New NICE Interventional procedures guidance [IPG612] Microinvasive subconjunctival insertion of a trans-scleral gelatin stent for primary open-angle glaucoma

New NICE Interventional procedures guidance [IPG612] Microinvasive subconjunctival insertion of a trans-scleral gelatin stent for primary open-angle glaucoma


Published date: April 2018  Next review: April 2021


Evidence-based recommendations on microinvasive subconjunctival insertion of a trans-scleral gelatin stent for primary open-angle glaucoma in adults. This involves putting a tiny gelatin tube (stent) under the skin at the base of the eye to create a new drainage channel for excess fluid.


For full guidance https://www.nice.org.uk/guidance/ipg612

NHS Performance Statistics - January 2018

Combined Performance Summary

• Urgent and emergency care – Accident and Emergency, NHS111, Ambulances, Delayed Transfers of Care 
• Planned care – Referral to Treatment, Diagnostics, Mixed Sex Accommodation, NHS Continuing Healthcare and NHS-funded Nursing Care, Patient Reported Outcome Measures 
• Cancer - Cancer Waiting Times, Cancer Registrations, Cancer Emergency Presentations, Cancer Survival Estimates 
• Mental Health - Early Intervention in Psychosis, Out of Area Placements, Children and Young People with an Eating Disorder, Contacts and Referrals, Improving Access to Psychological Therapies

What’s behind the ‘winter crisis’?

The NHS is once again hitting the headlines, with many hospitals on black alert and a large number of elective operations being postponed to reduce the extreme pressure on services over this winter period.

A King’s Fund briefing looks at the factors behind what the press refer to as a “winter crisis”.

NHS England enacts winter pressures protocol as services feel strain

NHS England has kicked into gear a series of recommendations to help hospitals handle increased pressure on services, activating the NHS Winter Pressures Protocol.

This includes extending the deferral of all non-urgent inpatient elective care to 31 January, deferring day-case procedures and routine outpatient appointments and advising clinical commissioning groups to temporarily suspend sanctions for mixed sex accommodation breaches.

The measures, put forward by the National Emergency Pressures Panel (NEPP), come in response to strains being felt by NHS services across the country over the festive period.

Transforming gastroenterology elective care services

This handbook from NHS England has been created to to support the improvement of local health and care systems for gastroenterology elective care services.

Transforming musculoskeletal and orthopaedic elective care services

This handbook from NHS England has been created to to support the improvement of local health and care systems for musculoskeletal and orthopaedic elective care services.

Performance of the NHS provider sector for the month ended 30 September 2017

This report from NHS Improvement finds that despite the NHS treating more patients than even before, more people were seen within four hours in A&E and within 18 weeks for planned care. However, the combined end of year deficit for hospitals in England will be an estimated £127 million worse than planned.

Combined Performance Summary - October 2017

This publication from NHS England summarises the data around NHS performance for October 2017. It contains a summary of the monthly performance statistics on:

• NHS 111
• ambulance quality indicators
• A&E attendances and emergency admissions
• waiting times for diagnostic tests, referral to treatment for consultant-led elective care and cancer services;
• delayed transfers of care; and
• early intervention in psychosis

Quarterly monitoring report 24: November 2017

24th quarterly monitoring report form the King's Fund.

Performance against a number of key indicators is worse than at this time last year, and finances remain precarious despite an emergency funding injection.

Combined Performance Summary - August 2017

This publication from NHS England summarises the data around NHS performance for August 2017. It contains a summary of the monthly performance statistics on:

• NHS 111
• ambulance quality indicators
• A&E attendances and emergency admissions
• waiting times for diagnostic tests, referral to treatment for consultant-led elective care and cancer services;
• delayed transfers of care; and
• early intervention in psychosis

Analysis: Highest number of patients waiting a year for treatment since 2008

The number of patients waiting more than a year to be treated on an elective pathway has more than doubled year on year, the latest NHS data shows.

For full text article libraryw@uhcw.nhs.uk

Elective care: model access policy

The purpose of this policy from NHS England is to ensure all patients requiring access to outpatient appointments, diagnostics and elective inpatient or day-case treatment are managed in line with national waiting time standards and the NHS Constitution.

Anaesthetic management of a patient with multiple pterygium syndrome for elective caesarean section

International Journal of Obstetric Anesthesia , Volume 31 , 96 - 100 

We report a case of a pregnant woman with multiple pterygium syndrome who presented for elective caesarean section. Neuraxial anaesthesia failed and the backup plan of awake intubation was extremely difficult.

UHCW Research: V. Daga, C. Mendonca, F. Choksey, J. Elton and S. Radhakrishna

Sustainability and Transformation Plans: five key questions for planners

This analysis from the Centre for Health and the Public Interest identifies five key questions to ask of each of England’s 44 Sustainability and Transformation Plans. It aims to set out a framework for assessing their potential impacts.

Combined Performance Summary - May 2017

This publication from NHS England summarises the data around NHS performance for May 2017.

It contains a summary of the monthly performance statistics on:

• NHS 111
• ambulance quality indicators
• A&E attendances and emergency admissions
• waiting times for diagnostic tests, referral to treatment for consultant-led elective care and cancer services;
• delayed transfers of care; and
• early intervention in psychosis

Combined performance summary: April 2017

This publication from NHS England summarises the data around NHS performance for April 2017. It finds that the long-term trend of increased demand on urgent and emergency care and elective activity continues and that waiting time standards for A&E waiting times, ambulance response times and cancer waiting times were not met.

The hospital as a multi-product firm: the effect of hospital competition on value-added indicators of clinical quality

This paper from the Centre for Economic Performance examines the impact of the introduction of patient choice in elective surgical procedures on patient reported outcome measures (PROMs). It finds that by introducing competition via the mechanism of patient choice, there may have been a negative effect of clinical quality.

Elective care guide

Guidance for NHS staff involved the delivery of acute elective care who want to understand how best to manage and deliver referral to treatment (RTT) pathways and standards.

Referral-To-Treatment Waiting Times And Forecasts

This report from the NHS Confederation estimates that the number of people waiting longer than 18 weeks for planned operations could exceed 800,000 by 2020. The analysis finds that demand for elective operations is rising, with the number of people waiting for treatment forecast to hit 5 million in 2020.

Diabetes, caesarean section and steroids

Answer to the question, In a diabetic pregnant patient is there any evidence for the benefit or harm of steroids between 37 and 38+6 weeks gestation prior to elective caesarean section, posted to the RCOG Query Bank.