E-cigarettes: a burning issue for future public health policy? Although some of the Labour party’s early thinking on public health policy has recently been leaked, in the run-up to the general election all political parties will need to develop their ideas for improving the public’s health, from policies on alcohol and food, to the role of industry and taxes. With plain (or rather standardised) cigarette packaging now close – in no small measure thanks to the compelling Chantler Review – the next political issue on tobacco must surely be a clearer view on e-cigarettes.
Friday, 30 May 2014
Enabling integrated care in the NHS
Enabling integrated care in the NHS Guidance on how healthcare providers and commissioners can enable better integration of care so services are less fragmented and easier for patients to access. Monitor
New NHS boss backs smaller hospitals
New NHS boss backs smaller hospitals Smaller community hospitals should play a bigger role especially in the care of older patients, the new head of the NHS in England says. BBC News
See also:
See also:
- Simon Stevens: 'The NHS is at a defining moment' The Daily Telegraph
- NHS chief Simon Stevens: We need cottage hospitals The Daily Telegraph
Drugs to treat alcohol top £3m
Drugs to treat alcohol top £3m There were a million hospital admissions related to alcohol in England last year and £3.13m was spent on drugs to treat alcohol dependency. BBC News
See also:
See also:
- Cost of drugs for treating alcohol dependence tops £3 million for the first time Health & Social Care Information Centre
Developing a sustainable podiatry workforce for the UK towards 2030
Developing a sustainable podiatry workforce for the UK towards 2030 This report was commissioned by the Society of Chiropodists and Podiatrists as evidence to inform and influence organisations responsible for health workforce strategy, funding of under and post graduate education and service provision for Podiatry. The College of Podiatry
Environmental sustainability in hospitals: the value of efficiency
Environmental sustainability in hospitals: the value of efficiency This guide aims to help hospital and care system leaders navigate the world of sustainability and build upon their organizations’ existing efforts. Hospitals in Pursuit of Excellence
How can the NHS find its way out of the funding crisis?
How can the NHS find its way out of the funding crisis? Two possible solutions have been offered but are they viable and will they prove successful?
This week two visions are being offered for how the NHS can find its way out of the funding and quality crises. One is a myth, the other might make a difference.
The myth is, of course, being peddled by a politician. This week it's the turn of health secretary Jeremy Hunt (again). In an HSJ interview he claimed that safety and technology are all that are needed to get the NHS through more years of deficit reduction. Eradicating mistakes while installing new kit appears to be the way forward. Continue reading... The Guardian
This week two visions are being offered for how the NHS can find its way out of the funding and quality crises. One is a myth, the other might make a difference.
The myth is, of course, being peddled by a politician. This week it's the turn of health secretary Jeremy Hunt (again). In an HSJ interview he claimed that safety and technology are all that are needed to get the NHS through more years of deficit reduction. Eradicating mistakes while installing new kit appears to be the way forward. Continue reading... The Guardian
NHS providers face mounting financial and staffing pressures
NHS providers face mounting financial and staffing pressures NHS providers are worrying how to keep the quality of patient care high as resources are squeezed.
NHS foundation trusts (FT) and NHS trusts are facing the broadest range of challenges for more than a generation including dealing with an ever tighter budget and rapidly rising demand. With NHS England warning of an "even more challenging" financial year than 2013-14, how did NHS providers end last year and what shape are they in to deliver the changes needed to make the NHS clinically and financially sustainable?
The last fortnight has seen the publication of year end reports from Monitor for NHS Foundation Trusts and the Trust Development Authority for NHS Trusts. They identify four trends: "very significant financial pressure", a rapid, largely unfunded, growth in staff numbers, good operational performance with some growing concerns, and a pessimistic outlook. Continue reading... The Guardian
NHS foundation trusts (FT) and NHS trusts are facing the broadest range of challenges for more than a generation including dealing with an ever tighter budget and rapidly rising demand. With NHS England warning of an "even more challenging" financial year than 2013-14, how did NHS providers end last year and what shape are they in to deliver the changes needed to make the NHS clinically and financially sustainable?
The last fortnight has seen the publication of year end reports from Monitor for NHS Foundation Trusts and the Trust Development Authority for NHS Trusts. They identify four trends: "very significant financial pressure", a rapid, largely unfunded, growth in staff numbers, good operational performance with some growing concerns, and a pessimistic outlook. Continue reading... The Guardian
Deaths from high blood pressure in decline
Deaths from high blood pressure in decline Hundreds of thousands of lives have been saved because of improvements to the treatment of high blood pressure, according to a new study. The Independent
See also:
See also:
- Blood pressure advances save lives BBC News
- Blood pressure drugs prevent 70,000 heart attacks in a single year: Tens of thousands of lives saved by improved diagnosis and treatment The Daily Mail
- 55,000 strokes and heart attacks could be prevented in 2022 with better blood pressure control The Daily Telegraph
Thursday, 29 May 2014
Beyond Francis and Berwick...sign up to improvement?
Beyond Francis and Berwick...sign up to improvement? We’ve faltered in England. There hasn’t been a medium term strategy for improvement in the NHS based on recognised tried and tested quality improvement techniques, some from other industries with complex high risk systems like the NHS. Isn’t it now time for something more strategic, on the back of Francis and given the financial squeeze? asks Dr Jennifer Dixon. The Health Foundation
QualityWatch: Focus on: antidepressant prescribing
QualityWatch: Focus on: antidepressant prescribing This research, conducted jointly between The Nuffield Trust and The Health Foundation, reveals that the financial crisis and subsequent recession saw a significant acceleration in the numbers of antidepressants prescribed by GPs. This striking increase is despite the incidence of depression having risen much more slowly over the same time period, meaning that either antidepressants were heavily under-prescribed in 1998, or they are heavily over prescribed now.
Meet the people using social media to make a difference
Meet the people using social media to make a difference NHS Employers have collaborated with HSJ and Nursing Times to celebrate healthcare’s social media pioneers.
Call to 'resist e-cigarette controls'
Call to 'resist e-cigarette controls' Public health specialists are pressing the World Health Organization to "resist the urge to control and suppress e-cigarettes". BBC News
NICE: 'Obese should be prescribed slimming clubs'
NICE: 'Obese should be prescribed slimming clubs' “GPs told to prescribe £100 slimming courses for millions of obese patients,” the Daily Mail reports.
The news is based on new guidelines from the National Institute for Health and Care Excellence (NICE) that aim to encourage sustainable weight loss in the obese; “lose a little, and keep it off”.
The guidance is mainly aimed at commissioners (who plan and agree which services will be provided in the NHS and monitor them), health professionals and groups who provide lifestyle weight management programmes. The recommendations may also be of interest to members of the public, including people who are overweight or obese.
The guidance has been issued because being overweight or obese is a common and important health problem in the UK. In 2012 about a quarter of men and women aged 16 and over in England had a body mass index (BMI) over 30, classified as obese.
The news is based on new guidelines from the National Institute for Health and Care Excellence (NICE) that aim to encourage sustainable weight loss in the obese; “lose a little, and keep it off”.
The guidance is mainly aimed at commissioners (who plan and agree which services will be provided in the NHS and monitor them), health professionals and groups who provide lifestyle weight management programmes. The recommendations may also be of interest to members of the public, including people who are overweight or obese.
The guidance has been issued because being overweight or obese is a common and important health problem in the UK. In 2012 about a quarter of men and women aged 16 and over in England had a body mass index (BMI) over 30, classified as obese.
Less than half of patients accept NHS Health Check
Less than half of patients accept NHS Health Check Check up numbers rose by 9.5% in past year. OnMedica
Clinical commissioning groups are key to transforming the NHS
Clinical commissioning groups are key to transforming the NHS CCGs can build relationships locally and take the lead on integrated and innovative work.
For the past year clinical commissioning groups (CCGs) have been working hard to make a difference in a system that isn't set up to support them. But in spite of increasingly unstable finances and an NHS that is still embedding and adapting to new ways of working, CCGs are making responsible, clinically-led decisions in partnership with GPs, patients and providers which are making a difference to the care being delivered to their communities. Our Taking the Lead publication highlights 16 CCGs across the country who are unleashing the power of clinical leaders, working with local government, the voluntary sector and other key partners.
The 16 examples show what results for patients the innovation, enthusiasm, energy and clinical leadership of CCGs can have for example, in Corby, senior GPs now work part of their week in a new urgent care facility, and local people no longer have to travel eight miles to A&E for an x-ray. Or take Oldham, where the CCG is working with the local council and a housing association to lift people out of fuel poverty so that 1,000 households stay warm in the winter. In Leicester, health coaches are helping people with chronic lung disease to look after themselves, and in east London people recovering from mental ill-health can now be seen out of hospital in their GP surgery. Continue reading... The Guardian
For the past year clinical commissioning groups (CCGs) have been working hard to make a difference in a system that isn't set up to support them. But in spite of increasingly unstable finances and an NHS that is still embedding and adapting to new ways of working, CCGs are making responsible, clinically-led decisions in partnership with GPs, patients and providers which are making a difference to the care being delivered to their communities. Our Taking the Lead publication highlights 16 CCGs across the country who are unleashing the power of clinical leaders, working with local government, the voluntary sector and other key partners.
The 16 examples show what results for patients the innovation, enthusiasm, energy and clinical leadership of CCGs can have for example, in Corby, senior GPs now work part of their week in a new urgent care facility, and local people no longer have to travel eight miles to A&E for an x-ray. Or take Oldham, where the CCG is working with the local council and a housing association to lift people out of fuel poverty so that 1,000 households stay warm in the winter. In Leicester, health coaches are helping people with chronic lung disease to look after themselves, and in east London people recovering from mental ill-health can now be seen out of hospital in their GP surgery. Continue reading... The Guardian
New guidelines to improve healthcare's 'horrendous' supply chain record
New guidelines to improve healthcare's 'horrendous' supply chain record Calls for a statement of ethical procurement to be included in the NHS constitution as public sector lags behind business
"There are some horrible working conditions; kids as young as seven making surgical instruments; people losing limbs. It's horrendous," says Dr Mahmoud Bhutta, consultant surgeon and founder of the British Medical Association's (BMA) Medical Fair and Ethical Trade Group, established in 2007. "Many of the companies [which supply the NHS] have been burying their heads in the sand."
Bhutta does not hold back in his criticism of the companies that collectively spend £30bn of public money on behalf of the NHS. The publication of new BMA guidance for GPs and commissioners, which strive to protect workers' rights in medical supply chains, only highlights the lack of progress since 2008 when the guidelines were released. Continue reading... The Guardian
"There are some horrible working conditions; kids as young as seven making surgical instruments; people losing limbs. It's horrendous," says Dr Mahmoud Bhutta, consultant surgeon and founder of the British Medical Association's (BMA) Medical Fair and Ethical Trade Group, established in 2007. "Many of the companies [which supply the NHS] have been burying their heads in the sand."
Bhutta does not hold back in his criticism of the companies that collectively spend £30bn of public money on behalf of the NHS. The publication of new BMA guidance for GPs and commissioners, which strive to protect workers' rights in medical supply chains, only highlights the lack of progress since 2008 when the guidelines were released. Continue reading... The Guardian
UK women are fattest in western Europe: 1 in 12 are clinically obese
UK women are fattest in western Europe: 1 in 12 are clinically obese Young women in the UK are fatter than anywhere else in western Europe with one in 12 being clinically obese, a study has shown. The Independent
See also:
See also:
- Overweight total tops 2.1bn globally BBC News
- VIDEO: Overweight total tops 2.1bn globally BBC News
- More than a quarter of the world's population is overweight or obese The Independent
- Obesity among British girls highest in Western Europe The Daily Telegraph
Wednesday, 28 May 2014
Realistic weight loss goals better than quick fixes
Realistic weight loss goals better than quick fixes Losing even a small amount of weight can help to improve the health of people who are overweight or obese and lower their risk of developing type 2 diabetes, heart disease and cancer, says NICE.
See also;
- Guidance on Obesity NICE
- 'Lose a little' advice on obesity BBC News
- VIDEO: 'Lose a little' obesity advice BBC News
- NHS must treat obesity patients with compassion and dignity, report concludes The Independent
- Most Brits need slimming classes, NHS guidance says The Daily Telegraph
Police investigate patient restraint
Police investigate patient restraint A police force confirms it is investigating claims of unlawful patient restraint at a West Midlands Hospital trust. BBC News
Be wary of Wikipedia, say scientists
Be wary of Wikipedia, say scientists The internet encyclopaedia Wikipedia contains errors in nine out of 10 of its health entries, and should be treated with caution, scientists warn. BBC News You may want to contact your local NHS Library instead...
See also:
See also:
- Don't diagnose yourself on Wikipedia, doctors warn The Daily Telegraph
- 90% of Wikipedia medical entries are inaccurate, say experts The Daily Mail
Care.data should be opt-in, say GPs
Care.data should be opt-in, say GPs Data extraction from patient records for care.data should be 'opt-in' and take place only with the 'explicit and informed consent' of patients, GP leaders have said. GP Online
Is this hospital a miracle cure for the NHS? It has a Michelin chef, happy patients and is run by doctors and nurses. And shock, horror,...
Is this hospital a miracle cure for the NHS? It has a Michelin chef, happy patients and is run by doctors and nurses. And shock, horror,... Just imagine an NHS hospital whose standards match those of a top-quality hotel, with a welcoming reception area, polished floors, tasteful artwork on the freshly-painted walls, and menus inspired by a Michelin-starred chef. The Daily Mail
Family doctor service in crisis: head of Royal College
Family doctor service in crisis: head of Royal College Family doctors are working 'ludicrous' hours and seeing far too many patients as general practice pressure reach crisis levels, medical leaders warn. The Daily Telegraph
See also:
See also:
- GP: 'My surgery is breaking apart' BBC News
Tuesday, 27 May 2014
Big Report: Staffing levels at KGH
Big Report: Staffing levels at KGH
Kettering General Hospital bosses have been told by inspectors that they do not have enough staff to keep patients safe and meet their needs. Evening Telegraph
Kettering General Hospital bosses have been told by inspectors that they do not have enough staff to keep patients safe and meet their needs. Evening Telegraph
Cars raise cash for KGH
Cars raise cash for KGH
Parking at Kettering General Hospital generated a total of £672,129 in 2012-13. Evening Telegraph
Parking at Kettering General Hospital generated a total of £672,129 in 2012-13. Evening Telegraph
Chairman of Mid-Staffs scandal inquiry speaks out
Chairman of Mid-Staffs scandal inquiry speaks out
In an exclusive interview, Robert Francis, head of the public inquiry into the Mid-Staffs scandal warns that NHS complacency is killing patients, and hails a "refreshing" candour from ministers about failings in patient care. Daily Telegraph
In an exclusive interview, Robert Francis, head of the public inquiry into the Mid-Staffs scandal warns that NHS complacency is killing patients, and hails a "refreshing" candour from ministers about failings in patient care. Daily Telegraph
Misjudged counselling and therapy can be harmful, study reveals
Misjudged counselling and therapy can be harmful, study reveals
Analysis of talking therapies finds many have a positive outcome but some vulnerable people can be left feeling more depressed
Counselling and other psychological therapies can do more harm than good if they are of poor quality or the wrong type, according to a major new analysis of their outcomes.
Talking therapies are usually helpful to people who are distressed, but in a minority of cases where it goes wrong it can leave vulnerable people more depressed than when they first sought help, the authors say. Guardian
Continue reading...
Analysis of talking therapies finds many have a positive outcome but some vulnerable people can be left feeling more depressed
Counselling and other psychological therapies can do more harm than good if they are of poor quality or the wrong type, according to a major new analysis of their outcomes.
Talking therapies are usually helpful to people who are distressed, but in a minority of cases where it goes wrong it can leave vulnerable people more depressed than when they first sought help, the authors say. Guardian
Continue reading...
A new route to good dementia care
A new route to good dementia care
Aimed at doctors and providers of community care, the Dementia Roadmap is a comprehensive “one stop shop” designed to reflect a patient’s needs as they progress through the disease and signpost them to relevant local resources at the right time, from diagnosis onwards.
Produced in collaboration with the Alzheimer’s Society and funded by the Department of Health, the Dementia Roadmap provides a platform to help CCGs and other local organisations to bring together information for patients in their area for the first time, so that GPs can refer them to the best care to meet their needs as quickly as possible. NHS Networks
Aimed at doctors and providers of community care, the Dementia Roadmap is a comprehensive “one stop shop” designed to reflect a patient’s needs as they progress through the disease and signpost them to relevant local resources at the right time, from diagnosis onwards.
Produced in collaboration with the Alzheimer’s Society and funded by the Department of Health, the Dementia Roadmap provides a platform to help CCGs and other local organisations to bring together information for patients in their area for the first time, so that GPs can refer them to the best care to meet their needs as quickly as possible. NHS Networks
Save general practice GPs issue plea to patients
Save general practice GPs issue plea to patients
Hundreds of thousands of patients are set to be asked, over the summer, to sign a petition calling on the four governments of the UK to save general practice.
The petition, which will be accompanied by a hard-hitting poster showing long queues of people waiting outside a GP practice in a nightmare vision of the future, will be sent out to every surgery in the UK over the next week.
The petition and poster, which have been produced by the Royal College of General Practitioners and the National Association for Patient Participation, call on the governments of the UK to reverse the swingeing cuts made to the funding of general practice over the last decade - which many believe have left some services struggling to survive.
Research from the RCGP has revealed that over the last decade, the number of patient consultations has soared to an all-time high while funding for general practice has dropped to an historic low.
Hundreds of thousands of patients are set to be asked, over the summer, to sign a petition calling on the four governments of the UK to save general practice.
The petition, which will be accompanied by a hard-hitting poster showing long queues of people waiting outside a GP practice in a nightmare vision of the future, will be sent out to every surgery in the UK over the next week.
The petition and poster, which have been produced by the Royal College of General Practitioners and the National Association for Patient Participation, call on the governments of the UK to reverse the swingeing cuts made to the funding of general practice over the last decade - which many believe have left some services struggling to survive.
Research from the RCGP has revealed that over the last decade, the number of patient consultations has soared to an all-time high while funding for general practice has dropped to an historic low.
Government failing on violence reduction scheme via A&E departments
Government failing on violence reduction scheme via A&E departments
Nationwide plan agreed in 2010 for sharing data with police adopted by only a third of English hospitals, say surgeons
Ministers are failing to fulfil a coalition pledge to roll out a violence reduction scheme that has been shown to reduce attacks by as much as 40%, leading accident and emergency surgeons claim.
The Tories and Liberal Democrats agreed in 2010 to introduce the nationwide scheme, which involves A&E departments sharing anonymised information about violent incidents with police forces, allowing problem spots to be targeted. Guardian
Continue reading...
Nationwide plan agreed in 2010 for sharing data with police adopted by only a third of English hospitals, say surgeons
Ministers are failing to fulfil a coalition pledge to roll out a violence reduction scheme that has been shown to reduce attacks by as much as 40%, leading accident and emergency surgeons claim.
The Tories and Liberal Democrats agreed in 2010 to introduce the nationwide scheme, which involves A&E departments sharing anonymised information about violent incidents with police forces, allowing problem spots to be targeted. Guardian
Continue reading...
Dieting 'may reduce chance of cancer spread'
Dieting 'may reduce chance of cancer spread'
Low calorie diet may help breast cancer sufferers, study suggests. Daily Telegraph
Low calorie diet may help breast cancer sufferers, study suggests. Daily Telegraph
Spoilt for choice? Four new Cochrane reviews on antipsychotics for schizophrenia
Spoilt for choice? Four new Cochrane reviews on antipsychotics for schizophrenia
Schizophrenia is a crippling condition characterised by psychotic experiences such as delusions and hallucinations. It can be hugely debilitating for the patient and their family and it can also be an enormous challenge for psychiatrists and other health and social care professionals who are responsible for providing care and support to the service user. Currently, [read the full story...] The Mental Elf
Schizophrenia is a crippling condition characterised by psychotic experiences such as delusions and hallucinations. It can be hugely debilitating for the patient and their family and it can also be an enormous challenge for psychiatrists and other health and social care professionals who are responsible for providing care and support to the service user. Currently, [read the full story...] The Mental Elf
Freezing stabbing victims in suspended animation could save lives as trials begin
Freezing stabbing victims in suspended animation could save lives as trials begin
Doctors are set to recreate a sci-fi technique as they begin suspended animation by freezing trauma victims in the hope of keeping them alive. Independent
Doctors are set to recreate a sci-fi technique as they begin suspended animation by freezing trauma victims in the hope of keeping them alive. Independent
How reliable are medical research checks?
How reliable are medical research checks?
Is the system for reviewing medical research working? BBC News
Is the system for reviewing medical research working? BBC News
Child sight loss 'on the increase'
Child sight loss 'on the increase'
Increasing numbers of British children are being registered as blind or partially sighted as more very premature babies survive, say campaigners. BBC News
Increasing numbers of British children are being registered as blind or partially sighted as more very premature babies survive, say campaigners. BBC News
Thousands of children treated for self-harm
Thousands of children treated for self-harm
The number of young people self-harming has risen by 30 per cent - with the increase believed to be linked to the rise of cyber-bullying. Daily Mail
The number of young people self-harming has risen by 30 per cent - with the increase believed to be linked to the rise of cyber-bullying. Daily Mail
Fingolimod, drug used to treat multiple sclerosis found to help us forget experiences that caused pain
Fingolimod, drug used to treat multiple sclerosis found to help us forget experiences that caused pain
Scientists at Virginia Commonwealth University, US, say fingolimod could now be used to wipe traumatic events, phobias and even sexual hang-ups. Daily Mail
Scientists at Virginia Commonwealth University, US, say fingolimod could now be used to wipe traumatic events, phobias and even sexual hang-ups. Daily Mail
Abortion clinic guidance published
Abortion clinic guidance published
The guidance for abortion providers in England has been clarified to reinforce the fact that terminating a pregnancy on the grounds of gender alone is illegal. BBC News
The guidance for abortion providers in England has been clarified to reinforce the fact that terminating a pregnancy on the grounds of gender alone is illegal. BBC News
Friday, 23 May 2014
Intrapreneurship can get innovation in the NHS unstuck
Intrapreneurship can get innovation in the NHS unstuck Innovation is the most exhausted word in the health care vernacular. Everyone seems to be doing it, but who’s doing it right? Na'eem Ahmed discusses the issue and gives his ideas for unlocking innovation. The Health Foundation
Changes to right to work checks
Changes to right to work checks On 16 May 2014, the Home Office made changes to the type of documents employers can ask for to verify an individual's right to work in the UK. NHS Employers
How Monitor, CQC and the NHS Trust Development Authority will work together to assess how well led-organisations are
How Monitor, CQC and the NHS Trust Development Authority will work together to assess how well led-organisations are One of the five questions CQC now asks of all providers is ‘how well-led is this organisation?’. The quality of leadership is one of the most important determinants of the quality and safety of services. This framework outlines the dimensions of leadership that organisations will be assessed on and allows organisations to align themselves with the common expectation of what good looks like. Care Quality Commission
Hospital admissions cut plan 'risky'
Hospital admissions cut plan 'risky' A £3.8bn scheme to cut hospital admissions in England and treat more people at home is risky, and "overly optimistic", health researchers warn. BBC News
See also:
See also:
GPs say no to charging patients
GPs say no to charging patients Calls to charge patients for GP visits in the UK have been rejected by family doctors at the British Medical Association's annual conference. BBC News
See also:
See also:
- RCGP statement on proposals to charge for GP appointments Royal College of General Practitioners
- GPs vote against charging patients for appointments The Guardian
AUDIO: To A&E or not to A&E?
AUDIO: To A&E or not to A&E? Dr Clifford Mann and Professor Keith Willett debate new estimates of the number of A&E patients that could be treated in the community. BBC News
See also:
See also:
- Emergency Departments - More useful than the official data suggests College of Emergency Medicine
- People not overusing A&E findings The Guardian
- RCGP response to College of Emergency Medicine report proposing to have GPs in Emergency Departments of hospitals Royal College of General Practitioners
Superbugs pose graver threat than climate change: scientists
Superbugs pose graver threat than climate change: scientists Antibiotic resistant superbugs pose a graver threat to humanity than climate change due to a 'feeble' global response, leading scientists warn. The Daily Telegraph
Patients forced to use GP out of hours by poor appointment times
Patients forced to use GP out of hours by poor appointment times Thousands of patients are being forced to use GP out of hours services because surgeries fail to offer convenient appointments, a study suggests. The Daily Telegraph
See also:
See also:
Drug-resistant HIV pandemic is a 'real possibility', expert claims
Drug-resistant HIV pandemic is a 'real possibility', expert claims A new HIV pandemic is “a real possibility”, one of the world’s leading authorities on infectious disease has said, warning that a rise of drug resistant strains of the virus could “reverse progress made since the 1980s” in combating the disease. The Independent
Thursday, 22 May 2014
Interim guidance: implementing patients’ right to choose any clinically appropriate provider of mental health services
Interim guidance: implementing patients’ right to choose any clinically appropriate provider of mental health services This guidance covers issues such as how to support patients in the choices they are able to make; how to respond to any significant changes in where patients are referred to when patients make their choices; and clarity on pricing and paying for mental health services. There are exemptions to the new right to choice, which are also set out in the guidance. NHS England
Most patients 'right to go to A&E'
Most patients 'right to go to A&E' Efforts to redirect patients away from busy A&E departments will not work, say doctors, as a new study shows most need to be seen there. BBC News
Invest in nurse leaders to improve dementia care
Invest in nurse leaders to improve dementia care The RCN has published a report into a major year-long programme which has highlighted the importance of investing in nurse leaders and dementia nurse specialists to improving dementia care. Royal College of Nursing
E-cigs 'better than patches and gum' as quitting aid
E-cigs 'better than patches and gum' as quitting aid “E-cigarettes more effective than patches to help quit smoking, says study,” The Guardian reports. A UK study has found that people who use the aids are 60% more likely to quit than those who try nicotine replacement therapy (NRT) patches or gum, or willpower alone.
This was a “real world” study that surveyed a representative sample of the English population about their smoking habits.
The results of this study, whilst interesting, should be viewed with caution, as there are numerous limitations. This includes the fact it was not a randomised controlled trial (RCT), which is the best way to assess the effectiveness of treatments.
This was a “real world” study that surveyed a representative sample of the English population about their smoking habits.
The results of this study, whilst interesting, should be viewed with caution, as there are numerous limitations. This includes the fact it was not a randomised controlled trial (RCT), which is the best way to assess the effectiveness of treatments.
Turbo charging volunteering: co-production and public service reform
Turbo charging volunteering: co-production and public service reform This report sets out ways that ‘co-production’ of services can be applied more widely in health, housing, social care and other contexts and finds that there are clear social benefits from producing services in this way. It argues that service users, their friends and families, are able to build a much broader range of activities and gain the respect that goes with being “equal partners”. In addition, the report finds that there are significant savings to be realised through co-production. For example, research has identified that it could cut NHS costs by at least 7% (£4.4 billion) a year and potentially up to a fifth. Centre Forum
Public health experts call for action on dementia
Public health experts call for action on dementia Tackling known risk factors could prevent up to a fifth of new dementia cases. OnMedica
See also:
See also:
Politicians alienating GPs with 'relentless' attacks, senior doctor claims
Politicians alienating GPs with 'relentless' attacks, senior doctor claims Dr Chaand Nagpaul accuses MPs of belittling family doctors, causing some young doctors to shun becoming GPs
Politicians are alienating GPs with "relentless attacks" and use of "political gimmickry" to tackle the unsustainable pressures facing family doctors, a key leader of the profession warns on Thursday.
In a critique of the coalition and Labour opposition, Dr Chaand Nagpaul will accuse them of belittling GPs by bemoaning the difficulty patients have getting appointments and the lack of extended opening times. Continue reading... The Guardian
Politicians are alienating GPs with "relentless attacks" and use of "political gimmickry" to tackle the unsustainable pressures facing family doctors, a key leader of the profession warns on Thursday.
In a critique of the coalition and Labour opposition, Dr Chaand Nagpaul will accuse them of belittling GPs by bemoaning the difficulty patients have getting appointments and the lack of extended opening times. Continue reading... The Guardian
Hospitals criticised for discharging vulnerable patients at night
Hospitals criticised for discharging vulnerable patients at night Growing pressure on NHS hospitals has led to hundreds of thousands of patients being discharged in the middle of the night, despite efforts to cut back on the controversial practice, it has been revealed. The Independent
See also:
See also:
- Rising numbers of hospital patients sent home in the midst of night The Daily Telegraph
- Hospitals break NHS pledge to protect frail and elderly Daily Mail
NHS in the red: Hospitals forced to beg Government for equipment loans and electricity bills
NHS in the red: Hospitals forced to beg Government for equipment loans and electricity bills
The intense financial pressure faced by NHS hospitals has been laid bare in a series of letters, which range from pleas for bailout loans to replace defunct equipment, attempts to fend off legal threats from suppliers and even requests to pay off electricity bills. The Independent
See also:
The intense financial pressure faced by NHS hospitals has been laid bare in a series of letters, which range from pleas for bailout loans to replace defunct equipment, attempts to fend off legal threats from suppliers and even requests to pay off electricity bills. The Independent
See also:
- Hospitals forced to ask Government for emergency bail-out loans The Daily Telegraph
Wednesday, 21 May 2014
Borough bids to bolster domestic abuse services in Northampton
Borough bids to bolster domestic abuse services in Northampton Councillors launched the first stage of a major report aimed at tackling domestic violence in Northampton last night. Northampton Chronicle and Echo
High proportion of NHS staff feel swift and effective action is not taken to deal with inappropriate behaviours, new survey finds
High proportion of NHS staff feel swift and effective action is not taken to deal with inappropriate behaviours, new survey finds Two fifths (43 per cent) of NHS staff feel that swift and effective action is not taken to deal with inappropriate behaviours and performance in their organisation, a survey published today by The King’s Fund has found.
Consultation on revalidation and the revised Code
Consultation on revalidation and the revised Code The NMC are currently seeking feedback and views on The Code which outlines the standards of conduct, performance and ethics for nurses and midwives. The Code has been revised following the recommendations of recent major healthcare reviews including the Francis Report. The revised Code will also align to revalidation, a process which will require all nurses and midwives to regularly confirm to the NMC that they are fit to practise. This consultation closes on 11th August 2014. Nursing and Midwifery Council
Vaccines not linked with autism, study finds
Vaccines not linked with autism, study finds "There is no evidence whatsoever linking the development of autism to childhood vaccines," The Guardian reports.
A new study involving more than a million children found no evidence of a link between childhood vaccines and autism or autism spectrum disorder.
Researchers pooled the results of studies that have assessed the relationship between vaccine administration and the subsequent development of autism spectrum disorder. No significant associations were found between vaccinations and the development of the condition.
The results of this study therefore suggest that there is no reason that parents should avoid having their child vaccinated because of fears that their child will develop autism after they are immunised.
A new study involving more than a million children found no evidence of a link between childhood vaccines and autism or autism spectrum disorder.
Researchers pooled the results of studies that have assessed the relationship between vaccine administration and the subsequent development of autism spectrum disorder. No significant associations were found between vaccinations and the development of the condition.
The results of this study therefore suggest that there is no reason that parents should avoid having their child vaccinated because of fears that their child will develop autism after they are immunised.
Information published for first time about repeat use of the Mental Health Act
Information published for first time about repeat use of the Mental Health Act Information is released for the first time today about the number of adults subject to repeat use of detentions and short term orders under the Mental Health Act. Health & Social Care Information Centre
Socio-technical allocation of resources (STAR) casebooks
Socio-technical allocation of resources (STAR) casebooks These two casebooks describe a new approach to priority setting called STAR which combines money analysis with stakeholder engagement. It allows those who plan services to determine how services can effectively be invested whilst stakeholder engagement ensures that decisions are understood and supported by those affected. The first casebook describes the principles of the approach, whilst the second examines the implementation of STAR in an eating disorder service in Sheffield. NHS Right Care
Overwork stopping GPs from collaborating
Overwork stopping GPs from collaborating Over two-thirds say workload and lack of time stop them joining networks. OnMedica
See also:
See also:
Can technology improve patient safety?
Can technology improve patient safety? The advantage of technology is that it obeys instructions and behaves consistently.
Since 2000, following a report by the chief medical officer, An organisation with memory, a safer NHS has been a key priority. More recently, the Sign up to safety campaign is the latest iteration of the continual aspiration to make the NHS a high reliability organisation, one that succeeds in avoiding incidents in a high risk environment. Jeremy Hunt has stated that he aims to reduce avoidable deaths by 6,000 over three years.
In an era where people can manage every aspect of their life from a device little bigger than a credit card, can technology help us achieve those aims? Continue reading... The Guardian
Since 2000, following a report by the chief medical officer, An organisation with memory, a safer NHS has been a key priority. More recently, the Sign up to safety campaign is the latest iteration of the continual aspiration to make the NHS a high reliability organisation, one that succeeds in avoiding incidents in a high risk environment. Jeremy Hunt has stated that he aims to reduce avoidable deaths by 6,000 over three years.
In an era where people can manage every aspect of their life from a device little bigger than a credit card, can technology help us achieve those aims? Continue reading... The Guardian
Patients wait two weeks to see GP in a fifth of practices
Patients wait two weeks to see GP in a fifth of practices Survey of 500 GPs, conducted by Pulse Magazine, finds that waiting times for non-urgent appointments are getting longer. The Daily Telegraph
NHS could start prescribing e-cigarettes as study finds them 60% more effective than gum or patches
NHS could start prescribing e-cigarettes as study finds them 60% more effective than gum or patches Although e-cigarettes are not yet licenced by the Medical and Healthcare products Regulatory Agency, researchers at University College London said new evidence showed they were extremely effective at helping smokers to quit. The Daily Telegraph
See also:
See also:
- E-cigarettes 'help smokers to quit' BBC News
Tuesday, 20 May 2014
AstraZeneca rejects £69bn Pfizer bid
AstraZeneca rejects £69bn Pfizer bid UK drugs company AstraZeneca rejects the improved "final" £69bn takeover offer from US firm Pfizer. BBC News
All in this together?
All in this together? MHP Health has published All in this together, investigating how councils are using the Better Care Fund.
- Local authorities allocated £349m across the two years to maintaining eligibility criteria aimed at ensuring access to existing services. Money allocated to maintaining service eligibility was higher than any other category of spend in each year, 23% in 2012-13 and 24% in 2013-14
- Less than 4% of the funding transfer was allocated towardsmental health services in 2012-13 and 2013-14 combined – this despite the fact that achieving parity of esteem between mental and physical health is a priority for NHS and social care services
- Services aimed at helping people recover following periods of hospitalisation are also an identified priority of councils with £1 in every £5 allocated through the transfer funding across 2012-13 and 2013-14 aimed at improving patient recovery and early hospital discharge
Power to the people: the mutual future of our National Health Service
Power to the people: the mutual future of our National Health Service This report calls for radical overhaul of the UK health service tackling the lifestyle and long-term conditions that it estimates will cause a £19 billion deficit in the NHS. It argues for a move away from acute care in hospitals and integrated care based in the community delivered through health mutuals. ResPublica
Health union ballots members on appetite for strike action
Health union ballots members on appetite for strike action Move prompted by what it dubs government’s ‘divide and rule’ pay offer. OnMedica
Strong leadership needed to overcome financial pressures on the NHS
Strong leadership needed to overcome financial pressures on the NHS Leadership needs to be shared and distributed throughout the NHS with leaders engaging with colleagues
The NHS needs leadership of the highest calibre if it is to respond successfully to financial and service pressures that are unprecedented in its history. We need to move on from a concept of heroic leaders who turn around organisational performance to seeing leadership as shared and distributed throughout the NHS. Leaders must engage their colleagues in bringing about improvements in patient care, and transforming the way in which care is provided.
Turning these ideas into practice is a challenge in an organisation where many leaders have adopted a pacesetting style in which they have set demanding goals and led from the front in delivering them. The dominance of pacesetting is not surprising when successive governments have used targets and performance management to drive improvements in patient care across the NHS. But it is unlikely to be sufficient to enagage or motivate staff to play their part in making the changes now needed to use constrained budgets as effectively as possible. Continue reading... The Guardian
The NHS needs leadership of the highest calibre if it is to respond successfully to financial and service pressures that are unprecedented in its history. We need to move on from a concept of heroic leaders who turn around organisational performance to seeing leadership as shared and distributed throughout the NHS. Leaders must engage their colleagues in bringing about improvements in patient care, and transforming the way in which care is provided.
Turning these ideas into practice is a challenge in an organisation where many leaders have adopted a pacesetting style in which they have set demanding goals and led from the front in delivering them. The dominance of pacesetting is not surprising when successive governments have used targets and performance management to drive improvements in patient care across the NHS. But it is unlikely to be sufficient to enagage or motivate staff to play their part in making the changes now needed to use constrained budgets as effectively as possible. Continue reading... The Guardian
Price of dementia: the families struggling to get NHS help
Price of dementia: the families struggling to get NHS help Dementia Awareness Week aims to raise understanding of the often heartbreaking process of trying to get NHS funding
Thousands of relatives and carers of dementia sufferers are battling to receive funding towards crippling care bills. Under the NHS Continuing Healthcare scheme, older people can qualify to have care and nursing home fees paid in full if they are judged to have chronic health needs. This money can help alleviate the burden for families who are otherwise forced to spend every penny and sell their home to meet the cost of care.
There is no ceiling on the amount that can be paid out, no means test and it is not age related. Yet access to this fund can be a particular struggle for people suffering from dementia. Continue reading... The Guardian
Thousands of relatives and carers of dementia sufferers are battling to receive funding towards crippling care bills. Under the NHS Continuing Healthcare scheme, older people can qualify to have care and nursing home fees paid in full if they are judged to have chronic health needs. This money can help alleviate the burden for families who are otherwise forced to spend every penny and sell their home to meet the cost of care.
There is no ceiling on the amount that can be paid out, no means test and it is not age related. Yet access to this fund can be a particular struggle for people suffering from dementia. Continue reading... The Guardian
What is Mers? Potentially deadly “camel virus” spreading from the Middle East
What is Mers? Potentially deadly “camel virus” spreading from the Middle East
Mers, which stands for Middle East respiratory syndrome coronavirus, was first identified in Saudi Arabia in 2012 and has since killed more than 173 people – almost a third of those infected. The Independent
Mers, which stands for Middle East respiratory syndrome coronavirus, was first identified in Saudi Arabia in 2012 and has since killed more than 173 people – almost a third of those infected. The Independent
Monday, 19 May 2014
Apology over disabled man's care
Apology over disabled man's care A Northamptonshire health authority boss has apologised after a High Court judge said he was profoundly disturbed about the way in which a severely disabled man was kept in seclusion at a specialist unit. Northamptonshire Telegraph
New domestic abuse therapy interventions to pilot in Northamptonshire.
New domestic abuse therapy interventions to pilot in Northamptonshire. A new therapy technique for children who have been affected by domestic abuse is expected to begin in Northamptonshire at the end of the summer. Northampton Chronicle and Echo
Care bill becomes Care Act 2014
Care bill becomes Care Act 2014 The article outlines the provisions of the act and signals a forthcoming consultation on the draft regulations and guidance. Department of Health
Care home move 'breached rights'
Care home move 'breached rights' A judge rules that a council's decision to move a woman with dementia from her house to a care home was unlawful. BBC News
See also:
See also:
- Judge condemns council for 'unlawful detention' of pensioner moved to care home The Daily Telegraph
Chasm separates reality from GP vision
Chasm separates reality from GP vision GPs ‘struggling to deliver core contract’ yet expected to further extend role. OnMedica
Why doctors hide their own illnesses
Why doctors hide their own illnesses Simon breathalysed himself before surgery. Johnny operated on one hour's sleep. As an increasing number of doctors feel the strain, we find out why the experts don't get help
It was the summer of 2012 when Simon, then a 37-year-old anaesthetist, found himself one morning drunk and sobbing in a London pub. Questions filled his head, foggy with booze: "How did it come to this? How did I throw it all away?"
A letter from the General Medical Council lay in his lap. He'd been convicted of drink-driving and was now suspended from being a doctor. Simon was an alcoholic, drinking as much as 30 units every day. Faced with the wreckage of his career, he was suicidal. Continue reading... The Guardian
It was the summer of 2012 when Simon, then a 37-year-old anaesthetist, found himself one morning drunk and sobbing in a London pub. Questions filled his head, foggy with booze: "How did it come to this? How did I throw it all away?"
A letter from the General Medical Council lay in his lap. He'd been convicted of drink-driving and was now suspended from being a doctor. Simon was an alcoholic, drinking as much as 30 units every day. Faced with the wreckage of his career, he was suicidal. Continue reading... The Guardian
Tories approach Labour MP Frank Field to help tackle NHS deficit
Tories approach Labour MP Frank Field to help tackle NHS deficit Field to meet health secretary Jeremy Hunt to discuss raising national insurance contributions.
A Tory minister has asked Labour MP Frank Field to meet the health secretary, Jeremy Hunt, to discuss his ideas for raising national insurance contributions to pay for the NHS, in a sign that the Conservatives are considering radical options to plug the huge funding gap.
Field told the Observer that he was approached by the minister, who said the financial crisis in the NHS needed to be addressed and that he was right to be floating ideas on how the service could be maintained and put on a sound financial footing for future generations. Continue reading... The Guardian
A Tory minister has asked Labour MP Frank Field to meet the health secretary, Jeremy Hunt, to discuss his ideas for raising national insurance contributions to pay for the NHS, in a sign that the Conservatives are considering radical options to plug the huge funding gap.
Field told the Observer that he was approached by the minister, who said the financial crisis in the NHS needed to be addressed and that he was right to be floating ideas on how the service could be maintained and put on a sound financial footing for future generations. Continue reading... The Guardian
Willetts warns over surge in demand for medicine degrees
Willetts warns over surge in demand for medicine degrees David Willetts says schools have a responsibility to explain the risks of applying for medicine because of an unsustainable rise in the number of school leavers attempting to train as doctors. The Daily Telegraph
Staff warned managers about surgeons at hospitals where five died, report finds
Staff warned managers about surgeons at hospitals where five died, report finds Surgeons at hospital trust where five patients died after keyhole surgery were "dysfunctional" and "secretive" and staff repeatedly warned managers about their behaviour, a damning report finds. The Daily Telegraph
See also:
See also:
- NHS managers are not doing their job properly The Daily Telegraph
Cuts send rates of mental health disorders among young soaring
Cuts send rates of mental health disorders among young soaring
Rising rates of mental health disorders among children are linked to council budget cuts and health restructurings that have denied vulnerable young people early help, the Children’s Commissioner has told MPs. The Independent
See also:
Rising rates of mental health disorders among children are linked to council budget cuts and health restructurings that have denied vulnerable young people early help, the Children’s Commissioner has told MPs. The Independent
See also:
Friday, 16 May 2014
Hand-held computers replacing patient charts at Northampton General Hospital to alert staff to patients in danger
Hand-held computers replacing patient charts at Northampton General Hospital to alert staff to patients in danger A new hand-held computer has been introduced at Northampton General Hospital to help quickly alert nurses to deteriorating patients. Northampton Chronicle and Echo
See also:
See also:
How do people become good managers of their own health?
How do people become good managers of their own health? Within the general population some people actively focus on reaching and maintaining good health, while others are more passive about the whole thing. So what makes the difference?
Another £240m on offer for NHS trusts to go digital
Another £240m on offer for NHS trusts to go digital NHS trusts and now local authorities, can apply for part of £240m of funding to digitise and integrate patient information across the health and care sector, driving improvements in patient care. NHS England
Patient empowerment: for better quality, more sustainable health services globally
Patient empowerment: for better quality, more sustainable health services globally This report takes a global perspective on how to empower patients to play a more active role in their care. Drawing lessons from over 100 innovative case studies submitted to the review, it outlines how much the UK has to learn from high, middle and low income countries – and how these lessons should be applied. At the same time, the report also highlights the UK’s strengths, its important role historically in supporting the global patient empowerment agenda, and how it can continue to play a leading role internationally. All-Party Parliamentary Group on Global Health
Electronic cigarettes: reports commissioned by Public Health England
Electronic cigarettes: reports commissioned by Public Health England These reports, commissioned by PHE, examine the evidence on risks and opportunities presented by electronic cigarettes. Electronic cigarettes takes a broad look at the issues relating to e-cigarettes including their role in tobacco harm reduction, potential hazards, potential benefits and regulation. E-cigarette uptake and marketing examines use of e-cigarettes by children and young people, the scale and nature of current marketing and its implications, in particular in relation to its potential appeal to young people.
Brits eating too much salt, sugar and fat
Brits eating too much salt, sugar and fat “Too much sugar, salt and fat: healthy eating still eluding many Britons,” The Guardian reports, while the Daily Mail rather bizarrely warns of a “fruit juice timebomb”. Both papers are covering a major survey that looked at the nation’s eating habits over recent years.
The survey found that, overall, adults and children are eating too much saturated fat, added sugar and salt. We are also not getting the recommended levels of fruit, vegetables, oily fish and fibre that our bodies need.
The survey found that, overall, adults and children are eating too much saturated fat, added sugar and salt. We are also not getting the recommended levels of fruit, vegetables, oily fish and fibre that our bodies need.
Support to help children with complex health needs overcome the barriers to ‘An Ordinary Life’
Support to help children with complex health needs overcome the barriers to ‘An Ordinary Life’ The Foundation for People with Learning Disabilities is launching a package of new support materials to raise awareness of the aspirations of children with complex health needs and their families.
Physical care of psychiatric patients to receive major boost
Physical care of psychiatric patients to receive major boost Over 300,000 people with serious mental illness to receive comprehensive physical health checks OnMedica
See also:
See also:
Do plans for transforming primary care stand up to scrutiny? | Richard Vize
Do plans for transforming primary care stand up to scrutiny? | Richard Vize Richard Vize looks at the contrasting proposals from politicians and NHS leaders on shifting resources from hospitals to communities.
The focus of the NHS and politicians is finally shifting to where the transformation in healthcare needs to take place primary care services. Who should commission them, how much money they should get and what they should do are all being debated.
It is striking that one of Simon Stevens' first actions as NHS England chief executive has been to tackle the paralysis in primary care development, by acceding to clinical commissioning group calls for a much bigger role in developing primary care. His invitation to CCGs to demonstrate how they would use additional powers to improve quality and put their local NHS on a "sustainable path" is a major step forward in turning the talk about shifting resources from hospitals to communities into action. Continue reading... The Guardian
The focus of the NHS and politicians is finally shifting to where the transformation in healthcare needs to take place primary care services. Who should commission them, how much money they should get and what they should do are all being debated.
It is striking that one of Simon Stevens' first actions as NHS England chief executive has been to tackle the paralysis in primary care development, by acceding to clinical commissioning group calls for a much bigger role in developing primary care. His invitation to CCGs to demonstrate how they would use additional powers to improve quality and put their local NHS on a "sustainable path" is a major step forward in turning the talk about shifting resources from hospitals to communities into action. Continue reading... The Guardian
Exploitation of care workers leaving elderly at risk - peer
Exploitation of care workers leaving elderly at risk - peer Elderly put at risk by care industry which leaves workers 'undervalued, underpaid and undertrained' warns Baroness Kingsmill. The Daily Telegraph
Thursday, 15 May 2014
NGH safety education initiative is shortlisted for national award
NGH safety education initiative is shortlisted for national award NORTHAMPTON General Hospital NHS Trust has been shortlisted for the finals of the Patient Safety and Care Awards 2014, after producing a training course designed to help doctors of tomorrow become more safety aware. NGH News
New chief executive appointed for charity which runs St Andrew’s Hospital in Northampton
New chief executive appointed for charity which runs St Andrew’s Hospital in Northampton The new chief exectuive of the charity which runs St Andrew’s Hospital in Northampton has been revealed. Northampton Chronicle and Echo
Heatwave plan for England 2014
Heatwave plan for England 2014 The Heatwave Plan for England aims to prepare for, alert people to, and prevent, the major avoidable effects on health during periods of severe heat in England. It recommends a series of steps to reduce the risks to health from prolonged exposure to severe heat. Public Health England
Panel to investigate statin articles
Panel to investigate statin articles Articles published by the British Medical Journal suggesting that statins could harm patients are to be investigated, the periodical says. BBC News
End-of-life care 'deeply concerning'
End-of-life care 'deeply concerning' The care given to people dying in hospital is "deeply concerning", according to doctors who have carried out a review of standards in England. BBC News
See also:
See also:
- National care for the dying audit of hospitals Royal College of Physicians
- Doctors and nurses 'are ill-equipped to help people cope with death' The Independent
- Most terminally ill patients not told they are dying, says damning report The Daily Telegraph
- Dying well (editorial) The Daily Telegraph
- End of life care requires 'widescale improvements', report says The Guardian
- How dying NHS patients are forgotten at weekends: Only a fifth of hospitals have specialist palliative care workers on duty on Saturdays The Daily Mail
VIDEO: Health chiefs meet over Mers virus
VIDEO: Health chiefs meet over Mers virus The World Health Organization has been meeting to decide whether to declare a public health emergency after a sudden spike in cases of a deadly virus known as Middle East Respiratory Syndrome, or Mers. BBC News
How do managers and leaders in the NHS and social care respond to service user involvement in mental health services
How do managers and leaders in the NHS and social care respond to service user involvement in mental health services This study set out to measure the extent and perceived impact of service user involvement (SUI) in mental health services and to explore different forms of SUI, both collective and individual. The focus was on service users’ interactions with managers and other key decision-makers in the NHS and social care. National Institute for Health Research
Health and wellbeing boards and hepatitis C
Health and wellbeing boards and hepatitis C NICE Public Health Guidance, which provides recommendations that can help prevent disease or improve health, recommends that hepatitis B and C should be included in a health and wellbeing board’s joint strategic needs assessment. This report which examined whether health and wellbeing boards are tackling hepatitis C found that prioritisation of the condition was low in local strategies. It calls for greater collaboration between local authorities and health services in order to raise awareness, screening and more targeted commissioning. The Hepatitis Trust
NHS trusts told to end postcode lottery of IVF treatment
NHS trusts told to end postcode lottery of IVF treatment The NHS should end the 'postcode lottery' in fertility treatment and provide three full cycles of IVF treatment to most couples having difficulty conceiving for free, new strengthened guidance will say. The Daily Telegraph
See also:
See also:
NHS trust director still getting £185k despite not being at work
NHS trust director still getting £185k despite not being at work A struggling hospital trust is refusing to explain why a director is still being paid his £185,000 annual salary despite not being at work for six months. The Independent
Wednesday, 14 May 2014
Finally, training to build UK care workers' skills, but no money to pay for it | Justine Cawley
Finally, training to build UK care workers' skills, but no money to pay for it | Justine Cawley
The UK's ageing population will need 1 million care workers, so effective professional development and the funding to deliver it must start now
Tomorrow sees the Kingsmill review publish its report into working conditions in the care sector. Like last month's Panorama investigation of abuse of older people in care homes, it will highlight the urgent need for well-trained, professional and compassionate social care staff. Older people's care needs are diverse and increasingly complex, ranging from acute and chronic illness to dementia and palliative care, in addition to mobility issues and mental health problems.
But the specialist knowledge, behaviours and skills required in social care remain seriously underdeveloped. Care-home staff are the forgotten workforce and are often considered to be the lowest of the low by their counterparts in the NHS. As today's residential homes have replaced NHS long-stay hospitals, it's essential that staff have the range of knowledge, skills and practice to cope. The Guardian
Continue reading...
The UK's ageing population will need 1 million care workers, so effective professional development and the funding to deliver it must start now
Tomorrow sees the Kingsmill review publish its report into working conditions in the care sector. Like last month's Panorama investigation of abuse of older people in care homes, it will highlight the urgent need for well-trained, professional and compassionate social care staff. Older people's care needs are diverse and increasingly complex, ranging from acute and chronic illness to dementia and palliative care, in addition to mobility issues and mental health problems.
But the specialist knowledge, behaviours and skills required in social care remain seriously underdeveloped. Care-home staff are the forgotten workforce and are often considered to be the lowest of the low by their counterparts in the NHS. As today's residential homes have replaced NHS long-stay hospitals, it's essential that staff have the range of knowledge, skills and practice to cope. The Guardian
Continue reading...
Anxiety is bad for health
Anxiety is bad for health
The report, Living with Anxiety, is part of a campaign to raise awareness and understanding of anxiety and its potentially debilitating effect on the nation’s mental health and emotional wellbeing.
Although anxiety is a natural human emotion, the more anxiety that people feel, the more they are likely to be tipped over in to diagnosable anxiety disorders, such as panic, phobias and obsessive behaviours, and to experience poor emotional wellbeing and personal distress. NHS Networks
The report, Living with Anxiety, is part of a campaign to raise awareness and understanding of anxiety and its potentially debilitating effect on the nation’s mental health and emotional wellbeing.
Although anxiety is a natural human emotion, the more anxiety that people feel, the more they are likely to be tipped over in to diagnosable anxiety disorders, such as panic, phobias and obsessive behaviours, and to experience poor emotional wellbeing and personal distress. NHS Networks
The importance of promoting mental health in children and young people from black and minority ethnic communities
The importance of promoting mental health in children and young people from black and minority ethnic communities
This briefing looks at the policy framework for mental health service provision and provides examples of existing practice which promote mental health for BME children and young people. It also highlights the impact of poor or incomplete data on commissioning and provision of mental health services for BME children and young people. It looks at specific factors that put children and young people from BME communities at risk of developing mental health problems as well as protective factors that can help build resilience. Health Management
Briefing
Race Equality Foundation publications
This briefing looks at the policy framework for mental health service provision and provides examples of existing practice which promote mental health for BME children and young people. It also highlights the impact of poor or incomplete data on commissioning and provision of mental health services for BME children and young people. It looks at specific factors that put children and young people from BME communities at risk of developing mental health problems as well as protective factors that can help build resilience. Health Management
Briefing
Race Equality Foundation publications
Relationship between clinical quality and patient experience: analysis of data from the english quality and outcomes framework and the...
Relationship between clinical quality and patient experience: analysis of data from the english quality and outcomes framework and the...
Relationship between clinical quality and patient experience: analysis of data from the english quality and outcomes framework and the National GP Patient Survey.
Ann Fam Med. 2013 Sep-Oct;11(5):467-72
Authors: Llanwarne NR, Abel GA, Elliott MN, Paddison CA, Lyratzopoulos G, Campbell JL, Roland M
Abstract
PURPOSE: Clinical quality and patient experience are both widely used to evaluate the quality of health care, but the relationship between these 2 domains remains uncertain. The aim of this study was to examine this relationship using data from 2 established measures of quality in primary care in England. METHODS: Practice-level analyses (N = 7,759 practices in England) were conducted on measures of patient experience from the national General Practice Patient Survey (GPPS), and measures of clinical quality from the national pay-for-performance scheme (Quality and Outcomes Framework). Spearman's rank correlation and multiple linear regression were used on practice-level estimates. RESULTS: Although all the correlations between clinical quality summary scores and patient survey scores are positive, and most are statistically significant, the strength of the associations was weak, with the highest correlation coefficient reaching 0.18, and more than one-half were 0.11 or less. Correlations with clinical quality were highest for patient-reported access scores (telephone access 0.16, availability of urgent appointments 0.15, ability to book ahead 0.18, ability to see preferred doctor 0.17) and overall satisfaction (0.15). CONCLUSION: Although there are associations between clinical quality and measures of patient experience, the 2 domains of care quality remain predominantly distinct. The strongest correlations are observed between practice clinical quality and practice access, with very low correlations between clinical quality and interpersonal aspects of care. The quality of clinical care and the quality of interpersonal care should be considered separately to give an overall assessment of medical care.
PMID: 24019279 [PubMed - indexed for MEDLINE]
Relationship between clinical quality and patient experience: analysis of data from the english quality and outcomes framework and the National GP Patient Survey.
Ann Fam Med. 2013 Sep-Oct;11(5):467-72
Authors: Llanwarne NR, Abel GA, Elliott MN, Paddison CA, Lyratzopoulos G, Campbell JL, Roland M
Abstract
PURPOSE: Clinical quality and patient experience are both widely used to evaluate the quality of health care, but the relationship between these 2 domains remains uncertain. The aim of this study was to examine this relationship using data from 2 established measures of quality in primary care in England. METHODS: Practice-level analyses (N = 7,759 practices in England) were conducted on measures of patient experience from the national General Practice Patient Survey (GPPS), and measures of clinical quality from the national pay-for-performance scheme (Quality and Outcomes Framework). Spearman's rank correlation and multiple linear regression were used on practice-level estimates. RESULTS: Although all the correlations between clinical quality summary scores and patient survey scores are positive, and most are statistically significant, the strength of the associations was weak, with the highest correlation coefficient reaching 0.18, and more than one-half were 0.11 or less. Correlations with clinical quality were highest for patient-reported access scores (telephone access 0.16, availability of urgent appointments 0.15, ability to book ahead 0.18, ability to see preferred doctor 0.17) and overall satisfaction (0.15). CONCLUSION: Although there are associations between clinical quality and measures of patient experience, the 2 domains of care quality remain predominantly distinct. The strongest correlations are observed between practice clinical quality and practice access, with very low correlations between clinical quality and interpersonal aspects of care. The quality of clinical care and the quality of interpersonal care should be considered separately to give an overall assessment of medical care.
PMID: 24019279 [PubMed - indexed for MEDLINE]
Cutting hospital beds is a false economy | Zara Aziz
Cutting hospital beds is a false economy | Zara Aziz
Unless community-based services replace lost NHS beds discharged older patients are likely to be readmitted
A recent study by the Organisation for Economic Co-operation and Development found the UK had the second lowest number of hospital beds per capita in Europe. There are 2.95 beds in the UK per 1,000 people, and we are seeing more and more beds being cut as smaller hospitals amalgamate into larger trusts. The only country that has fewer beds is Sweden, but it has different patient demographics and invests more in community health services, such as for disease prevention and management of long-term conditions.
It is symptomatic of the challenge facing the NHS. Commissioning groups and hospital trusts are asked to deliver ever more: reduce A&E attendance, unplanned admissions and outpatient waiting times, while simultaneously coping with a workforce crisis and catastrophic budget cuts. The Guardian
Continue reading...
Unless community-based services replace lost NHS beds discharged older patients are likely to be readmitted
A recent study by the Organisation for Economic Co-operation and Development found the UK had the second lowest number of hospital beds per capita in Europe. There are 2.95 beds in the UK per 1,000 people, and we are seeing more and more beds being cut as smaller hospitals amalgamate into larger trusts. The only country that has fewer beds is Sweden, but it has different patient demographics and invests more in community health services, such as for disease prevention and management of long-term conditions.
It is symptomatic of the challenge facing the NHS. Commissioning groups and hospital trusts are asked to deliver ever more: reduce A&E attendance, unplanned admissions and outpatient waiting times, while simultaneously coping with a workforce crisis and catastrophic budget cuts. The Guardian
Continue reading...
New advice encourages more home births
New advice encourages more home births
"More women should give birth at home, advice suggests," reports The Guardian after draft guidelines produced by the National Institute for Health and Care Excellence (NICE) recommended that women with a low risk of complications in childbirth should be encouraged to either give birth at home or at a midwife-led unit.
The guidance has been revised after new evidence has become available since its original publication in 2007.
As part of the new guidance, NICE proposes revising its recommendations on the most appropriate place for women to give birth if they are at a low risk of complications. It is this aspect of the recommendations that has received the most media attention.
These draft guidelines about the care of healthy women and their babies during childbirth are open to consultation.
"More women should give birth at home, advice suggests," reports The Guardian after draft guidelines produced by the National Institute for Health and Care Excellence (NICE) recommended that women with a low risk of complications in childbirth should be encouraged to either give birth at home or at a midwife-led unit.
The guidance has been revised after new evidence has become available since its original publication in 2007.
As part of the new guidance, NICE proposes revising its recommendations on the most appropriate place for women to give birth if they are at a low risk of complications. It is this aspect of the recommendations that has received the most media attention.
These draft guidelines about the care of healthy women and their babies during childbirth are open to consultation.
Resveratrol's health benefits ‘overstated’
Resveratrol's health benefits ‘overstated’
“Red wine health benefits 'overhyped',” BBC News reports. The headline follows a study researching the chemical resveratrol, which is found in red wine and chocolate.
Reveratrol has been reported to have long-term health benefits, such as anti-inflammatory and anti-cancer effects. There has been speculation that it may be responsible for the “French paradox”: the puzzling fact that rates of heart disease are low in France, despite citizens enjoying a rich diet.
This study involved almost 800 people from the Chianti region of Italy. The researchers wanted to see if resveratrol had any links with cancer, cardiovascular disease and death rates.
The study found that the risk of death during the nine-year follow-up period was no different for people with the highest levels of metabolites (breakdown products) of resveratrol in their urine, compared to people with the lowest levels. There was also no difference in the risk of developing cancer or cardiovascular disease.
However, red wine and chocolate contain more than just resveratrol. They may still be good for you (in moderation), but this study suggests that resveratrol may not be the reason why.
“Red wine health benefits 'overhyped',” BBC News reports. The headline follows a study researching the chemical resveratrol, which is found in red wine and chocolate.
Reveratrol has been reported to have long-term health benefits, such as anti-inflammatory and anti-cancer effects. There has been speculation that it may be responsible for the “French paradox”: the puzzling fact that rates of heart disease are low in France, despite citizens enjoying a rich diet.
This study involved almost 800 people from the Chianti region of Italy. The researchers wanted to see if resveratrol had any links with cancer, cardiovascular disease and death rates.
The study found that the risk of death during the nine-year follow-up period was no different for people with the highest levels of metabolites (breakdown products) of resveratrol in their urine, compared to people with the lowest levels. There was also no difference in the risk of developing cancer or cardiovascular disease.
However, red wine and chocolate contain more than just resveratrol. They may still be good for you (in moderation), but this study suggests that resveratrol may not be the reason why.
Tuesday, 13 May 2014
How patients might design a psychiatric hospital
How patients might design a psychiatric hospital
How patients might design a psychiatric ward. BBC News
How patients might design a psychiatric ward. BBC News
Midwife-led care during labour best for most mothers and babies, says draft NICE guidance
Midwife-led care during labour best for most mothers and babies, says draft NICE guidance
NICE has begun a consultation on proposed changes to its guidance on the safe care of pregnant women and their babies during childbirth. As part of this, NICE is proposing to revise its recommendations on the safest settings for women at low risk of complications to give birth. NICE
NICE has begun a consultation on proposed changes to its guidance on the safe care of pregnant women and their babies during childbirth. As part of this, NICE is proposing to revise its recommendations on the safest settings for women at low risk of complications to give birth. NICE
We need safe, compassionate mental health care | Norman Lamb
We need safe, compassionate mental health care | Norman Lamb
A two-year programme aims to end the deliberate use of face-down restraint in all health and care settings
If you were being treated for a physical illness or injury like a broken leg or a heart condition you would never imagine that as part of that treatment you could be tied to your hospital bed to prevent you from moving or restrained face-down by the health professionals caring for you.
But for many people who have a mental illness, a learning disability or autism, this is a possibility. The Guardian
Continue reading...
A two-year programme aims to end the deliberate use of face-down restraint in all health and care settings
If you were being treated for a physical illness or injury like a broken leg or a heart condition you would never imagine that as part of that treatment you could be tied to your hospital bed to prevent you from moving or restrained face-down by the health professionals caring for you.
But for many people who have a mental illness, a learning disability or autism, this is a possibility. The Guardian
Continue reading...
Calls for millions to be given free vitamin D supplements
Calls for millions to be given free vitamin D supplements
One in five adults at risk of deficiency, with a lack of the 'sunshine' vitamin linked to soft bones and other conditions
Millions more people should be offered free vitamin D supplements under proposals from the government's health advisers to tackle the increasingly widespread deficiency in the vitamin.
Councils should consider making supplements available to the one in five adults who are at risk. A lack of the "sunshine" vitamin has been linked to soft bones and other health conditions. Older people and those from ethnic minorities, whose darker skin means they produce less vitamin D, would be among the recipients, according to the National Institute of Health and Care Excellence (Nice). The Guardian
Continue reading...
One in five adults at risk of deficiency, with a lack of the 'sunshine' vitamin linked to soft bones and other conditions
Millions more people should be offered free vitamin D supplements under proposals from the government's health advisers to tackle the increasingly widespread deficiency in the vitamin.
Councils should consider making supplements available to the one in five adults who are at risk. A lack of the "sunshine" vitamin has been linked to soft bones and other health conditions. Older people and those from ethnic minorities, whose darker skin means they produce less vitamin D, would be among the recipients, according to the National Institute of Health and Care Excellence (Nice). The Guardian
Continue reading...
People with learning disabilities are under-supported to live mentally healthy lives
People with learning disabilities are under-supported to live mentally healthy lives
Today the Foundation is launching a report revealing people with learning disabilities are continuing to struggle to access mental health support. Foundation for People with Learning Disabilities News
Today the Foundation is launching a report revealing people with learning disabilities are continuing to struggle to access mental health support. Foundation for People with Learning Disabilities News
Second Heathrow Mers case identified
Second Heathrow Mers case identified
A second case emerges of a passenger who travelled through Heathrow Airport and later tested positive for the Middle East Respiratory Syndrome (Mers) virus. BBC News
A second case emerges of a passenger who travelled through Heathrow Airport and later tested positive for the Middle East Respiratory Syndrome (Mers) virus. BBC News
Standards of care for people who self-harm must be improved, says NICE
Standards of care for people who self-harm must be improved, says NICE
The National Institute for Health and Care Excellence (NICE) has published a quality standard to improve the quality of care and support for children, young people, and adults who self-harm. NICE
The National Institute for Health and Care Excellence (NICE) has published a quality standard to improve the quality of care and support for children, young people, and adults who self-harm. NICE
The future of NHS England’s Choose and Book programme
The future of NHS England’s Choose and Book programme
NHS England today clarified the future of its Choose and Book programme, following an article in the Observer newspaper at the weekend.
Beverley Bryant, Director of Strategic Systems and Technology for NHS Englandexplained the contract on Choose and Book – introduced in 2004 as a national electronic appointment booking service that provides patients with a choice of place, date and time for first outpatient appointments – is coming to an end .
“A new NHS e-Referral Service will supersede it later this year,” she said. “This will build on the success of Choose and Book and lessons learnt to provide a more efficient service that better meets the needs of the NHS and our patients.
“When Choose and Book was introduced nearly 10 years ago it was a major step forward in creating a central appointments service with the aim of offering patients a choice of appointment at a time and place to suit them.
“As a result, up to 40,000 patient referrals are made through Choose and Book every day and to date over 40 million bookings have been made through the system. But we know that Choose and Book has worked for some and not for others and a combination of electronic and paper referrals is still being used in some areas.
“With the new NHS eReferrals Service we want to build on the successes of Choose and Book and use the lessons learnt. This isn’t about reinventing the wheel, it is about taking the next step.
“This is part of NHS England’s commitment to making all referrals electronic by 2018.
“What we have been very clear on is the need to understand what referring clinicians and receiving organisations want from the new system. Managing a mixed economy of paper and electronic referrals is onerous for hospitals and the lack of total slot availability makes it difficult for referring GPs to move away from paper.
“We want a system that is quick, easy and beneficial for healthcare professionals to use and ultimately improves patient experience by providing flexibility and choice around the services we offer wherever the patient is.
“When Choose and Book was designed back in 2003 agile, open technologies were not readily available. A major objective of the new NHS E-Referrals system will be to introduce functionality for patients as well as clinicians to facilitate Choice and to make the whole booking experience more user friendly”
The vision for the new NHS e-Referral Service was launched in June 2013. The announcement kicked off an extensive engagement with healthcare professionals and patients.
Feedback from consultations has helped drive the design of the new service and help develop a system that is simpler to use, adopts the latest technology and provides an improved service for users and better experience for patients, with a view to driving up utilisation.
The new NHS e-Referral Service will harness some of the new technologies used by the most successful IT companies in the world and, using the latest Agile development techniques, will deliver a service designed and assured by the users, that patients want and the NHS needs to deliver modern and efficient healthcare.
NHS Commissioning Board
NHS England today clarified the future of its Choose and Book programme, following an article in the Observer newspaper at the weekend.
Beverley Bryant, Director of Strategic Systems and Technology for NHS Englandexplained the contract on Choose and Book – introduced in 2004 as a national electronic appointment booking service that provides patients with a choice of place, date and time for first outpatient appointments – is coming to an end .
“A new NHS e-Referral Service will supersede it later this year,” she said. “This will build on the success of Choose and Book and lessons learnt to provide a more efficient service that better meets the needs of the NHS and our patients.
“When Choose and Book was introduced nearly 10 years ago it was a major step forward in creating a central appointments service with the aim of offering patients a choice of appointment at a time and place to suit them.
“As a result, up to 40,000 patient referrals are made through Choose and Book every day and to date over 40 million bookings have been made through the system. But we know that Choose and Book has worked for some and not for others and a combination of electronic and paper referrals is still being used in some areas.
“With the new NHS eReferrals Service we want to build on the successes of Choose and Book and use the lessons learnt. This isn’t about reinventing the wheel, it is about taking the next step.
“This is part of NHS England’s commitment to making all referrals electronic by 2018.
“What we have been very clear on is the need to understand what referring clinicians and receiving organisations want from the new system. Managing a mixed economy of paper and electronic referrals is onerous for hospitals and the lack of total slot availability makes it difficult for referring GPs to move away from paper.
“We want a system that is quick, easy and beneficial for healthcare professionals to use and ultimately improves patient experience by providing flexibility and choice around the services we offer wherever the patient is.
“When Choose and Book was designed back in 2003 agile, open technologies were not readily available. A major objective of the new NHS E-Referrals system will be to introduce functionality for patients as well as clinicians to facilitate Choice and to make the whole booking experience more user friendly”
The vision for the new NHS e-Referral Service was launched in June 2013. The announcement kicked off an extensive engagement with healthcare professionals and patients.
Feedback from consultations has helped drive the design of the new service and help develop a system that is simpler to use, adopts the latest technology and provides an improved service for users and better experience for patients, with a view to driving up utilisation.
The new NHS e-Referral Service will harness some of the new technologies used by the most successful IT companies in the world and, using the latest Agile development techniques, will deliver a service designed and assured by the users, that patients want and the NHS needs to deliver modern and efficient healthcare.
NHS Commissioning Board
Monday, 12 May 2014
Hospital plans pioneering bid to improve care of the elderly
Hospital plans pioneering bid to improve care of the elderly Kettering General Hospital is to become a pioneer in a new style of care for the 36,000 elderly patients it treats each year. Northamptonshire Telegraph
Hospital can have a ‘strong and positive future’, says new boss
Hospital can have a ‘strong and positive future’, says new boss Kettering General Hospital’s new chief executive has predicted a strong future for the hospital as it serves the area’s rapidly growing population. Northamptonshire Telegraph
Nurse cuts proposal could affect 770 Northamptonshire patients
Nurse cuts proposal could affect 770 Northamptonshire patients More than 770 Northamptonshire patients regularly visited by community nurses could be affected by a proposal to make NHS staff redundant. Northampton Chronicle and Echo
Safe nursing levels recommended
Safe nursing levels recommended Hospitals in England should be wary about having nurses care for more than eight patients each on wards during the day, draft NHS guidance suggests. BBC News
See also:
See also:
- New NICE guidelines are a step towards improving staffing levels Royal College of Nursing
- Hospitals need thousands of extra nurses 'or patients' safety will be at risk' The Guardian
- Exclusive: Minimum of one nurse to eight patients, hospitals to be told The Independent
- Nursing union welcome new guidelines The Daily Telegraph
UK mental health cost of Afghan war
UK mental health cost of Afghan war There has been a "significant increase" in the number of Afghanistan veterans seeking mental health treatment, charity Combat Stress says. BBC News
Lack of exercise 'highest risk' for women over 30
Lack of exercise 'highest risk' for women over 30 "Heart disease warning: Lack of exercise is worse risk for over-30s women than smoking or obesity," The Independent reports. It is important to stress that this headline is based on a result that is applicable to a population, not to an individual.
The Australian study the headline is reporting on looked at population attributable risk, or PARs. PARs can be used to estimate the proportion of cases of a disease, such as heart disease, that would not occur in a population if the risk factor, such as inactivity, was eliminated.
The Australian study the headline is reporting on looked at population attributable risk, or PARs. PARs can be used to estimate the proportion of cases of a disease, such as heart disease, that would not occur in a population if the risk factor, such as inactivity, was eliminated.
Subscribe to:
Posts (Atom)