of gonorrhoea in England, including guidance on the use of dual nucleic acid amplification tests (NAAT) for chlamydia and gonorrhoea.
Read more »<http://www.networks.nhs.uk/news/guidance-for-the-detection-of-gonorrhoea-in-england>




Research shows potential of community pharmacies to cut health inequalities<http://www.networks.nhs.uk/news/research-shows-potential-of-community-pharmacies-to-cut-health-inequalities>
Research has confirmed the unique position that community pharmacies have at the heart of even the most deprived communities and highlighted the potential for the sector to be better used to help tackle health inequalities and public health issues.
Read more »<http://www.networks.nhs.uk/news/research-shows-potential-of-community-pharmacies-to-cut-health-inequalities>




£2.2m spent every day on diabetes drugs in primary care<http://www.networks.nhs.uk/news/ps2.2m-spent-every-day-on-diabetes-drugs-in-primary-care>
Prescriptions to manage diabetes in primary care cost the NHS £2.2m on average every day in 2013/14, new figures by Health and Social Care Information Centre show.
Read more »<http://www.networks.nhs.uk/news/ps2.2m-spent-every-day-on-diabetes-drugs-in-primary-care>




Navigating the NHS<http://www.networks.nhs.uk/news/navigating-the-nhs-1>
The event is for anyone working in commissioning, NHS trusts, the third sector and local government and other organisations with a professional interest in understanding how the system works.
Read more »<http://www.networks.nhs.uk/news/navigating-the-nhs-1>




Opportunities with PCC<http://www.networks.nhs.uk/news/opportunities-with-pcc>
PCC is seeking bright, energetic and enthusiastic people to join its expanding national adviser team working with CCGs, NHS England area teams, providers and others to deliver local work programmes and events to help NHS organisations achieve best value for patients and the public.
Read more »<http://www.networks.nhs.uk/news/opportunities-with-pcc>




Wanted: views on the NHS standard contract 2015/16<http://www.networks.nhs.uk/news/wanted-views-on-the-nhs-standard-contract-2015-16>
NHS England is seeking comments on the NHS standard contract used by NHS commissioners to buy healthcare services other than primary care.
Read more »<http://www.networks.nhs.uk/news/wanted-views-on-the-nhs-standard-contract-2015-16>




The safer management of controlled drugs 2013 <http://www.networks.nhs.uk/news/the-safer-management-of-controlled-drugs-2013>
Care Quality Commission has published annual report on the management of controlled drugs, which highlights the need for an increase in the sharing of information.
Read more »<http://www.networks.nhs.uk/news/the-safer-management-of-controlled-drugs-2013>




Asthma admissions rise in September<http://www.networks.nhs.uk/news/asthma-admissions-rise-in-september>
New analysis shows emergency admissions for asthma were lowest in August and increased considerably in September, and this seasonal pattern has continued since 2006/07.
Read more »<http://www.networks.nhs.uk/news/asthma-admissions-rise-in-september>




The leader as a coach: building stronger teams<http://www.networks.nhs.uk/news/the-leader-as-a-coach-building-stronger-teams>
Using coaching techniques in the workplace can support effective team management by increasing the motivation and confidence of individuals.
Read more »<http://www.networks.nhs.uk/news/the-leader-as-a-coach-building-stronger-teams>




Commissioning recommendations for psychological support<http://www.networks.nhs.uk/news/commissioning-recommendations-for-psychological-support>
The London Mental Health Strategic Clinical Network has developed a commissioning guide to emotional and psychological support on the London diabetes care pathway.
Read more »<http://www.networks.nhs.uk/news/commissioning-recommendations-for-psychological-support>




Update on urgent and emergency care review<http://www.networks.nhs.uk/news/update-on-urgent-and-emergency-care-review>
NHS England has published an update on progress since November 2013 of the urgent and emergency care review.
Read more »<http://www.networks.nhs.uk/news/update-on-urgent-and-emergency-care-review>




Monitor releases trust data<http://www.networks.nhs.uk/news/monitor-releases-trust-data>
Monitor has published NHS foundation trusts' accounts data and related information for 2013/14.
Read more »<http://www.networks.nhs.uk/news/monitor-releases-trust-data>




Measles, mumps and rubella: surveillance form<http://www.networks.nhs.uk/news/measles-mumps-and-rubella-surveillance-form>
Public Health England has provided a form for health professionals to supply additional patient information.
Read more »<http://www.networks.nhs.uk/news/measles-mumps-and-rubella-surveillance-form>




Model process flowchart for raising concerns<http://www.networks.nhs.uk/news/model-process-flowchart-for-raising-concerns>
NHS Employers has produced a flowchart to explain to staff the process for raising concerns.
Read more »<http://www.networks.nhs.uk/news/model-process-flowchart-for-raising-concerns>




Using the new APMS contract for primary medical services<http://www.networks.nhs.uk/news/using-the-new-apms-contract-for-primary-medical-services-1>
NHS England has adopted a new form of the Alternative Provider Medical Services contract. The new APMS standard contract must now be used for the commissioning of all primary medical services where an APMS contract is specified.
Read more »<http://www.networks.nhs.uk/news/using-the-new-apms-contract-for-primary-medical-services-1>




Joint health and social care learning disability self-assessment framework<http://www.networks.nhs.uk/news/joint-health-and-social-care-learning-disability-self-assessment-framework>
CCGs should be aware that the results of the 2013/14 joint health and social care self-assessment have been published on the Public Health England website.
Read more »<http://www.networks.nhs.uk/news/joint-health-and-social-care-learning-disability-self-assessment-framework>




Who to screen for MRSA<http://www.networks.nhs.uk/news/who-to-screen-for-mrsa>
The Department of Health has published guidance on testing for MRSA.
Read more »<http://www.networks.nhs.uk/news/who-to-screen-for-mrsa>




Patient-level cost collection 2012/13: review and lessons for the future<http://www.networks.nhs.uk/news/patient-level-cost-collection-2012-13-review-and-lessons-for-the-future>
This document is for use by all NHS staff involved in the production of cost information.
Read more »<http://www.networks.nhs.uk/news/patient-level-cost-collection-2012-13-review-and-lessons-for-the-future>




Accessing the flu vaccine strategic reserve<http://www.networks.nhs.uk/news/accessing-the-flu-vaccine-strategic-reserve>
The strategic reserve is held in the event that demand for flu vaccine exceeds the forecast supply.
Read more »<http://www.networks.nhs.uk/news/accessing-the-flu-vaccine-strategic-reserve>




Forensic early warning system annual report<http://www.networks.nhs.uk/news/forensic-early-warning-system-annual-report>
The government has published the annual report on the Home Office forensic early warning system.
Read more »<http://www.networks.nhs.uk/news/forensic-early-warning-system-annual-report>




Official NMS evaluation confirms value of the service<http://www.networks.nhs.uk/news/official-nms-evaluation-confirms-value-of-the-service>
The New Medicine Service (NMS) can significantly increase patients' adherence to their new medicines and will save the NHS money through better patient outcomes at overall reduced costs, an evaluation of the service has concluded.
Read more »<http://www.networks.nhs.uk/news/official-nms-evaluation-confirms-value-of-the-service>




Latest PROMs data from HSCIC<http://www.networks.nhs.uk/news/latest-proms-data-from-hscic>
The Health and Social Care Information Centre has published information about four common NHS operations, and patient feedback about the health outcomes of these operations.
Read more »<http://www.networks.nhs.uk/news/latest-proms-data-from-hscic>




Staff friends and family test: early experiences<http://www.networks.nhs.uk/news/staff-friends-and-family-test-early-experiences>
NHS Employers has published a briefing on the version of the friends and family test created for NHS staff.
Read more »<http://www.networks.nhs.uk/news/staff-friends-and-family-test-early-experiences>




The engagement cycle<http://www.networks.nhs.uk/news/the-engagement-cycle>
The engagement cycle is a commissioning tool to promote better engagement with patients and the public.
Read more »<http://www.networks.nhs.uk/news/the-engagement-cycle>




Patient participation groups offered chance to win £400<http://www.networks.nhs.uk/news/practice-participation-groups-offered-chance-to-win-ps400>
CCGs have been asked to nominate patient participation groups (PPGs) in their area for a £400 "research engagement award" sponsored by the NIHR Clinical Research Network and the National Association for Patient Participation.
Read more »<http://www.networks.nhs.uk/news/practice-participation-groups-offered-chance-to-win-ps400>




Flu vaccination pilot: 2014 to 2015<http://www.networks.nhs.uk/news/flu-vaccination-pilot-2014-to-2015>
A flu vaccination pilot programme extends vaccination to healthy children, to prevent spread of flu.
Read more »<http://www.networks.nhs.uk/news/flu-vaccination-pilot-2014-to-2015>




Monitoring of out-of-hours services provided by practices <http://www.networks.nhs.uk/news/monitoring-of-out-of-hours-services-provided-by-practices>
NHS England has clarified that CCGs are responsible for monitoring the quality of all out-of-hours services, including those provided by GP practices that still provide these services under their GP contract.
Read more »<http://www.networks.nhs.uk/news/monitoring-of-out-of-hours-services-provided-by-practices>




CQC proposes 'special measures' framework for GPs<http://www.networks.nhs.uk/news/cqc-proposes-2018special-measures2019-framework-for-gps>
CQC will introduce a "special measures" framework for GPs from October 2014.
Read more »<http://www.networks.nhs.uk/news/cqc-proposes-2018special-measures2019-framework-for-gps>





POLLS

Last time: Mental health in crisis

Four in ten respondents to last week's poll think lack of funding is responsible for inadequate mental health services, but 23% think a more joined-up approach to commissioning is the main priority, while 18% believe better training is key. Around 10% feel that getting rid of mental health trusts would make the biggest difference.

This time: Do patients really have more say?

More attention and resources are given to "patient voice" than at any time in the history of the NHS. But do patients have more say as a result?

Vote here<http://www.networks.nhs.uk/>.

If you feel strongly about issues raised here or about anything else, start a discussion in the NHS Networks forum<http://www.networks.nhs.uk/discussion>.



NHS Networks is the home of networking in the NHS. It allows communities of interest to form around any issue people feel strongly about whether clinical, managerial, professional or social. Anyone who works for or is closely involved with the NHS can be a member. Joining and forming networks is easy. Our mission is to help the NHS collaborate, share information and nurture new ideas.

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You are advised to read (and print for future reference) the Betsi Cadwaladr University Health Board e-mail notice which can be found at this location

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------ACB discussion List Information--------
This is an open discussion list for the academic and clinical community working in clinical biochemistry.
Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content.
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