FEATURE ARTICLES

The Clinical Services Journal reports on the findings of the recently published Freedom to Speak up review, which investigate the issues surrounding whistleblowing and the changes needed to create a more honest reporting culture in the NHS.

DR JON MCCORMACK provides an insight into how point of care (PoC) ultrasound systems are proving beneficial to adult and paediatric retrievals services in Scotland, helping pre-hospital care and secondary retrievals from remote sites, as well as aiding routine anaesthesia practice in hospital theatres.

MIKE SULLIVAN, managing director of GOJO Industries – Europe, discusses the benefits of integrating human factors in healthcare and how hand hygiene fits into the bigger picture.

Dr JOHN SANDHAM argues that effective implementation of Healthcare Technology Management (HTM) is crucial to saving lives and reducing costs.

The use of 3D printing technologies is already enabling surgeons to better prepare for surgical interventions, through the use of accurate modelling. SUZANNE CALLANDER reports on the benefits that this technology can offer today, and what it may offer in the future.

A new project, Combacte-Magnet, has been launched by 33 European academic partners and five pharmaceutical companies, under the IMI antimicrobial resistance research programme ‘New Drugs 4 Bad Bugs (ND4BB)’.

On the 7th European Antibiotic Awareness Day, the European Centre for Disease Prevention and Control (ECDC) released its latest EU-wide data on antibiotic resistance (EARS-Net annual report and interactive database). Carbapenems are a major last line class of antibiotics used to treat healthcareassociated infections. Although carbapenem resistance remains at relatively low levels for most countries, ECDC data show an increase of carbapenem resistance in Klebsiella pneumoniae from a population-weighted EU average percentage of 4.6% in 2010 to 8.3% in 2013.

A review on antimicrobial resistance, established by the UK Prime Minister, has outlined key steps needed to tackle the antibiotic crisis.

In December 2014, Public Health England reported its latest data, Surveillance of Surgical Site Infections in NHS Hospitals in England 2013/14. The data shows that, between 2008/9 and 2013/14, there was a significant decrease in the inpatient/readmission SSI incidence for repair of neck of femur and reduction of long bone fracture, reaching 1% in each category in 2013/14.

The latest in the series of Reducing HCAIs conferences was recently hosted by Govtoday, at London’s Mermaid Theatre, tackling key issues in infection prevention and control. LOUISE FRAMPTON reports.

Doctors who are the subject of complaints procedures or investigation by the General Medical Council experience high rates of serious depression and anxiety as well as suicidal thoughts, according to a new study. Four out of five doctors also reported changing the way they treat their patients as a result of either complaints against themselves, or observing a colleague go through a complaints process.

Patients report experiencing defensiveness and poor communication when raising concerns, while the complaints system is often said to be confusing and lacking in transparency. A blueprint has now been published which aims to help Trusts understand exactly what ‘good complaints handling’ looks like, from a patient’s perspective, and to drive improvement.

The College of Emergency Medicine recently launched its ‘STEP’ campaign aimed at tackling the pressures being faced in A&E, while NICE has also issued guidance to address concerns over safe staffing levels. As emergency departments struggle to meet Government targets, the King’s Fund has argued that this is part of a much wider problem experienced across the whole of the health service.

KATE WOODHEAD RGN DMS provides an update on the latest code of practice on the prevention and control of infections and related guidance.

From Narrow Band Imaging, to 3D visualisation for endoscopic surgery, technology innovation is helping surgeons to pioneer new surgical and diagnosistic approaches.

Several key healthcare topics were discussed at a recent Policy Forum for London, which focused on improving health, public health and social care outcomes in London. Integration of services was a key theme running through the event. SUZANNE CALLANDER reports.

Environmental cleaning plays a vital role in helping to reduce the transmission of healthcare-associated (HCAIs) infections. The Clinical Services Journal looks at one solution that is helping infection prevention and control (IPC) teams to monitor whether cleaning is being performed effectively.

ROISIN MOLLOY offers an insight into the latest advances in thermometry technology, and discusses its role in enabling hospitals to accurately measure vital signs, while ensuring effective infection control, patient comfort and supporting future goals of ‘Connected Health’.

The latest research and audit data show that progress is being achieved in terms of bowel cancer surgery and survival, but significant challenges remain in ensuring early diagnosis, prevention of emergency admissions, and variation across the UK.

JOTHI DORAISWAMY and ISAAC BABARINSA describe the use of intra-operative suprapubic ultrasound scanning in congenital or acquired abnormalities of the womb, persistent bleeding after previous uterine evacuation and unexpected deviation from normal.