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Announcements and latest updates

Right Decision Service newsletter: October 2024

Welcome to the Right Decision Service (RDS) newsletter for October 2024.

1.Contingency arrangements for RDS outages

Development of the contingency solutions to maximise RDS resilience and minimise risk of future outages is in progress, aiming for completion by Christmas. As a reminder, these contingency arrangements  are:

  • Optimising mobile app build process
  • Mobile app always to be downloadable.
  • Serialising builds to mobile app; separate mobile app build from other editorial and end-user processes
  • Load balancing – provides failover (also enables separation of editorial processes from other processes to improve performance.)

 

In the meantime, a gentle reminder to encourage users to download essential clinical toolkits to their mobile devices so that there is an offline version always available.

 

2. New deployment with improvements.

A new scheduled deployment with minor improvements drawn from support tickets, externally funded projects, information related to outages, and feature requests will take place in early December. Key improvements planned are:

  • Deep-linking to individual toolkits within the RDS mobile app. Each toolkit will now have its own direct URL and QR code, both accessible from the app. These can be used to download the toolkit directly where users already have the RDS app installed. If the user does not yet have the RDS app installed, they will be taken to the app store to install the app and immediately afterwards the toolkit will automatically open and download. Note that this will go live a few days later than the improvements below due to the need to link up the mobile front end to the changes in the content management system.
  • Introducing an Announcement Header field to replace the hardcoded "Announcements and latest updates" text. This will enable users to see at a glance the focus of new announcements.
  • Automated daily emptying of the recycling bin (with a 30 day rolling grace period)  in the content management system. A bug preventing complete emptying of the recycling bin contributed to one of the outages earlier this year.
  • Supporting multiple passcodes (ticket 6079)
  • Expanding accordion section to show location of a search result rather than requiring user coming from a search result to manually open all sections and search again for the term.
  • Displaying first accordion section Content text as a snippet on the search results page as a fallback if default/main content is not provided
  • Displaying the context of each search result in the form of a link to the relevant parent tool/section. This will help users to choose which search result is most likely to be appropriate for their needs.
  • As part of release of the new national benzodiazepine quality prescribing guidance toolkit sponsored by Scottish Government Effective Prescribing and Therapeutics, a digital tool to support creation of benzodiazepine tapering/withdrawal schedules.

We are also seeking approval to use the NHS Scotland logo and title for the RDS app on the app stores to help with audience engagement and clarity around the provenance of RDS.

3. RDS Search, Browse and Archive/Version control enhancements

We are still hopeful that user acceptance testing for at least the Search and browse enhancements can take place before Christmas. Thank you for your patience and understanding in waiting for these improvements. Timescales have been pushed back by old app migration challenges, work to address outages, and most recently implementing the contingency arrangements.

4. Support tickets

We are aware that there continue to be some issues around a number of RDS support tickets, in part due to constraints around visibility for the RDS team of the tickets in the existing  support portal. We are investigating the potential to move to a new support ticket requesting system from early in the new year. We will organise the proposed webinar around support ticket processes once we have confirmed the way forward with the system.

Table formatting

There is a known issue with alterations in formatting of some RDS tables which seems to have arisen as a result of the 17 October deployment. Tactuum is working on a fix and on implementing additional regression testing to prevent this issue recurring.

5. New RDS toolkits

Recently launched toolkits include:

NHS Lothian Infectious Diseases

Scottish Health Technologies Group – Technology Assessment recommendations

NHS Tayside Anaesthetics and Critical Care projects – an innovative toolkit which uses PowerAutomate to manage review and response to proposals for improvement projects.

If you would like to promote one of your new toolkits through this newsletter, please contact ann.wales3@nhs.scot

A number of toolkits are expected to go live before Christmas, including:

  • Focus on dementia
  • Highland Council Getting it Right for Every Child
  • Dumfries and Galloway Adult Support and Protection procedures
  • National Waiting Well toolkit
  • Fertility Scotland National Network
  • NHS Lothian postural care for care homes

6.Sign up to RDS Editors Teams channel

We have had a good response to the recent invitation to sign up to the new Teams channel for RDS editors. This provides a forum for editors to share learning, ideas and questions and we hope to hold regular webinars on topics of interest.  The RDS team is in the process of joining participants to the channel and we’d encourage all editors to take part, using the registration form – available in Providers section of the RDS Learning and Support area.

 

7. Evaluation projects

The RDS team has worked with colleagues in NHS Grampian and the Digital Health & Care Innovation Centre to evaluate the impact of the Prevent the progress of diabetes web and mobile app in a small-scale pilot project. This app provides access to local and national resources and services targeted at people with prediabetes, a history of gestational diabetes, or candidates for remission. After just 8 weeks of using the app, 94% of patients reported increased their knowledge and understanding of diabetes, and 88% said it had increased their confidence and motivation to make lifestyle changes, highlighting specific behaviour changes. The learning from this project is informing development of a service model based on tailored support for patient groups with, high, medium and low digital self-efficacy.

Please contact ann.wales3@nhs.scot if you would like to know more about this project.

  1. Training sessions for new editors (also serve as refresher sessions for existing editors) will take place on the following dates:

  • Friday 29th November 3-4 pm
  • Thursday 5 December 3.30 -4.30 pm

To book a place, please contact Olivia.graham@nhs.scot, providing your name, organisation, job role, and level of experience with RDS editing (none, a little, moderate, extensive.)

 

To invite colleagues to sign up to receive this newsletter, please signpost them to the registration form  - also available in End-user and Provider sections of the RDS Learning and Support area.   If you have any questions about the content of this newsletter, please contact his.decisionsupport@nhs.scot  If you would prefer not to receive future newsletters, please email Olivia.graham@nhs.scot and ask to be removed from the circulation list.

With kind regards

 

Right Decision Service team

Healthcare Improvement Scotland

 

The Right Decision Service:  the national decision support platform for Scotland’s health and care

Website: https://rightdecisions.scot.nhs.uk    Mobile app download:  Apple  Android

 

 

Taking more exercise

Being physically active is good for losing weight, preventing diabetes and enabling remission.

All levels of physical activity are helpful - from arm stretches and on-the-spot walking to swimming and running.

This 1-minute video from Diabetes UK illustrates a variety of ways of keeping active at home.

Benefits of exercise

Moving more can: 

  • help you lose weight if you need to, and keep the weight off after you’ve lost it 
  • give you energy and help you sleep 
  • help your joints and flexibility 
  • help your mind as well as your body - exercise releases endorphins, which you could think of as happy hormones. Being active is proven to reduce stress levels and improve low mood.   
  • help the body use insulin better
  • help your blood pressure, which can put you more at risk of diabetes complications
  • help to improve cholesterol (blood fats) to help protect against problems like heart disease  

It’s important to remember that being active is even more beneficial if you’re also making healthier food choices and not smoking.

This video from Diabetes UK demonstrates the benefits of exercise on mood and mental health.

 

Overcoming barriers to exercise 

Diabetes UK provides resources which support overcoming barriers to physical activity - such as emotions, motivation, and health.

What is the best type of exercise for me?

There isn’t one type of activity that’s best for everyone at risk of diabetes - it’s about finding what works for you. This can depend on lots of things, like what you enjoy, where you are and how much time you have. Try to think about how activity can fit in with your life, not the other way around.  

In general, it’s best to try and do a mixture of different types of activity. This is because different types of activity have different benefits, and use different parts of your body.  

If you’re feeling worried, talk to your GP or healthcare team first. 

Keeping active at home 

There are lots of ways to get active at home. For example:

  • on-the-spot walking during TV ad breaks 
  • stretches for your arms and legs whilst sat in a chair 
  • hoovering your home or washing your car 
  • gardening 

Keeping active on the move

A slight change of routine can increase your physical activity levels. This could include: 

  • getting off the bus or tube one stop earlier, or parking further away from your destination 
  • taking the stairs instead of the lift or escalator 
  • cycling 
  • walking

Exercise as a hobby

Some ideas include:  

  • starting yoga or Pilates - you can attend classes or use YouTube workouts 
  • swimming
  • signing up to a new class, such as dance or tai-chi 

Exercise videos and other resources

Diabetes UK provides a Library of exercise videos

Diabetes UK – Diabetes and Exercise

  • Information on the benefits of exercising with diabetes, how to deal with feelings and emotions around exercise, and tips on how to keep active.

My Diabetes My Way - Activity and exercise

  • Suggestions and resources on how to increase physical activity for a wide variety of people and situations.

 

 

Exercise options in the Moray area

NHS Grampian Diabetes: Fitness Tracker Intervention

  • This intervention involves a one-to-one consultation carried out by a Health Psychologist. This usually lasts about 45 minutes, and can be done online through Near Me.
  • During the consultation, you can discuss how much activity you are doing currently, how much activity you would like to do, and what gets in the way of you being more active. This information will then be used to help you set your own realistic goals for increasing your physical activity.
  • You will also be provided with a free Fitness Tracker to monitor your activity, and given the option to keep in touch and attend follow-up appointments
  • To book an appointment contact:

Moray Sports & Leisure

  • Timetables for swimming pools, fitness classes and activities in Moray.

 

Moray Leisure Centre

  • Facilities include a gym, swimming pool, and ice rink. Offers fitness classes and 1-1 personal training.

 

Sport in Moray

  • Information about clubs and activities in Moray.