Depression in children and young people

NICE has published a guideline on identifying and managing depression in children and young people aged between 5 and 18 years.

This guideline covers identifying and managing depression in children and young people aged between 5 and 18 years. Based on the stepped care model, it aims to improve recognition and assessment and promote effective treatments for mild, moderate and severe depression.

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Image source: www.nice.org.uk

This guideline includes recommendations on:

Full guideline: Depression in children and young people: identification and management

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New draft recommendations for the care of acute medical emergencies

This draft guideline includes recommendations for the organisation and delivery of emergency and acute medical care | NHS Networks

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It includes recommendations for practice and for research. Recommendations are included on:

  • first points of contact with emergency and acute care services
  • alternatives to hospital care
  • opening hours and locations of acute care services
  • services within hospitals
  • ward rounds, transfers and discharges
  • monitoring and managing hospital bed capacity.

Who is it for?

  • Commissioners and providers of health and social care.
  • Health and social care practitioners.
  • People with or at risk of a medical emergency or acute illness, and their families and carers.

Read the full draft here

Dementia post diagnostic support planning

London Clinical Networks. Published online: 10 May 2106

Guidance for commissioners and providers to meet the NICE Quality Standard on Dementia (QS1), which states that people with dementia should have an assessment and an ongoing personalised care plan, agreed across health and social care.

This is a guide for »

  • Commissioners
  • Service providers, including health, social care, voluntary and charitable organisations

This guide will be of interest to »

  • People living with dementia
  • Their families and friends
  • Practitioners in dementia care

The purpose of this guidance is to »

  • Describe the key elements of person-centred support planning
  • Describe how to write a new support plan

A support plan should capture what is important to the person living with dementia.

Once a support plan is put in place it needs to be reviewed regularly, to reflect changes in needs, wishes and circumstances.

The professional who helps putting the support plan together should assume the person with dementia has capacity and use clinical judgement, using the Mental Capacity Act when needed.

Find the full toolkit here
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NICE issues guidance to tackle multimorbidity

Wise, J. BMJ 2016;353:i1864

GPs should offer a tailored approach for people with multiple long term conditions to reduce the number of prescribed medicines and minimise side effects, new draft guidance from the National Institute for Health and Care Excellence (NICE) has said.

The number of people in England with three or more long term health conditions is predicted to rise from 1.9 million in 2008 to 2.9 million in 2018. Care for people with multiple conditions is often complicated because the conditions themselves, and their treatments, interact in complex ways, and care can be fragmented across many different services.

The guideline, Multimorbidity: Clinical Assessment and Management, says that doctors should put patients at the centre of decisions about their care and should take into account the patients’ preferences. GPs should stop treatment if it is of limited benefit. For example, some preventive medicines may not benefit patients who are nearing the end of their life; rather, the medicine may only add to the treatment burden.

Read the full commentary here

Read the full guidelines here

New NICE Guidance: Community engagement – improving health and wellbeing and reducing health inequalities

NICE guidelines [NG44]Published date: March 2016

This guideline covers community engagement approaches to reduce health inequalities, ensure health and wellbeing initiatives are effective and help local authorities and health bodies meet their statutory obligations.

The guideline complements work by Public Health England on community engagement approaches for health and wellbeing.

Recommendations

This guideline covers recommendations on:

Who is it for?

  • Health and wellbeing boards, directors of public health and other strategic leads who plan, commission, scrutinise or provide local health and wellbeing initiatives in collaboration with local communities
  • Local authorities, the NHS and other public sector organisations with a statutory obligation to carry out community engagement activities
  • Commissioners of community engagement initiatives
  • Community and voluntary sector organisations
  • Members of the public

Read the full guidance here