iiinova — where your digital self keeps evolving

By focusing on these areas, the contributors argue we can effectively harness the power of digital technology to improve patient care and address future challenges. 💡🏥📊

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✅ Encourage a problem-driven approach to AI adoption, focusing on specific needs and rigorous evaluation. ✅ Foster a culture of patient engagement in co-design and data consent processes.

Recommendations: ✅ Invest in building data analytics teams within trusts to enable effective data utilisation. ✅ Prioritise funding for EPR maintenance, infrastructure development, and staff training.

5️⃣ Collaboration: Partnerships between NHS trusts, academia, and industry are vital to leverage expertise, funding, and accelerate progress. I would add #hospice too in this.

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4️⃣ Patient Engagement: Involving patients in co-designing solutions and obtaining consent for data use is essential for building trust and ensuring solutions meet patient needs. Really important for ePaCCS

3️⃣ AI Integration: A strategic approach is needed for AI implementation. Focus on identifying specific problems and then finding suitable AI solutions, rather than adopting AI for its own sake. Will the LLM help to clinically code?

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2️⃣ Workforce Training: Comprehensive training for staff on using EPRs effectively, including shortcuts and data coding, is crucial to maximise benefits and avoid inefficiencies. IMO it is usually only a one off event.

1️⃣ Data Maturity: Many NHS trusts lack digital maturity due to insufficient funding for EPR maintenance and infrastructure development. This leads to difficulties in extracting and using data effectively., even bigger in the third sector.

The NHS has made progress in digital transformation, particularly with electronic patient records (EPRs). However, the podcast argues a bottom-up approach is crucial for further advancement. We are the input.

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Analogue to digital in the NHS: is the shift within reach? – @healthfoundation.bsky.social podcast with Holly Krelle and Erik Mayer 🧵 NHS Digital Transformation: Bottom-Up Approach Is Key - a well timed podcast after and ePaCCS meeting.

Analogue to digital in the NHS: is the shift within reach? – with Holly Krelle and Erik Mayer

Episode 49. Moving the NHS from analogue to digital is one of the health secretary's priorities. So, what will it take?

Andrew Khodabukus @andkho.bsky.social · 28/11/2024

📢 One week to go! 🪧 Train in Palliative Medicine in the United Kingdom 📅 Open 14 Nov 2024 - 5 Dec 2024 ❔ Interviews 25 - 27 Mar 2025 👨‍⚕️ Start 6 Aug 2025 🌐 buff.ly/3Cun9Xj @apmposts.bsky.social #choosepallmed #palliativecare buff.ly/3UXXPPL

United Kingdom palliative medicine higher sp specialty training applications open 10 am Thursday 14th November 2024 Close 4pm Thursday 5 December 2024 #choosepallmed HT ttps://ph s t r e c r u i t m e n t dot o r g.UK/specialties/palliative-medicine

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Fantastic - the first of many from a great holistic practitioner! 🎉

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Andrew Khodabukus @andkho.bsky.social · 28/11/2024

This BMJ article extends the PRISMA 2020 statement for living systematic reviews (PRISMA-LSR), providing a checklist and flow diagram to ensure transparent, complete, and accurate reporting of these reviews. Nice to see developing methodologies.

Extension of the PRISMA 2020 statement for living systematic reviews (PRISMA-LSR): checklist and explanation

Publications of living systematic reviews (LSRs) are increasing rapidly. Guidance facilitating transparent, complete, and accurate reporting of LSRs is needed. This paper reports the development of…

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📢 The study highlights the urgent need for a clearer definition of palliative rehabilitation, increased funding, better care workflows, and enhanced professional training to improve care for individuals with incurable cancer. 💬📈🎓

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6️⃣ Insufficient funding, poorly defined care workflows, and a lack of expertise among healthcare professionals were identified as key barriers to integration. 💰🛤️🧑‍🎓

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5️⃣ Access to palliative rehabilitation is inconsistent and varies significantly based on geographic location. 🌍📍

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4️⃣ Stakeholders agreed that palliative rehabilitation requires a multi-professional, interdisciplinary approach. 🤝👩‍⚕️👨‍⚕️

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3️⃣ However, there was confusion about the distinction between palliative rehabilitation and palliative care.

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2️⃣ Stakeholders agreed on the core components of palliative rehabilitation, viewing it as a holistic, goal-oriented approach to enhance the quality of life for patients with incurable cancer.

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1️⃣ Only 12 out of 23 official documents described rehabilitation in the context of palliative care. 📋

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It's a great article and she was great with outcome measure stuff too!

8/ 🌟 Improving palliative care access can significantly benefit patients, families, and healthcare systems. It's time to act! thewhpca.org

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7/ 🔍 Access to palliative care is also inequitable within high-income countries, influenced by socioeconomic status and ethnicity. buff.ly/3AKFzCP

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6/ 💡 The World Health Assembly's 2014 resolution aimed to improve palliative care, but progress has been slow. We need to prioritize this to reduce preventable suffering globally. www.who.int/health-topics/palliativ…

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5/ 🌐 Inequities in access to palliative care are growing. Regulatory constraints and fears of opioid misuse limit access to essential medicines in many LMICs. www.thelancet.com/journals/langlo/a…

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4/ 🏥 Despite the benefits, only 14% of those who need palliative care receive it. For children, this figure is even lower at less than 3%. www.paho.org/en/node/75063

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3/ 💊 Palliative care includes physical, psychological, social, and spiritual support, improving quality of life for those with life-limiting conditions. It leads to better outcomes and lower costs. journals.sagepub.com/doi/full/10.11…

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2/ 📈 By 2060, 48 million people will die each year with serious health-related suffering, an 87% increase from 2016. Mostly in low &middle-income countries (LMICs) and I can see this from my own family background. www.thelancet.com/journals/langlo/a…

1/ 🌍 Palliative care is a global health priority that's often overlooked. Millions suffer without access to pain and symptom relief. This issue is worsening as populations age and non-communicable diseases rise. www.bmj.com/content/387/bmj.q2387.s…

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Dr Natasha Wiggins @drnwiggins.bsky.social · 25/11/2024

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Reposted by Andrew Khodabukus

The official Association of Palliative Medicine for UK and Ireland is here! Follow @apmposts.bsky.social for all the APM, end of life and palliative tea from UK & Ireland #palliative #EOL

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Andrew Khodabukus @andkho.bsky.social · 25/11/2024

It also highlights research priorities to improve end-of-life care and support for patients and families. I like the use of a regional priority setting method which has also been published and the call to move to demonstrate rigour and effectiveness to better describe our value.

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Andrew Khodabukus @andkho.bsky.social · 25/11/2024

UK hospices: fairness, funding, fit | BMJ Supportive & Palliative Care The editorial discusses funding challenges faced by the UK #hospice sector, emphasizing the need for financial security and equitable palliative care.

UK hospices: fairness, funding, fit

On Monday, 22 April, the House of Commons debated hospice funding. While there is an overwhelmingly positive perception of hospice care among those who have experienced it, the future of hospice…

Andrew Khodabukus @andkho.bsky.social · 24/11/2024

A lovely concert to attend, well done to all! 👏🏽

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Andrew Khodabukus @andkho.bsky.social · 24/11/2024

Key to its success are meticulous planning, consistent faculty, & multi-modal delivery. Research shows improved RD confidence, teamwork, and communication. The strategy has been successfully implemented, fostering community among RDs and offering a valuable training approach that we can learn from.

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Andrew Khodabukus @andkho.bsky.social · 24/11/2024

Scotland's internal medicine simulation strategy, detailed in this article, outlines a five-year journey to enhance physician training over the 3 years of IMT. It focuses on immersive simulation, communication workshops, & procedural skills mastery.

Andrew Khodabukus @andkho.bsky.social · 23/11/2024

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Thank you! And we wonder why students, StRs and SAS doctors - let alone other professionals - are unable to get the first rung on the ladder with research. Research activity = research implementation =high quality care

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Reposted by Andrew Khodabukus

Dr Ben Bowers @drbenbowers.bsky.social · 23/11/2024

Post-doctoral researcher with palliative and end of life interests and qualitative / mixed methods skills? Come and work with us in the dynamic PELi_Cam Group at @cambridgeuni.bsky.social Leading on some excellent studies Job details: www.jobs.cam.ac.uk/job/49229/ Full-time to 80% FTE post

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Andrew Khodabukus @andkho.bsky.social · 23/11/2024

So much of our work is meeting people where they are and trying our best to hold that space. Maybe, we can provide a pallium to provide a small shield from these systemic winds.

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Andrew Khodabukus @andkho.bsky.social · 21/11/2024

A new report from NHS Providers discusses how NHS digital transformation is hindered by budget constraints, operational pressures, and inadequate IT infrastructure. If we want things to runs smoothly, getting this right is a big win.