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Clinical Effectiveness Bulletin no. 59 December 2011

Apr 06, 2018

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  • 8/3/2019 Clinical Effectiveness Bulletin no. 59 December 2011

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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    ?

    Hfdedhof Iggihpdwieixx Byffipdegar EMX ^rdlort Hori de Earpm

    Xpoggar`xmdriDxxyi Ea: 94 @ihilbir 2>??

    Obayp pmdx Byffipde:

    Dp odlx pa `ro{ oppiepdae pa xali ag pmi cit `ahyliepx oe` riwdi{x ae hfdedhof iggihpdwieixxpmop mowi biie ~ybfdxmi` de pmi ~riwdayx laepm%

    [miri ~axxdbfi& fdecx pa pmi gyff pi}p `ahyliepx ori dehfy`i`% Dg pmi orpdhfi dx de o jayreof& tayhoe haepohp pmi Miofpm Fdbrort gar o ha~t%Fdec pa riqyixp garl:mpp~:!!{{{%ciifi%oh%yc!miofpmfdbrort!yxdekpmimiofpmfdbrort!depir,fdbrortfaoex!(`%ie%2;08;S^fioxi eapi , o hmorki ag 2 ~ir riqyixp dx ~otobfi gar laxp ha~dix\

    Dg tay eii` gyrpmir oxxdxpoehi& ~fioxi haepohp pmi Miofpm Fdbrort ar pmi EMX AypriohmFdbrordoex& `ipodfx bifa{%

    Pmi byffipde hoe bi i,lodfi` pa haffiokyix {ma lot ofxa gde` dp yxigyf%

    O fdxp ag {ibxdpix hmihci` de pmi ~ra`yhpdae ag pmdx byffipde dx ae pmi gdrxp ~oki% ^fioxi xykkixpgyrpmir yxigyf xdpix%

    Gii`bohc dx of{otx {ifhali` pa degarl gypyri dxxyix ag pmi byffipde%

    Haepohp degarlopdae

    Byffipde ~ra`yhi` bt EMX Aypriohm FdbrordoexPif: GiopyriEip =024 -I}pireof hoffx >8>> ?28 ?989 i}p =024$

    I,lodf: fde`xot%xeiffNearpmxpoggx%emx%yc

    hforim%~a{iffNearpmxpoggx%emx%yc

    Earpm Xpoggx Miofpm Fdbrort

    Pif: >?;=2 7;49>>Go}: >?;=2 7;49=2

    I,lodf:miofpm%fdbrortNciifi%oh%yc

    http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437mailto:[email protected]:[email protected]:[email protected]:[email protected]://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437http://www.keele.ac.uk/healthlibrary/usingthehealthlibrary/inter-libraryloans/#d.en.27437
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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    2

    Xayrhix gar Hfdedhof Iggihpdwieixx Byffipde

    ^fioxi xykkixp gyrpmir xdpix pmop xmayf` bi laedpari` de pmi ~ra`yhpdae ag pmdx byffipde

    [ibxdpix

    Hahmroei Fdbrort mpp~:!!{{{%pmihahmroeifdbrort%hal!HR@ Hiepri gar Riwdi{x oe` @dxxildeopdae mpp~:!!{{{%hr`%tarc%oh%yc!hr`{ib!

    , @ORI -@opoboxi ag Obxprohpx ag Riwdi{x ag Iggihpx$, EMX Ihaealdh Iwofyopdae @opoboxi

    Miofpm Pihmeafakt Oxxixxliep -MPO$ @opoboximpp~:!!{{{%mpo%oh%yc@odft Miofpm Byffipdempp~:!!{{{%xmiggdif`%emx%yc!miofpmbyffipde!@i~orpliep ag Miofpmmpp~:!!{{{%`m%kaw%yc!ie!de`i}%mplCdekx Gye`mpp~:!!{{{%cdekxgye`%ark%yc!EiFL -Eopdaeof Ifihpraedh Fdbrort gar Li`dhdeix$ ei{x byffipdempp~:!!{{{%eifl%emx%yc!ie!EDHImpp~:!!{{{%edhi%ark%yc!XDKEmpp~:!!{{{%xdke%oh%yc!ei{%mplf

    http://www.thecochranelibrary.com/http://www.thecochranelibrary.com/http://www.hta.ac.uk/http://www.hta.ac.uk/http://www.hta.ac.uk/http://www.sheffield.nhs.uk/healthbulletin/http://www.sheffield.nhs.uk/healthbulletin/http://www.sheffield.nhs.uk/healthbulletin/http://www.dh.gov.uk/en/index.htmhttp://www.dh.gov.uk/en/index.htmhttp://www.dh.gov.uk/en/index.htmhttp://www.kingsfund.org.uk/http://www.kingsfund.org.uk/http://www.kingsfund.org.uk/http://www.nelm.nhs.uk/en/http://www.nelm.nhs.uk/en/http://www.nelm.nhs.uk/en/http://www.nice.org.uk/http://www.nice.org.uk/http://www.sign.ac.uk/new.htmlhttp://www.sign.ac.uk/new.htmlhttp://www.sign.ac.uk/new.htmlhttp://www.sign.ac.uk/new.htmlhttp://www.nice.org.uk/http://www.nelm.nhs.uk/en/http://www.kingsfund.org.uk/http://www.dh.gov.uk/en/index.htmhttp://www.sheffield.nhs.uk/healthbulletin/http://www.hta.ac.uk/http://www.thecochranelibrary.com/
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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    8

    Haepiepx de pmdx dxxyi:

    Hoehir %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 0Hor`dawoxhyfor @dxioxi %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 9Hmdf`rie oe` Tayek ia~fi %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 7

    Halldxxdaedek %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 7HA^@ %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% =@iliepdo %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% =@dobipix %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 4Kieirof rohpdhi %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 4Kyd`oehi %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?>Miofpm Rigarlx %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ??Miofpm Wdxdparx %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?8MDW %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?8Degihpdaex %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?8Lopireof oe` Degoep Miofpm %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?8Liepof Miofpm %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?0Eiyrafakdhof Hae`dpdaex %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?9Eyrxdek oe` Ld`{dgirt %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?9Eyprdpdae %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?9Aggie`ir Miofpm %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?7Af`ir ia~fi %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?7^offdopdwi oe` Ie` ag Fdgi Hori %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?7^opdiep Hori oe` Xogipt %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?7^morloht oe` ^rixhrdbdek %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?;^ybfdh Miofpm %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?=Xogikyor dek Hmdf`rie oe` Wyfeirobfi O`yfpx %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% ?4Xirwdhi Loeokiliep %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 2>Xi}yof oe` Ri~ra`yhpdwi Miofpm %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 22[arcgarhi %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 22

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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    0

    Hoehir

    [ixp Ld`foe`x Hoehir O{orieixx ^ragdfix[ixp Ld`foe`x Hoehir Depiffdkiehi YedpLaypm Hoehir:

    mpp~:!!{{{%{lhdy%emx%yc!`ahyliepx!LaypmQhoehirQo{orieixxQ~ragdfiQ2>??Q9trQraffdek%~`g ^oehriopdh Hoehir:mpp~:!!{{{%{lhdy%emx%yc!`ahyliepx!^oehriopdhQhoehirQo{orieixxQ~ragdfiQ2>??Q9trQraffdek%~`g

    Pmi Grohpdae ag Hoehir Opprdbypobfi pa Fdgixptfi oe` Iewdraeliepof Gohparx de pmi YC de2>?>^orcde& @L ip of%Pmdx xy~~filiep haepodex orpdhfix ae ?0 `dggiriep fdgixptfi oe` iewdraeliepof hoyxix aghoehir& dehfy`dek awir{idkmp oe` abixdpt& ahhy~opdaeof i}~axyri& deohpdwdpt& oe` `dip%Brdpdxm Jayreof ag Hoehir -2>??$ ?>9& Xy~~filiep d% `ad:?>%?>8=!bjh%2>??%9>=

    Rifopi` degarlopdae dehfy`dek o``dpdaeof `dokrolx:mpp~:!!dega%hoehirrixiorhmyc%ark!ei{x!orhmdwi!~rixxrifioxi!2>??,??,>;,hdkorippix,`dip,ofhamaf,oe`,abixdpt,bimde`,lari,pmoe,?>>>>>,hoehirx

    Dl~rawdek ohhixx1 Ri~arp ae pmi dl~filiepopdae ag pmi Hoehir @rykx Gye` oe` pmi`iwifa~liep ag o wofyi,boxi` ~rdhdek xtxpilLohldffoe Hoehir Xy~~arpPmi ri~arp gde`x pmop pmi Hoehir @rykx Gye` mox mif~i` lari pmoe ;&9>> ~opdiepx ohhixx`rykx pmop ori eap owodfobfi ae pmi EMX& oe` dx dl~rawdek ye`irxpoe`dek ag `rykx gar rorirhoehirx% Dp ofxa rodxix haehirex obayp rikdaeof wordopdaex de ohhixx pa pmi Gye`& oe`haepdeyi` ohhixx pa pmixi `rykx {mie gye`dek xpa~x de 2>?0%

    mpp~:!!{{{%lohldffoe%ark%yc!@ahyliepx!KipDewafwi`!Hol~odkex!Hol~odkex!Hoehir@rykGye`!Dl~rawdekOhhixx%~`g

    Dl~rawdek Ayphalix: O Xpropikt gar Hoehir , Gdrxp Oeeyof Ri~arp 2>??@i~orpliep ag Miofpmmpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaex^afdhtOe`Kyd`oehi!@MQ?8?74>

    Oe depiffdkiehi groli{arc gar hoehir@i~orpliep ag MiofpmPmdx `ahyliep xipx ayp ~foex oe` ox~dropdaex pa pohcfi `igdhdiehdix de hoehir depiffdkiehi%

    mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaex^afdhtOe`Kyd`oehi!@MQ?8?747

    Fyek hoehir de pmi [ixp Ld`foe`x[ixp Ld`foe`x Hoehir Depiffdkiehi YedpPmdx ri~arp faacx op dehd`iehi oe` larpofdpt& xyrwdwof& xpoki op `dokeaxdx& rigirrof ~oppirex&priopliep& oe` xyrkdhof hoxifao`%mpp~:!!{{{%{lhdy%emx%yc!`ahyliepx!FyekQhoehirQGdeof%~`g

    http://www.wmciu.nhs.uk/documents/Mouth_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://www.wmciu.nhs.uk/documents/Mouth_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://www.wmciu.nhs.uk/documents/Pancreatic_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://www.wmciu.nhs.uk/documents/Pancreatic_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://www.wmciu.nhs.uk/documents/Pancreatic_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://info.cancerresearchuk.org/groups/cr_common/@nre/@new/@pre/documents/generalcontent/cr_080626.pdfhttp://info.cancerresearchuk.org/groups/cr_common/@nre/@new/@pre/documents/generalcontent/cr_080626.pdfhttp://info.cancerresearchuk.org/news/archive/pressrelease/2011-11-07-cigarettes-diet-alcohol-and-obesity-behind-more-than-100000-cancershttp://info.cancerresearchuk.org/news/archive/pressrelease/2011-11-07-cigarettes-diet-alcohol-and-obesity-behind-more-than-100000-cancershttp://info.cancerresearchuk.org/news/archive/pressrelease/2011-11-07-cigarettes-diet-alcohol-and-obesity-behind-more-than-100000-cancershttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/CancerDrugFund/ImprovingAccess.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/CancerDrugFund/ImprovingAccess.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/CancerDrugFund/ImprovingAccess.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131690http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131690http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131690http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131696http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131696http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131696http://www.wmciu.nhs.uk/documents/Lung_cancer_Final.pdfhttp://www.wmciu.nhs.uk/documents/Lung_cancer_Final.pdfhttp://www.wmciu.nhs.uk/documents/Lung_cancer_Final.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131696http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131696http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131690http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131690http://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/CancerDrugFund/ImprovingAccess.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/CancerDrugFund/ImprovingAccess.pdfhttp://info.cancerresearchuk.org/news/archive/pressrelease/2011-11-07-cigarettes-diet-alcohol-and-obesity-behind-more-than-100000-cancershttp://info.cancerresearchuk.org/news/archive/pressrelease/2011-11-07-cigarettes-diet-alcohol-and-obesity-behind-more-than-100000-cancershttp://info.cancerresearchuk.org/groups/cr_common/@nre/@new/@pre/documents/generalcontent/cr_080626.pdfhttp://www.wmciu.nhs.uk/documents/Pancreatic_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://www.wmciu.nhs.uk/documents/Pancreatic_cancer_awareness_profile_2011_5yr_rolling.pdfhttp://www.wmciu.nhs.uk/documents/Mouth_cancer_awareness_profile_2011_5yr_rolling.pdf
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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    9

    Loeyof gar Hoehir Xirwdhix haexyfpopdaex@i~orpliep ag MiofpmX~ihdofdxp ~offdopdwi hori lioxyrixPmdx dx eap o ~ybfdh haexyfpopdae oe` dx odli` op depirixpi` xpocimaf`irx aeft%Hfaxdek `opi gar halliepx: 2; Gibryort 2>?2mpp~:!!{{{%`m%kaw%yc!ie!Haexyfpopdaex!Fdwihaexyfpopdaex!@MQ?8?990

    Riwdxi` wirxdae ag pmi Hoehir ag Yecea{e ^rdlort LioxyrixHfaxdek `opi gar halliepx: ?0 Lorhm 2>?2mpp~:!!{{{%`m%kaw%yc!ie!Haexyfpopdaex!Fdwihaexyfpopdaex!@MQ?8?4=4

    Eopdaeof Fyek Hoehir Oy`dp Ri~arp 2>??EMX Degarlopdae HiepriLioxyrix ag pmi xpoe`or`x ag hori ori forkift xdldfor pa pmaxi xiie foxp tior& oe` {mdfxp xpdffbifa{ pmaxi de apmir [ixpire Iyra~ioe hayeprdix& pmi ko~ dx eorra{dek% Pmiri rilodexwordopdae ohraxx pryxpx oe` eip{arcx%mpp~:!!{{{%dh%emx%yc!hoehiroy`dpx!fyek

    Pohcfdek Hoehir Deiqyofdpdix: aei tior aeOff ^orpt ^orfdolieport Kray~ ae HoehirPmdx ri~arp faacx op ~rakrixx xdehi pmi O^^KHx ri~arp de 2>>4& oe` locixrihallie`opdaex gar gyrpmir dl~rawiliep%mpp~:!!{{{%lohldffoe%ark%yc!KipDewafwi`!O^^K!Ri~arpxOe`Iwiepx!Pohcfdekhoehirdeiqyofdpdixaeitiorae%ox~}

    [arc Ho~obdfdpt Oxxixxliep: ohhayepdek gar pmi iggihpx ag hoehir priopliep degarlofhaexyfpopdae@i~orpliep gar [arc oe` ^iexdaexPmdx haexyfpopdae xiicx pa kopmir iwd`iehi oe` wdi{x obayp ~ra~axi` dl~rawiliepx pa pmi

    {ot pmi [arc Ho~obdfdpt Oxxixxliep oxxixxix de`dwd`yofx {ma ori xyggirdek gral hoehir%Hfaxdek `opi: 4 Lorhm 2>?2mpp~:!!{{{%`{~%kaw%yc!haexyfpopdaex!2>??!{ho,oxxixxliep%xmplf

    Dpilx de pmi Halldxxdaedek xihpdae lot ofxa bi ag depirixp%

    Sbohc pa pa~dhx\

    Hor`dawoxhyfor @dxioxi

    Hmafixpiraf oe` o miofpmdir eopdae: xmori` rix~aexdbdfdpt gar bippir ~ybfdh miofpmMiorp YC

    Pmdx ri~arp gahyxix ae dl~filiepopdae ag EMX Miofpm Hmihcx& oe` locix =rihallie`opdaex gar dehrioxdek eylbirx ag hmihcx oe` dl~rawdek hor`dawoxhyfor miofpm%mpp~:!!{{{%miorpyc%ark%yc!~rixxraal!de`i}%~m~1!ei{x!ri~arpQriwiofxQ~ophmtQ~rakrixxQaeQmiofpmQhmihcx!

    http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131554http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131554http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131989http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131989http://www.ic.nhs.uk/canceraudits/lunghttp://www.ic.nhs.uk/canceraudits/lunghttp://www.macmillan.org.uk/GetInvolved/APPG/ReportsAndEvents/Tacklingcancerinequalitiesoneyearon.aspxhttp://www.macmillan.org.uk/GetInvolved/APPG/ReportsAndEvents/Tacklingcancerinequalitiesoneyearon.aspxhttp://www.macmillan.org.uk/GetInvolved/APPG/ReportsAndEvents/Tacklingcancerinequalitiesoneyearon.aspxhttp://www.dwp.gov.uk/consultations/2011/wca-assessment.shtmlhttp://www.dwp.gov.uk/consultations/2011/wca-assessment.shtmlhttp://www.heartuk.org.uk/pressroom/index.php?/news/report_reveals_patchy_progress_on_health_checks/http://www.heartuk.org.uk/pressroom/index.php?/news/report_reveals_patchy_progress_on_health_checks/http://www.heartuk.org.uk/pressroom/index.php?/news/report_reveals_patchy_progress_on_health_checks/http://www.heartuk.org.uk/pressroom/index.php?/news/report_reveals_patchy_progress_on_health_checks/http://www.heartuk.org.uk/pressroom/index.php?/news/report_reveals_patchy_progress_on_health_checks/http://www.dwp.gov.uk/consultations/2011/wca-assessment.shtmlhttp://www.macmillan.org.uk/GetInvolved/APPG/ReportsAndEvents/Tacklingcancerinequalitiesoneyearon.aspxhttp://www.macmillan.org.uk/GetInvolved/APPG/ReportsAndEvents/Tacklingcancerinequalitiesoneyearon.aspxhttp://www.ic.nhs.uk/canceraudits/lunghttp://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131989http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131554
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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    7

    Xifg,laedpardek ag arof oepdhaokyfopdae: xtxpilopdh riwdi{ oe` lipo,oeoftxdx agde`dwd`yof ~opdiep `opoMieikmoe& H ip of%Pmi oypmarx haehfy`i` pmop xifg,laedpardek oe` xifg,loeokiliep ag arof haokyfopdae dx o xogia~pdae gar xydpobfi ~opdiepx ag off okix% ^opdiepx xmayf` ofxa bi aggiri` pmi a~pdae pa xifg,loeoki pmidr `dxioxi {dpm xydpobfi miofpm,hori xy~~arp ox bohc,y~%

    Pmi Foehip& Iorft Aefdei ^ybfdhopdae& ? @ihilbir 2>??% `ad:?>%?>?7!X>?0>,7;87-??$7?240,0

    Sbohc pa pa~dhx\

    Hmdf`rie oe` Tayek ^ia~fi

    Hmdf`rie+x Miofpm Degarlopdae Loppirx: Rixiorhmdek pmi ~rohpdhi ag oe` riqydriliepxgar oki o~~ra~rdopi miofpm degarlopdae gar hmdf`rie oe` tayek ~ia~fi -DL^$Xirwdhi @ifdwirt oe` Arkoedxopdae ^rakrolliPmdx xpy`t odlx pa ~rawd`i o gyff ~dhpyri ag pmi degarlopdae eii`x oe` ~rigiriehix ag hmdf`rie

    oe` tayek ~ia~fi ye`ir ?= {dpm x~ihdgdh miofpmhori eii`x oe` hae`dpdaex& oe` pmidr goldfdix%mpp~:!!{{{%x`a%edmr%oh%yc!~raj`ipodfx%~m~1rig=,?;?=,?09

    Eopdaeof Hmdf` Lioxyriliep ^rakrolli: Iekfoe`& 2>?>!?? xhmaaf tiorEMX Degarlopdae HiepriPmi ri~arp ~rawd`ix mdkm,fiwif oeoftxdx ag pmi ~riwofiehi ag ye`ir{idkmp+& miofpmt {idkmp+&awir{idkmp+& abixi+ oe` +awir{idkmp oe` abixi halbdei`+ hmdf`rie& de Rihi~pdae -oki` 09tiorx$ oe` Tior 7 -oki` ?>?? tiorx$& lioxyri` de xpopi xhmaafx%mpp~:!!{{{%dh%emx%yc!ehl~

    Aggdhdof xpopdxpdhx: Hmdf`rie+x hieprix dex~ihpdaex oe` ayphalix

    Agxpi`@opo gar Hieprix dex~ihpi` gral Jyft pa Xi~pilbir 2>?? dx ea{ owodfobfi& dehfy`dek `opo garpmaxi hieprix de Xpaci oe` Earpm Xpoggar`xmdri dex~ihpi` de pmdx pdli ~irda`%mpp~:!!{{{%agxpi`%kaw%yc!rixayrhix!aggdhdof,xpopdxpdhx,hmdf`rie)I2)=>)44x,hieprix,dex~ihpdaex,oe`,ayphalix

    Sbohc pa pa~dhx\

    Halldxxdaedek

    Iggihpdwi Hoehir Halldxxdaedek de pmi Ei{ EMX

    Off ^orpt ^orfdolieport Kray~ ae HoehirPmdx ri~arp dx o rix~aexi pa haehirex pmop pmi hmoekix pa halldxxdaedek xpryhpyrix hayf`dl~ohp y~ae pmi Kawireliepx olbdpdaex pa dl~rawi hoehirayphalix%mpp~:!!{{{%lohldffoe%ark%yc!@ahyliepx!KipDewafwi`!Hol~odkex!Hol~odkex!O^^K!BrdpodeOkodexpHoehir2>??!IggihpdwiHoehirHalldxxdaedekdepmiEi{EMX%~`g

    Kaa` kawireoehi gar hfdedhof halldxxdaedek kray~x: Oe depra`yhpart kyd`iCdekx Gye`Pmdx kyd`i odlx pa mif~ HHKx poci pmidr gdrxp xpi~x pa{or`x oypmardxopdae%mpp~:!!{{{%cdekxgye`%ark%yc!~ybfdhopdaex!orpdhfix!eo~hQhhkQkawireoehi%mplf

    http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61294-4/abstracthttp://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61294-4/abstracthttp://www.sdo.nihr.ac.uk/projdetails.php?ref=08-1718-145http://www.sdo.nihr.ac.uk/projdetails.php?ref=08-1718-145http://www.ic.nhs.uk/ncmphttp://www.ic.nhs.uk/ncmphttp://www.ofsted.gov.uk/resources/official-statistics-children%E2%80%99s-centres-inspections-and-outcomeshttp://www.ofsted.gov.uk/resources/official-statistics-children%E2%80%99s-centres-inspections-and-outcomeshttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/APPG/BritainAgainstCancer2011/EffectiveCancerCommissioningintheNewNHS.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/APPG/BritainAgainstCancer2011/EffectiveCancerCommissioningintheNewNHS.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/APPG/BritainAgainstCancer2011/EffectiveCancerCommissioningintheNewNHS.pdfhttp://www.kingsfund.org.uk/publications/articles/napc_ccg_governance.htmlhttp://www.kingsfund.org.uk/publications/articles/napc_ccg_governance.htmlhttp://www.kingsfund.org.uk/publications/articles/napc_ccg_governance.htmlhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/APPG/BritainAgainstCancer2011/EffectiveCancerCommissioningintheNewNHS.pdfhttp://www.macmillan.org.uk/Documents/GetInvolved/Campaigns/Campaigns/APPG/BritainAgainstCancer2011/EffectiveCancerCommissioningintheNewNHS.pdfhttp://www.ofsted.gov.uk/resources/official-statistics-children%E2%80%99s-centres-inspections-and-outcomeshttp://www.ofsted.gov.uk/resources/official-statistics-children%E2%80%99s-centres-inspections-and-outcomeshttp://www.ic.nhs.uk/ncmphttp://www.sdo.nihr.ac.uk/projdetails.php?ref=08-1718-145http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61294-4/abstracthttp://www.thelancet.com/journals/lancet/article/PIIS0140-6736(11)61294-4/abstract
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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

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    http://www.jrf.org.uk/publications/involving-older-people-more-power-to-their-elbowhttp://www.jrf.org.uk/publications/involving-older-people-more-power-to-their-elbowhttp://www.nuffieldtrust.org.uk/publications/person-based-resource-allocation-new-approaches-estimating-commissioning-budgets-gp-prahttp://www.nuffieldtrust.org.uk/publications/person-based-resource-allocation-new-approaches-estimating-commissioning-budgets-gp-prahttp://www.nuffieldtrust.org.uk/publications/person-based-resource-allocation-new-approaches-estimating-commissioning-budgets-gp-prahttp://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/Programmebudgeting/DH_075743#_1http://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/Programmebudgeting/DH_075743#_1http://www.dh.gov.uk/health/2011/12/bpt-update/http://www.dh.gov.uk/health/2011/12/bpt-update/http://www.dh.gov.uk/health/2011/12/bpt-update/http://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/Programmebudgeting/DH_075743#_1http://www.dh.gov.uk/en/Managingyourorganisation/Financeandplanning/Programmebudgeting/DH_075743#_1http://www.nuffieldtrust.org.uk/publications/person-based-resource-allocation-new-approaches-estimating-commissioning-budgets-gp-prahttp://www.nuffieldtrust.org.uk/publications/person-based-resource-allocation-new-approaches-estimating-commissioning-budgets-gp-prahttp://www.jrf.org.uk/publications/involving-older-people-more-power-to-their-elbow
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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

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    http://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEnd_of_life%2fEnd%20of%20Life%20-%20Final.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEnd_of_life%2fEnd%20of%20Life%20-%20Final.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEnd_of_life%2fEnd%20of%20Life%20-%20Final.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://www.mhpc.com/blog/common-and-complex-commissioning-effective-dementia-services-new-worldhttp://www.mhpc.com/blog/common-and-complex-commissioning-effective-dementia-services-new-worldhttp://www.mhpc.com/blog/common-and-complex-commissioning-effective-dementia-services-new-worldhttp://www.rcpsych.ac.uk/press/pressreleases2011/nationalauditofdementia.aspxhttp://www.rcpsych.ac.uk/press/pressreleases2011/nationalauditofdementia.aspxhttp://www.mhpc.com/blog/common-and-complex-commissioning-effective-dementia-services-new-worldhttp://www.mhpc.com/blog/common-and-complex-commissioning-effective-dementia-services-new-worldhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEarlier_diagnosis%2fEarly%20Diagnosis%20Case%20for%20Change.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEnd_of_life%2fEnd%20of%20Life%20-%20Final.pdfhttp://system.improvement.nhs.uk/ImprovementSystem/ViewDocument.aspx?path=Lung%2fNational%2fwebsite%2fEnd_of_life%2fEnd%20of%20Life%20-%20Final.pdf
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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    4

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    La`iffdek De`dwd`yof ^opdiep Max~dpof I}~ie`dpyri gar Kieirof ^rohpdhi By`kipxHiepri gar Miofpm Ihaealdhx% Yedwirxdpt ag TarcPmdx ~o~ir la`ifx de`dwd`yof i}~ie`dpyri yxdek `dokeaxpdh degarlopdae gral ~riwdayx max~dpofx~iffx& ~fyx o forki xip ag opprdbypi` wordobfix lioxyrdek ~a~yfopdae& kieirof ~rohpdhi& oe`fahof max~dpof hmorohpirdxpdhx% Dp `ixhrdbix o ~rahi`yri gar xippdek by`kipx gar kieirof~rohpdhix {mdhm ri`yhix pmi ~rabfil ag pmi fokx de pmi owodfobfi `opo% Dp ofxa i}oldeix pmi`dxpdehpdae bip{iie eii` oe` eaeeii` wordobfix oe` pmi dehiepdwi dl~fdhopdaex ag offa{dek~oxp eylbirx ag max~dpof iehayepirx pa `ipirldei ~rohpdhi by`kipx%mpp~:!!{{{%tarc%oh%yc!li`do!hmi!`ahyliepx!~o~irx!rixiorhm~o~irx!HMIR^;8QLa`iffdekQDe`dwd`yofQ^opdiepQMax~dpofQI}~ie`dpyriQgarQK^QBy`kipx%~`g

    http://www.diabetes.nhs.uk/news_and_events/new_publication_recognition_treatment_and_prevention_of_hypoglycaemia_in_the_community/http://www.diabetes.nhs.uk/news_and_events/new_publication_recognition_treatment_and_prevention_of_hypoglycaemia_in_the_community/http://www.diabetes.nhs.uk/news_and_events/new_publication_recognition_treatment_and_prevention_of_hypoglycaemia_in_the_community/http://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/200910%20annual%20report%20documents/NHS_Diabetes_Audit_Mortality_Report_2011_Final.pdfhttp://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/200910%20annual%20report%20documents/NHS_Diabetes_Audit_Mortality_Report_2011_Final.pdfhttp://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/200910%20annual%20report%20documents/NHS_Diabetes_Audit_Mortality_Report_2011_Final.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_130920http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_130920http://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP73_Modelling_Individual_Patient_Hospital_Expenditure_for_GP_Budgets.pdfhttp://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP73_Modelling_Individual_Patient_Hospital_Expenditure_for_GP_Budgets.pdfhttp://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP73_Modelling_Individual_Patient_Hospital_Expenditure_for_GP_Budgets.pdfhttp://www.york.ac.uk/media/che/documents/papers/researchpapers/CHERP73_Modelling_Individual_Patient_Hospital_Expenditure_for_GP_Budgets.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_130920http://www.dh.gov.uk/en/Publicationsandstatistics/Lettersandcirculars/Dearcolleagueletters/DH_130920http://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/200910%20annual%20report%20documents/NHS_Diabetes_Audit_Mortality_Report_2011_Final.pdfhttp://www.ic.nhs.uk/webfiles/Services/NCASP/Diabetes/200910%20annual%20report%20documents/NHS_Diabetes_Audit_Mortality_Report_2011_Final.pdfhttp://www.diabetes.nhs.uk/news_and_events/new_publication_recognition_treatment_and_prevention_of_hypoglycaemia_in_the_community/http://www.diabetes.nhs.uk/news_and_events/new_publication_recognition_treatment_and_prevention_of_hypoglycaemia_in_the_community/
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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

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    http://www.apho.org.uk/resource/view.aspx?RID=96724http://www.apho.org.uk/resource/view.aspx?RID=96724http://guidance.nice.org.uk/CG134http://guidance.nice.org.uk/CG134http://guidance.nice.org.uk/CG135http://guidance.nice.org.uk/CG135http://guidance.nice.org.uk/CG136http://guidance.nice.org.uk/CG136http://guidance.nice.org.uk/TA238http://guidance.nice.org.uk/TA238http://guidance.nice.org.uk/TA239http://guidance.nice.org.uk/TA239http://guidance.nice.org.uk/DG2http://guidance.nice.org.uk/DG2http://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mental-health/index.jsphttp://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mental-health/index.jsphttp://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mental-health/index.jsphttp://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mental-health/index.jsphttp://www.nice.org.uk/guidance/qualitystandards/service-user-experience-in-adult-mental-health/index.jsphttp://guidance.nice.org.uk/DG2http://guidance.nice.org.uk/TA239http://guidance.nice.org.uk/TA238http://guidance.nice.org.uk/CG136http://guidance.nice.org.uk/CG135http://guidance.nice.org.uk/CG134http://www.apho.org.uk/resource/view.aspx?RID=96724
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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    ??

    EDHI Haexyfpopdae @ahyliepxOhypi y~~ir KD bfii`dekPa halliep& haepohp pmi rikdxpiri` xpocimaf`ir arkoedxopdae pmop laxp hfaxift ri~rixiepxtayr depirixpx%Hfaxdek `opi gar halliepx: ?0 Gibryort 2>?2mpp~:!!{{{%edhi%ark%yc!kyd`oehi!de`i}%jx~1ohpdae?2mpp~:!!{{{%edhi%ark%yc!kyd`oehi!de`i}%jx~1ohpdae

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    ?2

    Jadedek y~ miofpm oe` xahdof hori: Dl~rawdek wofyi gar laeit ohraxx pmi depirgohiOy`dp HalldxxdaePmdx ri~arp xotx pmop depikropi` {arcdek ohraxx miofpm oe` xahdof hori aggirx a~~arpyedpdix gariggdhdiehdix oe` dl~rawiliepx pa xirwdhix& oe` o fohc ag depikropi` {arcdek lioex pmop~ia~fi ori fixx fdcift pa rihidwi pmi bixp hori% Dp aggirx kyd`oehi& oe` dehfy`ix hoxi xpy`dixoe` o biehmlorcdek paaf gar fahof EMX oe` xahdof hori ~orpeirxmd~x%

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    ~o~ir i}oldeix pmi la`if de fdkmp ag pmi hyrriep hmoffiekix gohdek pmi EMX de Iekfoe`%mpp~:!!{{{%emxhaegi`%ark!^ybfdhopdaex!ri~arpx!^okix!depikropi`,miofpmhori%ox~}

    Xpocimaf`ir iekokiliep ae pmi fdhiehiLaedparDg pmi Miofpm oe` Xahdof Hori Bdff bihalix fo{& Laedpar {dff bi riqydri` pa dxxyi fdhiehix pa off~rawd`irx ag EMX gye`i` xirwdhix ox ~orp ag dpx rikyfopart gyehpdae% Laedpar mox ~ybfdxmi` xd}`ahyliepx {mdhm loci y~ pmi gdrxp proehmi ag fdhiehi hae`dpdaex ae {mdhm pmit ori iekokdek%Hfaxdek `opi gar halliepx: 28 Joeyort 2>?2mpp~:!!{{{%laedpar,emxgp%kaw%yc!mali!laedparx,ei{,rafi!fdhiexdek,~rawd`irx!xpocimaf`ir,iekokiliep,pmi,fdhiehi

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    Dpilx de pmi Halldxxdaedek oe` Xirwdhi Loeokiliep xihpdaex lot ofxa bi ag depirixp%

    Sbohc pa pa~dhx\

    http://www.audit-commission.gov.uk/nationalstudies/localgov/Pages/joininguphealthandsocialcare.aspxhttp://www.audit-commission.gov.uk/nationalstudies/localgov/Pages/joininguphealthandsocialcare.aspxhttp://www.audit-commission.gov.uk/nationalstudies/localgov/Pages/joininguphealthandsocialcare.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131702http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131702http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131702http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131702http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131702http://www.audit-commission.gov.uk/nationalstudies/localgov/Pages/joininguphealthandsocialcare.aspxhttp://www.audit-commission.gov.uk/nationalstudies/localgov/Pages/joininguphealthandsocialcare.aspx
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    Miofpm Wdxdparx

    O Hoff pa Ohpdae , Aei Tior Ae: Miofpm Wdxdpar Dl~filiepopdae ^rakrixx Ri~arp@i~orpliep ag Miofpmmpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaex^afdhtOe`Kyd`oehi!@MQ?82>?7

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    Dpilx de pmi [arcgarhi xihpdae lot ofxa bi ag depirixp%

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    Ldkroep Miofpm: Degihpdayx `dxioxix de eae,YC bare ~a~yfopdaex de pmi YCMiofpm ^rapihpdae OkiehtPmi ri~arp haehfy`ix pmop pmi lojardpt ag faek,pirl ldkroepx pa pmi YC ori tayek ~ia~fi {dpm~foex pa xpy`t ar {arc& oe` pmit {dff mowi o xdldfor roeki ag miofpm haehirex pa YC bare~ia~fi de pmi xoli oki brohcip% O xloff ~ra~arpdae ag pmi eae,YC bare bior pmi kriopixpbyr`ie ag degihpdayx `dxioxi ri~arpi` de pmi YC%mpp~:!!{{{%m~o%ark%yc!^ybfdhopdaex!Degihpdayx@dxioxix!ProwifMiofpm!???2Ldkroepmiofpm!

    Pybirhyfaxdx de pmi YC: 2>?? ri~arpMiofpm ^rapihpdae OkiehtPmi oypmarx haehfy`i pmop rihiep ~apiepdof `ihfdei de pmi dehd`iehi ag pybirhyfaxdx& ogpireiorft p{a `iho`ix ag dehrioxdek ropix& dx iehayrokdek% Pmi ri~arp ofxa faacx op pybirhyfaxdxde x~ihdgdh ~a~yfopdae kray~x& oe` rihallie`x lioxyrix pa gyrpmir xpriekpmie PB haepraf%mpp~:!!{{{%m~o%ark%yc!^ybfdhopdaex!Degihpdayx@dxioxix!Pybirhyfaxdx!???2PybirhyfaxdxdepmiYC2>??ri~arp!

    Sbohc pa pa~dhx\

    Lopireof oe` Degoep Miofpm

    Larpofdpt Laedpardek Byffipde -Degoep larpofdpt& deiqyofdpdix$: y~`opi pa dehfy`i `opo gar2>?>@i~orpliep ag Miofpmmpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaexXpopdxpdhx!@MQ?8>4??

    http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132016http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132016http://www.hpa.org.uk/Publications/InfectiousDiseases/GastrointestinalOutbreaksAndIllnessReports/1112Gastrointestinalinfections2010/http://www.hpa.org.uk/Publications/InfectiousDiseases/GastrointestinalOutbreaksAndIllnessReports/1112Gastrointestinalinfections2010/http://www.hpa.org.uk/Publications/InfectiousDiseases/GastrointestinalOutbreaksAndIllnessReports/1112Gastrointestinalinfections2010/http://www.hpa.org.uk/Publications/InfectiousDiseases/TravelHealth/1112Migranthealth/http://www.hpa.org.uk/Publications/InfectiousDiseases/TravelHealth/1112Migranthealth/http://www.hpa.org.uk/Publications/InfectiousDiseases/Tuberculosis/1112TuberculosisintheUK2011report/http://www.hpa.org.uk/Publications/InfectiousDiseases/Tuberculosis/1112TuberculosisintheUK2011report/http://www.hpa.org.uk/Publications/InfectiousDiseases/Tuberculosis/1112TuberculosisintheUK2011report/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_130911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_130911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_130911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_130911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsStatistics/DH_130911http://www.hpa.org.uk/Publications/InfectiousDiseases/Tuberculosis/1112TuberculosisintheUK2011report/http://www.hpa.org.uk/Publications/InfectiousDiseases/Tuberculosis/1112TuberculosisintheUK2011report/http://www.hpa.org.uk/Publications/InfectiousDiseases/TravelHealth/1112Migranthealth/http://www.hpa.org.uk/Publications/InfectiousDiseases/GastrointestinalOutbreaksAndIllnessReports/1112Gastrointestinalinfections2010/http://www.hpa.org.uk/Publications/InfectiousDiseases/GastrointestinalOutbreaksAndIllnessReports/1112Gastrointestinalinfections2010/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132016http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_132016
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    ?0

    EMX Lopiredpt Xpopdxpdhx& Iekfoe`: 2>?>,??EMX Degarlopdae HiepriPmixi xpopdxpdhx dehfy`i `opo ae ~fohi ag `ifdwirt3 ~irxae hae`yhpdek `ifdwirt3 oeoixpmipdhx3lipma` ag aexip oe` lipma` ag `ifdwirt3 i~dxdapalt3 oepieopof!~axpeopof xpot3 hal~fdhopdaex3kixpopdae3 bdrpm {idkmp3 ldxhorrdoki oe` ihpa~dh ~rikeoehtmpp~:!!{{{%dh%emx%yc!~ybx!lopiredpt?>??

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    QHD^@Qxyrwit%~`g

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    @i~orpliep ag Miofpmmpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaex^afdhtOe`Kyd`oehi!@MQ?8?49=

    Laedpardek pmi Liepof Miofpm Ohp de 2>?>!??: Pmi Hori _yofdpt Halldxxdaex oeeyofri~arp ae pmi i}irhdxi ag dpx gyehpdaex de cii~dek ye`ir riwdi{ pmi a~iropdae ag pmiLiepof Miofpm Ohp ?4=8Hori _yofdpt HalldxxdaePmdx tiorx ri~arp mdkmfdkmpx fohc ag ~opdiep dewafwiliep de pmi hori ~foeedek ~rahixx3 ~opdiepx+ho~ohdpt pa haexiep bidek& de xali hoxix& oxxyli` paa rio`dft bt `ahparx3 oe` pmop fikof~a{irx owodfobfi pa ~rawd`irx ori {d`ift ldxye`irxpaa`& iwie olaek liepof miofpm

    ~ragixxdaeofx%mpp~:!!{{{%hqh%ark%yc!~ybfdh!ei{x!ayr,xihae`,liepof,miofpm,ohp,oeeyof,ri~arp,2>?>!??

    Ei{ xirwdhi la`ifx de liepof miofpm: ilirkdek fixxaexEMX Haegi`iropdaePmdx ri~arp faacx op pmi iwd`iehi ae locdek bixp yxi ag ei{ x~ihdofdxp xirwdhix& fdci hrdxdxrixafypdae piolx3 ma{ lyhm hori dx ea{ ~rawd`i` bt ofpireopdwix pa max~dpof oe` pmi ~apiepdofgar xowdekx& oe` ma{ xirwdhix ori iekokdek yxirx%mpp~:!!{{{%emxhaegi`%ark!^ybfdhopdaex!`dkixpx!^okix!Rixiorhm,@dkixp,dxxyi,2%ox~}

    http://www.ic.nhs.uk/pubs/maternity1011http://www.ic.nhs.uk/pubs/maternity1011http://www.nhsconfed.org/Publications/briefings/Pages/outcomes-based-approach.aspxhttp://www.nhsconfed.org/Publications/briefings/Pages/outcomes-based-approach.aspxhttp://www.mind.org.uk/assets/0001/6315/5681_EmpOutlook_Mental_Health_Focus_-_CIPD_survey.pdfhttp://www.mind.org.uk/assets/0001/6315/5681_EmpOutlook_Mental_Health_Focus_-_CIPD_survey.pdfhttp://www.mind.org.uk/assets/0001/6315/5681_EmpOutlook_Mental_Health_Focus_-_CIPD_survey.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131958http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131958http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131958http://www.cqc.org.uk/public/news/our-second-mental-health-act-annual-report-2010/11http://www.cqc.org.uk/public/news/our-second-mental-health-act-annual-report-2010/11http://www.nhsconfed.org/Publications/digests/Pages/Research-Digest-issue-2.aspxhttp://www.nhsconfed.org/Publications/digests/Pages/Research-Digest-issue-2.aspxhttp://www.nhsconfed.org/Publications/digests/Pages/Research-Digest-issue-2.aspxhttp://www.cqc.org.uk/public/news/our-second-mental-health-act-annual-report-2010/11http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131958http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131958http://www.mind.org.uk/assets/0001/6315/5681_EmpOutlook_Mental_Health_Focus_-_CIPD_survey.pdfhttp://www.mind.org.uk/assets/0001/6315/5681_EmpOutlook_Mental_Health_Focus_-_CIPD_survey.pdfhttp://www.nhsconfed.org/Publications/briefings/Pages/outcomes-based-approach.aspxhttp://www.ic.nhs.uk/pubs/maternity1011
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    ?9

    ^riwiepdek xydhd`i pmraykm hallyedpt oe` ilirkieht miofpmhoriEMX Haegi`iropdaePmdx brdigdek depra`yhix pmi Eopdaeof ^opdiep Xogipt Okieht+x ei{ xydhd`i ~riwiepdae paafcdpxgar hallyedpt& ilirkieht oe` kieirof ~rohpdhi xpogg%mpp~:!!{{{%emxhaegi`%ark!^ybfdhopdaex!brdigdekx!^okix!^riwiepdek,xydhd`i%ox~}

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    Dpilx de pmi Xi}yof oe` Ri~ra`yhpdwi Miofpm oe` [arcgarhi xihpdaex lot ofxa bi ag depirixp%

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    Eiyrafakdhof Hae`dpdaex

    Xirwdhix gar ~ia~fi {dpm eiyrafakdhof hae`dpdaexEopdaeof Oy`dp AggdhiPmdx oy`dp haehfy`ix pmop xdehi pmi Eopdaeof Xirwdhi Groli{arc gar Faek,pirl Hae`dpdaex {oxdepra`yhi` de 2>>9& ~ia~fi {dpm eiyrafakdhof hae`dpdaex mowi mo` bippir ohhixx pa miofpmxirwdhix3 byp cit de`dhoparx ag qyofdpt mowi {arxiei`% Dp ofxa haehfy`ix pmi @i~orpliep `aixeap cea{ {mop pmi Groli{arc oe` o``dpdaeof x~ie`dek ag eiorft 0> ~ir hiep mowi ohmdiwi`%mpp~:!!{{{%eoa%ark%yc!~ybfdhopdaex!?>?2!eiyrafakdhofQhae`dpdaex%ox~}

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    Eyrxdek oe` Ld`{dgirt

    Kieipdhx!Kiealdhx de Eyrxdek oe` Ld`{dgirt@i~orpliep ag MiofpmPmdx ri~arp mox biie ~ra`yhi` pa oxxdxp pmi Eyrxdek ' Ld`{dgirt ^ragixxdaeof O`wdxart Baor`de d`iepdgtdek dxxyix oe` ~apiepdof xafypdaex haehiredek pmi gypyri ag kieipdhx!kiealdhx gar pmieyrxdek oe` ld`{dgirt ~ragixxdaeof {arcgarhi%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaex^afdhtOe`Kyd`oehi!@MQ?8?407

    Sbohc pa pa~dhx\

    Eyprdpdae

    Pmi Rix~dropart Miofpmhori ^ragixxdaeof+x Eyprdpdaeof HA^@ Kyd`ifdeiPmdx kyd`i odlx pa rodxi o{orieixx ag eyprdpdae {dpm rix~dropart miofpm ~ragixxdaeofx oe` pmidrHA^@ ~opdiepx% Dp ~rawd`ix o paaf pa od` gdrxp fdei eyprdpdaeof loeokiliep ag pmixi ~opdiepx%mpp~:!!{{{%dl~rawiliep%emx%yc!fyek!EopdaeofDl~rawiliep^rajihpx!LoeokdekHA^@!Eyprdpdae%ox~}

    http://www.nhsconfed.org/Publications/briefings/Pages/Preventing-suicide.aspxhttp://www.nhsconfed.org/Publications/briefings/Pages/Preventing-suicide.aspxhttp://www.scie.org.uk/publications/guides/guide30/index.asphttp://www.nao.org.uk/publications/1012/neurological_conditions.aspxhttp://www.nao.org.uk/publications/1012/neurological_conditions.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131946http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131946http://www.improvement.nhs.uk/lung/NationalImprovementProjects/ManagingCOPD/Nutrition.aspxhttp://www.improvement.nhs.uk/lung/NationalImprovementProjects/ManagingCOPD/Nutrition.aspxhttp://www.improvement.nhs.uk/lung/NationalImprovementProjects/ManagingCOPD/Nutrition.aspxhttp://www.improvement.nhs.uk/lung/NationalImprovementProjects/ManagingCOPD/Nutrition.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131946http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131946http://www.nao.org.uk/publications/1012/neurological_conditions.aspxhttp://www.scie.org.uk/publications/guides/guide30/index.asphttp://www.nhsconfed.org/Publications/briefings/Pages/Preventing-suicide.aspx
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    Aggie`ir Miofpm

    I}~ihpopdaex: Hrdpirdo gar oxxixxdek pmi priopliep ag ~rdxaeirx oe` hae`dpdaex de~rdxaexMir Lojixptx Dex~ihparopi ag ^rdxaex

    Pmdx `ahyliep xipx ayp pmi boxdx ae {mdhm pmi Dex~ihparopi {dff gyfgdf dpx xpopypart `ypt pari~arp pa pmi rifiwoep Xihriport ag Xpopi ae pmi priopliep ag ~rdxaeirx oe` hae`dpdaex de~rdxaex% Dp dehfy`ix xihpdaex ae miofpm oe` miofpm xirwdhix ~rawd`i` de ~rdxae%Pmi ri~arp oe` rifopi` `ahyliepx ori op:mpp~:!!{{{%jyxpdhi%kaw%yc!kyd`oehi!dex~ihpdae,oe`,laedpardek!mld,~rdxaex!dex~ihpdaex,kyd`oehi!dex~ihpdae,oe`,o~~rodxof,hrdpirdo%mpl

    Sbohc pa pa~dhx\

    Af`ir ^ia~fi

    Dpilx de pmi Halldxxdaedek xihpdae lot bi ag depirixp%

    ^offdopdwi oe` Ie` ag Fdgi Hori

    Ie` ag Fdgi Hori ^ragdfix: 2>?? Y~`opiEopdaeof Ie` ag Fdgi Hori Depiffdkiehi Eip{arcPmi Ie` ag Fdgi Hori ^ragdfix ~rixiep `opo ae ~fohi ag `iopm oe` hoyxi ag `iopm& bt oki oe`xi}& gar iohm Fahof Oypmardpt de Iekfoe` yxdek pmi DexpoepOpfox lo~~dek paaf% Pmi `opo hoe biwdi{i` de lo~& hmorp oe` pobfi garlop%mpp~:!!{{{%ie`agfdgihori,depiffdkiehi%ark%yc!~ragdfix%ox~}

    Dpilx de pmi Hoehir oe` HA^@ xihpdaex lot ofxa bi ag depirixp%

    ^opdiep Hori oe` Xogipt

    Brdpdxm Xahdof Oppdpy`ix 2=EopHie Xahdof RixiorhmHmo~pir 4 faacx op pmi EMX ohraxx Brdpode% Dp i}oldeix xopdxgohpdae {dpm pmi EMX oe` dpxhal~aeiep xirwdhix& oe` i}~ihpopdaex oe` ~irhi~pdaex obayp {odpdek pdlix%mpp~:!!dr2%gfdgi%`i!`opo!eophie,xahdof,rixiorhm!dkbQmplf!de`i}%~m~1birdhmpQd`>>>>?'de`i}

  • 8/3/2019 Clinical Effectiveness Bulletin no. 59 December 2011

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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    ?;

    ^rapihpdek oe` ~ralapdek ~opdiepx+ depirixpx: pmi rafi ag Xihpar Rikyfopdae@i~orpliep ag MiofpmPmdx `ahyliep xipx ayp pmi kawireliepx ropdaeofi gar xihpar rikyfopdae de pmi EMX& oe``ixhrdbix Laedparx ~ra~axi` rafi oe` gyehpdaex& oe` dpx rifopdaexmd~x {dpm pmi Hori _yofdptHalldxxdae oe` EMX Halldxxdaedek Baor`%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaex^afdhtOe`Kyd`oeh

    i!@MQ?8?7>4

    _ydhc kyd`i pa rodxdek o haehire obayp tayr {arc~fohiH_HPmdx kyd`i mox biie {rdppie gar miofpm oe` hori ~ragixxdaeofx pmop eii` pa rodxi o haehireobayp pmidr {arc~fohi% Dp kdwix mif~gyf o`wdhi ae x~iocdek ayp obayp ~aar hori oe` {mop~rapihpdae tay {dff mowi gral pmi fo{ dg tay `a%mpp~:!!{{{%hqh%ark%yc!~ybfdh!ei{x!qydhc,kyd`i,rodxdek,haehire,obayp,tayr,{arc~fohi

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    Sbohc pa pa~dhx\

    ^morloht oe` ^rixhrdbdek

    EMX Hallyedpt ^morloht Xirwdhix: o xyllort^morlohiypdhof Xirwdhix Eikapdopdek HalldppiiPmdx xyllort dx depie`i` gar ~ia~fi {ma ori eap goldfdor {dpm pmi {arc ag hallyedpt~morloht% Pmi `ahyliep lot& gar i}ol~fi& bi yxi` bt F^Hx oe` hallyedpt ~morlohdxpx pabrdig fahof oypmardpt xpogg oe` hayehdffarx ae ~morloht xirwdhix%mpp~:!!{{{%~xeh%ark%yc!ei{x%~m~!??49!y~`opi`Qh~hgQxyllortQ~ybfdxmi`

    Malihori Li`dhdeix: pa{or`x o Wdxdae gar pmi Gypyri@i~orpliep ag Miofpm Hallirhdof Li`dhdeix YedpPmi @i~orpliep ag Miofpm -@M$ mowi x~aexari` o ro~d` riwdi{ ag Malihori Li`dhdei Xy~~ftpa haexd`ir pmi hyrriep a~iropdaeof orroekiliepx oe` dpx gypyri gar pmi bixp wofyi gar ~opdiepx&pmi EMX oe` pmi ~rawd`ir lorcip%mpp~:!!hly%`m%kaw%yc!malihori,li`dhdeix,riwdi{,kray~!

    Li`dhdeix gar Hmdf`rieRatof ^morlohiypdhof XahdiptPmdx xdpi haepodex degarlopdae pa mif~ ~oriepx {mie pmit eii` pa kdwi li`dhdeix pa pmidrhmdf`rie op mali% Dp hyrriepft ~rawd`ix aefdei ar ~rdepi` fiogfipx ae awir ?>> cit li`dhdeix%mpp~:!!{{{%li`dhdeixgarhmdf`rie%ark%yc!

    ^rixhrdbdek bt K^ ^rohpdhiEMX Degarlopdae HiepriHawirdek off kieirof ~rohpdhix de Iekfoe`& pmi `opo dehfy`ix gdkyrix ae pmi eylbir ag~rixhrd~pdae dpilx pmop ori `dx~iexi` iohm laepm oe` degarlopdae rifopdek pa haxpx%mpp~:!!{{{%dh%emx%yc!xirwdhix!proex~orieht!~rixhrdbdek,bt,k~,~rohpdhi

    http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131609http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131609http://www.cqc.org.uk/public/news/quick-guide-raising-concern-about-your-workplacehttp://www.cqc.org.uk/public/news/quick-guide-raising-concern-about-your-workplacehttp://www.psnc.org.uk/news.php/1195/updated_cpcf_summary_publishedhttp://www.psnc.org.uk/news.php/1195/updated_cpcf_summary_publishedhttp://cmu.dh.gov.uk/homecare-medicines-review-group/http://cmu.dh.gov.uk/homecare-medicines-review-group/http://www.medicinesforchildren.org.uk/http://www.medicinesforchildren.org.uk/http://www.ic.nhs.uk/services/transparency/prescribing-by-gp-practicehttp://www.ic.nhs.uk/services/transparency/prescribing-by-gp-practicehttp://www.ic.nhs.uk/services/transparency/prescribing-by-gp-practicehttp://www.medicinesforchildren.org.uk/http://cmu.dh.gov.uk/homecare-medicines-review-group/http://www.psnc.org.uk/news.php/1195/updated_cpcf_summary_publishedhttp://www.cqc.org.uk/public/news/quick-guide-raising-concern-about-your-workplacehttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131609http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131609
  • 8/3/2019 Clinical Effectiveness Bulletin no. 59 December 2011

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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    ?=

    [mdhm ^rdhi dx Rdkmp1 Rikyfopdek pmi haxp ag ~morlohiypdhofx de Iyra~i oe` EarpmOlirdhoXpahcmafl Eip{arcPmdx ri~arp orkyix pmop Iyra~i hyrriepft gde`x dpxifg de o ~axdpdae {miri dp dx kippdek "lari garfixx" de rikor`x pa ~morlohiypdhofx& ofpmaykm de `adek xa dp rifdix ae lari lorcip,boxi`iewdraeliepx& xyhm ox pmi Yedpi` Xpopix& pa ~rakrixx pmi rixiorhm depa lyhm eii`i`

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    Sbohc pa pa~dhx\

    ^ybfdh Miofpm

    Miofpm ^ragdfix 2>?? Orio Hal~ordxae HmorpxEip{arc ag ^ybfdh Miofpm AbxirwopardixPmixi Ri`,Olbir,Kriie Hmorpx xma{ pmi `opo yxi` de pmi 2>?? fahof oypmardpt oe` hayeptmiofpm ~ragdfix oe` ~rixiep orio hal~ordxaex% Pmixi hmorpx ori boxi` ae pmi garlir Xpropikdh

    Miofpm Oypmardpt oriox%mpp~:!!{{{%o~ma%ark%yc!`igoyfp%ox~}1_E??

    Miofpm Xyrwit gar Iekfoe` 2>?>EMX Degarlopdae HiepriPmi lode gahyx ag pmi MXI de 2>?> {ox rix~dropart miofpm oe` fyek gyehpdae% O``dpdaeofla`yfix ag qyixpdaex {iri ofxa dehfy`i`& hawirdek haeprohi~pdae oe` xi}yof miofpm&{iffbidek& cd`eit `dxioxi oe` `iepof miofpm%mpp~:!!{{{%dh%emx%yc!~ybx!mxi?>ri~arpPrie` pobfix ori owodfobfi op mpp~:!!{{{%dh%emx%yc!xpopdxpdhx,oe`,`opo,haffihpdaex!miofpm,oe`,fdgixptfix,rifopi`,xyrwitx!miofpm,xyrwit,gar,iekfoe`!miofpm,xyrwit,gar,iekfoe`,,2>?>,prie`,

    pobfix

    EMX Opfox ag Wordopdae de Miofpmhori 2>??EMX Rdkmp HoriPmdx opfox aggirx hfdedhdoex oe` halldxxdaeirx o grixm a~~arpyedpt pa d`iepdgt wordopdae oe`poci ohpdae pa ri`yhi ye{orroepi` wordopdae& oe` mdkmfdkmpx Rdkmp Horix {arc pa xy~~arp pmaxi{oepdek pa ri`yhi ye{orroepi` wordopdae {dpmde pmidr fahofdpt ar bip{iie pmidr fahofdpt oe` apmiroriox ag pmi hayeprt%mpp~:!!{{{%rdkmphori%emx%yc!de`i}%~m~!opfox!opfox,ag,wordopdae,2>??!

    Ei{ ~ybfdh miofpm xtxpil

    @i~orpliep ag MiofpmPmdx xirdix ag gohpxmiipx kdwix lari `ipodf ae pmi `ixdke ag pmi ei{ ~ybfdh miofpm xtxpil&dehfy`dek pmi rafi oe` rix~aexdbdfdpdix ag fahof kawireliep de ~ybfdh miofpm& pmi a~iropdekla`if gar pmi ei{ i}ihypdwi okieht ^ybfdh Miofpm Iekfoe` oe` oe awirwdi{ ag ma{ pmi {mafixtxpil {dff {arc%mpp~:!!miofpmoe`hori%`m%kaw%yc!~ybfdh,miofpm,xtxpil!

    http://www.stockholm-network.org/downloads/publications/Which_Price_is_Right.pdfhttp://www.stockholm-network.org/downloads/publications/Which_Price_is_Right.pdfhttp://www.apho.org.uk/default.aspx?QN=HP_COMPARISON_RAGS_2011http://www.ic.nhs.uk/pubs/hse10reporthttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trend-tableshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trend-tableshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trend-tableshttp://www.rightcare.nhs.uk/index.php/atlas/atlas-of-variation-2011/http://www.rightcare.nhs.uk/index.php/atlas/atlas-of-variation-2011/http://healthandcare.dh.gov.uk/public-health-system/http://healthandcare.dh.gov.uk/public-health-system/http://healthandcare.dh.gov.uk/public-health-system/http://www.rightcare.nhs.uk/index.php/atlas/atlas-of-variation-2011/http://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trend-tableshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trend-tableshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles-related-surveys/health-survey-for-england/health-survey-for-england--2010-trend-tableshttp://www.ic.nhs.uk/pubs/hse10reporthttp://www.apho.org.uk/default.aspx?QN=HP_COMPARISON_RAGS_2011http://www.stockholm-network.org/downloads/publications/Which_Price_is_Right.pdf
  • 8/3/2019 Clinical Effectiveness Bulletin no. 59 December 2011

    19/23

    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    ?4

    Gdrxp laepmft y~`opi[ixp Ld`foe`x ^ybfdh Miofpm Proexdpdae Xpiirdek Kray~mpp~:!!{{{%{l~ma%ark%yc!fg~m!`ahx!ProexdpdaeQBrdigQ@ihQ??%~`g

    Dpilx de pmi Miofpm Rigarlx xihpdae lot ofxa bi ag depirixp%

    Sbohc pa pa~dhx\

    Xogikyor`dek Hmdf`rie oe` Wyfeirobfi O`yfpx

    Oxxixxliep: Gdeoehdof hrdli okodexp wyfeirobfi o`yfpxXahdof Hori Dexpdpypi gar I}hiffiehiPmdx ri~arp odli` pa haexd`ir pmi i}piep ag pmi ~rabfil ag gdeoehdof hrdli okodexp wyfeirobfio`yfpx& oe` pa loci xpropikdh rihallie`opdaex pa ri`yhi pmi pmriop% Dp ofxa faacx op pmi rafiag pmi ~ybfdh xihpar& pmi EMX oe` miofpmhori ~ragixxdaeofx de xogikyor`dek o`yfpx gralgdeoehdof hrdli%mpp~:!!{{{%xhdi%ark%yc!~ybfdhopdaex!ri~arpx!ri~arp04%ox~

    Baor` Oxxyroehi ^ral~p: xogikyor`dekKaa` Kawireoehi DexpdpypiPmdx ~ral~p dx o gdwi,xpi~ lopyrdpt loprdhix la`if pmop hmoffiekix arkoedxopdaex pa oxxixxpmidr o~~raohm pa ~rapihpdek wyfeirobfi o`yfpx de pmidr hori%mpp~:!!{{{%kaa`,kawireoehi%ark%yc!@a{efao`x!2>??)2>@ih)2>Xogikyor`dek)2>BO^%~`g

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    i!@MQ?8?4??

    Fahof Hmdf` Xogikyor`dek ^irgarloehi Degarlopdae@i~orpliep gar I`yhopdaePmi hmdf` xogikyor`dek ~irgarloehi degarlopdae& {mdhm pmi @i~orpliep rihallie`x fahoforiox haffihp& mox biie rigroli` ox o xip ag qyixpdaex% Fahof oriox xmayf` hmoffiekipmilxifwix pa oex{ir pmixi qyixpdaex de ar`ir pa ye`irxpoe` oe` dl~rawi pmi ~irgarloehi agpmidr hmdf` ~rapihpdae xirwdhi% Pmi rihallie`i` xip ag degarlopdae dx boxi` ae pmi LyeraRiwdi{%mpp~:!!{{{%i`yhopdae%kaw%yc!lyerariwdi{!HX^D%xmplf

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    Sbohc pa pa~dhx\

    http://www.wmpho.org.uk/lfph/docs/Transition_Brief_Dec_11.pdfhttp://www.wmpho.org.uk/lfph/docs/Transition_Brief_Dec_11.pdfhttp://www.scie.org.uk/publications/reports/report49.asphttp://www.scie.org.uk/publications/reports/report49.asphttp://www.good-governance.org.uk/Downloads/2011%20Dec%20Safeguarding%20BAP.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131911http://www.education.gov.uk/munroreview/CSPI.shtmlhttp://www.scie.org.uk/publications/reports/report50.asphttp://www.scie.org.uk/publications/reports/report50.asphttp://www.education.gov.uk/munroreview/CSPI.shtmlhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131911http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131911http://www.good-governance.org.uk/Downloads/2011%20Dec%20Safeguarding%20BAP.pdfhttp://www.scie.org.uk/publications/reports/report49.asphttp://www.wmpho.org.uk/lfph/docs/Transition_Brief_Dec_11.pdf
  • 8/3/2019 Clinical Effectiveness Bulletin no. 59 December 2011

    20/23

    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    2>

    Xirwdhi Loeokiliep

    Ohmdiwiliep ag gaye`opdae pryxp xpopyx bt EMX max~dpof pryxpxMayxi ag Hallaex ^ybfdh Ohhayepx HalldppiiPmdx ri~arp faacx op hmoffiekix gohdek max~dpofx {mdhm mowi eap tip oppodei` Gaye`opdae Pryxp

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    Pmi ipmdhx ag xyxpodeobfi miofpm oe` xahdof hori: Pa{or`x o groli{arc gar `ihdxdae,locdekXahdof Hori Dexpdpypi gar I}hiffiehiPmdx ri~arp i}oldeix pmi ipmdhof hmoffiekix ~apiepdofft ~axi` bt gohpardek iewdraeliepofayphalix depa `dggiriep fiwifx ag miofpm oe` xahdof hori `ihdxdae,locdek& dehfy`dek rixayrhioffahopdae oe` priopliepx%mpp~:!!{{{%xhdi%ark%yc!~ybfdhopdaex!ri~arpx!ri~arp9?%ox~

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    Pmi Depikropi` O~~raohm pa ^foeedek oe` Oxxyroehi bip{iie @M oe` pmi EMX gar2>?2!?8@i~orpliep ag MiofpmPmdx kyd`i xy~~arpx pmi ohhayepobdfdpt orroekiliepx pmop bt pmi ie` ag Lorhm 2>?2& off ^HPhfyxpirx xmayf` mowi oe depikropi` ~foe ox riqydri` de pmi EMX A~iropdek Groli{arc2>?2!?8%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaex^afdhtOe`Kyd`oehi!@MQ?8?4;0

    Cii~ dp xdl~fi1 ~ri`dhpdek ~rdlort miofpm hori haxpx {dpm lioxyrix ag larbd`dpt oe`lyfpdlarbd`dptHiepri gar Miofpm Ihaealdhx% Yedwirxdpt ag Tarc%Pmdx ~o~ir dewixpdkopix pmi rifopdaexmd~ bip{iie ~opdiepx ~rdlort hori haxpx -haexyfpopdaex&pixpx& `rykx$ oe` pmidr oki& kie`ir& `i~rdwopdae oe` ofpireopdwi lioxyrix ag pmidr larbd`dptoe` lyfpdlarbd`dpt%mpp~:!!{{{%tarc%oh%yc!hmi!ei{x!rixiorhm,~o~ir,;2!

    http://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/1566/156602.htmhttp://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/1566/156602.htmhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.scie.org.uk/publications/reports/report51.asphttp://www.scie.org.uk/publications/reports/report51.asphttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131299http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131299http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131299http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131974http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131974http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131974http://www.york.ac.uk/che/news/research-paper-72/http://www.york.ac.uk/che/news/research-paper-72/http://www.york.ac.uk/che/news/research-paper-72/http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131974http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131974http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131299http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131299http://www.scie.org.uk/publications/reports/report51.asphttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131547http://www.publications.parliament.uk/pa/cm201012/cmselect/cmpubacc/1566/156602.htm
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    EMX Fdbrort oe` Degarlopdae Xirwdhi Earpm Xpoggar`xmdri

    2?

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    i!@MQ?8?;>>

    EMX Xpoe`or` Haeprohpx gar 2>?2!?8@i~orpliep ag MiofpmPmi EMX Xpoe`or` Haeprohp xmayf` bi yxi` bt Halldxxdaeirx {mie halldxxdaedek& Ohypi&Liepof Miofpm oe` Fioredek @dxobdfdpt& Hallyedpt ar Olbyfoehi Xirwdhix%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaex^afdhtOe`Kyd`oehi!@MQ?8?4==

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    Pmdx brdigdek xipx ayp pmi cit ~adepx& oe` xali ag pmi x~ihdgdh ~adepx Haegi`iropdae lilbirxoxci` gar pmi Groli{arc pa dehfy`i%mpp~:!!{{{%emxhaegi`%ark!^ybfdhopdaex!brdigdekx!^okix!A~iropdek,Groli{arc,2>?2,?8%ox~}

    Fixxaex fiorei` gral Laedpar+x riwdi{ ag xdkedgdhoep Proexgarldek HallyedptXirwdhix proexohpdaexLaedparPmdx xmarp ri~arp xipx ayp xali ag pmi fixxaex fiorei` gral pmi rdxc iwofyopdae ~rahixx agrihiep xdkedgdhoep Proexgarldek Hallyedpt Xirwdhix -PHX$ proexohpdaex% Dp odlx pa ieobfigaye`opdae pryxpx ye`irpocdek proexohpdaex de pmi gypyri pa `ifdwir ~rajihpx xyhhixxgyfft%mpp~:!!{{{%laedpar,emxgp%kaw%yc!mali!ei{x,iwiepx,oe`,~ybfdhopdaex!ayr,~ybfdhopdaex!bra{xi,

    hopikart!kyd`oehi,gaye`opdae,pryxpx!loe`op

    [mafi xtxpil `ilaexpropar ~rakrolli: Mio`fdei gde`dekx@i~orpliep ag MiofpmPmi [mafi Xtxpil @ilaexpropar ~rakrolli {ox xip y~ bt pmi @i~orpliep ag Miofpm paxma{ {mop pifimiofpm oe` pifihori dx ho~obfi ag% Dp ofxa odlx pa ~rawd`i o hfior iwd`iehi boxipa xy~~arp dl~arpoep dewixpliep `ihdxdaex oe` xma{ ma{ pmi pihmeafakt xy~~arpx ~ia~fi pafdwi de`i~ie`iepft& poci haepraf oe` bi rix~aexdbfi gar pmidr a{e miofpm oe` hori%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaex^afdhtOe`Kyd`oehi!@MQ?8?7=0

    Dpilx de pmi Miofpm Rigarlx oe` [arcgarhi xihpdaex lot ofxa bi ag depirixp%

    Sbohc pa pa~dhx\

    http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131700http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131700http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131700http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131988http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131988http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131988http://www.nhsconfed.org/Publications/briefings/Pages/Operating-Framework-2012-13.aspxhttp://www.nhsconfed.org/Publications/briefings/Pages/Operating-Framework-2012-13.aspxhttp://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandathttp://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandathttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131684http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131684http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131684http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131684http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131684http://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandathttp://www.monitor-nhsft.gov.uk/home/news-events-and-publications/our-publications/browse-category/guidance-foundation-trusts/mandathttp://www.nhsconfed.org/Publications/briefings/Pages/Operating-Framework-2012-13.aspxhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131988http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131988http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131700http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131700
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    Xi}yof oe` Ri~ra`yhpdwi Miofpm

    iFioredek: Xi}yof& ri~ra`yhpdwi oe` liepof miofpmXahdof Hori Dexpdpypi gar I}hiffiehiPmixi rixayrhix mowi biie `iwifa~i` gar liepof miofpm ~ragixxdaeofx& ox oe ioxt,pa,yxi

    kyd`i pa cit ox~ihpx ag xi}yof oe` ri~ra`yhpdwi miofpm de pmi haepi}p ag liepof dffeixx%mpp~:!!{{{%xhdi%ark%yc!~ybfdhopdaex!ifioredek!xi}yofmiofpm!de`i}%ox~

    EMX Haeprohi~pdwi Xirwdhix: Iekfoe`& 2>?>!??& Hallyedpt Haeprohi~pdwi HfdedhxEMX Degarlopdae HiepriPmdx oeeyof ri~arp ~rixiepx degarlopdae ae EMX hallyedpt haeprohi~pdwi hfdedhx {mdhmdehfy`i goldft ~foeedek hfdedhx oe` hfdedhx rye bt wafyeport arkoedxopdaex xyhm ox BraacO`wdxart Hieprix% Degarlopdae ae EMX hallyedpt haeprohi~pdwi hfdedhx i}hfy`ix xirwdhix~rawd`i` de ayp,~opdiep hfdedhx oe` pmaxi ~rawd`i` bt Kieirof ^rohpdpdaeirx%mpp~:!!{{{%dh%emx%yc!xpopdxpdhx,oe`,`opo,haffihpdaex!miofpm,oe`,fdgixptfix!haeprohi~pdae!emx,haeprohi~pdwi,xirwdhix,iekfoe`,2>?>,??,hallyedpt,haeprohi~pdwi,hfdedhx

    Sbohc pa pa~dhx\

    [arcgarhi

    Hiexyx ag haexyfpoep ~mtxdhdoex oe` li`dhof rikdxprorx de pmi YC& 2>?>Ratof Haffiki ag ^mtxdhdoexPmi ri~arp xpopix pmop pmi EMX rilodex rifdoep ae `ahparx {arcdek faekir pmoe pmidr haeprohpi`mayrx& oe` pmi eylbir ag mayrx haexyfpoepx ori haeprohpi` pa {arc mox goffie xfdkmpft oxmax~dpofx {arc pa loci iggdhdieht xowdekx% Dp ofxa xma{x haexyfpoepx ori fixx owodfobfi pa prode

    jyedar `ahparx& {mdhm mox dl~fdhopdaex gar pmi gypyri {arcgarhi%mpp~:!!{{{%rh~fae`ae%oh%yc!rixayrhix!2>?>,hiexyx,xyllort

    Iekokdek tayr xpogg `yrdek ~irda`x ag hmoekiEMX Il~fatirxPmdx qydhc kyd`i aggirx xali pd~x oe` pihmedqyix pmop lot bi mif~gyf%mpp~:!!{{{%emxil~fatirx%ark!Il~fatliep^afdhtOe`^rohpdhi!xpogg,iekokiliep!^okix!Iekokdektayrxpogg`yrdek~irda`xaghmoeki%ox~}

    Loeokiliep ag MDW,degihpi` miofpmhori {arcirx@i~orpliep ag MiofpmPmi eopdaeof kyd`oehi {mdhm ~rixiepft rixprdhpx miofpmhori {arcirx degihpi` {dpm MDW gral~irgarldek i}~axyri ~raei ~rahi`yrix mox biie riwdi{i` bt o jadep {arcdek kray~ ag pmi

    I}~irp O`wdxart Kray~ ae OD@X3 pmi YC O`wdxart ^oeif gar Miofpmhori [arcirx Degihpi` {dpmBfaa`,barei Wdryxix oe` pmi O`wdxart Kray~ ae Mi~opdpdx% Pmdx haexyfpopdae ~o~ir xiicxwdi{x ae rihallie`opdaex gral pmi {arcdek kray~ gar hmoekix pa pmi hyrriep ~afdht ae MDW,degihpi` miofpmhori {arcirx%Hfaxdek `opi gar halliepx: 4 Lorhm 2>?2mpp~:!!{{{%`m%kaw%yc!ie!Haexyfpopdaex!Fdwihaexyfpopdaex!@MQ?8?982

    http://www.scie.org.uk/publications/elearning/sexualhealth/index.asphttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/contraception/nhs-contraceptive-services-england-2010-11-community-contraceptive-clinicshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/contraception/nhs-contraceptive-services-england-2010-11-community-contraceptive-clinicshttp://www.rcplondon.ac.uk/resources/2010-census-summaryhttp://www.rcplondon.ac.uk/resources/2010-census-summaryhttp://www.nhsemployers.org/EmploymentPolicyAndPractice/staff-engagement/Pages/Engagingyourstaffduringperiodsofchange.aspxhttp://www.nhsemployers.org/EmploymentPolicyAndPractice/staff-engagement/Pages/Engagingyourstaffduringperiodsofchange.aspxhttp://www.nhsemployers.org/EmploymentPolicyAndPractice/staff-engagement/Pages/Engagingyourstaffduringperiodsofchange.aspxhttp://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131532http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131532http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_131532http://www.nhsemployers.org/EmploymentPolicyAndPractice/staff-engagement/Pages/Engagingyourstaffduringperiodsofchange.aspxhttp://www.nhsemployers.org/EmploymentPolicyAndPractice/staff-engagement/Pages/Engagingyourstaffduringperiodsofchange.aspxhttp://www.rcplondon.ac.uk/resources/2010-census-summaryhttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/contraception/nhs-contraceptive-services-england-2010-11-community-contraceptive-clinicshttp://www.ic.nhs.uk/statistics-and-data-collections/health-and-lifestyles/contraception/nhs-contraceptive-services-england-2010-11-community-contraceptive-clinicshttp://www.scie.org.uk/publications/elearning/sexualhealth/index.asp
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    Loeokdek oe` xy~~arpdek liepof miofpm op {arc: `dxhfaxyri paafx gar loeokirxLde` oe` Hmorpiri` Dexpdpypi ag ^irxaeeif oe` @iwifa~liepPmdx kyd`i odlx pa mif~ il~fatirx iexyri pmop ma{ pmit loeoki ~ia~fi xy~~arpx pmidr liepof{iffbidek oe` rixdfdiehi& oe` ofxa iehayroki lari il~fatiix pa pofc obayp oet liepof miofpmdxxyix pmit lot bi gohdek op oe iorft xpoki%mpp~:!!{{{%lde`%ark%yc!oxxipx!>>>?!78?0!LoeokdekQoe`Qxy~~arpdekQLMQopQ{arc%~`g

    Rili`dopdae ri~arp@i~orpliep ag MiofpmPmi gahyx ag pmdx ri~arp dx pa o``rixx hfdedhof hal~ipiehi oe` ho~obdfdpt dxxyix ahhyrrdek de`ahparx ea faekir de pmi prodedek kro`ix%mpp~:!!{{{%`m%kaw%yc!ie!^ybfdhopdaexoe`xpopdxpdhx!^ybfdhopdaex!^ybfdhopdaex^afdhtOe`Kyd`oehi!@MQ?8?;48

    Sbohc pa pa~dhx\

    http://www.mind.org.uk/assets/0001/6314/Managing_and_supporting_MH_at_work.pdfhttp://www.mind.org.uk/assets/0001/6314/Managing_and_supporting_MH_at_work.pdfhttp://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131793http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131793http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131793http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131793http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_131793http://www.mind.org.uk/assets/0001/6314/Managing_and_supporting_MH_at_work.pdf