New KGH unit helps 10,000 patients
The team behind an award-winning care unit at Kettering General Hospital are celebrating a successful first year in which they have seen almost 10,000 patients. Evening Telegraph
Monday, 30 June 2014
Northamptonshire health body to involve the public in future decision-making
Northamptonshire health body to involve the public in future decision-making
A public health body has called on the public to play a more active role in shaping local health services. Chronicle & Echo
A public health body has called on the public to play a more active role in shaping local health services. Chronicle & Echo
DH issues guidance on 'safe havens'
DH issues guidance on 'safe havens'
The Department of Health has issued guidance on the creation of patient data 'safe havens' that will govern access confidential data held by Health and Social Care Information Centre. EHI News
The Department of Health has issued guidance on the creation of patient data 'safe havens' that will govern access confidential data held by Health and Social Care Information Centre. EHI News
Protecting personal health and care data
Protecting personal health and care data
The government proposes allowing access under strong controls to information from peoples’ personal care records which could be used to identify an individual. These access procedures known as safe havens will need to be accredited by the secretary of state for health. NHS Networks
The government proposes allowing access under strong controls to information from peoples’ personal care records which could be used to identify an individual. These access procedures known as safe havens will need to be accredited by the secretary of state for health. NHS Networks
Six million people went to A&E because they failed to get an appointment with their GP
Six million people went to A&E because they failed to get an appointment with their GP
Millions of people are turning up at accident and emergency departments asking for medical help because they face long delays to get an appointment with their family doctor, a study published today warns. The Guardian
Millions of people are turning up at accident and emergency departments asking for medical help because they face long delays to get an appointment with their family doctor, a study published today warns. The Guardian
Expert view: how should we fund the NHS of the future?
Expert view: how should we fund the NHS of the future?
A mega funding crisis is beginning to engulf the NHS that will change the service out of all recognition. It could spin the service into a residual poor law-type institution. A £2bn deficit is forecast to rise to an annual £30bn deficit within seven years a cool one-third of the current budget. The Guardian
Continue reading...
A mega funding crisis is beginning to engulf the NHS that will change the service out of all recognition. It could spin the service into a residual poor law-type institution. A £2bn deficit is forecast to rise to an annual £30bn deficit within seven years a cool one-third of the current budget. The Guardian
Continue reading...
GPs who miss cancer could be named
GPs who miss cancer could be named
GPs with a poor record in spotting signs of cancer could be named under government plans to boost NHS transparency. BBC News
GPs with a poor record in spotting signs of cancer could be named under government plans to boost NHS transparency. BBC News
Diabetes complications preventable
Diabetes complications preventable
The findings were published in the National Diabetes Inpatient Audit (NaDIA), carried out by the Health and Social Care Information Centre, in collaboration with Diabetes UK. NHS Networks
The findings were published in the National Diabetes Inpatient Audit (NaDIA), carried out by the Health and Social Care Information Centre, in collaboration with Diabetes UK. NHS Networks
Lack of anatomy training could lead to shortage of surgeons
Lack of anatomy training could lead to shortage of surgeons
Medical students are leaving university with a "worrying" lack of anatomical knowledge, top surgeons have warned, with many never having dissected a body and some qualifying as doctors without even seeing a cadaver. The Independent
Medical students are leaving university with a "worrying" lack of anatomical knowledge, top surgeons have warned, with many never having dissected a body and some qualifying as doctors without even seeing a cadaver. The Independent
National report sheds new light on the health and care of older people
National report sheds new light on the health and care of older people
The new report, Focus on the Health and Care of Older People, June 2014, aims to provide a wider picture of older people's health and lifestyle and pulls together data on hospital activity, mental health, social care, prescribing, NHS workforce, census data and life expectancy. NHS Networks
The new report, Focus on the Health and Care of Older People, June 2014, aims to provide a wider picture of older people's health and lifestyle and pulls together data on hospital activity, mental health, social care, prescribing, NHS workforce, census data and life expectancy. NHS Networks
'Supercooling' keeps organs fresh
'Supercooling' keeps organs fresh
A new technique known as "supercooling" can preserve organs for days before they are transplanted, US researchers claim. BBC News
A new technique known as "supercooling" can preserve organs for days before they are transplanted, US researchers claim. BBC News
Refer more diabetes patients to structured education, GPs told
Refer more diabetes patients to structured education, GPs told
GPs should refer more diabetes patients to structured education so they can better self-manage their condition, experts have advised. GP Online
GPs should refer more diabetes patients to structured education so they can better self-manage their condition, experts have advised. GP Online
Hospitals told to stop profiteering from parking
Hospitals told to stop profiteering from parking
Norman Lamb, the health minister, said he was prepared to insert a clause in the standard NHS contract to stop executives repeatedly hitting patients with high parking fees. Daily Telegraph
Norman Lamb, the health minister, said he was prepared to insert a clause in the standard NHS contract to stop executives repeatedly hitting patients with high parking fees. Daily Telegraph
Patients with learning disabilities still in long-stay hospitals
Patients with learning disabilities still in long-stay hospitals
Some 88% still awaiting transfer date, new data shows. Onmedica
Some 88% still awaiting transfer date, new data shows. Onmedica
Whistleblowing framework: call for evidence - government response
Whistleblowing framework: call for evidence - government response
Following a consultation on support for whistleblowers, this document outlines the government's response. Employees who blow the whistle on wrongdoing in the workplace will receive more information and support under new measures to strengthen whistleblowing legislation. Department for Business, Innovation & Skills (BIS)
Government response
BIS news
Following a consultation on support for whistleblowers, this document outlines the government's response. Employees who blow the whistle on wrongdoing in the workplace will receive more information and support under new measures to strengthen whistleblowing legislation. Department for Business, Innovation & Skills (BIS)
Government response
BIS news
News story: Antibiotics wins the Longitude Prize
News story: Antibiotics wins the Longitude Prize
One of the problems contributing to antimicrobial resistance (AMR) is the lack of a simple test to tell doctors when an infection is caused by bacteria and should be treated by antibiotics. Incorrect use of antibiotics to treat viral infections gives bacteria the chance to develop resistance (without providing any benefit to the individual) and so later down the line, when you really do need an antibiotic, there might not be one that works. 5,000 people die each year in the UK from antibiotic resistant infections.
Chief Medical Officer Dame Sally Davies worked with the Longitude Committee to develop the antibiotic challenge which will help conserve our antibiotics and fight antimicrobial resistance.
Over the summer, the Longitude Committee will develop the challenge criteria that will set out what people need to do to win the multi-million pound prize. Ideas can then be submitted from the autumn and competitors will have up to 5 years to put their solution forward for assessment by the Committee.
Chief Medical Officer, Dame Sally Davies said:
I am delighted that Antibiotics has been voted to receive the Longitude prize funds. I feel extremely passionate about the work that will be able to take place now, and I thank everyone that has taken the time to vote.
Thanks to the Longitude Prize, we will be able to start the development of a rapid diagnostic test, which will help to conserve the antibiotics we have and thus ensure they remain effective for as long as possible. Antimicrobial Resistance is one of the most important issues facing modern medicine in the world today and development of a rapid diagnostic has the potential to improve patient care on a global scale.
One of the problems contributing to antimicrobial resistance (AMR) is the lack of a simple test to tell doctors when an infection is caused by bacteria and should be treated by antibiotics. Incorrect use of antibiotics to treat viral infections gives bacteria the chance to develop resistance (without providing any benefit to the individual) and so later down the line, when you really do need an antibiotic, there might not be one that works. 5,000 people die each year in the UK from antibiotic resistant infections.
Chief Medical Officer Dame Sally Davies worked with the Longitude Committee to develop the antibiotic challenge which will help conserve our antibiotics and fight antimicrobial resistance.
Over the summer, the Longitude Committee will develop the challenge criteria that will set out what people need to do to win the multi-million pound prize. Ideas can then be submitted from the autumn and competitors will have up to 5 years to put their solution forward for assessment by the Committee.
Chief Medical Officer, Dame Sally Davies said:
I am delighted that Antibiotics has been voted to receive the Longitude prize funds. I feel extremely passionate about the work that will be able to take place now, and I thank everyone that has taken the time to vote.
Thanks to the Longitude Prize, we will be able to start the development of a rapid diagnostic test, which will help to conserve the antibiotics we have and thus ensure they remain effective for as long as possible. Antimicrobial Resistance is one of the most important issues facing modern medicine in the world today and development of a rapid diagnostic has the potential to improve patient care on a global scale.
Department of Health
Friday, 27 June 2014
Independent report: Liverpool Care Pathway review: response to recommendations
Independent report: Liverpool Care Pathway review: response to recommendations
The Leadership Alliance for the Care of Dying People, made up of 21 national health and care organisations, has published One Chance to Get it Right, the response to the recommendations set out in More Care, Less Pathway, the independent review of the Liverpool Care Pathway.
The response sets out the Alliance’s commitment that care for all people in the last days of their life should be compassionate and tailored to the needs and preferences of the dying person. To achieve this, the Alliance has developed 5 new Priorities for Care, which set out the standards of care that dying people and their families should expect to receive.
The Alliance has also published:
the commitments Alliance members have made to implement the Priorities for Care
a summary of public engagement into the Alliance’s proposed approach
Further materials for health and care staff and organisations involved in implementing the priorities are available from the NHS Improving Quality website.
The Leadership Alliance for the Care of Dying People, made up of 21 national health and care organisations, has published One Chance to Get it Right, the response to the recommendations set out in More Care, Less Pathway, the independent review of the Liverpool Care Pathway.
The response sets out the Alliance’s commitment that care for all people in the last days of their life should be compassionate and tailored to the needs and preferences of the dying person. To achieve this, the Alliance has developed 5 new Priorities for Care, which set out the standards of care that dying people and their families should expect to receive.
The Alliance has also published:
the commitments Alliance members have made to implement the Priorities for Care
a summary of public engagement into the Alliance’s proposed approach
Further materials for health and care staff and organisations involved in implementing the priorities are available from the NHS Improving Quality website.
Department of Health
- Press release: New approach to care for the dying published DOH
- RCGP responds to launch of new Priorities of Care for dying people RCGP News Feed
- NMC Code set to highlight importance of delivering fundamental care to both living and dying NMC News Feed
Blood test for breast cancer comes step closer
Blood test for breast cancer comes step closer
A simple blood test which could help predict a woman’s chance of developing breast cancer is in development, after new research uncovered a genetic “early marker” of risk, scientists have said. Independent
A simple blood test which could help predict a woman’s chance of developing breast cancer is in development, after new research uncovered a genetic “early marker” of risk, scientists have said. Independent
Work experience student makes cystic fibrosis breakthrough
Work experience student makes cystic fibrosis breakthrough
A medical student on work experience has made a breakthrough in cystic fibrosis research that will improve treatment and could extend sufferers’ life expectancy. Independent
A medical student on work experience has made a breakthrough in cystic fibrosis research that will improve treatment and could extend sufferers’ life expectancy. Independent
Health and wellbeing metrics and demographics
Health and wellbeing metrics and demographics
We’ve added new information, case studies and useful links to the health and wellbeing section of our website on using metrics and demographics.
We’ve added new information, case studies and useful links to the health and wellbeing section of our website on using metrics and demographics.
NHS Employers
Hunt calls for shared records and data
Hunt calls for shared records and data
The NHS will not reach its full potential without sharing of electronic patient records across health and social care, Jeremy Hunt has said. EHI News
The NHS will not reach its full potential without sharing of electronic patient records across health and social care, Jeremy Hunt has said. EHI News
Shine like a star: inspirational improvement innovations
Shine like a star: inspirational improvement innovations
Across the country teams are often developing and implementing ideas to improve safety, efficiency and person-centred care, but it's less common for teams to have the space and time to build the initial evidence needed to get wider interest and adoption. The Shine programme aims to help teams to do just that, says Jo Bibby.
Across the country teams are often developing and implementing ideas to improve safety, efficiency and person-centred care, but it's less common for teams to have the space and time to build the initial evidence needed to get wider interest and adoption. The Shine programme aims to help teams to do just that, says Jo Bibby.
Health Foundation
The impact of the older generation on England's healthcare system
The impact of the older generation on England's healthcare system
The government has produced a report looking at the impact people aged over 65 have on the NHS. We look at the figures
The proportion of England aged over 65 has increased dramatically over the past 50 years and looks set to grow even more in the coming decades
In 1951, 11% of people were aged 65 and less than 1% were over 85. In 2011, those proportions had increased to 16% and 2% respectively. Government projections suggest that by 2051, one in four will be over 65 while 7% of the population will be 85 and over. Guardian
Continue reading...
The government has produced a report looking at the impact people aged over 65 have on the NHS. We look at the figures
The proportion of England aged over 65 has increased dramatically over the past 50 years and looks set to grow even more in the coming decades
In 1951, 11% of people were aged 65 and less than 1% were over 85. In 2011, those proportions had increased to 16% and 2% respectively. Government projections suggest that by 2051, one in four will be over 65 while 7% of the population will be 85 and over. Guardian
Continue reading...
Call to halve target for added sugar
Call to halve target for added sugar
People need to more than halve their intake of added sugar to tackle the obesity crisis, according to scientific advice for the government in England. BBC News
People need to more than halve their intake of added sugar to tackle the obesity crisis, according to scientific advice for the government in England. BBC News
Juice could no longer count towards 'five a day'
Juice could no longer count towards 'five a day'
Health officials are considering changes so fruit juice no longer counts towards 'five a day' amid concerns that it is fuelling Britain's obesity epidemic. Daily Telegraph
Health officials are considering changes so fruit juice no longer counts towards 'five a day' amid concerns that it is fuelling Britain's obesity epidemic. Daily Telegraph
Plain cigarette packaging regulations to be announced by ministers
Plain cigarette packaging regulations to be announced by ministers
Department of Health confirms it is bringing forward moves on plain packets, delighting doctors and health charities
Plain packaging for cigarettes will come a step closer when ministers announce regulations to enact the historic move on Thursday. Guardian
Continue reading...
Department of Health confirms it is bringing forward moves on plain packets, delighting doctors and health charities
Plain packaging for cigarettes will come a step closer when ministers announce regulations to enact the historic move on Thursday. Guardian
Continue reading...
Vitamin D deficiency linked to high blood pressure
Vitamin D deficiency linked to high blood pressure
"Vitamin D supplements could help high blood pressure," The Independent reports. The paper reports on new research into genetic variations associated with low vitamin D levels and their relationship with blood pressure.
Researchers pooled 35 studies of nearly 100,000 people with a European background. They found that the lower the vitamin D levels, the higher blood pressure was.
But they did not look at whether vitamin D supplements or exposure to sunlight would lower blood pressure. And, similarly, they also did not look at whether a lowering of blood pressure improves health outcomes.
These findings are also limited by the fact the study only included people with a European background. It is therefore unclear whether a similar association would be found in other ethnicities.
"Vitamin D supplements could help high blood pressure," The Independent reports. The paper reports on new research into genetic variations associated with low vitamin D levels and their relationship with blood pressure.
Researchers pooled 35 studies of nearly 100,000 people with a European background. They found that the lower the vitamin D levels, the higher blood pressure was.
But they did not look at whether vitamin D supplements or exposure to sunlight would lower blood pressure. And, similarly, they also did not look at whether a lowering of blood pressure improves health outcomes.
These findings are also limited by the fact the study only included people with a European background. It is therefore unclear whether a similar association would be found in other ethnicities.
Thursday, 26 June 2014
Challenge to walk 20 million steps in a weekend as county is revealed to be ‘fifth fattest’ in UK
Challenge to walk 20 million steps in a weekend as county is revealed to be ‘fifth fattest’ in UK
A campaign to get people walking in Northamptonshire has been launched after it was revealed the county was the fifth fattest in the country. Chronicle & Echo
A campaign to get people walking in Northamptonshire has been launched after it was revealed the county was the fifth fattest in the country. Chronicle & Echo
Sustaining and assuring the quality of student nurse mentorship: what are the challenges?
Sustaining and assuring the quality of student nurse mentorship: what are the challenges?
This briefing focuses on sustaining and assuring the quality of mentorship within a difficult economic climate and at a time of debate about its future direction. National Nursing Research Unit (NNRU)
Briefing
NNRU - publications
This briefing focuses on sustaining and assuring the quality of mentorship within a difficult economic climate and at a time of debate about its future direction. National Nursing Research Unit (NNRU)
Briefing
NNRU - publications
Interactive map reveals stark differences in mortality rates across UK
Interactive map reveals stark differences in mortality rates across UK
People living in Blackpool, Manchester and Middlesbrough are twice as likely to die as other parts of the country, according to the Office for National Statistics. Daily Mail
People living in Blackpool, Manchester and Middlesbrough are twice as likely to die as other parts of the country, according to the Office for National Statistics. Daily Mail
NICE approves canagliflozin as new type 2 diabetes treatment option
NICE approves canagliflozin as new type 2 diabetes treatment option
NICE has approved the use of canagliflozin in combination with other anti-diabetic drugs to treat people with type 2 diabetes, widening available treatment options for GPs. GP online
NICE has approved the use of canagliflozin in combination with other anti-diabetic drugs to treat people with type 2 diabetes, widening available treatment options for GPs. GP online
NICK BOYLE: How the NHS wastes billions over everything from drugs to surgical gloves... by a top consultant surgeon
NICK BOYLE: How the NHS wastes billions over everything from drugs to surgical gloves... by a top consultant surgeon
The organisation is filled with dedicated people, but they have to work in a bureaucratic, sluggish system, writes consultant surgeon NICK BOYLE. Daily Mail
The organisation is filled with dedicated people, but they have to work in a bureaucratic, sluggish system, writes consultant surgeon NICK BOYLE. Daily Mail
NHS must earn trust on data - Manning
NHS must earn trust on data - Manning
The NHS needs to earn back the trust of patients in the way that it handles data, the chair of the Health and Social Care Information Centre has said. EHI News
The NHS needs to earn back the trust of patients in the way that it handles data, the chair of the Health and Social Care Information Centre has said. EHI News
BMA votes for care.data opt-in
BMA votes for care.data opt-in
The British Medical Association has voted in favour of making care.data an opt-in system rather than an opt-out one. EHI News
The British Medical Association has voted in favour of making care.data an opt-in system rather than an opt-out one. EHI News
Lamb supports tech for integrated care
Lamb supports tech for integrated care
Technological innovation is "critical and central" to integrating care and addressing the financial pressures facing the NHS, care secretary Norman Lamb has said. EHI News
Technological innovation is "critical and central" to integrating care and addressing the financial pressures facing the NHS, care secretary Norman Lamb has said. EHI News
Developing pharmacy’s contribution to public health
Developing pharmacy’s contribution to public health
This report gives details of how Public Health England is providing leadership for the development, implementation and evaluation of public health practice for pharmacy, taking national and local priorities into account. Public Health England
Cannabis use 'genetically linked' to schizophrenia
Cannabis use 'genetically linked' to schizophrenia
“Study finds people predisposed to the condition [schizophrenia’] and drug users share common genes,” the Mail Online reports. A new study suggests that ‘schizophrenia’ genes are associated with cannabis use.
It has long been known that there is an association between cannabis use and schizophrenia – but the “direction of travel” has been hotly debated.
Does cannabis use trigger the onset of schizophrenia in vulnerable individuals? Or are people with a genetic predisposition to develop schizophrenia more likely to use cannabis than the population at large (possibly as a coping mechanism)?
This latest study suggests that the latter may be the case; at least in some people. The study involved 2,082 healthy adults whose genetic make-up was examined for risk factors for schizophrenia.
“Study finds people predisposed to the condition [schizophrenia’] and drug users share common genes,” the Mail Online reports. A new study suggests that ‘schizophrenia’ genes are associated with cannabis use.
It has long been known that there is an association between cannabis use and schizophrenia – but the “direction of travel” has been hotly debated.
Does cannabis use trigger the onset of schizophrenia in vulnerable individuals? Or are people with a genetic predisposition to develop schizophrenia more likely to use cannabis than the population at large (possibly as a coping mechanism)?
This latest study suggests that the latter may be the case; at least in some people. The study involved 2,082 healthy adults whose genetic make-up was examined for risk factors for schizophrenia.
Five top tips on how to make person centred care really work
Five top tips on how to make person centred care really work
Better communication, access to information and involving patients in their care aren't just 'soft stuff' they have real benefits
Are personal health budgets the solution to integrated care?
There is little mystery about what matters to patients and their families. Research highlights a small number of things that people regard as vital. These include good information and communication from professionals, involvement in decisions yet respect for preferences, emotional support and empathy, and continuity and co-ordination of care. Some or all of these matter to everyone who comes into contact with health and care services, and they are of especial importance to the growing number of people affected by long-term conditions and disabilities.
Yet we know that our health and social care systems do not deliver them consistently. For example, half of hospital inpatients in England report that they are not as involved as they would like to be in decisions about their care. Only 3% of GP patients have a written care plan that is shared with them. Lack of information and poor communication lie at the heart of many negative experiences of care. Guardian
Continue reading...
Better communication, access to information and involving patients in their care aren't just 'soft stuff' they have real benefits
Are personal health budgets the solution to integrated care?
There is little mystery about what matters to patients and their families. Research highlights a small number of things that people regard as vital. These include good information and communication from professionals, involvement in decisions yet respect for preferences, emotional support and empathy, and continuity and co-ordination of care. Some or all of these matter to everyone who comes into contact with health and care services, and they are of especial importance to the growing number of people affected by long-term conditions and disabilities.
Yet we know that our health and social care systems do not deliver them consistently. For example, half of hospital inpatients in England report that they are not as involved as they would like to be in decisions about their care. Only 3% of GP patients have a written care plan that is shared with them. Lack of information and poor communication lie at the heart of many negative experiences of care. Guardian
Continue reading...
Vitamin D supplements could help high blood pressure, scientists say
Vitamin D supplements could help high blood pressure, scientists say
Vitamin D supplements might be a cheap and effective way to treat high blood pressure, scientists have said, after a study uncovered the best evidence yet of a link between vitamin levels and hypertension. Independent
Vitamin D supplements might be a cheap and effective way to treat high blood pressure, scientists have said, after a study uncovered the best evidence yet of a link between vitamin levels and hypertension. Independent
Wednesday, 25 June 2014
Investigation into deaths of five residents at Northampton care home to be reopened by police
Investigation into deaths of five residents at Northampton care home to be reopened by police
The investigation into the deaths of five residents of a former Northampton care home is to be reopened by Northamptonshire Police. Chronicle & Echo
The investigation into the deaths of five residents of a former Northampton care home is to be reopened by Northamptonshire Police. Chronicle & Echo
Sir Robert Francis review of whistleblowing processes
Sir Robert Francis review of whistleblowing processes
It has been announced that Sir Robert Francis will lead a review of whistleblowing processes in the NHS. NHS Employers
It has been announced that Sir Robert Francis will lead a review of whistleblowing processes in the NHS. NHS Employers
- Ministers order inquiry into NHS whistleblowing Daily Telegraph
Press release: NHS rated on open and honest reporting culture in world leading transparency drive
Press release: NHS rated on open and honest reporting culture in world leading transparency drive
Unprecedented hospital data release aims to ensure NHS remains a world leader on safety
New safety drive with ambition to save up to 6,000 lives and halve avoidable harm
New data published today will for the first time allow the public the opportunity to compare key safety measures across hundreds of NHS Trusts in England.
It shows that the vast majority of NHS hospitals are rated as “good” or “ok” for their reporting culture. However, around one in five acute trusts, or 20 per cent have been rated as “poor” for open and honest reporting, underlining the need to support NHS staff to report and raise safety concerns.
Unprecedented hospital data release aims to ensure NHS remains a world leader on safety
New safety drive with ambition to save up to 6,000 lives and halve avoidable harm
New data published today will for the first time allow the public the opportunity to compare key safety measures across hundreds of NHS Trusts in England.
It shows that the vast majority of NHS hospitals are rated as “good” or “ok” for their reporting culture. However, around one in five acute trusts, or 20 per cent have been rated as “poor” for open and honest reporting, underlining the need to support NHS staff to report and raise safety concerns.
Sign up to Safety
Sign up to Safety
Today, the Secretary of State for Health launched a new campaign to make the NHS the safest healthcare system in the world, building on the recommendations of the Berwick Advisory Group. The campaign has set out a three-year shared objective to save 6,000 lives and halve avoidable harm as part of our journey towards ensuring patients get harm free care every time, everywhere.
The Sign up to Safety campaign is for everyone in the NHS. It will generate a movement which places the safety of patients as a top priority in everything the NHS does. NHS England, Department of Health, Monitor, NHS Trust Development Authority, NHS Litigation Authority and CQC have all agreed to sign up to safety and have made a commitment to align their organisations’ work with the campaign, which will be led by Sir David Dalton, Chief Executive of Salford Royal NHS Foundation Trust. NHS Commissioning
For more information visit the Sign up to Safety website.
Today, the Secretary of State for Health launched a new campaign to make the NHS the safest healthcare system in the world, building on the recommendations of the Berwick Advisory Group. The campaign has set out a three-year shared objective to save 6,000 lives and halve avoidable harm as part of our journey towards ensuring patients get harm free care every time, everywhere.
The Sign up to Safety campaign is for everyone in the NHS. It will generate a movement which places the safety of patients as a top priority in everything the NHS does. NHS England, Department of Health, Monitor, NHS Trust Development Authority, NHS Litigation Authority and CQC have all agreed to sign up to safety and have made a commitment to align their organisations’ work with the campaign, which will be led by Sir David Dalton, Chief Executive of Salford Royal NHS Foundation Trust. NHS Commissioning
For more information visit the Sign up to Safety website.
Spike in whooping cough cases lead to vaccination fears
Spike in whooping cough cases lead to vaccination fears
One in five children who see a doctor with a persistent cough may have the rare and dangerous condition whooping cough, new research indicates. The Independent
One in five children who see a doctor with a persistent cough may have the rare and dangerous condition whooping cough, new research indicates. The Independent
Doctors face new language checks
Doctors face new language checks
New powers allowing the medical regulator to check doctors' English language skills come into force, in a move hailed as an "important milestone". BBC News - Health
New powers allowing the medical regulator to check doctors' English language skills come into force, in a move hailed as an "important milestone". BBC News - Health
Tackling health inequalities: the case for investment in the wider public health workforce
Tackling health inequalities: the case for investment in the wider public health workforce
Royal Society for Public Health (RSPH) -
This report calls for greater investment and better understanding of the impact of the wider public health workforce - people who are not professionally qualified public health practitioners, but have the ability or opportunity to positively impact public health in their community. This includes health trainers, health champions, and non-health professionals. It argues that this “wider workforce” could be instrumental in reducing the burden of health inequalities – the financial cost of which was last estimated at close to £60bn. Kings Fund Blog
Report
Press release
Royal Society for Public Health (RSPH) -
This report calls for greater investment and better understanding of the impact of the wider public health workforce - people who are not professionally qualified public health practitioners, but have the ability or opportunity to positively impact public health in their community. This includes health trainers, health champions, and non-health professionals. It argues that this “wider workforce” could be instrumental in reducing the burden of health inequalities – the financial cost of which was last estimated at close to £60bn. Kings Fund Blog
Report
Press release
Phones carry bacterial 'fingerprint'
Phones carry bacterial 'fingerprint'
More than 80% of the most common bacteria present on fingers end up on the screens of smartphones, according to a study. BBC News - Health
More than 80% of the most common bacteria present on fingers end up on the screens of smartphones, according to a study. BBC News - Health
New 3D breast screening increases cancer detection by 41%
New 3D breast screening increases cancer detection by 41%
Pennsylvania scientists found the scan, also known as digital breast tomosynthesis, also led to a 15 per cent drop in patients being unnecessarily recalled due to false alarms. Mail online
Pennsylvania scientists found the scan, also known as digital breast tomosynthesis, also led to a 15 per cent drop in patients being unnecessarily recalled due to false alarms. Mail online
Ibuprofen could prevent premature ageing by combating arthritis, study shows
Ibuprofen could prevent premature ageing by combating arthritis, study shows
Ibuprofen, taken by millions of Britons every day to treat headaches, could be a cheap and simple antidote to the toxic effects of chronic inflammation, scientists say. Daily Telegraph
Ibuprofen, taken by millions of Britons every day to treat headaches, could be a cheap and simple antidote to the toxic effects of chronic inflammation, scientists say. Daily Telegraph
Royal Colleges join forces to call for more action on mental health, making a commitment to what the two Colleges themselves will do
Royal Colleges join forces to call for more action on mental health, making a commitment to what the two Colleges themselves will do
In a new joint statement published today, the two Colleges set out how they will work together to improve the physical health of patients with mental health problems, including calling for rebalanced of NHS resources to support better care in the community for people with mental health problems.
There is strong evidence that people with serious mental health problems are more likely to suffer from physical health problems, including diabetes, coronary heart disease and respiratory disease.
In addition, people with serious mental health problems die on average 15-20 years earlier than the rest of the population, with over 33,000 dying prematurely every year
The RCGP and RCPsych are united in their determination that patients should benefit from:
More time to discuss, plan and manage their long-term care in consultation with GPs, psychiatrists and other health professionals in the community.
Services which are better coordinated with one another, and around patients’ lives, with health professionals from different disciplines – including GPs and psychiatrists – given the time and resources to develop more effective ways of working together.
Better continuity of care, with patients able to see members of the same team if they wish.
More care delivered closer to home outside hospitals, and expanded outreach services to those who need it.
There is strong evidence that people with serious mental health problems are more likely to suffer from physical health problems, including diabetes, coronary heart disease and respiratory disease.
In addition, people with serious mental health problems die on average 15-20 years earlier than the rest of the population, with over 33,000 dying prematurely every year
The RCGP and RCPsych are united in their determination that patients should benefit from:
More time to discuss, plan and manage their long-term care in consultation with GPs, psychiatrists and other health professionals in the community.
Services which are better coordinated with one another, and around patients’ lives, with health professionals from different disciplines – including GPs and psychiatrists – given the time and resources to develop more effective ways of working together.
Better continuity of care, with patients able to see members of the same team if they wish.
More care delivered closer to home outside hospitals, and expanded outreach services to those who need it.
UK 5 Year Antimicrobial Resistance (AMR) strategy 2013-2018: measuring success
UK 5 Year Antimicrobial Resistance (AMR) strategy 2013-2018: measuring success
This guidance outlines measures agreed by the UK antimicrobial resistance strategy High Level Steering Group, based on advice from expert scientific advisory committees including the Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infections (ARHAI). It covers 4 areas: trends in resistance; quality of prescribing in primary and secondary healthcare settings; public and professional knowledge and understanding of antimicrobials and their appropriate use; and global security through ensuring global alignment in addressing AMR. It is aimed at clinical professionals, NHS managers, primary and secondary care prescribers,stakeholders and healthcare workers. Department of Health
Guidance
DH - publications
This guidance outlines measures agreed by the UK antimicrobial resistance strategy High Level Steering Group, based on advice from expert scientific advisory committees including the Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infections (ARHAI). It covers 4 areas: trends in resistance; quality of prescribing in primary and secondary healthcare settings; public and professional knowledge and understanding of antimicrobials and their appropriate use; and global security through ensuring global alignment in addressing AMR. It is aimed at clinical professionals, NHS managers, primary and secondary care prescribers,stakeholders and healthcare workers. Department of Health
Guidance
DH - publications
Patient safety alert on risk of harm relating to interpretation and action on PCR results in pregnant women
Patient safety alert on risk of harm relating to interpretation and action on PCR results in pregnant women
A patient safety alert has been issued by NHS England on the risk of harm relating to interpretation and action on Protein Creatinine Ratio (PCR) results in pregnant women. The alert has been issued to all NHS services involved in ordering, processing, issuing and receiving urinary protein measurements in pregnancy. NHS Commissioning
Read the full patient safety alert
A patient safety alert has been issued by NHS England on the risk of harm relating to interpretation and action on Protein Creatinine Ratio (PCR) results in pregnant women. The alert has been issued to all NHS services involved in ordering, processing, issuing and receiving urinary protein measurements in pregnancy. NHS Commissioning
Read the full patient safety alert
Going with change: allowing new models of health care to be provided for NHS patients
Going with change: allowing new models of health care to be provided for NHS patients
This report uses examples from retail and manufacturing to illustrate how NHS hospitals and GP practices will operate in the next decade. NHS Networks
This report uses examples from retail and manufacturing to illustrate how NHS hospitals and GP practices will operate in the next decade. NHS Networks
GPs' surgeries 'at risk of closure'
GPs' surgeries 'at risk of closure'
Thousands of patients could be left without a local GP as surgeries face closure due to a finding crisis, doctors warn. Daily Telegraph
Thousands of patients could be left without a local GP as surgeries face closure due to a finding crisis, doctors warn. Daily Telegraph
NHS England publishes staffing data
NHS England publishes staffing data
The NHS take another step forward in its commitment to openness and transparency today as nurse, midwife and care staffing data down to ward level is published for the first time.
The information is available in one place on a new safety section on NHS choices alongside a range of other information including safety reporting, infection control, blood clots, pressure ulcers and patient and staff feedback.
Jane Cummings, Chief Nursing Officer for England, has also posted a blog on how providing accessible and meaningful information about our local health services is establishing the NHS as a global leader in openness and transparency and helping to inform the public and drive improvements. NHS Commissioning
Now read Jane Cummings’ blog
Also see: www.nhs.uk/safety
The NHS take another step forward in its commitment to openness and transparency today as nurse, midwife and care staffing data down to ward level is published for the first time.
The information is available in one place on a new safety section on NHS choices alongside a range of other information including safety reporting, infection control, blood clots, pressure ulcers and patient and staff feedback.
Jane Cummings, Chief Nursing Officer for England, has also posted a blog on how providing accessible and meaningful information about our local health services is establishing the NHS as a global leader in openness and transparency and helping to inform the public and drive improvements. NHS Commissioning
Now read Jane Cummings’ blog
Also see: www.nhs.uk/safety
Tuesday, 24 June 2014
One in five hospitals rated 'poor' for honesty on safety risks
One in five hospitals rated 'poor' for honesty on safety risks
Jeremy Hunt is to launch a new transparency drive which will rate hospitals more highly for being honest about their errors. Daily Telegraph
Jeremy Hunt is to launch a new transparency drive which will rate hospitals more highly for being honest about their errors. Daily Telegraph
Fears hospital mistakes covered up
Fears hospital mistakes covered up
An analysis of reporting incidents shows 29 out of 141 hospital trusts in England are not registering the expected number of safety incidents. BBC News - Health
An analysis of reporting incidents shows 29 out of 141 hospital trusts in England are not registering the expected number of safety incidents. BBC News - Health
Guidance: UK AMR strategy: measuring success
Guidance: UK AMR strategy: measuring success
Antimicrobial resistance is when infections caused by microorganisms survive exposure to a drug that was supposed to kill them or stop their growth, this is a particular problem with antibiotics.
The measures agreed by the UK antimicrobial resistance strategy High Level Steering Group, taking advice from expert scientific advisory committees including the Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infections (ARHAI), cover 4 areas:
trends in resistance
quality of prescribing in primary and secondary healthcare settings
public and professional knowledge and understanding of antimicrobials and their appropriate use.
global security through ensuring global alignment in addressing AMR
These measures apply equally to human and animal health.
Department of Health
Antimicrobial resistance is when infections caused by microorganisms survive exposure to a drug that was supposed to kill them or stop their growth, this is a particular problem with antibiotics.
The measures agreed by the UK antimicrobial resistance strategy High Level Steering Group, taking advice from expert scientific advisory committees including the Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infections (ARHAI), cover 4 areas:
trends in resistance
quality of prescribing in primary and secondary healthcare settings
public and professional knowledge and understanding of antimicrobials and their appropriate use.
global security through ensuring global alignment in addressing AMR
These measures apply equally to human and animal health.
Department of Health
Public Health England looks for high tech ways to improve nation’s health
Public Health England looks for high tech ways to improve nation’s health
The competition has been launched to demonstrate the commitment from PHE to identify and support the latest applications and utilities in order to make a difference to people’s lifestyles.
Successful Health X businesses will be offered promotional support through PHE’s Change4Life campaign, a presence on NHS Choices and help with product development. NHS Networks
The competition has been launched to demonstrate the commitment from PHE to identify and support the latest applications and utilities in order to make a difference to people’s lifestyles.
Successful Health X businesses will be offered promotional support through PHE’s Change4Life campaign, a presence on NHS Choices and help with product development. NHS Networks
Helping the NHS to change: Monitor’s annual plan for 2014/15
Helping the NHS to change: Monitor’s annual plan for 2014/15
The way Monitor regulates NHS foundation trusts will be reviewed with the aim of ensuring those organisations which provide healthcare are given room to innovate and take calculated risks, in order to provide better quality services for patients and better value for money.
The move is just one of several actions announced by Monitor in its annual plan, aimed at encouraging the NHS to develop services that better meet the needs of patients whilst doing more with the money it is given. NHS Networks
The way Monitor regulates NHS foundation trusts will be reviewed with the aim of ensuring those organisations which provide healthcare are given room to innovate and take calculated risks, in order to provide better quality services for patients and better value for money.
The move is just one of several actions announced by Monitor in its annual plan, aimed at encouraging the NHS to develop services that better meet the needs of patients whilst doing more with the money it is given. NHS Networks
Mental health services 'a car crash'
Mental health services 'a car crash'
Mental health services in England are "a car crash" and not prioritised by the health secretary, says the Royal College of Psychiatrists' outgoing president. BBC News - Health
Mental health services in England are "a car crash" and not prioritised by the health secretary, says the Royal College of Psychiatrists' outgoing president. BBC News - Health
Are personal health budgets the solution to integrated care?
Are personal health budgets the solution to integrated care?
The health and social care system is facing increasing pressures that traditional solutions can't address
Health and care integration could prove too costly for the NHS
Integration used to mean common assessments, merged teams and management restructures. Times have changed, and it's no longer just about changing job titles and Tupe Transfer of Undertakings (Protection of Employment). Over the last few years the health and social care system has begun to embrace the idea of "person-centred, co-ordinated care" that shifts the focus from organisations back to the experience of the person needing support.
Some of this has become necessary because people receiving care are no longer willing to accept that certain models of institutionalised provision are right for them just because they have a particular diagnosis. Choice and control, while being policy terms that have been repeated so often that there's a risk of losing the meaning, do resonate with us all personally in the decisions in life that are most important: where we live, who's in our life, and how we spend our time. The Guardian
Continue reading...
The health and social care system is facing increasing pressures that traditional solutions can't address
Health and care integration could prove too costly for the NHS
Integration used to mean common assessments, merged teams and management restructures. Times have changed, and it's no longer just about changing job titles and Tupe Transfer of Undertakings (Protection of Employment). Over the last few years the health and social care system has begun to embrace the idea of "person-centred, co-ordinated care" that shifts the focus from organisations back to the experience of the person needing support.
Some of this has become necessary because people receiving care are no longer willing to accept that certain models of institutionalised provision are right for them just because they have a particular diagnosis. Choice and control, while being policy terms that have been repeated so often that there's a risk of losing the meaning, do resonate with us all personally in the decisions in life that are most important: where we live, who's in our life, and how we spend our time. The Guardian
Continue reading...
Reducing unintentional injuries among children and young people
Reducing unintentional injuries among children and young people
These resources for local authorities cover the prevention of accidents to children and young people in the home and on the road. The reports show that whilst the number of children and young people killed or seriously injured continues to fall in England there are still significant numbers of deaths and emergency admissions from preventable causes. It also highlights actions that local partners can take to reduce accidents including improving safety for children travelling to and from school and using existing services like health visitors and children’s centres.
These resources for local authorities cover the prevention of accidents to children and young people in the home and on the road. The reports show that whilst the number of children and young people killed or seriously injured continues to fall in England there are still significant numbers of deaths and emergency admissions from preventable causes. It also highlights actions that local partners can take to reduce accidents including improving safety for children travelling to and from school and using existing services like health visitors and children’s centres.
Doctors reject seven-day routine services at BMA annual meeting
Doctors reject seven-day routine services at BMA annual meeting
Doctors have rejected the provision of seven-day routine NHS services after debates at the BMA annual representatives' meeting (ARM). GP Online
Doctors have rejected the provision of seven-day routine NHS services after debates at the BMA annual representatives' meeting (ARM). GP Online
Stress 'causes damage to the heart,' study finds
Stress 'causes damage to the heart,' study finds
"Stress is already known to be bad for the heart, but now scientists have discovered why it is so harmful," The Times reports.
A new US study now offers a plausible model of how chronic psychological stress could lead to heart damage. It involved both mice and junior doctors.
Researchers checked the blood of a small group of doctors after a week at work in intensive care. After a week of this stressful work, their white blood cell count had increased.
Similarly, when mice were exposed to chronic stress (tilting their cage for an extended period of time), they also showed increased levels of white blood cells.
This finding is of interest and possible concern. Previous research suggested inflammatory white blood cells might be involved in the process of causing the rupture of fatty atherosclerotic plaques in the arteries of people with heart disease, which causes a heart attack.
However, this research is very far from providing conclusive proof that stress leads to the development of heart disease, or directly causes heart attacks.
"Stress is already known to be bad for the heart, but now scientists have discovered why it is so harmful," The Times reports.
A new US study now offers a plausible model of how chronic psychological stress could lead to heart damage. It involved both mice and junior doctors.
Researchers checked the blood of a small group of doctors after a week at work in intensive care. After a week of this stressful work, their white blood cell count had increased.
Similarly, when mice were exposed to chronic stress (tilting their cage for an extended period of time), they also showed increased levels of white blood cells.
This finding is of interest and possible concern. Previous research suggested inflammatory white blood cells might be involved in the process of causing the rupture of fatty atherosclerotic plaques in the arteries of people with heart disease, which causes a heart attack.
However, this research is very far from providing conclusive proof that stress leads to the development of heart disease, or directly causes heart attacks.
Doncaster rolls out iPad dementia tests
Doncaster rolls out iPad dementia tests
An iPad-based test for early dementia diagnosis is being rolled out across 24 GP practices in Doncaster, following a pilot. EHI News
An iPad-based test for early dementia diagnosis is being rolled out across 24 GP practices in Doncaster, following a pilot. EHI News
Monday, 23 June 2014
News: Cransley Hospice Fundraiser Appointed MBE
News: Cransley Hospice Fundraiser Appointed MBE
Diana Patrick, fundraising manager at Cransley Hospice in Kettering has been appointed an MBE in the Queen's Birthday Honours for services to healthcare. Diana first became Fundraising Manager in... NHFT News
Diana Patrick, fundraising manager at Cransley Hospice in Kettering has been appointed an MBE in the Queen's Birthday Honours for services to healthcare. Diana first became Fundraising Manager in... NHFT News
Mother-of-two died from cancer after hospital doctors told her to cure a lump on her breast with primrose oil ointment
Mother-of-two died from cancer after hospital doctors told her to cure a lump on her breast with primrose oil ointment
Samina Chaudhry, 33, went back several times to Northampton General Hospital to say the primrose oil treatment was not working. Daily Mail
Samina Chaudhry, 33, went back several times to Northampton General Hospital to say the primrose oil treatment was not working. Daily Mail
Northampton General Hospital staff vote for a strike on pay cuts
Northampton General Hospital staff vote for a strike on pay cuts
Forty-eight pathologists working for Northampton General Hospital have voted in favour of strike action over plans that would see each potentially earn £6,000 a year less, a union has said. Northampton Chronicle & Echo
Forty-eight pathologists working for Northampton General Hospital have voted in favour of strike action over plans that would see each potentially earn £6,000 a year less, a union has said. Northampton Chronicle & Echo
Inquiry into the future of patient care
Inquiry into the future of patient care
An independent inquiry has been set up by RCGP to look at how the NHS can best provide care for patients at a time of constrained resources, to meet the needs of the rapidly increasing number of patients with multiple long term conditions. The inquiry is calling for written evidence from interested organisations and individuals, to help inform the proceedings, to be submitted by 16th July 2014. Kingsfund Blog
Further information and details
An independent inquiry has been set up by RCGP to look at how the NHS can best provide care for patients at a time of constrained resources, to meet the needs of the rapidly increasing number of patients with multiple long term conditions. The inquiry is calling for written evidence from interested organisations and individuals, to help inform the proceedings, to be submitted by 16th July 2014. Kingsfund Blog
Further information and details
Poll: NHS decisions should be left to doctors, say majority of Britons
Poll: NHS decisions should be left to doctors, say majority of Britons
Ipsos Mori survey of 2,000 across UK finds that 65% believe NHS should manage itself without involvement of politicians
The majority of British people believe the NHS has become a political football used cynically to win votes and should be trusted to professionals who understand how best to provide healthcare, according to an opinion poll carried out for the British Medical Association.
The Ipsos Mori survey, released on the first day of the BMA's annual representatives meeting, also found that a third of people were in favour of parliament setting targets for the NHS, compared with 42% who were opposed. The union said the findings supported its insistence that decisions on patient care should be free from political interference and left to doctors. Guardian
Continue reading...
Ipsos Mori survey of 2,000 across UK finds that 65% believe NHS should manage itself without involvement of politicians
The majority of British people believe the NHS has become a political football used cynically to win votes and should be trusted to professionals who understand how best to provide healthcare, according to an opinion poll carried out for the British Medical Association.
The Ipsos Mori survey, released on the first day of the BMA's annual representatives meeting, also found that a third of people were in favour of parliament setting targets for the NHS, compared with 42% who were opposed. The union said the findings supported its insistence that decisions on patient care should be free from political interference and left to doctors. Guardian
Continue reading...
- Parties 'using NHS to win votes' BBC News
Lib Dems to demand emergency £2bn bailout for the NHS - reports
Lib Dems to demand emergency £2bn bailout for the NHS - reports
Senior party figures reported to be demanding boost as leading doctor attacks squeeze on funding
An emergency bailout of £2bn is needed to plug a black hole in NHS funding, Liberal Democrat sources claim, as a leading doctor called the Government's plans for extended seven-day care as "just bonkers".
Senior Lib Dem figures are planning to approach party leader Nick Clegg to demand the extra funding for the health service ahead of the Government's autumn statement, the Times reported. Guardian
Continue reading...
Senior party figures reported to be demanding boost as leading doctor attacks squeeze on funding
An emergency bailout of £2bn is needed to plug a black hole in NHS funding, Liberal Democrat sources claim, as a leading doctor called the Government's plans for extended seven-day care as "just bonkers".
Senior Lib Dem figures are planning to approach party leader Nick Clegg to demand the extra funding for the health service ahead of the Government's autumn statement, the Times reported. Guardian
Continue reading...
How stress damages the heart
How stress damages the heart
For the first time scientists have found a direct biological link between stress and inflammation of blood vessels which can lead to heart attacks. Daily Telegraph
For the first time scientists have found a direct biological link between stress and inflammation of blood vessels which can lead to heart attacks. Daily Telegraph
Patients 'put at risk' by plans to allow medical students to treat patients
Patients 'put at risk' by plans to allow medical students to treat patients
Patients will be put at risk by plans to allow medical students to treat people as soon as they leave university instead of doing a year's work under supervision, medical leaders have warned. Daily Telegraph
Patients will be put at risk by plans to allow medical students to treat people as soon as they leave university instead of doing a year's work under supervision, medical leaders have warned. Daily Telegraph
Accident and Emergency showing further signs of strain after record attendances this month
Accident and Emergency showing further signs of strain after record attendances this month
More people are attending hospital accident and emergency departments than at any time since records began, new NHS figures have revealed. Independent
More people are attending hospital accident and emergency departments than at any time since records began, new NHS figures have revealed. Independent
The 'super jab' that is a breath of fresh air for allergy sufferers
The 'super jab' that is a breath of fresh air for allergy sufferers
A once-a-week jab for severe asthma and eczema is being hailed as ‘life-changing’ – eradicating attacks in patients who do not respond to inhalers. Daily Mail
A once-a-week jab for severe asthma and eczema is being hailed as ‘life-changing’ – eradicating attacks in patients who do not respond to inhalers. Daily Mail
Anti-bacterial bag-for-life could prevent rise in food poisoning when 5p plastic bag charge comes into force
Anti-bacterial bag-for-life could prevent rise in food poisoning when 5p plastic bag charge comes into force
A bag-for-life that slows the growth of bacteria which cause food poisoning could be in the supermarkets within months. Independent
A bag-for-life that slows the growth of bacteria which cause food poisoning could be in the supermarkets within months. Independent
Plans to relax licensing laws lambasted by doctors and alcohol groups
Plans to relax licensing laws lambasted by doctors and alcohol groups
BMA among those to warn changes under bill due to be heard in the Lords are wrong given the damage alcohol already causes
Ministers are under fire because of plans to let the Women's Institute, bed and breakfasts and charities start selling alcohol, which doctors and local councils warn could worsen Britain's drink problem.
The British Medical Association said relaxing the licensing laws was wrong, given the huge damage alcohol already causes and its heavy burden on the NHS. Guardian
Continue reading...
BMA among those to warn changes under bill due to be heard in the Lords are wrong given the damage alcohol already causes
Ministers are under fire because of plans to let the Women's Institute, bed and breakfasts and charities start selling alcohol, which doctors and local councils warn could worsen Britain's drink problem.
The British Medical Association said relaxing the licensing laws was wrong, given the huge damage alcohol already causes and its heavy burden on the NHS. Guardian
Continue reading...
Friday, 20 June 2014
Medical staff vote to go on strike
Medical staff vote to go on strike
Hospital scientists vote to strike over proposed contract changes to their hours and payment rates. BBC News
Hospital scientists vote to strike over proposed contract changes to their hours and payment rates. BBC News
Cash-crisis NHS trust has £41,774 average pay
Cash-crisis NHS trust has £41,774 average pay
An NHS trust ultimately responsible for putting 43 Northamptonshire nurses’ jobs at risk has an average salary of almost £42,000 a year. Chronicle and Echo
An NHS trust ultimately responsible for putting 43 Northamptonshire nurses’ jobs at risk has an average salary of almost £42,000 a year. Chronicle and Echo
NHS death stats can be years out of date and 'pose public health risk'
NHS death stats can be years out of date and 'pose public health risk'
Official statistics on deaths in England and Wales are as much as two and half years out of date, a coalition of doctors, scientists and charities has warned. Independent
Official statistics on deaths in England and Wales are as much as two and half years out of date, a coalition of doctors, scientists and charities has warned. Independent
Revolution in mental health information is launched
Revolution in mental health information is launched
The launch of the new Mental Health Dementia and Neurology Intelligence Networks (MHDNIN) represents a “revolution in information”.
That is the view of Dr Geraldine Strathdee, NHS England’s National Clinical Director for Mental Health, who said: “I am absolutely delighted to be part of this launch which marks the culmination of many months of partnership working between the thirteen national agencies that provide mental health information.
“This is just the very start of the mental health information revolution. NHS England strategic clinical networks and academic health science centres are now supporting the testing of the commissioning care pathway profiles in their localities and we will make changes in line with their feedback.
“More than 300 commissioners, clinical and academic experts, service users and quality improvement champions have generously contributed their time to produce this programme, and we are very grateful to them and their employers.”
In collaboration with Public Health England, the launch of the networks consist of four pilots.
The launch of the new Mental Health Dementia and Neurology Intelligence Networks (MHDNIN) represents a “revolution in information”.
That is the view of Dr Geraldine Strathdee, NHS England’s National Clinical Director for Mental Health, who said: “I am absolutely delighted to be part of this launch which marks the culmination of many months of partnership working between the thirteen national agencies that provide mental health information.
“This is just the very start of the mental health information revolution. NHS England strategic clinical networks and academic health science centres are now supporting the testing of the commissioning care pathway profiles in their localities and we will make changes in line with their feedback.
“More than 300 commissioners, clinical and academic experts, service users and quality improvement champions have generously contributed their time to produce this programme, and we are very grateful to them and their employers.”
In collaboration with Public Health England, the launch of the networks consist of four pilots.
PM urges global push on dementia
PM urges global push on dementia
David Cameron has announced more funding for dementia research and urged a global effort to find a cure. BBC News
David Cameron has announced more funding for dementia research and urged a global effort to find a cure. BBC News
Modelling, evaluating and implementing cost effective services to reduce the impact of stroke
Modelling, evaluating and implementing cost effective services to reduce the impact of stroke
The objective of this study was to estimate risk of stroke, longer-term needs and outcomes, risk of recurrence, trends and predictors of effective care, to model cost-effective configurations of care, to understand stakeholders’ perspectives of services and to develop proposals to underpin policy.
The objective of this study was to estimate risk of stroke, longer-term needs and outcomes, risk of recurrence, trends and predictors of effective care, to model cost-effective configurations of care, to understand stakeholders’ perspectives of services and to develop proposals to underpin policy.
Liver cancer and malignant melanoma rates rise sharply in England
Liver cancer and malignant melanoma rates rise sharply in England
Researchers warn that cancers are strongly linked to lifestyle choices, such as smoking, alcohol consumption and obesity
The number of people diagnosed with liver cancer has risen sharply. An Office for National Statistics study shows the incidence of liver cancer in England increased by 70% for males and 60% for females between 2003 and 2012.
It is now the 18th most common cancer in England, the ONS said. The number of women diagnosed with the disease rose from 889 in 2003 to 1,418 in 2012, while the number of men went up from 1,440 to 2,449 in the same period. Continue reading...
Guardian
Researchers warn that cancers are strongly linked to lifestyle choices, such as smoking, alcohol consumption and obesity
The number of people diagnosed with liver cancer has risen sharply. An Office for National Statistics study shows the incidence of liver cancer in England increased by 70% for males and 60% for females between 2003 and 2012.
It is now the 18th most common cancer in England, the ONS said. The number of women diagnosed with the disease rose from 889 in 2003 to 1,418 in 2012, while the number of men went up from 1,440 to 2,449 in the same period. Continue reading...
Guardian
Penalise lack of EPRs - report
Penalise lack of EPRs - report
NHS trusts that fail to make proper use of electronic health records should be hit with higher insurance premiums and a reduced Care Quality Commission rating, according to a new report. EHI News
NHS trusts that fail to make proper use of electronic health records should be hit with higher insurance premiums and a reduced Care Quality Commission rating, according to a new report. EHI News
DH plans to establish NIB as priority
DH plans to establish NIB as priority
The Department of Health has released its IT priorities for the next year, with the National Information Board and support for the NIB's informatics strategy mentioned as key projects. EHI News
The Department of Health has released its IT priorities for the next year, with the National Information Board and support for the NIB's informatics strategy mentioned as key projects. EHI News
RCGP launches inquiry into future of patient care at time of soaring demand and constrained NHS resources
RCGP launches inquiry into future of patient care at time of soaring demand and constrained NHS resources
The inquiry is to be chaired by Mike Farrar, the former NHS Confederation Chief Executive and former Head of Primary Care at the Department of Health, and will explore how to find cost effective solutions to the medical, social and financial challenges posed by rising levels of multi-morbidity within society.
The inquiry, hosted by the Royal College of General Practitioners (RCGP), will be entitled the Inquiry into Patient-Centred Care in the Twenty-First Century.
Farrar will lead a panel of twelve experts in NHS care, from organisations including the National Association for Patient Participation, Royal College of Physicians, NHS Confederation, LloydsPharmacy, and the RCGP. It will look at the role of general practice within the context of primary, community and social care services.
The inquiry is to be chaired by Mike Farrar, the former NHS Confederation Chief Executive and former Head of Primary Care at the Department of Health, and will explore how to find cost effective solutions to the medical, social and financial challenges posed by rising levels of multi-morbidity within society.
The inquiry, hosted by the Royal College of General Practitioners (RCGP), will be entitled the Inquiry into Patient-Centred Care in the Twenty-First Century.
Farrar will lead a panel of twelve experts in NHS care, from organisations including the National Association for Patient Participation, Royal College of Physicians, NHS Confederation, LloydsPharmacy, and the RCGP. It will look at the role of general practice within the context of primary, community and social care services.
Thursday, 19 June 2014
KGH suffers from cost of bed blockers
KGH suffers from cost of bed blockers Bed blockers at Kettering General Hospital are causing “vast” expense, according to a report to a health body. Northamptonshire Telegraph
Knowledge strategy: harnessing the power of information to improve the public’s health
Knowledge strategy: harnessing the power of information to improve the public’s health This document describes the strategic approach to information and knowledge that the public health system needs to take in order to improve and protect public health and reduce inequalities. The knowledge strategy was developed following an extended and open consultation process and incorporates responses from local government, national organisations and key partners. Public Health England
Dementia progress 'achingly slow'
Dementia progress 'achingly slow' Progress on new research and treatments for dementia has been "achingly slow", the man appointed as global envoy for the disease says. BBC News
See also:
See also:
- Press release: UK commits to new action to find breakthrough on dementia Department of Health
- David Cameron pledges new drive on Alzheimer’s research The Independent
- Dementia patients should be given the best drugs, says David Cameron The Daily Telegraph
England NHS 'faces funding gap'
England NHS 'faces funding gap' The NHS in England faces a funding gap of up to £2bn for the next financial year, with growing costs set to outstrip income, the BBC understands. BBC News
See also:
See also:
- RCGP response to NHS facing £2 billion funding gap story Royal College of General Practitioners
Viewpoint: International study backs NHS as GP role under threat
Viewpoint: International study backs NHS as GP role under threat With the NHS under siege from overwhelming pressures and short-term policy gimmicks from politicians from all sides, the latest report from the Commonwealth Fund is a welcome relief, writes BMA deputy chairman Dr Kailash Chand. GP Online
Jeremy Hunt calls for end to cosmetic surgery on NHS
Jeremy Hunt calls for end to cosmetic surgery on NHS Health secretary says public money should not be spent to improve someone's looks
Jeremy Hunt, the health secretary, has expressed his strong opposition to the NHS funding cosmetic surgery at a time when it is under heavy financial pressure.
Hunt said all decisions must be taken on "clinical need", and public money must not be used to pay for surgery just to improve someone's looks. Continue reading... The Guardian
See also:
Jeremy Hunt, the health secretary, has expressed his strong opposition to the NHS funding cosmetic surgery at a time when it is under heavy financial pressure.
Hunt said all decisions must be taken on "clinical need", and public money must not be used to pay for surgery just to improve someone's looks. Continue reading... The Guardian
See also:
Nearly half of patients do not understand medical language
Nearly half of patients do not understand medical language The Royal College of GPs found that nearly one half of patients struggle to understand the advice given to them by their doctor or know how to properly take their medication. The Daily Telegraph
See also:
See also:
Nurses reject plans to make patients pay £10 for a GP appointment
Nurses reject plans to make patients pay £10 for a GP appointment The UK’s largest nursing union has overwhelmingly voted against plans to introduce £10 charges every time someone goes to see their GP, in what bosses described as an affirmation of the belief the NHS should be free at point of delivery. The Independent
See also:
See also:
- RCN members reaffirm their belief that NHS should be free at the point of delivery Royal College of Nursing
- Nurses vote against fee for GP services The Guardian
Hospital wrong to put ‘do not resuscitate’ note in patient’s file
Hospital wrong to put ‘do not resuscitate’ note in patient’s file Doctors have a legal duty to tell patients if a “do not resuscitate” order has been placed in their medical records, the Court of Appeal in England has ruled. The Independent
Tuesday, 17 June 2014
Waiting list of 148 people for life-saving organs in Northamptonshire
Waiting list of 148 people for life-saving organs in Northamptonshire There are 148 people in Northamptonshire waiting for a life-saving organ. However, only 11 people in the county received a transplant in the whole of last year. Northampton Chronicle and Echo
Nene Clinical Commissioning Group issue its first annual report
Nene Clinical Commissioning Group issue its first annual report The first annual report for Nene Clinical Commissioning Group (CCG) has now been published. Northampton Herald and Post
Prioritising person-centred care: the evidence
Prioritising person-centred care: the evidence These resources have been designed to make it easy for commissioners and providers to access, understand and make use of the best evidence for various approaches to involving people in their health and healthcare. The booklets draw on information from 779 systematic reviews worldwide. They offer practical ways forward based on accurate evidence so commissioners, health professionals and service-user groups can see what works best and how to invest resources. National Voices
Facing the future: smaller acute providers
Facing the future: smaller acute providers This report finds that small district general hospitals can thrive but the way services are provided to local patients must change to guarantee quality care. The research found that no clear evidence that smaller acute hospitals performed any worse clinically than larger counterparts. However, the analysis showed that there is evidence that smaller providers may be starting to face greater financial challenges, with performance worsening more than the sector as a whole in the last 2 years. Monitor
Hospital wards 'too noisy at night'
Hospital wards 'too noisy at night' Hospitals need to do more to ensure patients get a good night's sleep, nurses say. BBC News
'10,000' NHS patients in data breach
'10,000' NHS patients in data breach As many as 10,000 NHS patients may have been affected by data protection breaches by a private firm, a BBC investigation reveals. BBC News
Avon calling
Avon calling Getting an NHS trust to share data with a local authority is a challenge. Getting 13 health and social care organisations to share data, with the appropriate governance arrangements in place might, to some, seem almost impossible. E-Health Insider
Warning issued over washing raw chicken
Warning issued over washing raw chicken "Don't wash chicken before cooking it, warns Food Standards Agency," The Guardian reports. The Food Standards Agency (FSA) has issued the advice as many people do not realise that washing raw poultry can spread bacteria, leading to an increased risk of food poisoning.
The bacteria in question, campylobacter, is the most common cause of food poisoning in the world and affects about 280,000 people in the UK each year.
New guidance is intended to remind people that washing raw chicken before cooking increases the likelihood of infection through splashing the bacteria on to work surfaces, clothing and cooking equipment. This is known as cross-contamination.
Washing is therefore not recommended – it is also unnecessary as thorough cooking will kill any bacteria.
The bacteria in question, campylobacter, is the most common cause of food poisoning in the world and affects about 280,000 people in the UK each year.
New guidance is intended to remind people that washing raw chicken before cooking increases the likelihood of infection through splashing the bacteria on to work surfaces, clothing and cooking equipment. This is known as cross-contamination.
Washing is therefore not recommended – it is also unnecessary as thorough cooking will kill any bacteria.
The NHS must learn from its mistakes
The NHS must learn from its mistakes Sharing knowledge and spreading expertise will improve patient safety
Maurice Murphy died after a nasogastric tube was passed through his nose into his lung instead of into his stomach. Murphy, the principal trumpet of the London Symphony Orchestra for 30 years, was being treated in an NHS hospital in London for a liver complaint. A junior nurse who queried whether the tube was in the right place was told by the doctor in charge: "You don't have the brain to remember that I told you to start the feed. The tube is in the right position."
Murphy, who died in 2011, was a victim of a "never event" errors so called because they should never happen. His case was recalled by Prof Sir Liam Donaldson, former chief medical officer, who told a group of NHS experts this month that never events do still happen at the rate of 300 a year in England. They include (from last year) a woman who had her fallopian tube removed instead of her appendix and 123 cases in which swabs, instruments or other items were left inside patients after surgery. Continue reading... The Guardian
Maurice Murphy died after a nasogastric tube was passed through his nose into his lung instead of into his stomach. Murphy, the principal trumpet of the London Symphony Orchestra for 30 years, was being treated in an NHS hospital in London for a liver complaint. A junior nurse who queried whether the tube was in the right place was told by the doctor in charge: "You don't have the brain to remember that I told you to start the feed. The tube is in the right position."
Murphy, who died in 2011, was a victim of a "never event" errors so called because they should never happen. His case was recalled by Prof Sir Liam Donaldson, former chief medical officer, who told a group of NHS experts this month that never events do still happen at the rate of 300 a year in England. They include (from last year) a woman who had her fallopian tube removed instead of her appendix and 123 cases in which swabs, instruments or other items were left inside patients after surgery. Continue reading... The Guardian
How NHS hospitals spent £5 million on obese patients
How NHS hospitals spent £5 million on obese patients Hospitals are spending thousands widening corridors, buying fridges to store bodies of overweight patients and strengthening operating tables as Britain's obesity crisis continues. The Daily Telegraph
See also:
See also:
- Hospital costs are small part of debt of obesity crisis The Daily Telegraph
- Rising obesity levels force NHS to spend extra £5.5m on adapting hospitals The Daily Mail
District nurses could be a thing of the past in 10 years without urgent action, warns Royal College of Nurses
District nurses could be a thing of the past in 10 years without urgent action, warns Royal College of Nurses
There could be no more district nurses in the England within a decade, the Royal College of Nursing (RCN) has said, in an unprecedented warning over the future of the profession. The Independent
See also:
There could be no more district nurses in the England within a decade, the Royal College of Nursing (RCN) has said, in an unprecedented warning over the future of the profession. The Independent
See also:
- RCN warns that district nurses face 'extinction' in 2025 Royal College of Nursing
- Survey of district and community nurses in 2013 Royal College of Nursing
- District nurses will disappear by 2025, says union The Guardian
Monday, 16 June 2014
Five NHS falls deaths in Northamptonshire in less than a year
Five NHS falls deaths in Northamptonshire in less than a year The NHS trust responsible for Northamptonshire mental health has seen five deaths of patients from falls in 10 months. Northampton Chronicle and Echo
Delivering innovations in the care of older people: an opportunity to brag, steal, learn and deliver?
Delivering innovations in the care of older people: an opportunity to brag, steal, learn and deliver? Older people, especially those who are frail or live with dementia or complex chronic conditions, are becoming the ‘core business’ of health and social care. This trend will only increase: by 2030, one in five people in England will be over 65, and those over 80 are the fastest growing demographic. Living longer is a cause for celebration, but it can present challenges for the health and social care system.
Our recent paper, Making our health and care systems fit for an ageing population, set out a framework and tools to help local service leaders improve the care they provide for older people across nine key components.
Our recent paper, Making our health and care systems fit for an ageing population, set out a framework and tools to help local service leaders improve the care they provide for older people across nine key components.
Guidance for taking responsibility: accountable clinicians and informed patients
Guidance for taking responsibility: accountable clinicians and informed patients Following recommendations in the Francis Inquiry report that there is a need for a named accountable clinician for a patient's care whilst in hospital, AoMRC was asked by the Secretary of State to see how this could be taken forward. This guidance was developed following discussion and consultation with medical royal colleges, regulatory bodies and professional bodies. Academy of Medical Royal Colleges
Older HIV patients 'need support'
Older HIV patients 'need support' The "silent generation" of around 25,000 older people with HIV need better support to keep them well, nurses say. BBC News
See also:
See also:
NHS scan and test delays 'worrying'
NHS scan and test delays 'worrying' Health charities call for urgent action to tackle delays in access to diagnostic tests in England, although NHS England says most patients are investigated promptly. BBC News
Hip replacement cement linked with deaths
Hip replacement cement linked with deaths "Toxic NHS hip implants blamed for more than 40 deaths," The Daily Telegraph reports. Other media sources similarly report how surgical "cement" used in some hip replacements has been linked to the deaths.
This news is based on a study looking at risk of death or severe harm associated with partial hip replacements involving cement for people with a fracture at the top of the thigh bone (fractured neck of femur).
The practice of using cement to attach the replacement "ball" joint to the "socket" is a clinical decision made by surgeons based on their experience and the patient's characteristics.
In 2009, the National Patient Safety Agency (NPSA) alerted health professionals to the risk of bone cement implantation syndrome (BCIS), which can happen when cement is used.
This news is based on a study looking at risk of death or severe harm associated with partial hip replacements involving cement for people with a fracture at the top of the thigh bone (fractured neck of femur).
The practice of using cement to attach the replacement "ball" joint to the "socket" is a clinical decision made by surgeons based on their experience and the patient's characteristics.
In 2009, the National Patient Safety Agency (NPSA) alerted health professionals to the risk of bone cement implantation syndrome (BCIS), which can happen when cement is used.
Change service provision to guarantee quality, small district general hospitals urged
Change service provision to guarantee quality, small district general hospitals urged These hospitals can ‘survive and thrive’ but performance has dipped over past two years, says Monitor. OnMedica
GP numbers tumble in England as recruitment crisis bites
GP numbers tumble in England as recruitment crisis bites Take-up of family doctor training is at its lowest level since 2007, sparking fears there may soon be not enough GPs to cope
The government is facing a GP recruitment crisis with new figures showing a fall in the number of family doctors since the coalition came to power amid warnings that the take-up of training places is the worst since 2007.
Official data analysed by the House of Commons Library shows that at a time of ever increasing demand for their services, the number of GPs has dropped by 356 compared with its level in 2009/10. The proportion of family doctors serving every 100,000 people has also dropped, from 70 in 2009/10 to 66.5 now. Continue reading... The Guardian
See also:
The government is facing a GP recruitment crisis with new figures showing a fall in the number of family doctors since the coalition came to power amid warnings that the take-up of training places is the worst since 2007.
Official data analysed by the House of Commons Library shows that at a time of ever increasing demand for their services, the number of GPs has dropped by 356 compared with its level in 2009/10. The proportion of family doctors serving every 100,000 people has also dropped, from 70 in 2009/10 to 66.5 now. Continue reading... The Guardian
See also:
NHS bosses’ pay rises four times faster than nurses’
NHS bosses’ pay rises four times faster than nurses’ Pay and rewards for NHS managers have risen at four times the rate of nurses’ salaries in the past two years, a new report has revealed, as frontline staff accused the Government of “double standards” over pay. The Independent
See also:
See also:
- ‘All in it together? The Executive pay bill in England’s NHS’ Royal College of Nursing
- Nurses' anger over 'unfair' pay deal BBC News
- NHS chiefs' pay rises condemned as 'double standards' by nurses The Guardian
Exclusive: NHS crisis looms as A&Es miss waiting time targets
Exclusive: NHS crisis looms as A&Es miss waiting time targets
Accident and emergency departments in England have experienced an unprecedented “spring crisis”, missing a key performance target for five weeks in a row and leaving 20,000 patients waiting for four hours or more in the first week of June alone. The Independent
See also:
Accident and emergency departments in England have experienced an unprecedented “spring crisis”, missing a key performance target for five weeks in a row and leaving 20,000 patients waiting for four hours or more in the first week of June alone. The Independent
See also:
- A&E targets missed for fifth straight week The Daily Telegraph
Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally
Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally Despite having the most expensive health care system, the United States ranks last overall among 11 industrialized countries on measures of health system quality, efficiency, access to care, equity, and healthy lives, according to a new Commonwealth Fund report. The UK comes out first overall.
Friday, 13 June 2014
Northamptonshire NHS launch campaign to keep pressure off A&E during World Cup
Northamptonshire NHS launch campaign to keep pressure off A&E during World Cup Northamptonshire hospitals have launched a healthcare awaress campaign to ease pressure on A&E departments during the World Cup. Northampton Chronicle and Echo
See also:
See also:
- 999 crews predict up to a 15 percent increase in calls during World Cup weekend Northamptonshire Telegraph
Minister praises ‘really impressive’ improvements at Kettering General Hospital
Minister praises ‘really impressive’ improvements at Kettering General Hospital A health minister has praised the turnaround in the performance of the accident and emergency department at Kettering General Hospital. Northamptonshire Telegraph
Independent report: Payment by results: costing in the NHS
Independent report: Payment by results: costing in the NHS The trusts audited were selected based on a previous benchmarking exercise. Of the Trusts audited, 30 were identified as ‘at risk’, 10 as ‘low risk’ and 10 were selected at random. Department of Health
Hospital patients to get named doctor
Hospital patients to get named doctor Hospital patients in England should know which senior doctor is responsible for overseeing their care, according to new guidelines. BBC News
Identify people living in cold homes
Identify people living in cold homes Guidance on how to reduce deaths and illnesses among elderly people in winter has been drawn up by the National Institute for Health and Care Excellence (NICE). BBC News
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See also:
Recession 'led to 10,000 suicides'
Recession 'led to 10,000 suicides' The economic crisis in Europe and North America led to more than 10,000 suicides, according to figures from UK researchers. BBC News
NHS reform: the next shift-change
NHS reform: the next shift-change The government's NHS reforms were meant to devolve power away from Whitehall. In practice the health service remains one of the most centralised in the world. Bottom-up change is urgently needed. Public Finance
Improving quality of life in care homes through community visiting
Improving quality of life in care homes through community visiting What difference could community visiting make to care home residents’ quality of life?
A pilot Community Visitor (CV) scheme in three Essex care homes has shown potential to support community engagement in care homes and improve residents’ quality of life. CVs visited care homes every week for a couple of hours, aiming to befriend older people and enhance communication between care home managers, staff, residents and their families. Joseph Rowntree Foundation
A pilot Community Visitor (CV) scheme in three Essex care homes has shown potential to support community engagement in care homes and improve residents’ quality of life. CVs visited care homes every week for a couple of hours, aiming to befriend older people and enhance communication between care home managers, staff, residents and their families. Joseph Rowntree Foundation
High-factor sunscreen doesn’t cut melanoma risk
High-factor sunscreen doesn’t cut melanoma risk “High-factor sun cream cannot…protect against the deadliest form of skin cancer,” The Guardian reports. Research involving mice with a predisposition to develop melanoma found that sunscreen only delayed, rather than prevented, the onset of melanoma.
Malignant melanoma occurs when cells that produce melanin – pigment that darkens the skin – rapidly divide and grow uncontrollably.
A mutation in a gene crucial for cell growth, BRAF, has been found in several cancers, including around half of melanoma cases. Mice in this study were given this mutation, and all of them developed melanoma when exposed to UV light.
Sunscreen factor 50 delayed the onset and reduced the number of tumours, but did not prevent melanoma.
The study also found that in the mice with the BRAF mutation, UV light damaged another part of the DNA that stops cells dividing too rapidly – tumour suppressor genes called TP53. Sunscreen did not prevent this damage, which means that the cells could grow unchecked.
Mutations in the BRAF gene found in melanomas are not the inherited type, and in humans may be caused by UV exposure and other environmental factors.
It should not be interpreted from this study that sunscreen is useless, but you cannot rely on it solely, especially if you have risk factors for melanoma, such as pale skin and having lots of moles.
Malignant melanoma occurs when cells that produce melanin – pigment that darkens the skin – rapidly divide and grow uncontrollably.
A mutation in a gene crucial for cell growth, BRAF, has been found in several cancers, including around half of melanoma cases. Mice in this study were given this mutation, and all of them developed melanoma when exposed to UV light.
Sunscreen factor 50 delayed the onset and reduced the number of tumours, but did not prevent melanoma.
The study also found that in the mice with the BRAF mutation, UV light damaged another part of the DNA that stops cells dividing too rapidly – tumour suppressor genes called TP53. Sunscreen did not prevent this damage, which means that the cells could grow unchecked.
Mutations in the BRAF gene found in melanomas are not the inherited type, and in humans may be caused by UV exposure and other environmental factors.
It should not be interpreted from this study that sunscreen is useless, but you cannot rely on it solely, especially if you have risk factors for melanoma, such as pale skin and having lots of moles.
NHS England in bid to cut drugs waste
NHS England in bid to cut drugs waste CCGs should work with trusts to better support patients taking medicines. OnMedica
See also:
See also:
NHS staff face the risk of going to jail if they mistreat patients
NHS staff face the risk of going to jail if they mistreat patients Deliberate or reckless behaviour towards patients will become punishable by up to five years in prison and £5,000 fines
NHS staff will face the risk of going to jail if they mistreat patients after ministers decided to ignore protests from doctors' organisations and bring in a new criminal offence of "wilful neglect".
Deliberate or reckless behaviour towards patients will become punishable by up to five years in prison and £5,000 fines under the government's amendment to the criminal justice and courts bill. Continue reading... The Guardian
NHS staff will face the risk of going to jail if they mistreat patients after ministers decided to ignore protests from doctors' organisations and bring in a new criminal offence of "wilful neglect".
Deliberate or reckless behaviour towards patients will become punishable by up to five years in prison and £5,000 fines under the government's amendment to the criminal justice and courts bill. Continue reading... The Guardian
Hospital staff should recognise carers' skills and knowledge
Hospital staff should recognise carers' skills and knowledge Carers have knowledge and expertise not provided by NHS staff, yet they are not consulted in the hospital process
You might think that when the person they care for goes into hospital, carers would receive a period of respite. I don't find it so. My responsibilities continue during my partner's spells of hospitalisation, because while the resources of a major teaching hospital are focused on the problem that led to Victoria's admission (currently, an infected pressure sore), the longer term needs created by her multiple sclerosis don't go away. But they do tend to get disregarded by hospital staff.
A large teaching hospital is a self-contained, if not positively hermetic, system which doesn't really recognise outsiders as having any contribution to make. For example, I have tried repeatedly and unsuccessfully to get the hospital's consultants to include the community tissue viability nurse in discussions of my partner's pressure sore. I want her involved because she is the person who will be my source of information on future management of the wound. She has monitored, and photographed, the sore's progress over the last five years rather than from the point of Victoria's recent admission; she will be the person who takes over management of the wound as soon as she leaves hospital; and she was the first to identify the underlying osteomyelitis that has prevented healing. Yet the hospital team don't feel it's important to include her. Continue reading... The Guardian
You might think that when the person they care for goes into hospital, carers would receive a period of respite. I don't find it so. My responsibilities continue during my partner's spells of hospitalisation, because while the resources of a major teaching hospital are focused on the problem that led to Victoria's admission (currently, an infected pressure sore), the longer term needs created by her multiple sclerosis don't go away. But they do tend to get disregarded by hospital staff.
A large teaching hospital is a self-contained, if not positively hermetic, system which doesn't really recognise outsiders as having any contribution to make. For example, I have tried repeatedly and unsuccessfully to get the hospital's consultants to include the community tissue viability nurse in discussions of my partner's pressure sore. I want her involved because she is the person who will be my source of information on future management of the wound. She has monitored, and photographed, the sore's progress over the last five years rather than from the point of Victoria's recent admission; she will be the person who takes over management of the wound as soon as she leaves hospital; and she was the first to identify the underlying osteomyelitis that has prevented healing. Yet the hospital team don't feel it's important to include her. Continue reading... The Guardian
Doctors told to apologise to patients when they make mistakes
Doctors told to apologise to patients when they make mistakes Doctors must apologise to patients and admit when they have got it wrong under new guidance being issued today by the General Medical Council. The Daily Telegraph
Figures reveal Britain's dire record on child mortality
Figures reveal Britain's dire record on child mortality
The UK has fallen behind its European neighbours in preventing deaths among children and young adults, dropping from among the best performers in 1970s to one of the worst today. The Independent
The UK has fallen behind its European neighbours in preventing deaths among children and young adults, dropping from among the best performers in 1970s to one of the worst today. The Independent
Wednesday, 11 June 2014
It's time to end top-down reform of the NHS
It's time to end top-down reform of the NHS Politicians’ role in the running of the National Health Service (NHS) needs to be better defined to counter interventionist and centralising tendencies that have hampered effective reform to date, says a new report published today by The King’s Fund.
The report, Reforming the NHS from within: beyond hierarchy, inspection and markets, argues that a new political settlement is needed that clarifies the strategic role of ministers in determining funding, establishing priorities and providing accountability to Parliament, and leaves local NHS leaders with the space to innovate and lead service change. This settlement should reflect lessons learnt from the experience of the present government’s health reforms, which have failed to distance ministers from the operational management of the NHS as originally intended.
The report, Reforming the NHS from within: beyond hierarchy, inspection and markets, argues that a new political settlement is needed that clarifies the strategic role of ministers in determining funding, establishing priorities and providing accountability to Parliament, and leaves local NHS leaders with the space to innovate and lead service change. This settlement should reflect lessons learnt from the experience of the present government’s health reforms, which have failed to distance ministers from the operational management of the NHS as originally intended.
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