Pseudocysts of the Pancreas
Pseudocysts of the pancreas are collections containing pancreatic fluid or debris, often resulting from acute or chronic pancreatitis, trauma, or pancreatic duct obstruction. This article explores their definition, natural history, diagnostic methods, treatment modalities, and anatomical pathology. It differentiates them from neoplastic cysts and discusses their extra-parenchymal and intra-parenchymal locations. The evolution of pseudocysts determines the therapeutic approach, which may involve surgical, endoscopic, or radiological interventions.
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Clinical Reference Group: Primary Care and Community Health Support to Care Home Residents 13thMay 2020 NHS England and NHS Improvement
Agenda Time Item Lead 11:00 Welcome Adrian Hayter 11:05 Pulse Oximetry Matt Inada-Kim 11:15 Capacity Tracker and NHSmail Alex Thompson 11:30 Digital Offer Matt Hoghton 11:40 Regional Feedback Adrian Hayter 11:55 A.O.B Adrian Hayter 2 | 2 | Clinical Reference Group: Primary Care and Community Health Support to Care Home Residents
Pulse Oximetry See separate slide deck in agenda email. 3 | 3 | Clinical Reference Group: Primary Care and Community Health Support to Care Home Residents
Capacity Tracker and NHSmail Capacity Tracker Operated for over two years, allowing care homes to show bed vacancies, supporting system discharge planning. https://carehomes.necsu.nhs.uk/ . Due to already widespread use and up and running functionality, for the purposes of COVID-19 response Capacity Tracker has been expanded in care homes to also capture business continuity information, such as PPE stocks, workforce levels, overall care home position, residents with COVID-19. It has been also expanded to capture the above data from hospices (part of the hospice grant) and bed vacancies in community rehabilitation bed providers. The use of CT is detailed in the hospital discharge guidance and the admission and care of people in care homes guidance. Current role out: 96% of care homes, 98% of hospices, 67% community rehab bed providers. Key issue is to improve frequency of update from providers. NHSmail NHSmail project to ensure all care homes are using NHSmail (or an equivalent secure email) has been accelerated for the purposes of the COVID-19 response. Currently 54% of care homes. Introduced to Home care providers also recently In 25%. NHS digital have relaxed certain requirements around using NHS mail to make it easier to register on i.e. data security and protection toolkit (DSPT) can be completed retrospectively now. Clinical Reference Group: Primary Care and Community Health Support to Care Home Residents 4 | 4 |
Digital NHS Mail The rollout of NHS mail across the care sector led by NHS England regional teams has currently 8057 out of >15000 care homes with access to at least 2 NHS email accounts in their organisations. In addition 2,409 out of 10,744 domiciliary providers having access to at least 2 NHS email accounts in their organisations. In addition to providing a secure email account for patient sensitive information exchange, an NHS mail account enables use of MS Teams until the end of June 2020 under the free license from Microsoft, and video consult software such as Accurx. Devices NHSx is working with suppliers to provide tablet devices for care homes to support remote consultations with GP staff and Hospital staff, including a Facebook Portal pilot to allow care home residents to speak to relatives. Connectivity NHSx is working telephony providers and will be publishing their offers in the near future to improve care homes connectivity and wifi access for those with issues at no costs the next six months. Home monitoring Pilots are underway with several companies to test home monitoring of vulnerable patients. This work is in association with the Local Government Authorities (LGA) and Care Providers Association (CPA) 5 | 5 | Clinical Reference Group: Primary Care and Community Health Support to Care Home Residents
Digital Digital Social care helpline A digital social care helpline has been set up to provide support for care providers adopting digital technologies. Capacity tracker The Care home capacity tracker provides a national sitrep about spare bed capacity as well as potential Covid19 infections and workforce issues. CQC has developed a similar survey for domiciliary care providers Technology offers and innovation NHSx has been managing offers and set up Techforce 19 where 19 companies have to innovate a rapid pilot by mid-May with grant funding of 25000 each Internet connection https://www.nhsx.nhs.uk/covid-19-response/social-care/internet-connection-deals-care- homes/ Care homes can now get a free connection to broadband or free 4g connectivity for as much as 6 months to support them at this critical time. We know that the ability to do virtual consultations, to connect with and contact local health services and keep residents in touch with their families is more critical than ever. 6 | 6 | Clinical Reference Group: Primary Care and Community Health Support to Care Home Residents
