Eating disorders: NICE issues updated recommendations

National Institute for Health and Care Excellence (NICE) has issued an updated guideline on assessment, management, monitoring and inpatient care of patients with eating disorders across all age groups.

Key points:

  • Individuals with eating disorders should receive assessment and treatment at the earliest opportunity.
  • All individuals should have equal access to treatments irrespective of their demographic, socioeconomic and health status.
  • GPs should immediately refer patients with suspected eating disorder to a community-based, age-appropriate eating disorder service.
  • Patients with anorexia nervosa, binge eating disorder, bulimia nervosa and other specified feeding and eating disorders should receive appropriate pharmacological and psychological therapies outlined in the guideline.
  • This guideline updates and replaces NICE guideline CG9 (January 2004).

Eating disorders: recognition and treatment | NICE guideline [NG69] | May 2017

 

 

 

 

 

Mental wellbeing and independence for older people | NICE Quality Standard

Quality standard [QS137] | NICE

nice-master-300dpi-2500px1-300x58This quality standard covers interventions to maintain and improve the mental wellbeing and independence of people aged 65 or older, and how to identify those at risk of a decline. It describes high-quality care in priority areas for improvement. It does not cover the mental wellbeing and independence of people who live in a care home or attend one on a day-only basis.

View the quality standard here

View the pathway here

Is NHS guidance on substance misuse fit for purpose?

Hamilton, I. Mental Elf Blog | Published online: 25 November 2016

2007 was the last time the National Institute for Health and Clinical Excellence (NICE, 2007) published guidance on psychosocial interventions for substance misuse.

A recent review by the NICE project team concluded that:

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Image Source: The Mental Elf Blog

So is guidance published a decade ago fit for purpose in 2016? First it’s important to consider what’s happened with drug use and which drugs people have developed problems with. Back in 2007, opiates such as heroin accounted for the majority of new treatment presentations, but since then cannabis has become the main drug that people present with.

Summary: When reviewing their guidance, the teams at NICE invite individuals and organisations to submit comments and evidence. The consultation for this review attracted only two stakeholder contributions, but one notable stakeholder did disagree with the NICE decision not to update the guidance: Public Health England.

The overall lack of engagement with NICE on its consultation could be a reflection on the state of the treatment sector. Most drug treatment providers and the specialist staff working in them are subject to frequent retendering exercises. The sector has faced savage cuts in the last decade which have resulted in a rapid turnover of providers and staff. An environment that doesn’t lend itself to engaging with NICE on treatment guidance when survival is the priority.

Read the full blog post here

NICE guidance update: Diabetes (type 1 and type 2)

NICE has updated its guideline Diabetes (type 1 and type 2) in children and young people: diagnosis and management (NG18).

This guideline covers the diagnosis and management of type 1 and type 2 diabetes in children and young people aged under 18.  It has been amended to add information to recommendations 1.2.115 and 1.3.52 on when eye screening should begin and referral for eye screening should happen.
Related:  NICE Pathway – Diabetes in children and young people

NICE issues guidance on inappropriate sexual behaviour in children

NICE | Published online September 2016

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This guideline covers children and young people who display harmful sexual behaviour, including those on remand or serving community or custodial sentences. It aims to ensure these problems don’t escalate and possibly lead to them being charged with a sexual offence. It also aims to ensure no-one is unnecessarily referred to specialist services.

‘Young people’ refers mainly to those aged 10 to 18 but also includes people up to 25 with special educational needs or a disability.

This guideline does not discuss people who have experienced sexual abuse. NICE will publish a guideline on child abuse and neglect in September 2017.

Recommendations

This guideline includes recommendations on:

Read the full guideline here

NICE Public Health Guidance Update

Cullum, A. et al. Journal of Public Health. Published online: September 2 2016

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Guidance

Since January 2016, NICE has published a number of new guidelines relevant to public health:

Quality standards

Since January, NICE has also published several quality standards with relevance to public health. Quality standards are derived from guidance and designed to provide a clear focus on areas of improvement. Each standard has an average of five statements, selected to be measureable and therefore to assist in monitoring progress at a local level.

Quality standards are important in giving clarity to those commissioning or providing services—and those using them—about what high-quality public health should look like, and in supporting integration across health, public health and social care.

Read the abstract here

Tackling falling child vaccination rates

vaccination-1215279_960_720NICE is developing priorities to help ensure unvaccinated children across the country get the protection they need.  In some areas of the country, fewer than 1 in 5 children are vaccinated against diseases such as polio and diphtheria. Experts have warned that unless uptake rates improve there is a risk of these diseases making a comeback.

Last year only a quarter of local authorities met World Health Organization targets to vaccinate 95% of children against measles, mumps and rubella.  A draft quality standard from NICE, out for consultation until 29 September, sets out how to drive up the number of under 19s who receive vaccinations.