We are pleased to announce that three new resources have been published on the HQIP website this week.
Annual report 2022 National Audit of Breast Cancer in Older Patients (NABCOP) Based on data: January 2014 to December 2019
Where data were available, recorded contact with a breast Cancer Nurse Specialist for women diagnosed in 2019 was very high in England (96%) and Wales (99%)
The latest NABCOP annual report found that, among women receiving surgery for early invasive breast cancer (EIBC) in England and Wales, the five-year relative survival for patients aged 70–79 years and 80+ years was similar to that of patients aged 50–69 years. Other, more specific, key findings include:
Among women diagnosed in 2019 with EIBC not detected at screening, 69% received triple diagnostic assessment (TDA) in a single visit (however variation remains by NHS organisation, with 37% of breast units having less than 70% of patients having TDA in a single visit)
Surgery use increased for women aged 80+ years with EIBC who were fit or with mild/moderate frailty (from 62% in
2014 to 69% in 2019) – though women with severe frailty who received surgery had more than 20% excess mortality from around 3.5 years after surgery.
Interval review National Diabetes Foot Care Audit (NDFA) Based on 108,450 foot ulcer episodes in 76,310 people with diabetes in England and Wales, between July 2014 and March 2021
The proportion of referrals seen by a specialist foot care team within 13 days increased from 43% in 2014-15 to 46% in 2020-21 The latest NDFA report identifies important trends in foot care processes and outcomes. Key findings include:
There was a linked reduction in the proportion of ulcers that are severe at first expert assessment (from 48% to 43%), in addition to a subsequent decrease in the proportion of ulcers
still active at 12 weeks (from 49% to 40%)
However, variations in 12-week outcomes persist, with gaps in service provision, particularly in multi-disciplinary foot care service (MDFS) integration with renal services. For example, it is notable that almost 1 in 5 people (18%) presenting with a severe ulcer died (15%) or underwent major amputation (3%) within 1 year.
National Confidential Inquiry into Patient Outcome and Death (NCEPOD) Based on data from patients aged 18+ admitted to a mental health inpatient setting for more than one week from 1 November 2018 to 31 October 2019
A detailed physical health assessment was not undertaken appropriately for 28 out of 126 (22.2%) patients, and physical health conditions were not included in the initial clerking for 29 out of 150 (19.3%) patients
The latest NCEPOD report suggests that a physical healthcare plan should be developed when patients are admitted to a mental health inpatient setting. Other key messages aimed at improving care include calls to:
formalise clinical networks/pathways between mental health and physical healthcare
involve patients and their carers in their physical healthcare, and use admission as an
opportunity to assess and involve patients in their general health, and
include mental health and physical health conditions on electronic patient records.
Further resources can be
found on the HQIP website.
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