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Current literature search of the benefits (main focus on financial) of AHP job planning (evidence summary)
No full textThis is an evidence summary produced by the Somerset NHS Foundation Trust Knowledge and Library Service
Disclaimer: We will endeavour to use the best, most appropriate and most recent sources available to ensure that the information supplied is accurate, up-to-date and evidence-based. It is the responsibility of the requestor to determine the accuracy, validity and interpretation of the search results. No responsibility can be taken by the library for any action taken on the basis of this information. New evidence may have been published since the date this evidence summary was created
Improving patient preparation and comfort in voluntary DIBH - Single-centre quality improvement evaluation.
No full textIntroduction: Voluntary deep-inspiration breath-hold (vDIBH) is commonly used in left breast cancer patients during radiotherapy to reduce cardiac dose and improve setup accuracy. However, some patients have trouble maintaining a consistent, adequate, breath-hold during radiotherapy. This service evaluation assessed the impact of the RESPIRE tool-an online resource offering instructional videos and audio guides-introduced prior to simulation to improve patient compliance and preparedness.
Methods: Fifteen eligible breast cancer patients received RESPIRE information during a clinic appointment for Radiotherapy consent, followed by a telephone check-in prior to CT planning. Breath-hold quality was assessed using planning CT metrics and treatment-image reproducibility, and patient experience was qualitatively evaluated.
Results: Compared to historical controls, the fifteen RESPIRE users reported feeling significantly more prepared, and blinded reviews of CBCT images confirmed improved breath-hold reproducibility. Lung volume increased by an average of 32 %, and heart-to-chest wall separation improved following use of the tool.
Conclusion: The results align with existing evidence that guided preparation reduces anxiety and supports successful vDIBH implementation. The intervention addresses current ESTRO-ACROP and national safety priorities by promoting patient engagement, comfort, and technical accuracy.
Implications for practice: Pre-treatment education using scalable tools like RESPIRE offers a low-cost, high-impact strategy to enhance radiotherapy outcomes and patient-centred care. Future work could hope to make this tool accessible to a wider cohort of patients, addressing some of the limitations discussed
What Works, for Whom, in What Circumstances and Why, When Integrating Voluntary and Statutory Community Mental Health Services: A Realist Evaluation Case Study.
No full text© 2025 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
International Journal of Integrated Care is a peer-reviewed open access journal published by Ubiquity Press.Background: Integration of voluntary and statutory mental health services may address gaps in mental health care. The Community Mental Health Framework for Adults and Older Adults 2019 provided impetus for integration within England. It was unknown how, why, or under what circumstances integration would occur.
Methods: A realist evaluation of Framework implementation in Somerset was undertaken. The extent of change, and how, why and under what circumstances change occurred were evaluated. Embedded researchers collected observational and interview data, and reviewed internal records. Realist qualitative analysis created and tested a programme theory exploring the extent, cause, and impact of change.
Results: Services worked together to create an integrated mental health service using a cultural change model: new language prompted new ways of thinking and working. Programme theory testing demonstrated good extent of change. Voluntary sector integration helped address treatment gaps: all service users were offered a service. Mechanisms of change included: new language, relationship building, flexible working, and valuing voluntary sector services. Contextual factors affecting the extent of change included: balances of power, rigidity of statutory services, and trusting management.
Conclusions: Integrating services using a culture change model addresses gaps in mental health care. Optimal implementation requires addressing contextual barriers
Rheumatology Inflammatory Arthritis Patient Pathway (evidence summary)
No full textThis is an evidence summary produced by the Somerset NHS Foundation Trust Knowledge and Library Service
Disclaimer: We will endeavour to use the best, most appropriate and most recent sources available to ensure that the information supplied is accurate, up-to-date and evidence-based. It is the responsibility of the requestor to determine the accuracy, validity and interpretation of the search results. No responsibility can be taken by the library for any action taken on the basis of this information. New evidence may have been published since the date this evidence summary was created
Stroke prevention medication information provision for individuals with aphasia: clinical audit results
No full textThis work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 International License.
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Long Covid bulletin November 2025 (current awareness bulletin)
No full textThis is a bulletin produced by the Somerset NHS Foundation Trust Knowledge and Library Service. It is intended to provide a range of the most up-to-date resources, including recently published guidelines and research articles, news and policy items at the time of the production. Please note, you may not get access to full-text articles or links may be disabled
Effectiveness of dialectic behaviour therapy for patients with eating disorders (evidence summary)
No full textThis is an evidence summary produced by the Somerset NHS Foundation Trust Knowledge and Library Service
Disclaimer: We will endeavour to use the best, most appropriate and most recent sources available to ensure that the information supplied is accurate, up-to-date and evidence-based. It is the responsibility of the requestor to determine the accuracy, validity and interpretation of the search results. No responsibility can be taken by the library for any action taken on the basis of this information. New evidence may have been published since the date this evidence summary was created
Exploration of Radiotherapy-Related Insufficiency Fractures in gynaecological cancer: a service evaluation.
Full text linkPublished under CC-BY-NC licence. Work made available under CC BY-NC allows anyone to copy, distribute, transmit and adapt the material. Work made available under CC BY-NC cannot be used for commercial purposes
Antiseptic body wash for breast implant surgery (evidence summary)
No full textThis is an evidence summary produced by the Somerset NHS Foundation Trust Knowledge and Library Service
Disclaimer: We will endeavour to use the best, most appropriate and most recent sources available to ensure that the information supplied is accurate, up-to-date and evidence-based. It is the responsibility of the requestor to determine the accuracy, validity and interpretation of the search results. No responsibility can be taken by the library for any action taken on the basis of this information. New evidence may have been published since the date this evidence summary was created
Incidents arising from hospital passports (evidence summary)
No full textThis is an evidence summary produced by the Somerset NHS Foundation Trust Knowledge and Library Service
Disclaimer: We will endeavour to use the best, most appropriate and most recent sources available to ensure that the information supplied is accurate, up-to-date and evidence-based. It is the responsibility of the requestor to determine the accuracy, validity and interpretation of the search results. No responsibility can be taken by the library for any action taken on the basis of this information. New evidence may have been published since the date this evidence summary was created