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Time for new NHS diet guidelines?
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<blockquote data-quote="SockFiddler" data-source="post: 1537689" data-attributes="member: 412001"><p>The NHS encourages innovation- I know! It's shocking! But through NHS England and the CQC, innovation is both encouraged and rewarded.</p><p></p><p>In hospitals there are "CQUIN"s - <a href="https://www.england.nhs.uk/nhs-standard-contract/cquin/cquin-16-17/" target="_blank">https://www.england.nhs.uk/nhs-standard-contract/cquin/cquin-16-17/</a> - specific targets that pay out extra cash and stem from an innovative idea or project that must demonstrate efficacy over time. In the children's hospital the CQUIN I was involved with was a new disabled children's assessment which involved retraining nurses and doctors (they loved that!), new systems, new paperwork and a new way of approaching children and their families about their needs. Our CQUIN target was 90% of all disabled children assessed within 48 hours of admission. I rarely get to boast about this, so will smugly type that we hit 98% within 24 hours and the CQUIN reward was enough cash to pay a part-time family bed-side support worker for 12 months.</p><p></p><p>I don't know whether CQUINs extend to GP surgeries, but I know that local authority Health and Wellbeing Boards will also fund community health innovation projects (e.g. flu jab coverage to reduce strain on local services in the Autumn and Winter) and the results of these good practise challenges are all reported back to NHS England.</p><p></p><p>The rate of change is really slow. And it's frustrating when it all seems to obvious to us who took the plunge without really thinking twice or waiting for permission. But even on these forums we're seeing reports of DNs, GPs and even consultants who often accept low carb as a solution - if not actually recommend it.</p><p></p><p>There are still not enough, of course, and too many people with T2's are still being given advice that we consider dangerous to health. But the ability to innovate is built into the NHS structure, and (to loop back to DD's question) that's how come those listed Drs were able to go off-piste and try something new.</p></blockquote><p></p>
[QUOTE="SockFiddler, post: 1537689, member: 412001"] The NHS encourages innovation- I know! It's shocking! But through NHS England and the CQC, innovation is both encouraged and rewarded. In hospitals there are "CQUIN"s - [URL]https://www.england.nhs.uk/nhs-standard-contract/cquin/cquin-16-17/[/URL] - specific targets that pay out extra cash and stem from an innovative idea or project that must demonstrate efficacy over time. In the children's hospital the CQUIN I was involved with was a new disabled children's assessment which involved retraining nurses and doctors (they loved that!), new systems, new paperwork and a new way of approaching children and their families about their needs. Our CQUIN target was 90% of all disabled children assessed within 48 hours of admission. I rarely get to boast about this, so will smugly type that we hit 98% within 24 hours and the CQUIN reward was enough cash to pay a part-time family bed-side support worker for 12 months. I don't know whether CQUINs extend to GP surgeries, but I know that local authority Health and Wellbeing Boards will also fund community health innovation projects (e.g. flu jab coverage to reduce strain on local services in the Autumn and Winter) and the results of these good practise challenges are all reported back to NHS England. The rate of change is really slow. And it's frustrating when it all seems to obvious to us who took the plunge without really thinking twice or waiting for permission. But even on these forums we're seeing reports of DNs, GPs and even consultants who often accept low carb as a solution - if not actually recommend it. There are still not enough, of course, and too many people with T2's are still being given advice that we consider dangerous to health. But the ability to innovate is built into the NHS structure, and (to loop back to DD's question) that's how come those listed Drs were able to go off-piste and try something new. [/QUOTE]
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