Thursday, November 25, 2010


In this update:


·         social media
·         change management
·         role of boards
·         staff engagement
·         joined up services
·         Qld payroll review
·         coding workforce
·         hospital car parking
·         Aus health survey
·         perinatal trends
·         Canadian healthcare
·         health integration
·         integrated care
·         nurse staffing
·         hospital impact of H1N1

·         waste medicines
·         radiology
·         dental fluorosis
·         family nutrition
·         GLBTI carers
·         mental health carers
·         national drug strategy
·         prison syringe programs
·         drug using offenders
·         youth drinking
·         ADHD
·         child injuries
·         literacy partnerships
·         health & disability
·         disability reforms

·         disability equipment
·         deaths in care
·         downsizing juvenile justice
·         girls in juvenile justice
·         mental health & juvenile justice
·         infanticide
·         sexual assault victims
·         community housing
·         UK social housing reform
·         housing support impact
·         housing need
·         mixed communities
·         housing inequality
·         youth & housing
·         flood damage














Social media: what's the risk? discusses the impact that social media has had on government policy, as well as how to manage the associated risk and leverage the benefits of social media.
VMIA (Nov 2010)

Organisational Change Management: A rapid literature review  managers will need to consider what strategies, in terms of communication, training, reinforcement etc, are appropriate for the different stages, rather than decide on a single approach that can be applied throughout the process, and at the same time remain flexible and reactive to changes as they happen.
UK Education (Nov 2010)

The role of boards examines the operation of boards in Scotland's public sector...Following a decade of growth, public sector budgets will be reduced significantly over the next few years which will have a major impact on the finances of public bodies. Boards will need to demonstrate strong leadership and make difficult decisions about their funding priorities.
Scotland Audit (Sep 2010)

Insight into Staff engagement  reveals links between staff engagement and financial efficiency
UK Health (Nov 2010)

Local Delivery of Joined-up Services for Older People  Partners working together may include: local authorities; other public sector and statutory organisations (e.g. fire and rescue services); voluntary and community organisations (including charities and social enterprises); and older people themselves...addresses why and how local areas have joined-up these services, discussing how barriers can be overcome and provides examples of good practice to be shared across the local authority community.
UK DWP (Nov 2010)

Review of Queensland Health's Payroll and Rostering Solutions An eighteen month program of work has been recommended to re-configure the payroll and rostering systems
Qld Health (Nov 2010)

The coding workforce shortfall The implementation of Activities Based Funding and other aspects of the National Partnership Agreement (NPA) will require a larger and more productive coding workforce as coded data provides the source of many of the performance reporting and measurement targets.
AIHW (Nov 2010)

Hospital car parking: the impact of access costs In the UK parking charges are an important source of income for hospitals (typically around 0.25% of income) and the opportunity cost of dropping charges is a reduction in resources available for patient care. However, the stress caused by hospital parking is largely avoidable. Hospitals should be encouraged to make the parking experience as unstressful as possible for patients and visitors by, for example, providing clear and easily accessible information on parking charges and policy, sources of financial support and the availability of permits or season tickets for regular users.
UK CHE (Nov 2010)

The Menzies-Nous Australian Health Survey 2010 The survey asked questions on the following subjects: Satisfaction with the health system- Support for health reform- Access to health care services- Confidence in services- Affordability of health care...Australians have a very positive view of their own health and are generally satisfied with their interactions with the health system (with the exception of public hospitals)
 Menzies Centre (Nov 2010)

Australia's mothers and babies 2008  the ‘baby boom’ peak appears to have passed; the rate of women aged 15–44 years giving birth in the population decreased slightly between 2007 and 2008.
AIHW (Nov 2010)

Critical Condition: A Historian’s Prognosis on Canada’s Aging Healthcare System At the beginning of the twenty-first century, most Canadians would endorse the view that healthcare is also too important to be left in the hands of politicians, bureaucrats, and economists...The overall erosion of confidence in the system and its managers is unfortunate. The lesson appears to be that decisions shaping the excellence of the healthcare system should be made primarily by experts in providing healthcare, and only secondarily by governments.
Can Uni Toronto (Nov 2010)

Clinical and service integration: the route to improved outcomes Care planning, case management ; Patient-centred medical homes ;personal budgets;  electronic health records and electronic messaging ; Telehealth and telecare
UK Kings Fund (Nov 2010)

Progress report: evaluation of the national integrated care pilots It will come as no surprise to many that better integration is not easy and there can be a number of challenges - from the development of organisational form and infrastructure to cultural difference. However, the benefits can be more rewarding from both a patient and service perspective, and there is an appetite among frontline staff to explore integrated working.
UK Health (Nov 2010)

Calculating Outcomes Potentially Sensitive to Nursing: A Literature Review There is a link between nurse staffing, in terms of hours and skill mix, and certain patient outcomes....costing of OPSNs is possible, and is generally done through the use of a hospital accounting system.
NZ Health (Nov 2010)

The Impact of the H1N1 Pandemic on Canadian Hospitals H1N1 cost hospitals close to $200 million, and $128 million was spent over the five busiest weeks of the pandemic.
CIHI (Nov 2010)


Evaluation of the Scale, Causes and Costs of Waste Medicines , finds that in England in 2009 NHS primary and community care prescription medicines waste (valued in terms of the purchase prices of medicines discarded, rather than taken by the patients for whom they were prescribed) cost £300 million.  news release
UK York Health Economics (Nov 2010)

Interventional radiology: guidance for service delivery a summary of the evidence base for how comprehensive IR services can contribute to improved outcomes, safety and experience for patients who present with relevant emergency and planned care conditions.
UK Health (Nov 2010)

Prevalence and Severity of Dental Fluorosis in the United States, 1999-2004 By the 1980s, studies in selected U.S. communities reported an increase in dental fluorosis (4,5), paralleling the expansion of water fluoridation and the increased availability of other sources of ingested fluoride, such as fluoride toothpaste (if swallowed) and fluoride supplements ...Twenty-three percent of persons aged 6-49 had dental fluorosis in 1999-2004
US CDC (Nov 2010)

American Dietetic Association Foundation's 2010 Family Nutrition and Physical Activity Survey Reveals Positive Changes and Opportunities...Since 2003, there has been a significant increase in daily family meals eaten at home, from 52 percent in 2003 to 73 percent in 2010.
ADA (Nov 2010)

Supporting Direct Care Workers in Caring for Aging Lesbian, Gay, Bisexual, Transgender Individuals Long-term and home care are characterized by gaps in care, barriers to continuity of care, provider unresponsiveness, and multiple missed opportunities in preventing health care complications.
US Direct Care Alliance (Sep 2010)

 Mental Health Carers Report 2010 provides the first quantifiable measure of the issues and concerns of Australian mental health carers and the people they care for...the first in what will become an annually repeated study intended to monitor changes in mental health carers’ experiences.
MHCA (Nov 2010)

Draft National Drug Strategy 2010-2015 seeking feedback from stakeholders and the broader community  Friday 10 December 2010.
NDS (Nov 2010)

ANEX (Oct 2010)

Legally coerced treatment for drug using offenders: ethical and policy issues summarises the case for legally coerced drug treatment, describes the different approaches that have been used to implement it, discusses the ethical issues raised by different types of legally coerced drug treatment, and summarises the evidence on the effectiveness of community-based drug treatment with and without legal coercion.
NSW Bocsar (Nov 2010)

From Ideal to Reality: Cultural contradictions and young people’s drinking. for many young people, alcohol was highly valued as a resource used to achieve social inclusion and to confer pleasure, as elusive and as transient as the latter often proved to be.
Drinkwise Aust (Nov 2010)

Increasing Prevalence of Parent-Reported Attention-Deficit/Hyperactivity Disorder Among Children --- United States demonstrate a substantial increase in the percentage of children ever diagnosed with ADHD (according to parent report), with nearly one in 10 children aged 4--17 years diagnosed with ADHD by 2007., also: Road Trauma in Teenage Male Youth with Childhood Disruptive Behavior Disorders
US CDC (Nov 2010)

Strategies to prevent unintentional injuries among under 15s Children from disadvantaged backgrounds, such those in low income families and those living in social or privately rented housing, are most at-risk of an unintentional injury. Yet, the vast majority of cases in the home can be prevented by carrying out home safety assessments and through the provision of home safety equipment.
UK NICE (Nov 2010)

Blind date: an exploration of potential partnerships between literacy teachers and community service workers (free registration required) Partnerships between literacy teachers and community service workers have the potential to engage people with low literacy levels in learning.
NCVER (Nov 2010)

Health of Australians with disability: health status and risk factors Despite the overall improvement in population health, the gap between Australians with disability and those without disability remains large...About 42% of people aged 16–64 years with severe or profound disability had seriously thought about committing suicide, including 18% who had attempted suicide
AIHW (Nov 2010)

The Year in Disability - 2010 Disability and carer reforms are continuing to be implemented by the Australian Government, with several new measures announced during 2010.
FaHCSIA (Nov 2010)


Community Alliance PADP Issues Paper on the national core equipment list The Alliance strongly supports the provision of equipment tailored to meet the needs of the person with a disability in order to maximise their independence and participation in the community. The Alliance believes that the development of a national core equipment list may compromise the provision of individualised responses and create further unintended problems if not carefully managed.
NSW PCDN (Nov 2010)

Inquests and young people in care: the involvement of the Advocates Office In the last fifteen years (1995 to present), there were twenty six Inquests into the deaths of young people in Canada who were connected to the care systems, including child welfare, youth justice, and children’s mental health
Can Ontario (Oct 2010)

A New Era In California Juvenile Justice:  Downsizing The State Youth Corrections System illustrates how the reduction of incarcerated youth can save lives and cost less money than expensive and failed state facilities.
US BCCJ (Aug  2010)

Gender Responsiveness and Equity in California’s Juvenile Justice System how the juvenile justice system can best respond to the
unique needs of girls.
US BCCJ (Aug  2010)

Mental Health Issues in California’s Juvenile Justice System By making the case for universal mental health definitions, screening and assessment, outcomes-based programs, and collaboration, this policy brief offers research-based recommendations on how juvenile justice and other systems of care can better meet the needs of youth with mental health issues.
US BCCJ (May  2010)

The social factors responsible for maternal infanticide it has been shown in humans that stress is a major risk factor for postpartum depression and for child neglect and abuse
Sci Am (Nov 2010)

Supporting victims through the legal process: The role of sexual assault service providers At present, most crime victims decline to get involved in the legal system, apparently preferring to suffer the injustice rather than compromise their family or community ties, their privacy, their safety, or their mental health
ACSSA (Nov 2010)

NSW FHA (Nov 2010)

Local decisions: a fairer future for social housing sets out the UK Government's plans for radical reform to the social housing system. It includes changes on tenure; the management of waiting lists; and the homelessness duty. It also covers the introduction of a new 'affordable rent' tenancy and changes to the system of council housing finance. media release
UK Communities (Nov 2010)

Independent Review of the Supporting People Programme in Wales: Final Report Supporting People provides housing related support to around 50,000 vulnerable people a year to help them live as independently as possible in the community, whether in their own homes, hostels, sheltered housing or other specialised supported housing...the programme saves the taxpayer millions of pounds in other areas such as health, social care and policing. media release
Welsh Gov (Nov 2010)

Estimating housing need There is no single official measure of housing need. This research assesses and forecasts housing need in England, in terms of a range of housing outcomes including overcrowding, homelessness and unsuitable accommodation.
UK Communities (Nov 2010

Mixed Communities: Evidence review considers whether a mixed communities approach is an effective means to renew disadvantaged neighbourhoods....There should be continued support for ‘traditional’ urban and neighbourhood renewal, which might include a modest mixing element. On the precautionary principle, and on the grounds that the costs of preventing non-mix are lower than those of altering it, mix should be encouraged in new developments, and through any schemes to support developers and registered social landlords during the housing market downturn.more: Evaluation of the Mixed Communities Initiative:
UK Communities (Nov 2010

Housing Wealth Inequality a seminar which looked at understanding the different forms of wealth inequality and its effects on social mobility and chances more Measuring changes in housing wealth inequality
UK Communities (Nov 2010)

A young people’s charter on housing and Young people and housing: the need for a new policy agenda reflects on current policy about young people and housing and considers the need to revise policies so they reflect the risks and obstacles specific to young people in the housing market
UK Joseph Rowntree (Nov 2010)


Guidance and standards for drying flood damaged buildings. a review of the issues associated with the drying of buildings following a major flood, and whether new guidance would improve the perceived problem of delays in householders re-occupying their homes.
UK Communities (Nov 2010)


Thursday, November 18, 2010

In this update:

  • OECD survey
  • privacy
  • information governance
  • UK social care agenda
  • easy read publications
  • staff engagement
  • work & wellbeing
  • work family balance
  • health leadership
  • quality feedback
  • future health workforce
  • apprenticeships
  • support workforce
  • advanced nursing
  • nursing quality framework
  • frontline nursing
  • elective surgery in elderly
  • UK cancer reform
  • physical activity
  • weight loss surgery
  • diabetes
  • opioid dependence
  • pesticides
  • food standards
  • young Australians
  • early years workforce
  • NSW disability services
  • transition to work
  • child abuse incidence
  • serious case reviews
  • maternal mental illness
  • family stress
  • foster care
  • domestic violence homicides
  • domestic violence & migrants
  • rape
  • juvenile justice
  • asset poverty & housing
  • community forums & housing
  • local council housing construction
  • community spaces













Economic Survey of Australia 2010 Given the multiple and inter-related characteristics of social exclusion  - homelessness, health/disability problems, insufficient education and training, poor social networks  - a comprehensive approach to service delivery is needed
OECD (Nov 2010)

Privacy in the Workplace guidance to Victorian public sector organisations about human resource and employee monitoring practices... media release
Vic Privacy Comm (Nov 2010)

A question of balance: independent assurance of information governance returns an internal audit assurance framework for IGT self-assessments....As public awareness of information assurance increases; tolerance of poor performance, mishandling, data losses and breaches of confidentiality decreases..
UK Health (Nov 2010)

A vision for adult social care: Capable communities and active citizens sets a new agenda for adult social care in England. ...to make services more personalised, more preventative and more focused on delivering the best outcomes for those who use them. Also: Transparency in outcomes: a framework for adult social care places outcomes at the heart of social care, improves quality in services, and empowers citizens to hold their councils to account for the services they provide.
UK Health (Nov 2010)

Making written information easier to understand for people with learning disabilities  At present, public sector organisations produce Easy Read publications in a variety of styles. It can be difficult for people with learning disabilities and their supporters to switch from one style to another. So instead of improving access, organisations are inadvertently creating barriers.
UK Health (Nov 2010)

Staff engagement in the NHS: some local experience  Effective staff engagement can help deliver change even in difficult conditions.
UK NHS (Nov 2010)

Health, work and well-being in the NHS  outlines the important role of staff health and well-being in delivering quality, innovation, productivity and prevention ...examines the business case for improving staff health and well-being
UK NHS (Nov 2010)

Developing an Australian evidence-base for policies and interventions on work hours, fatigue and work-family strain Fatigue is commonplace in the general working population; 30.4 per cent of employees frequently feel fatigued (extremely tired or completely exhausted)...Nearly one quarter of workers on non-standard schedules are concerned about the impact of their fatigue on safety at work also: Long time, no see: The impact of time poverty on Australian workers  Countdown to National Go Home On Time Day on November 24
SA Hawke Institute (Nov 2010)

Beth Israel Deaconess Case Study How the merger of two Boston hospitals with different cultures and management styles almost ended in financial collapse...How leadership and a focus on quality rescued it.."The underlying problem with many medical professionals is that they are willing to accept that a certain amount of harm is a statistical eventuality... The management task is to work with those people and demonstrate that a proportion of harm is preventable"
UK Health Foundation (Nov 2010)

Using audit and feedback to health professionals to improve the quality and safety of health care  no strong recommendations can be given regarding the best way to introduce audit and feedback into routine practice. However, decisions about if, and how, this approach can. also How to create conditions for adapting physicians’ skills to new needs and lifelong learning
WHO Europe (Oct  2010)

Assessing future health workforce needs Assessing future HW needs is not only about projecting the numbers. Policy-makers need also to address the issues of recruiting, educating, distributing, retaining, motivating and managing the HW, which implies improving the knowledge about the expectations and behaviours of health workers...
WHO Europe (Oct  2010)

Making apprenticeships an important and sustainable part of the health sector workforce Whilst there is limited quantitative evidence in relation to the economic benefits of an apprentice in the health sector, there is some evidence of the potential savings that health sector employers can make by employing apprentices....the NHS employs around half a million people in both clinical and nonclinical roles that could use apprenticeships as a method of entry or progression.
UK Health (Nov 2010)

The support workforce: developing your patient-facing staff for the future explains why employers need to assess the shape of their
workforce and invest in the development of their support workers to ensure both flexibility and sustainability in workforce supply...Role substitution and reviewing the skill mix of teams may deliver savings but may not necessarily be the best options for patients.
UK NHS (Nov 2010)

Advanced level nursing: a position statement is intended to be used as a benchmark to enhance patient safety and the delivery of high quality care by supporting local governance, assisting in good employment practices and encouraging consistency in use of titles. This position statement has been developed for nursing but it may have relevance to midwifery, health visiting and allied health professions.
UK Health (Nov 2010)

Energise for Excellence in Care (E4E)  a quality framework for nurses, midwives and health visitors which aims to support the delivery of safe and effective care, creating positive patient and staff experiences that build-in momentum and sustainability.
UK Health (Nov 2010)

Frontline First: interim report The UK Royal College of Nursing surveyed their members about proposed cuts impacting on care, the waste in the system and the innovations that improve services and save money.
UK RCN (Nov 2010)

Elective & Emergency Surgery in the Elderly: An Age Old Problem highlights the process of care of elderly patients who died within 30 days of emergency or elective surgery. The report takes a critical look at areas where the care of patients might have been improved, from lack of input from Medicine for the Care of Older People to the level of pain relief provided. Remediable factors have also been identified in the clinical and the organisational care of these patients
UK NCEPOD (Nov 2010)

Delivering the Cancer Reform Strategy  a lack of high quality information on costs of cancer services and their outcomes inhibits substantial further improvements.
UK National Audit (Nov 2010)

Global Recommendations on Physical activity for Health The recommendations set out in this document address three age groups: 5–17 years old; 18–64 years old; and 65 years old and above
WHO (Nov 2010)

Weight loss surgery in Australia The number of hospitalisations for weight loss surgery has increased dramatically over the past decade, rising from about 500 in 1998 to 17,000 in 2007-08
AIHW (Nov 2010)

Diabetes in adults Briefing Paper addresses the care of adults with diabetes and consists of 15 statements, each with associated quality measures outlining what best practice would look like, including nutritional advice
UK NICE (Nov 2010)

National Opioid Substitution Treatment Providers Training Programme to provide a national standard for effective and responsive service delivery and to ensure that the skills and attitudes used by the workforce are enhanced to meet the specific needs of clients receiving opioid substitution treatment. also: Clinical Guidelines for the Use of Buprenorphine (with or without Nalaxone) in the Treatment of Opioid Dependence
NZ health (Nov 2010)

A guide to the use of pesticides in Western Australia Providing information on legislation, policies and best practice
WA Health (Nov 2010)

Food Standards Australia New Zealand Audit Food regulation is an important public function for the primary purpose of avoiding foodborne illnesses, and the associated costs for individuals and the community. These costs include medical costs, lost productivity, business disruptions resulting from food recalls, decreased sales and possible legal costs. A Department of Health and Ageing (DoHA) report in March 2006 estimated that the total annual cost, in 2004 prices, of food–borne illnesses was $1.2 billion.
Aus Audit (Nov 2010)

National Survey of Young Australians 2010 Nationally, body image, family conflict and coping with stress were the top three issues for respondents, with over a quarter identifying each as being a major concern.
Mission Australia (Nov 2010)

Early Childhood Development Workforce Issues paper...High reported staff vacancy rates suggest that staff retention may also be an issue for child health and family support services, although the effect that staff turnover in these services may have on child health outcomes is not clear.
Productivity Commission (Nov 2010)

Services provided or funded by the NSW Department of Ageing, Disability and Home Care The extent of unmet need for disability services was required to be examined, including whether there were regional or other variations in the capacity and quality of disability services.
NSW Parliament Committee (Nov 2010)

From Protection to Productivity: An Evaluation of the Transition to Work Program 2009 a two year program which achieves employment for young people with a disability. The purpose of the program is to provide young people with disability with the skills development, vocational preparation, and support they need to transition from year twelve to sustainable employment.
NSW DADHC (Nov 2010)
Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2008) Neglect (34%) and exposure to domestic violence (34%) were the main reasons for investigations across Canada, for a total of 68% of cases
Can CCWRP (Nov 2010)

Serious case review system piloted in North West England SCIE has been leading the development of a ‘systems approach’ for use in case reviews and serious case reviews (SCRs) of multi-agency safeguarding and child protection work. This builds on safety management developments in the fields of engineering and, subsequently, health....Having a multi-agency ‘review team’ working together from the beginning creates a common endeavour, greater challenge and confidence to find new ways of working and effective solutions Actively involving frontline workers and team managers throughout the process is a vital aspect of the model
UK SCIE (Nov 2010)

Keeping the infant in mind in the presence of maternal mental illness Postnatal mental illness affects a significant number of women, with numerous studies indicating that postnatal depression alone affects around 10-15% of women
COPMI (Oct 2010)

American Psychological Association Stress in America Parents underestimate the impact their stress has on the family as a whole, which could have far deeper health implications then they realize.
US APA (Nov 2010)

Find and Connect Service Scoping StudyThe proposed Find and Connect Service recognises the legacy owed to Forgotten Australians, former child migrants, members of the Stolen Generations and other care leavers denied the experience of childhood with their own family and often not provided with the standard of care to which they were entitled. The service is initially targeted to adults accommodated as children in state, agency-based and informal care during the 20th century, recognising that this population of care leavers is ageing, with urgent needs around searching and connecting... It envisages integration with state-funded ARCs and tracing services, rather than duplication
FAHCSIA (Nov 2010)

Thinking about homicide risk: A practice framework for counselling Knowing how and when to assess for homicide risk is an essential skill for all counsellors who may work with women experiencing domestic violence, particularly those at non-specialist services.
ADFVC (Nov 2010)

Implementing legal empowerment strategies to prevent DV in new & emerging communities Newly arrived communities in Australia encounter a range of common legal problems in the first five years after arrival, including family and domestic violence.
ADFVC (Nov 2010)

Providing Anonymity to Those Accused of Rape: An assessment of evidence brings together findings from previous reviews and primary research studies as well as statistics to present a summary of evidence relevant to the issue of whether or not to provide anonymity to those accused of rape.
UK Justice (Nov 2010)

Children and Young People in Custody 2009-10 how young people aged 15 to 18 describe their own experience of imprisonment ...The number of young people in custody, held in young offender institutions, fell during 2009-10 from 2,126 to 1,724. This may mean the treatment directed to the young people can be more effectively targeted, but also that imprisonment is now increasingly focused on the most troubled, and troublesome, young people. more: Treatment of young people in custody has deteriorated
UK Justice (Nov 2010)

Asset-poverty and older Australians' transitions onto housing assistance programs  Recent demographic changes, together with insecure employment circumstances in deregulated labour markets, innovations in housing finance and housing market volatility mean that wealth and debt positions are increasingly important in shaping the pathways into housing assistance programs. There are growing fears that those most exposed to these risks will enrol in housing assistance programs, because they can threaten home ownership status and cause asset poverty.
AHURI (Nov 2010)

Neighbourhood, community and housing in Bradford How community-based forums can be used to promote shared understanding between new migrants and settled groups
UK Joseph Rowntree (Nov 2010)

A Study into the Capacity of Registered Social Landlords and Local Authorities to Build Housing Across Scotland The recent revival of local authority housebuilding has seen approaching 1,000 new council homes completed since 2006.... This initiative has attracted attention not least because it involves public subsidy (or 'grant rate') much lower than that typically applicable to housebuilding by housing associations (or Registered Social Landlords - or RSLs).
Scotland (Nov 2010)

Community-led spaces: a guide for local authorities and community groups  the issues involved in transferring ownership and management of public space from local authorities to community groups.
UK CABE (Nov 2010)