Monday 30 January 2012

The worst of the worst

The worst of the worst:

Ambulance response times are worse in the county than anywhere else in the East Midlands. Evening Telegraph

£2.2m haemotology unit opens to patients at Northampton General Hospital

£2.2m haemotology unit opens to patients at Northampton General Hospital:

PATIENTS treated in the new Macmillan Haematology Suite, which opened its doors at Northampton General Hospital today, will have more privacy and dignity, and be more comfortable for patients than the old unit, hospital staff have said. Northampton Chronicle and Echo

The wrong time for a radical reduction in NHS management? Chris Naylor

The wrong time for a radical reduction in NHS management? Chris Naylor: Chris Naylor considers the potential loss of managerial talent as new designs for the NHS Commissioning Board are revealed. Kings Fund

NHS performing well despite financial pressures

NHS performing well despite financial pressures The latest quarterly monitoring report from The King’s Fund shows that NHS performance is continuing to hold up, despite warnings from MPs this week about the scale of the financial challenge it is facing.

NHS 'in peril if shake-up fails'

NHS 'in peril if shake-up fails': More than 50 GPs involved in the groups that will control have warned the NHS may be "in peril" if government changes are derailed. BBC News

NHS Commissioning Board faces risks due to lack of resources

NHS Commissioning Board faces risks due to lack of resources: The NHS Commissioning Board (NCB) could struggle with some of its key functions due to lack of management and resources, a report has revealed. GP Online

NHS panel defines rules for rationing decisions

NHS panel defines rules for rationing decisions: Cataract surgery, knee replacement and other 'low clinical value' treatments must only be restricted on the basis of strict evidence-based criteria, an NHS panel has warned. GP Online

More than a million: understanding the UK's carers of people with cancer

More than a million: understanding the UK's carers of people with cancer:

According to this research there are over a million people who look after a loved-one with cancer that are potentially missing out on vital support and benefits. The report details the number and profile of the 1.1m people currently caring for someone with cancer in the UK and found that almost none (just 5%) have received a local authority Carers’ Assessment which enables them to access practical, emotional and financial support with their caring role.


Soaring numbers of patients die with bedsores and infected wounds

Soaring numbers of patients die with bedsores and infected wounds: Seventy five patients are dying in hospitals and care homes every day while suffering from conditions caused by neglect, new figures show. The Daily Telegraph

NHS 'faces peril' if reform plans are derailed - The Guardian

NHS 'faces peril' if reform plans are derailed - The Guardian:





The Guardian


NHS 'faces peril' if reform plans are derailed
The Guardian
The British Medical Association, the Royal College of Nurses and the Royal College of Midwives oppose the reform, describing it as a covert privatisation of the NHS. David Cameron agreed to "pause" the reforms last year as a result of the opposition.
Cost of NHS reformThe Wiltshire Gazette and Herald
Group of GPs warns of 'peril' if NHS changes failBBC News
NHS 'in peril' if health reforms fail, warn senior GPsTelegraph.co.uk
Huffington Post UK -The Press Association
all 242 news articles »

Andrew Lansley forced into major climbdown on planned health reforms

Andrew Lansley forced into major climbdown on planned health reforms:

Threat of Lords revolt compels health secretary to change NHS bill amid claims of 'sheer panic' in government over opposition


The health secretary will perform a dramatic climbdown over his reforms this week in a desperate attempt to prevent a cross-party revolt among peers who fear that the changes would lead to the fragmentation of the NHS.


Amid growing concern in Downing Street that health policy is becoming the government's achilles heel, ministers will table a series of amendments to the health and social care bill that will oblige Andrew Lansley to maintain the NHS as a national public service and, his critics say, limit his ambitions to expand the role of the private sector.


The changes will also spell out the kind of services that must be offered by GPs and will effectively ban them from withholding certain forms of care from patients.


On Saturday Labour's health spokesman in the House of Lords, Baroness Thornton, described the move as a "massive climbdown" by Lansley. But she said the bill still remained deeply flawed and that attention would turn to clauses dealing with plans to increase competition when it returns to the Lords next month.


The peers, led by the Lib Dem, Baroness Williams, and supported by a former Tory lord chancellor, Lord Mackay of Clashfern, have complained that the original bill left serious legal doubt as to whether the secretary of state would any longer be responsible for providing a "comprehensive health service for the people of England free at the point of need".


They feared that the absence of a chain of accountability would allow the service to become fragmented as different groups of doctors adopted different approaches and the role of the private sector expanded.


Lansley's reforms will abolish two major tiers of health service bureaucracy and devolve greater responsibility for commissioning care to GPs – moves the health secretary believes will deliver a more efficient service and a system of care tailored better to patients' needs.


The Department of Health confirmed the changes would be made to the bill but denied they were a panic response following a fortnight in which Lansley's approach has been criticised by a cross-party group of MPs and a growing number of health professionals.


One of the amendments was sparked by concern that the new consortia of local doctors in each part of England would be able to deny patients certain treatments because of their lifestyles. In Hertfordshire, the Herts Valley Clinical Commissioning Group (CCG) has become the first in England to tell obese patients to lose weight or they would not receive gall bladder, hernia or tonsil surgery. The CCG has also told smokers that they have to see a counsellor about trying to quit before they can undergo certain operations.


Although the NHS already imposes conditions on certain patients, there was concern that CCGs would go much further if the health secretary was no long responsible for ensuring they provided a national service.


A letter from the government health minister Lord Howe to a group of peers last week confirmed the changes. It said that "there seems to be an emerging consensus about how the bill can be improved in order to put beyond doubt the secretary of state's accountability for the health service".


Meanwhile, opposition from doctors to the bill appears to be growing. The Royal College of Physicians, which represents hospital doctors, is under pressure from members to hold an emergency general meeting. The members want it to follow the British Medical Association, the Royal College of Nursing and the Royal College of Midwives in calling for the bill to be scrapped.


The body representing NHS radiologists has also voiced "grave concerns" about the bill and said that: "Given our widespread concerns over many serious and as yet unresolved issues, the Royal College of Radiologists cannot support, and must continue to oppose, the passage of the bill in its current form."


The Royal College of Psychiatrists has taken a similarly hard line while the College of Emergency Medicine, which speaks for A&E doctors, has also voiced serious doubts.


Andy Burnham, the shadow health secretary, said on Saturday that there had been "sheer panic" at the Department of Health. "But no amount of pressurising phone calls and desperate concessions will make the bill acceptable," he said. The Guardian

Elderly fall through gaps in broken care system

Elderly fall through gaps in broken care system: Elderly people are being let down by a lack of co-operation between the NHS and council-run social care, MPs are set to warn this week. The Daily Telegraph

Whistle-blowers are the unsung heroes of the NHS

Whistle-blowers are the unsung heroes of the NHS: Everyone working in the NHS should be free to criticise bad working practices without fearing for their livelihoods, says Max Pemberton. The Daily Telegraph

Surgeons pull back from reform rebellion

Surgeons pull back from reform rebellion:

The Government escaped a rebellion by the medical establishment after the Royal College of Surgeons refused to back a statement condemning its health reforms. The Independent

Fears over hip replacements

Fears over hip replacements:

Medical regulators have launched an investigation into the safety of metal hip replacements amid fears that thousands of British patients are at risk of being poisoned by the implants. The Independent