This collection of case studies is aimed at all people involved in the development and delivery of quality health services, in particular, commissioners, local authorities, voluntary sectors, and health professionals in all settings, including primary and secondary care. Some of the CCGs are also working with organisations from the retail sector, for example John Lewis. [read the full story…]
Background Some time ago, we posted about a case study with two individuals with learning disabilities, where the researchers used eye movement desensitisation and reprocessing (EMDR) to achieve a decrease in posttraumatic stress disorder -like symptoms Eye movement desensitisation is an approach that developed out of work in the late 80s, based on observations that [read the full story…]
This document is aimed at clinical commissioning groups, health care planners, hospital senior managers, and clinical teams in primary and secondary care. It is an amalgamation of good practice examples where diabetes services have improved, with bed occupancy and costs being reduced. There is a specific focus on elderly, diabetic patients, and other similarly vulnerable [read the full story…]
Winterbourne View Progress Report Published At the end of last week, the Government published it progress report on the joint improvement programme set in train following the Winterbourne View scandal. The report sets out the progress made, but also recognises the scale of the task still ahead. There were forty eight people resident in Winterbourne [read the full story…]
This new report is an important addition to the evidence base specifically on case management and more generally in terms of interventions to reduce hospital admissions but, consistent with other studies in this area, can’t give definitive answers. Much of what already exists in relation to virtual wards is anecdotal or lacks detail and it’s [read the full story…]
In the Woodland we all enjoy a good sing-a-long, but can this actually be therapeutic? Music therapy has a growing database with regards to its use in helping to treat a variety of mental health disorders. It is thought of as a systematic intervention that uses music experiences (active or receptive) and the relationships that [read the full story…]
When two interventions are demonstrably equivalent in terms of clinical outcomes, it is unclear which should be provided. One obvious decision rule in this case is to implement the intervention that is least costly and therefore most cost-effective. A recent economic evaluation by Patel and colleagues estimates the cost-effectiveness of adherence therapy for people with [read the full story…]
We have previously looked at a review and a number of studies addressing the issue of oral hygiene and ventilator-associated pneumonia (VAP) and (Dental Elf May 20th 2013). A new Cochrane review has just been published which aimed to assess the effects of oral hygiene care (OHC) on the incidence of VAP in critically ill [read the full story…]
Schizophrenia is considered a chronic long-term debilitating condition, affecting about 1% of the population. There has been considerable debate about which of the anti-psychotic medications are the best treatments. The debate has usually been structured around typical (older) and atypical (newer) anti-psychotic medications. The revised NICE guidelines (2009) moved towards a more neutral stance between [read the full story…]
People affected by trauma present in a number of different settings (Solomon et. al., 1997), sometimes immediately after the trauma, and sometimes much later when they are experiencing the effects of traumatic stress, depression, anxiety or other mental health difficulties. When trauma leads to an individual developing a post traumatic stress reaction, there is not [read the full story…]
