Tuesday, 30 June 2015
Midwife ‘slept on duty’ at Northampton General Hospital, tribunal alleges
Midwife ‘slept on duty’ at Northampton General Hospital, tribunal alleges An agency midwife is to face a tribunal following allegations that she slept on duty while working at Northampton General Hospital. Northampton Chronicle and Echo
Brain injuries nurse suspended for sleeping while in charge of vulnerable Northamptonshire patient
Brain injuries nurse suspended for sleeping while in charge of vulnerable Northamptonshire patient A nurse working at a brain injuries unit in Northamptonshire has been suspended from all practice after she was seen sleeping while she should have been monitoring a vulnerable patient. Northampton Chronicle and Echo
New standard to improve the care of people with personality disorders
New standard to improve the care of people with personality disorders Borderline and antisocial personality disorders are two distinctive conditions that affect people differently and have different care pathways. Both conditions affect a person's thoughts, emotions and behaviour, and are associated with poor health and increased risk of death. More... NICE
New safeguards for patients from rogue healthcare professionals
New safeguards for patients from rogue healthcare professionals EU to operate a warning system to alert each other when a healthcare professional is banned from working in its country. NHS Employers
GP receptionists 'could help prevent stroke deaths'
GP receptionists 'could help prevent stroke deaths' "Teaching doctors' receptionists to spot the warning signs of strokes could save thousands of lives a year," the Daily Mail reports.
Educating staff about the warning signs of a stroke, such as a droopy face and speaking difficulties, could lead to improved outcomes, a new pilot study concluded.
The study looked at a large sample of GP practices in one region of the UK. Researchers asked receptionists to take a series of unannounced calls where actors with various stroke symptoms asked for advice.
In about two-thirds of calls the receptionist acted appropriately, either passing them on to a GP or telling them to contact the emergency services.
Generally, the receptionists were more likely to refer on if more common symptoms were described – a drooping face or mouth, a weak arm or slurred speech – and with the greater number of these symptoms given.
These results are likely to give a good indication of how receptionists would respond if a patient called with stroke symptoms and asked for advice. As the researchers suggest, extra receptionist training about stroke, as well as other life-threatening conditions, could help.
Educating staff about the warning signs of a stroke, such as a droopy face and speaking difficulties, could lead to improved outcomes, a new pilot study concluded.
The study looked at a large sample of GP practices in one region of the UK. Researchers asked receptionists to take a series of unannounced calls where actors with various stroke symptoms asked for advice.
In about two-thirds of calls the receptionist acted appropriately, either passing them on to a GP or telling them to contact the emergency services.
Generally, the receptionists were more likely to refer on if more common symptoms were described – a drooping face or mouth, a weak arm or slurred speech – and with the greater number of these symptoms given.
These results are likely to give a good indication of how receptionists would respond if a patient called with stroke symptoms and asked for advice. As the researchers suggest, extra receptionist training about stroke, as well as other life-threatening conditions, could help.
Bowel surgery death rate 'too high'
Bowel surgery death rate 'too high' Too many patients are dying following emergency bowel surgery, experts who have done a comprehensive audit warn. BBC News
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DH requests NPfIT exit plans
DH requests NPfIT exit plans The Department of Health has written to trusts in the North, Midlands and East of England requesting planned exit dates for the end of their national IT contracts in July 2016. E-Health Insider
High profile IT projects 'unachievable'
High profile IT projects 'unachievable' The successful delivery of care.data, NHS.uk and N4 "appears to be unachievable", according to a report published by the government's Major Projects Authority. E-Health Insider
Paperless NHS: How to transform hospital IT
Paperless NHS: How to transform hospital IT Progress towards the goal for a paperless NHS by 2020 has been too slow in the acute sector. Shaun O’Hanlon looks at the challenges and solutions for transforming hospital IT. HSJ
Employers urged to create conditions which encourage doctors, nurses and midwives to admit mistakes
Employers urged to create conditions which encourage doctors, nurses and midwives to admit mistakes When things go wrong patients should expect a face to face explanation and apology from doctors, nurses and midwives according to new guidance from the General Medical Council (GMC) and the Nursing and Midwifery Council (NMC).
But the regulators have also made clear that professionals need to have the support of an open and honest working environment where they are able to learn from mistakes and feel comfortable reporting incidents that have led to harm. Nursing and Midwifery Council
But the regulators have also made clear that professionals need to have the support of an open and honest working environment where they are able to learn from mistakes and feel comfortable reporting incidents that have led to harm. Nursing and Midwifery Council
Deprivation of liberty ruling contributing to ‘unprecedented pressure’ on Approved Mental Health Professionals
Deprivation of liberty ruling contributing to ‘unprecedented pressure’ on Approved Mental Health Professionals The fallout from a landmark Supreme Court ruling on deprivation of liberty is putting Approved Mental Health Professional services under ‘unprecedented pressure’, according to new research.
A report published by The College of Social Work’s AMHP network reveals that the March 2014 Supreme Court ruling, known as the ‘Cheshire West’ ruling, has triggered a surge in requests for Mental Health Act assessments at some local authorities. The ruling has also provoked anxieties among some practitioners over the interface between the Mental Capacity Act and Mental Health Act and when each framework should be applied for deprivation of liberty cases on psychiatric wards, the report found. Community Care
A report published by The College of Social Work’s AMHP network reveals that the March 2014 Supreme Court ruling, known as the ‘Cheshire West’ ruling, has triggered a surge in requests for Mental Health Act assessments at some local authorities. The ruling has also provoked anxieties among some practitioners over the interface between the Mental Capacity Act and Mental Health Act and when each framework should be applied for deprivation of liberty cases on psychiatric wards, the report found. Community Care
We're overlooked and often abused but emergency call takers save lives
We're overlooked and often abused but emergency call takers save lives I’ve stopped a man from ending his life and helped a mother deliver CPR to her child. It’s upsetting when people say, ‘Shut up, you’re just a call taker’
“My life’s not worth living … No one will care if I’m no longer here. I’m going to end it all,” cries the man on the other end of the phone.
It is 3.44am on a Thursday morning and I am more than just an emergency call taker – I am a reassuring voice, a friend. I am silently willing the paramedics to race around the corner, even though I know that they are still four minutes away. I am the only person in the world who can stop this stranger from ending his life. It’s a daunting task to have someone’s life in your hands and only your voice to save them. Somehow, I manage to calm him down until the paramedics arrive. Continue reading... The Guardian
“My life’s not worth living … No one will care if I’m no longer here. I’m going to end it all,” cries the man on the other end of the phone.
It is 3.44am on a Thursday morning and I am more than just an emergency call taker – I am a reassuring voice, a friend. I am silently willing the paramedics to race around the corner, even though I know that they are still four minutes away. I am the only person in the world who can stop this stranger from ending his life. It’s a daunting task to have someone’s life in your hands and only your voice to save them. Somehow, I manage to calm him down until the paramedics arrive. Continue reading... The Guardian
Should not the NHS stop 'thinking' and start 'doing'?
Should not the NHS stop 'thinking' and start 'doing'? Strategy reviews take up precious time and cost a fortune - are they really necessary? Why not focus on more practical ways to help people, such as the newly launched Help and Information Service. The Daily Telegraph
Sugary drinks are killing 184,000 adults around the world every year, says study
Sugary drinks are killing 184,000 adults around the world every year, says study Sugary drinks are killing 184,000 adults around the world every year, and should be eliminated from people’s diets, medical experts have warned. The global death toll from sugar-laden drinks – ranging from soft drinks to fruit smoothies – has been revealed in a new paper published in the American Heart Association’s Circulation journal. The Independent
Monday, 29 June 2015
NHS drive for action to tackle trans inequalities
NHS drive for action to tackle trans inequalities Health leaders urged to work together to tackle issues faced by transgender and non-binary people across NHS services.
NHS England is spearheading a collective drive to improve the experience of transgender and non-binary people when accessing health and care services.
The body has called an urgent symposium for 30 June, bringing partners from across the health and social care system together with patients to establish a commitment to tackle a series of serious issues faced by these patients.
NHS England is spearheading a collective drive to improve the experience of transgender and non-binary people when accessing health and care services.
The body has called an urgent symposium for 30 June, bringing partners from across the health and social care system together with patients to establish a commitment to tackle a series of serious issues faced by these patients.
Press release: Regulator sets up team to tackle billion pound agency black hole
Press release: Regulator sets up team to tackle billion pound agency black hole Monitor figures show spending on temporary staff in the NHS rose by 29% to £2.4 billion in 2013-14. A recent report to Monitor’s board suggested that foundation trusts spent over double (£1.8 billion versus £766 million) what they had originally planned on contract and agency staff.
The team has been set up to run an initial three-month trial at 3 foundation trusts. Support will include action planning that will help foundation trusts deliver savings, and a diagnostic tool that will identify weaknesses in how trusts are managing their staffing. There are also a series of workshops designed to spread best practice within the NHS.
If the trial is successful (by the end of August 2015) the regulator will consider the appointment of a team of experts on a permanent basis.
This announcement follows the establishment of Monitor’s Provider Sustainability Directorate which aims to develop a pool of expertise to support foundation trusts. This includes bringing in-house much of the work currently done for the regulator by external suppliers in the fields of provider sustainability and solutions development (also known as contingency planning).
The team has been set up to run an initial three-month trial at 3 foundation trusts. Support will include action planning that will help foundation trusts deliver savings, and a diagnostic tool that will identify weaknesses in how trusts are managing their staffing. There are also a series of workshops designed to spread best practice within the NHS.
If the trial is successful (by the end of August 2015) the regulator will consider the appointment of a team of experts on a permanent basis.
This announcement follows the establishment of Monitor’s Provider Sustainability Directorate which aims to develop a pool of expertise to support foundation trusts. This includes bringing in-house much of the work currently done for the regulator by external suppliers in the fields of provider sustainability and solutions development (also known as contingency planning).
Antidepressant use in menopause linked to broken bones
Antidepressant use in menopause linked to broken bones "Taking antidepressants like Prozac to counter mood changes in menopause 'raises risk of broken bones'," the Daily Mail reports. A new study suggests that using selective serotonin reuptake inhibitors (SSRIs) during the menopause may increase the risk of bone fracture by around 76%.
While this may sound alarming, the baseline risk of bone fracture is relatively small so the 76% figure represents a small, if statistically significant, increase in risk.
The study in the spotlight looked at the risk of bone fractures in women taking SSRIs compared with women taking common stomach ulcer drugs.
SSRIs are primarily used to treat symptoms such as depression and anxiety, but they are also used when treating the hot flushes that can come with the menopause. While not licensed for this use in the UK, consultants can prescribe them at their own discretion for women unable or unwilling to use hormone replacement therapy (HRT).
Researchers found that risk difference was statistically significant only after the second year. This suggests SSRIs may need several months to produce clinically meaningful effects on bone mineral density.
Importantly, the study results may not be directly applicable to women taking SSRIs for mental health reasons. So while it is possible that use may be associated with a small increase in fracture risk for menopausal women, this small risk must be balanced against the benefit of taking them for the prescribed reason.
While this may sound alarming, the baseline risk of bone fracture is relatively small so the 76% figure represents a small, if statistically significant, increase in risk.
The study in the spotlight looked at the risk of bone fractures in women taking SSRIs compared with women taking common stomach ulcer drugs.
SSRIs are primarily used to treat symptoms such as depression and anxiety, but they are also used when treating the hot flushes that can come with the menopause. While not licensed for this use in the UK, consultants can prescribe them at their own discretion for women unable or unwilling to use hormone replacement therapy (HRT).
Researchers found that risk difference was statistically significant only after the second year. This suggests SSRIs may need several months to produce clinically meaningful effects on bone mineral density.
Importantly, the study results may not be directly applicable to women taking SSRIs for mental health reasons. So while it is possible that use may be associated with a small increase in fracture risk for menopausal women, this small risk must be balanced against the benefit of taking them for the prescribed reason.
VIDEO: Fears as Independent Living fund closes
VIDEO: Fears as Independent Living fund closes Thousands of disabled people in England face an uncertain future as the Independent Living Fund closes, with responsibility for funding moved to local authorities. BBC News
NHS wants negligence legal costs capped
NHS wants negligence legal costs capped Strict caps should be put in place to limit the "excessive fees" lawyers claim against the NHS in medical negligence cases, the Department of Health in England says. BBC News
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New E-Referral Service still has issues
New E-Referral Service still has issues Users of the new NHS e-Referral Service are still experiencing significant slowdown and other issues nearly two weeks after the system went live. E-Health Insider
Doctors say public health cuts will hurt NHS
Doctors say public health cuts will hurt NHS Vote to campaign against £200m cuts. OnMedica
NHS staff told to say 'I am sorry' to patients for medical blunders
NHS staff told to say 'I am sorry' to patients for medical blunders New guidance says doctors, nurses and midwives must now offer prompt apology and explanation to those injured by mistakes during treatment
Doctors, nurses and midwives will have to offer patients face-to-face apologies and say they are personally sorry about medical blunders under tough new rules designed to make the NHS more honest.
The 920,000 members of those three professions must now offer a prompt and heartfelt apology and explanation to the patient when things go wrong under new guidance being published on Monday. Continue reading... The Guardian
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Doctors, nurses and midwives will have to offer patients face-to-face apologies and say they are personally sorry about medical blunders under tough new rules designed to make the NHS more honest.
The 920,000 members of those three professions must now offer a prompt and heartfelt apology and explanation to the patient when things go wrong under new guidance being published on Monday. Continue reading... The Guardian
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NHS patient data plans unachievable, review finds
NHS patient data plans unachievable, review finds Major Projects Authority says care.data and NHS Choices schemes have ‘major issues’ with schedule, budget and project definition
The government’s ambitious plans to provide online access to medical records and to suck up and store all patient data are unachievable, an official review has concluded.
In a damning assessment, the Major Projects Authority said both care.data – a plan to link and store all patient data in a single database – and NHS Choices – the website supposed to allow users to log in and access medical services – had “major issues with project definition, schedule, budget, quality and/or benefits delivery, which at this stage do not appear to be manageable or resolvable”. Continue reading... The Guardian
The government’s ambitious plans to provide online access to medical records and to suck up and store all patient data are unachievable, an official review has concluded.
In a damning assessment, the Major Projects Authority said both care.data – a plan to link and store all patient data in a single database – and NHS Choices – the website supposed to allow users to log in and access medical services – had “major issues with project definition, schedule, budget, quality and/or benefits delivery, which at this stage do not appear to be manageable or resolvable”. Continue reading... The Guardian
Let elderly die 'surrounded by love' at home - not in hospitals, says minister
Let elderly die 'surrounded by love' at home - not in hospitals, says minister Lord Prior of Brampton said it was "preferable" for dying patients to pass away "in their own home with their loved ones" rather than alone in hospital. The Daily Telegraph
Chief of NHS mental health trust that controls Broadmoor quits amid string of controversies
Chief of NHS mental health trust that controls Broadmoor quits amid string of controversies The chief executive of the country’s largest mental health trust is leaving his post amid a series of controversies. The Independent
Friday, 26 June 2015
Shaping the future: A strategic framework for a successful NHS
Shaping the future: A strategic framework for a successful NHS Shaping the future: a strategic framework for a successful NHS argues that a successful NHS strategy cannot be lifted from another country or calculated using a special formula – that no ‘silver bullet’ exists which will solve the complex challenges.
The report provides a strategic framework for national leaders working to create a sustainable NHS over the current parliament and beyond. The framework consists of five interlinked layers:
The report provides a strategic framework for national leaders working to create a sustainable NHS over the current parliament and beyond. The framework consists of five interlinked layers:
- Active cost management
- Process improvement for quality and efficiency
- New ways of delivering care and support
- Scientific discovery, technology and skills
- Focus on population health
Improving the fiscal and political sustainability of health systems through integrated population needs-based planning
Improving the fiscal and political sustainability of health systems through integrated population needs-based planning It is often argued that the demands for increased healthcare expenditure arising from an ageing population, advancing technologies, and increasing expectations, warrant higher healthcare budgets. The author of this briefing argues that this reactive approach is not sustainable, and that the perceived mismatch between resources and demand is due to poor health service planning. This briefing presents a framework to re-focus planning models on population needs.Please note that free registration is required to access this report. Office of Health Economics
National report sheds light on health and wellbeing of young people
National report sheds light on health and wellbeing of young people Statistics on the health, care and wellbeing of young people in England - from birth to young adulthood - are published today in a report from the Health and Social Care Information Centre. It brings together in one place for the first time a range of information, including use of hospital services, talking therapies, prescribing, immunisations and lifestyle trends. The report aims to provide a more joined-up picture of key areas of health and care among younger age groups.
High performing hospitals: a qualitative systematic review of associated factors and practical strategies for improvement
High performing hospitals: a qualitative systematic review of associated factors and practical strategies for improvement This review provides insights into methods used to identify high performing hospitals, and yields ideas about the factors important for success. It highlights the need to advance approaches for understanding what constitutes high performance and how to harness factors associated with high performance. Health Services Research
No evidence 'cocktail of everyday chemicals' causes cancer
No evidence 'cocktail of everyday chemicals' causes cancer “Fifty everyday chemicals…could be combining to increase our risk of cancer,” is the alarmist headline in the Mail Online.
A major review into chemicals commonly found in the environment, such as those found in suncream and handwash, found no conclusive proof that they were definitely increasing cancer risk.
Researchers identified 85 chemicals that have the potential to cause cells to switch into “cancer mode” – that is, replicate at a dangerous rate inside the body. 50 of them could have this effect at the low-dose level that we are exposed to in the environment. However, the researchers also found that over half of them also had protective effects against the development of cancer.
Currently, the safety of a chemical is looked at on its own. The researchers are calling for chemicals such as those in this list to be looked at in combination when assessing their safety. This is because they think exposure to a combination of chemicals acting on different characteristics could be important in the development of cancer.
The risk associated with these “everyday chemicals” should be put into context. There is little point in worrying about handcream if you are smoking 20 cigarettes a day, or avoiding suncream so you get exposed to high levels of cancer-causing ultraviolet radiation.
A major review into chemicals commonly found in the environment, such as those found in suncream and handwash, found no conclusive proof that they were definitely increasing cancer risk.
Researchers identified 85 chemicals that have the potential to cause cells to switch into “cancer mode” – that is, replicate at a dangerous rate inside the body. 50 of them could have this effect at the low-dose level that we are exposed to in the environment. However, the researchers also found that over half of them also had protective effects against the development of cancer.
Currently, the safety of a chemical is looked at on its own. The researchers are calling for chemicals such as those in this list to be looked at in combination when assessing their safety. This is because they think exposure to a combination of chemicals acting on different characteristics could be important in the development of cancer.
The risk associated with these “everyday chemicals” should be put into context. There is little point in worrying about handcream if you are smoking 20 cigarettes a day, or avoiding suncream so you get exposed to high levels of cancer-causing ultraviolet radiation.
Obesity – the ticking time bomb which starts young
Obesity – the ticking time bomb which starts young Figures on obesity levels of children in England underline again the scale of the challenge facing policymakers. BBC News
Tom's digital health disruptors: mental health apps
Tom's digital health disruptors: mental health apps The rise of tablet computers and smartphones is leading to an influx of tools to improve all aspects of mental health, from sleeping problems to anxiety. E-Health Insider
GPs outsource full practice management control to foundation hospital
GPs outsource full practice management control to foundation hospital GP practices in the north east of England have handed complete management control over to a new service owned by a foundation trust hospital. GP Online
Community pharmacies to gain access to summary care record
Community pharmacies to gain access to summary care record Pilots allowed pharmacists to reduce extra work for GPs. OnMedica
Black and minority ethnic people are shortchanged by mental health services
Black and minority ethnic people are shortchanged by mental health services For many, long term care is denied in favour of sectioning and medication, and there is no support after they are released
Ramone is in his mid-20s and with his family emigrated to the UK around 10 years ago from eastern Europe. He developed a severe mental illness that requires long-term care, but is not eligible for treatment. This means that when he becomes extremely ill, he is sectioned (usually by the police) and admitted to a mental health unit where he is medicated to a point where he can be released, with no care afterwards. This pattern has repeated itself for six years. Continue reading... The Guardian
Ramone is in his mid-20s and with his family emigrated to the UK around 10 years ago from eastern Europe. He developed a severe mental illness that requires long-term care, but is not eligible for treatment. This means that when he becomes extremely ill, he is sectioned (usually by the police) and admitted to a mental health unit where he is medicated to a point where he can be released, with no care afterwards. This pattern has repeated itself for six years. Continue reading... The Guardian
How the billion pound formula industry hijacked breastfeeding
How the billion pound formula industry hijacked breastfeeding National Breastfeeding Week: The past few days have been dedicated to raising awareness around the benefits of breastfeeding. But, for some, it was also a cynical and ill-advised marketing opportunity. Milli Hill reports. The Daily Telegraph
Thursday, 25 June 2015
Northamptonshire ambulance technician says her job is a ‘privilege’ as service recruits frontline staff
Northamptonshire ambulance technician says her job is a ‘privilege’ as service recruits frontline staff Forget the dramatic brief appearances in Holby City, Casualty and gritty crime dramas, says East Midlands Ambulance Service technician Liz Canham, it’s the chance to make a real difference to people’s lives that makes her job a privilege. Northampton Chronicle and Echo
2020 vision: digital efficiency and innovation in the NHS
2020 vision: digital efficiency and innovation in the NHS Every year our Digital Health and Care Congress brings together a diverse group of people, united by an interest in digital health, to share and discuss the ways that digital products and services are changing and improving health systems. This year's congress was sold out yet again, demonstrating the huge interest in this area.
Among the many fascinating talks and discussions, I want to highlight a couple of important announcements that are very relevant as the NHS races to meet two prominent policy commitments by 2020: to achieve an unprecedented £22 billion of productivity savings, and to make all patient records digital and accessible in real time across all settings for patients and staff.
Among the many fascinating talks and discussions, I want to highlight a couple of important announcements that are very relevant as the NHS races to meet two prominent policy commitments by 2020: to achieve an unprecedented £22 billion of productivity savings, and to make all patient records digital and accessible in real time across all settings for patients and staff.
Treating mind and body together – Dr Geraldine Strathdee
Treating mind and body together – Dr Geraldine Strathdee NHS England’s National Clinical Director for Mental Health, who is among the speakers at the Health+Care Commissioning Show, examines the need for integrated care:
Integration is now one of the most commonly used words today in healthcare.
The Five Year Forward View sets out the principles of integration: the integration of physical and mental health, integration of primary and specialist care, and integration of health and social care.
There are many interpretations, and in this blog I want to set out some of the thinking about implementation from the perspective of a mental health clinician.
Integration is now one of the most commonly used words today in healthcare.
The Five Year Forward View sets out the principles of integration: the integration of physical and mental health, integration of primary and specialist care, and integration of health and social care.
There are many interpretations, and in this blog I want to set out some of the thinking about implementation from the perspective of a mental health clinician.
Latest NHS staff sickness absence figures published
Latest NHS staff sickness absence figures published The latest figures released by the Health and Social Care Information centre (HSCIC) show that NHS staff sickness absence has risen by 0.11 per cent in the year from February 2014 (4.31 per cent) to February 2015 (4.42 per cent). NHS Employers
Patient safety is at risk, say learning disability nurses
Patient safety is at risk, say learning disability nurses A new RCN survey reveals learning disability nurses have serious concerns about the impact that cuts are having on the 1.5 million people living with a learning disability in the UK. Royal College of Nursing
CQC responds to RCGP call to 'halt' inspections
CQC responds to RCGP call to 'halt' inspections Prof Steve Field, our Chief Inspector of General Practice, said: "We are extremely disappointed that the Royal College of General Practitioners has called for an ‘emergency pause’ to our inspections of general practices, which we carry out to make sure that people across England get safe, high-quality and compassionate primary care. The safety and quality of care of people who use these services continue to be our number one priority. Care Quality Commission
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'Make work healthier' bosses told
'Make work healthier' bosses told Managers across England must "raise their game" to create happy, healthy workplaces, England's chief health advisers have warned. BBC News
See also:
See also:
- Workplace policy and management practices to improve the health and wellbeing of employees (guideline NG13) National Institute for Health and Care Excellence
VIDEO: Ambulance service in crisis in England
VIDEO: Ambulance service in crisis in England Paramedics are being overstretched and under staffed in England with unions warning that the service would not cope with an incident in a major city. BBC News
Climate change poses major threat to health
Climate change poses major threat to health But action to fight it could be our ‘greatest ever opportunity to improve global health’ OnMedica
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Video project aims to explain research in NHS
Video project aims to explain research in NHS "Research people" follows staff in different roles across the country as they explain how their work helps treatment
A collection of short films have been produced by the by the National Institute for Health Research's Clinical Research Network to help patients develop a greater understanding of NHS-based research.
The Research People series features members of the research community from across the country explaining who they are, what they do, and how their work benefits treatments and services. Continue reading... The Guardian
A collection of short films have been produced by the by the National Institute for Health Research's Clinical Research Network to help patients develop a greater understanding of NHS-based research.
The Research People series features members of the research community from across the country explaining who they are, what they do, and how their work benefits treatments and services. Continue reading... The Guardian
Doubts linger over Jeremy Hunt's pledge for 5,000 new GPs
Doubts linger over Jeremy Hunt's pledge for 5,000 new GPs Health secretary seemed hesitant to fully commit to Conservative’s pre-election promise in two recent speeches
Health secretary Jeremy Hunt has been accused of preparing to make a U-turn over the government’s pledge to recruit 5,000 more GPs by 2020 to ease the chronic shortage of family doctors.
The status of the target, which was a key Conservative pledge during the election campaign, has come into question after Hunt appeared to cast doubt on it on two separate occasions. Continue reading... The Guardian
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Health secretary Jeremy Hunt has been accused of preparing to make a U-turn over the government’s pledge to recruit 5,000 more GPs by 2020 to ease the chronic shortage of family doctors.
The status of the target, which was a key Conservative pledge during the election campaign, has come into question after Hunt appeared to cast doubt on it on two separate occasions. Continue reading... The Guardian
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Dying cancer patients could volunteer to be medical guinea pigs under new law
Dying cancer patients could volunteer to be medical guinea pigs under new law Chris Heaton-Harris (Daventry) MP's new Access to Medical Treatments (Innovation) Bill will make it easier for doctors to try untested drugs on patients without the fear of being sued. The Daily Telegraph
NHS to give volunteers 'synthetic blood' made in a laboratory within two years
NHS to give volunteers 'synthetic blood' made in a laboratory within two years The first attempt at giving human volunteers “synthetic blood” made in a laboratory for the first time will take place within the next two years, the NHS has announced. The Independent
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Wednesday, 24 June 2015
Transforming our health care system: ten priorities for commissioners
Transforming our health care system: ten priorities for commissioners This paper sets out ten actions for commissioners to help them transform the health care system to deliver a more efficient and effective system with improved outcomes for patients. This paper was originally published in March 2011 and we have updated it to reflect changes within the NHS. The King's Fund
Mental health crisis review – experiences of minorities
Mental health crisis review – experiences of minorities This report presents the results of this work and provides an insight into patient experience of mental health crisis care from a BME perspective. Race Equality Foundation
How can and should the UK adjust to dementia?
How can and should the UK adjust to dementia? This publication explores the various ways in which adaptations and adjustments should be made to meet the growing demands of an ageing population with an increased prevalence of dementia. It argues that a more holistic approach encompassing more than health and social care services should be considered. Joseph Rowntree Foundation
Are nurses the new doctors?
Are nurses the new doctors? Medicine has changed dramatically over the years with new drugs and treatments revolutionising the way patients are cared for.
With that has come an overhaul in the way staff work. In particular, the demarcation between doctors and nurses. BBC News
With that has come an overhaul in the way staff work. In particular, the demarcation between doctors and nurses. BBC News
GP leaders demand immediate suspension of CQC inspections
GP leaders demand immediate suspension of CQC inspections The RCGP and GPC have called for the immediate suspension of CQC inspections on practices, warning that GPs are 'close to meltdown' and 'have no confidence' in the watchdog's processes. GP Online
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- GPs call for emergency ‘pause’ in inspections to relieve pressure on crisis-hit surgeries Royal College of General Practitioners
- Scrap inspection regime, GPs urge BBC News
- Stop inspecting our surgeries, say GPs The Daily Mail
- GPs are too busy to be inspected, unions say The Daily Telegraph
- GP bodies call for emergency suspension of health watchdog's 'nit-picking' inspections The Independent
Tackling the stress culture in the NHS
Tackling the stress culture in the NHS New initiative will encourage staff to talk about how they are feeling, and managers will be alerted to stress levels among healthcare workers
“There is a culture of stress in the NHS. Staff are given more and more to do … with little support, fewer resources and poor rationale. They are not allowed time to process or reflect on their experiences. Stress and pressure is not openly spoken of, instead staff are expected to get on with it and are often afraid to speak out, for fear of being ‘awkward’.” Continue reading... The Guardian
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“There is a culture of stress in the NHS. Staff are given more and more to do … with little support, fewer resources and poor rationale. They are not allowed time to process or reflect on their experiences. Stress and pressure is not openly spoken of, instead staff are expected to get on with it and are often afraid to speak out, for fear of being ‘awkward’.” Continue reading... The Guardian
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A&E a 'place of terror' for elderly people, nurses' union congress hears
A&E a 'place of terror' for elderly people, nurses' union congress hears Royal College of Nursing debate hears that older people bear brunt of crisis of overstretched emergency departments, with some left on trolleys for hours
Overstretched A&E units are “places of terror” for elderly and vulnerable people, the nursing union’s congress has heard.
The Royal College of Nursing (RCN) said there was no longer only a winter crisis but a year-round crisis with older people bearing the brunt, as some were left on trolleys for up to 20 hours.
Our hospitals are massively overstretched. They are running at 100% to 105% capacity every day Continue reading... The Guardian
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Overstretched A&E units are “places of terror” for elderly and vulnerable people, the nursing union’s congress has heard.
The Royal College of Nursing (RCN) said there was no longer only a winter crisis but a year-round crisis with older people bearing the brunt, as some were left on trolleys for up to 20 hours.
Our hospitals are massively overstretched. They are running at 100% to 105% capacity every day Continue reading... The Guardian
See also:
- A&Es are places of terror for the old, warns nurse Lucy Frost Daily Mail
- Hospitals have become 'places of terror', nurses warn The Daily Telegraph
Half of community nurses now feel vulnerable at work, says 'horrifying' survey
Half of community nurses now feel vulnerable at work, says 'horrifying' survey One in two community nurses feels vulnerable at work, and nearly half say that risks to their safety have worsened in the past two years, partly as a result of NHS cost-cutting, the country’s biggest nursing union has reported. The Independent
See also:
See also:
- Alone, afraid and under attack – nursing in the community Royal College of Nursing
Doctors should not be made to act as 'border guards' for migrant patients, say medical leaders
Doctors should not be made to act as 'border guards' for migrant patients, say medical leaders Doctors should play no part in monitoring a patient’s immigration status, medical leaders have said, amid reports of GPs being forced to act like “border guards” as a result of the Government’s crackdown on so-called health tourism. The Independent
Gonorrhoea and syphilis on the rise as STI diagnoses soar among gay and bisexual men
Gonorrhoea and syphilis on the rise as STI diagnoses soar among gay and bisexual men Large increases in diagnoses of sexually transmitted infections (STIs) were seen last year in men who have sex with men (MSM), according to new figures. The Independent
See also:
See also:
- Press release: New STI figures show rapid increases among gay men Public Health England
- STIs soaring in gay men - warning BBC News
Tuesday, 23 June 2015
Inspectors note strides made in A&E, but Northampton General Hospital still needs improvements
Inspectors note strides made in A&E, but Northampton General Hospital still needs improvements A warning notice issued to NGH over the quality of monitoring in A&E has been lifted, a new inspection report reveals, but the hospital overall is rated as ‘requires improvement’. Northampton Chronicle and Echo
A new deal for general practice: doing things differently, not just more of the same
A new deal for general practice: doing things differently, not just more of the same Jeremy Hunt’s speech last Friday sent out a strong signal that general practice will be one of the government’s top priorities during this parliament.
The Fund believes that the future of general practice rests on a combination of investment and reform. Investment is needed to reverse the decline in the share of the NHS budget going into general practice. Reform is needed to improve the working lives of GPs and the experience of patients.
The priorities for investment include recruiting more staff to work in general practice and modernising premises. The priorities for reform include using the skills of all members of the primary care team and embracing the opportunities offered by information technologies.
The importance of the practice and registered list as the organising principle of primary care should never be underestimated. At the same time, the potential benefits of working at scale in federations and networks are considerable. These benefits include offering access to patients outside normal working hours by taking shared responsibility for seven-day working and providing a wider range of services than most practices are able to deliver on their own.
The decision of practices in many parts of the country to work together shows that the case for federations and networks is increasingly understood and accepted by GPs. The emergence of super practices like Vitality in Birmingham, chosen by the Prime Minister as the location for his first speech on the NHS since the general election, is further evidence that the cottage industry model of general practice is on the wane.
To be sure, there are risks in these developments, including loss of continuity for patients, and reduced autonomy for GPs in a more organised model of family medicine. It is particularly important that the discretionary effort GPs have traditionally put into running practices they own is not lost, although growth in the number of salaried doctors has, for some time, created a divide between GP partners and providers.
The bigger prize on offer from new ways of organising general practice is for GPs to lead the development of integrated out-of-hospital services. Our analysis of emerging models of primary care in England underpinned the argument we advanced last year for family care networks to be developed. These networks would be led by GPs and encompass a range of community services, out-of-hours primary care, and some specialist services usually provided in hospitals, as has been proposed in the NHS five year forward view.
We proposed that a new contract should be available to GPs wishing to develop family care networks. The contract would offer funding for a much wider range of services than usually provided by practices and would be linked to the delivery of outcomes including access to care, patient experience, and clinical quality. Next year’s contract negotiations between the government and the British Medical Association (BMA) provide an opportunity to put this in place alongside existing contracts.
New models of integrated out-of-hospital services are best led by the federations, networks and super practices, but if GPs choose not to work in this way then the new contract should be available to other providers including NHS trusts working in partnership with GPs. The leadership expertise available in NHS trusts will enable GPs to manage budgets and services on a much bigger scale than they are used to and also to access the resources needed to invest in technology and premises.
Family care networks could also help improve the working lives of GPs by offering a range of flexible working arrangements. This is critical if general practice is to be an attractive choice for newly qualified doctors and to offer job satisfaction for GPs later in their careers. The experience of Group Health in the United States, which redesigned how its primary care teams work to tackle burnout among family doctors, is a practical example of how this can be done.
The ingredients in Group Health included use of email and telephone consultations and of the full range of skills in the primary care team, including medical assistants and pharmacists. These changes were possible because of the expertise available to family doctors and their colleagues within the organised framework of care available in Group Health. Just as important, they entailed using resources differently, not just doing more of the same.
The ideas put forward here are most likely to gain traction if they are embraced by doctors themselves, extending the advocacy by the Royal College of General Practitioners of GP federations since 2008. The alternative is an unedifying stand-off between the government and the BMA in which the needs of patients take a back seat. Now more than ever the medical profession needs to demonstrate leadership and to embrace reforms which are good for doctors and for patients. The King's Fund
Read our report: Commissioning and funding general practice
The Fund believes that the future of general practice rests on a combination of investment and reform. Investment is needed to reverse the decline in the share of the NHS budget going into general practice. Reform is needed to improve the working lives of GPs and the experience of patients.
The priorities for investment include recruiting more staff to work in general practice and modernising premises. The priorities for reform include using the skills of all members of the primary care team and embracing the opportunities offered by information technologies.
The importance of the practice and registered list as the organising principle of primary care should never be underestimated. At the same time, the potential benefits of working at scale in federations and networks are considerable. These benefits include offering access to patients outside normal working hours by taking shared responsibility for seven-day working and providing a wider range of services than most practices are able to deliver on their own.
The decision of practices in many parts of the country to work together shows that the case for federations and networks is increasingly understood and accepted by GPs. The emergence of super practices like Vitality in Birmingham, chosen by the Prime Minister as the location for his first speech on the NHS since the general election, is further evidence that the cottage industry model of general practice is on the wane.
To be sure, there are risks in these developments, including loss of continuity for patients, and reduced autonomy for GPs in a more organised model of family medicine. It is particularly important that the discretionary effort GPs have traditionally put into running practices they own is not lost, although growth in the number of salaried doctors has, for some time, created a divide between GP partners and providers.
The bigger prize on offer from new ways of organising general practice is for GPs to lead the development of integrated out-of-hospital services. Our analysis of emerging models of primary care in England underpinned the argument we advanced last year for family care networks to be developed. These networks would be led by GPs and encompass a range of community services, out-of-hours primary care, and some specialist services usually provided in hospitals, as has been proposed in the NHS five year forward view.
We proposed that a new contract should be available to GPs wishing to develop family care networks. The contract would offer funding for a much wider range of services than usually provided by practices and would be linked to the delivery of outcomes including access to care, patient experience, and clinical quality. Next year’s contract negotiations between the government and the British Medical Association (BMA) provide an opportunity to put this in place alongside existing contracts.
New models of integrated out-of-hospital services are best led by the federations, networks and super practices, but if GPs choose not to work in this way then the new contract should be available to other providers including NHS trusts working in partnership with GPs. The leadership expertise available in NHS trusts will enable GPs to manage budgets and services on a much bigger scale than they are used to and also to access the resources needed to invest in technology and premises.
Family care networks could also help improve the working lives of GPs by offering a range of flexible working arrangements. This is critical if general practice is to be an attractive choice for newly qualified doctors and to offer job satisfaction for GPs later in their careers. The experience of Group Health in the United States, which redesigned how its primary care teams work to tackle burnout among family doctors, is a practical example of how this can be done.
The ingredients in Group Health included use of email and telephone consultations and of the full range of skills in the primary care team, including medical assistants and pharmacists. These changes were possible because of the expertise available to family doctors and their colleagues within the organised framework of care available in Group Health. Just as important, they entailed using resources differently, not just doing more of the same.
The ideas put forward here are most likely to gain traction if they are embraced by doctors themselves, extending the advocacy by the Royal College of General Practitioners of GP federations since 2008. The alternative is an unedifying stand-off between the government and the BMA in which the needs of patients take a back seat. Now more than ever the medical profession needs to demonstrate leadership and to embrace reforms which are good for doctors and for patients. The King's Fund
Read our report: Commissioning and funding general practice
Warning over drivers with dementia
Warning over drivers with dementia Drivers in the early stages of dementia could be posing a risk to the public, doctors are warning. BBC News
Private sector should ‘re-design’ health service
Private sector should ‘re-design’ health service Independent providers argue their case. OnMedica
End of NHS safe-staffing guidelines 'risks another Mid Staffs scandal'
End of NHS safe-staffing guidelines 'risks another Mid Staffs scandal' Nursing union head Peter Carter urges health secretary and NHS England chief to revisit decision to halt regulator’s work on staff-patient ratios
The NHS regulator’s decision to scrap work on safe-staffing guidelines risks another Mid Staffs scandal in the health service, the head of the nurses’ union has warned.
Earlier, this month, the National Institute of Health and Clinical Excellence (Nice) unexpectedly announced it would no longer attempt to set out how many nurses were needed in different parts of hospitals to ensure safe patient care. Continue reading... The Guardian
The NHS regulator’s decision to scrap work on safe-staffing guidelines risks another Mid Staffs scandal in the health service, the head of the nurses’ union has warned.
Earlier, this month, the National Institute of Health and Clinical Excellence (Nice) unexpectedly announced it would no longer attempt to set out how many nurses were needed in different parts of hospitals to ensure safe patient care. Continue reading... The Guardian
Doctors 'having to apologise 20 times a day' for politicians' broken promises
Doctors 'having to apologise 20 times a day' for politicians' broken promises Dr Mark Porter, the BMA’s council chief, says there are two health services – ‘the one that politicians say they’ll provide and the one they actually do’
Frontline medics are having to apologise to NHS patients 20 times a day because ministers’ promises to fix the health service are so woefully inadequate, the leader of Britain’s doctors has claimed.
In a searing attack on the government’s NHS plans, Dr Mark Porter warned that politicians were “living a lie” because of the gulf between their ambition to turn it into a seven-day service and the reality of too few doctors, hospitals and GP surgeries under pressure and budget cuts. Continue reading... The Guardian
Frontline medics are having to apologise to NHS patients 20 times a day because ministers’ promises to fix the health service are so woefully inadequate, the leader of Britain’s doctors has claimed.
In a searing attack on the government’s NHS plans, Dr Mark Porter warned that politicians were “living a lie” because of the gulf between their ambition to turn it into a seven-day service and the reality of too few doctors, hospitals and GP surgeries under pressure and budget cuts. Continue reading... The Guardian
Covert filming 'should be banned from care homes as spycams puts nurses off'
Covert filming 'should be banned from care homes as spycams puts nurses off' Head of Royal College of Nursing says covert filming leaves staff feeling like they are 'under microscope' and could drive them out of jobs. The Daily Telegraph
See also:
See also:
Cancer test overhaul: New fast-track system to by-pass specialist referrals with aim of saving 5,000 lives a year
Cancer test overhaul: New fast-track system to by-pass specialist referrals with aim of saving 5,000 lives a year People who go to their GP with tell-tale cancer symptoms will be sent for fast-track tests in an attempt to prevent thousands of deaths a year caused by late diagnosis, the national health watchdog has said. The Independent
See also:
See also:
- Suspected cancer: recognition and referral National Institute for Health and Care Excellence
- Cancer strategy could save thousands BBC News
- VIDEO: Cancer patients 'won't have to wait' BBC News
- GPs' cancer diagnosis delays cost 10,000 lives every year NICE warns The Daily Mail
- GP delays referring cancer patients are costing 10,000 lives a year, Nice warns The Daily Telegraph
- NHS cancer guide for GPs and patients could save 5,000 lives a year, says Nice The Guardian
Monday, 22 June 2015
Missing patient from Northampton hospital with ‘serious’ mental health issues could be a danger to the public
Missing patient from Northampton hospital with ‘serious’ mental health issues could be a danger to the public
It is believed that a man with ‘serious mental health issues’ who went missing from St Andrew’s Hospital in Northampton yesterday could be a danger to the public. Northampton Chronicle & Echo
It is believed that a man with ‘serious mental health issues’ who went missing from St Andrew’s Hospital in Northampton yesterday could be a danger to the public. Northampton Chronicle & Echo
Migration rules 'may cause NHS chaos'
Migration rules 'may cause NHS chaos'
Thousands of foreign nurses in junior posts could be forced to leave the UK under new migrant salary rules, causing "chaos" in the NHS, unions warn. BBC News
Thousands of foreign nurses in junior posts could be forced to leave the UK under new migrant salary rules, causing "chaos" in the NHS, unions warn. BBC News
Jeremy Hunt outlines plans for GP services – video
Jeremy Hunt outlines plans for GP services – video
Health secretary Jeremy Hunt promises extra investment and help for under-pressure GP services on Friday. He says the government wants to recruit 1,000 'physician associates' into GP practices by 2020. They will be among 5,000 extra clinical staff he wants England's 8,500 surgeries to hire over the next few years so that the NHS can help primary care services cope with the challenges posed by an ageing population. Guardian
Continue reading...
Health secretary Jeremy Hunt promises extra investment and help for under-pressure GP services on Friday. He says the government wants to recruit 1,000 'physician associates' into GP practices by 2020. They will be among 5,000 extra clinical staff he wants England's 8,500 surgeries to hire over the next few years so that the NHS can help primary care services cope with the challenges posed by an ageing population. Guardian
Continue reading...
Google search vs doctor diagnosis – always an imperfect balance
Google search vs doctor diagnosis – always an imperfect balance
Bronte Doyne’s death from cancer after she was told to stop googling her symptoms raises questions about the doctor-patient relationship
The death of teenager Bronte Doyne from cancer after she was told to stop googling her symptoms exposes how many professionals want to ignore the advances of the information age and cling to the old power relationship between doctors and patients.
Bronte begged doctors to listen to her after online research on an authoritative US website convinced her that her rare liver cancer had returned. She died 16 months after being told she would survive. Just days before her death she wrote: “Can’t begin to tell you how it feels to have to tell an oncologist they are wrong. I had to, I’m fed up of trusting them.” Her mother described doctors at Nottingham University hospitals NHS trust as aloof and evasive. Guardian
Related: Humanity lies at the heart of an NHS worth keeping
Continue reading..
Bronte Doyne’s death from cancer after she was told to stop googling her symptoms raises questions about the doctor-patient relationship
The death of teenager Bronte Doyne from cancer after she was told to stop googling her symptoms exposes how many professionals want to ignore the advances of the information age and cling to the old power relationship between doctors and patients.
Bronte begged doctors to listen to her after online research on an authoritative US website convinced her that her rare liver cancer had returned. She died 16 months after being told she would survive. Just days before her death she wrote: “Can’t begin to tell you how it feels to have to tell an oncologist they are wrong. I had to, I’m fed up of trusting them.” Her mother described doctors at Nottingham University hospitals NHS trust as aloof and evasive. Guardian
Related: Humanity lies at the heart of an NHS worth keeping
Continue reading..
VIDEO: Babies to get meningitis B vaccine
VIDEO: Babies to get meningitis B vaccine
All newborn babies in England and Scotland are to be offered a vaccine to combat meningitis B from September, the government has announced. BBC News
All newborn babies in England and Scotland are to be offered a vaccine to combat meningitis B from September, the government has announced. BBC News
Host universities announced for HEE/NIHR Masters In Clinical Research Studentships
Host universities announced for HEE/NIHR Masters In Clinical Research studentships
HEE and NIHR are delighted to announce the successful universities who will be hosting the Masters in Clinical Research Studentships for the next three years.
Following a tender process, ten universities across England will host ten studentships with the first intake starting in September 2015. Details of the universities can be found here.
The Studentships form part of the HEE/NIHR Integrated Clinical Academic (ICA) programme open to non-medical healthcare professions, details of eligible professions along with criteria applicants need to meet can be found here. The Studentships are designed for non-medical healthcare professionals who aspire to a career that combines continued clinical practice with independent research, and provides a comprehensive grounding in, and experience of, clinical research.
Please contact HEE.RI@nhs.net for any general enquiries, any course specific queries should be directed to the relevant host institution contact.
HEE and NIHR are delighted to announce the successful universities who will be hosting the Masters in Clinical Research Studentships for the next three years.
Following a tender process, ten universities across England will host ten studentships with the first intake starting in September 2015. Details of the universities can be found here.
The Studentships form part of the HEE/NIHR Integrated Clinical Academic (ICA) programme open to non-medical healthcare professions, details of eligible professions along with criteria applicants need to meet can be found here. The Studentships are designed for non-medical healthcare professionals who aspire to a career that combines continued clinical practice with independent research, and provides a comprehensive grounding in, and experience of, clinical research.
Please contact HEE.RI@nhs.net for any general enquiries, any course specific queries should be directed to the relevant host institution contact.
Breast Cancer relapse risk could help thousands after surgery and chemotherapy
Breast Cancer relapse risk could help thousands after surgery and chemotherapy
Researchers from the Royal Marsden Hospital in London say a test could identify women whose lives could be saved if they took cancer drugs for longer after surgery and chemotherapy. Daily Mail
Researchers from the Royal Marsden Hospital in London say a test could identify women whose lives could be saved if they took cancer drugs for longer after surgery and chemotherapy. Daily Mail
Understanding care quality: confronting complexity
Understanding care quality: confronting complexity
How will we know whether the quality of care in the NHS is improving or deteriorating under the new government? Or whether and how the financial pressures on the service are affecting the quality of patient care?
The NHS has to collect vast swathes of data on the quality of care it provides, but this gives us only a tiny glimpse into the nature of the million-plus patient contacts that take place every couple of days. This is not only because the data collected comes from a very small sample of NHS activity, but also because the ways in which the information is collected (the topics it focuses on, how questions are posed, and the types of information used to generate answers) shape the data generated about the quality of patient care. This is not to say that the data produces ‘untruths’, but rather that it only offers insights into some aspects of care, in some places, at some moments. Had the focus or design of any of our quality measurement tools been different, then some quite different truths may have emerged.
How will we know whether the quality of care in the NHS is improving or deteriorating under the new government? Or whether and how the financial pressures on the service are affecting the quality of patient care?
The NHS has to collect vast swathes of data on the quality of care it provides, but this gives us only a tiny glimpse into the nature of the million-plus patient contacts that take place every couple of days. This is not only because the data collected comes from a very small sample of NHS activity, but also because the ways in which the information is collected (the topics it focuses on, how questions are posed, and the types of information used to generate answers) shape the data generated about the quality of patient care. This is not to say that the data produces ‘untruths’, but rather that it only offers insights into some aspects of care, in some places, at some moments. Had the focus or design of any of our quality measurement tools been different, then some quite different truths may have emerged.
Doctors 'bullied' over safety fears
Doctors 'bullied' over safety fears
Hospital doctors face being "bullied and harassed" if they raise concerns about patient safety, the British Medical Association claims. BBC News
Hospital doctors face being "bullied and harassed" if they raise concerns about patient safety, the British Medical Association claims. BBC News
Smoking is associated with an increased risk of dementia
Smoking is associated with an increased risk of dementia
Caroline Struthers reports on a recent meta-analysis, which finds that smoking is associated with an increased risk of dementia. The review finds that quitting smoking reduces the risk to the same level as those who have never smoked. Mental Elf
Caroline Struthers reports on a recent meta-analysis, which finds that smoking is associated with an increased risk of dementia. The review finds that quitting smoking reduces the risk to the same level as those who have never smoked. Mental Elf
Friday, 19 June 2015
Number of pregnant women smoking in Northammptonshire is ‘significantly worse’ than national average
Number of pregnant women smoking in Northammptonshire is ‘significantly worse’ than national average
The number of women who smoke while pregnant in Northamptonshire is ‘significantly worse’ than the national average, latest figures reveal. Northampton Chronicle & Echo
The number of women who smoke while pregnant in Northamptonshire is ‘significantly worse’ than the national average, latest figures reveal. Northampton Chronicle & Echo
Health watchdog that investigates Northamptonshire local authorities has funding slashed by county council
Health watchdog that investigates Northamptonshire local authorities has funding slashed by county council
The independent watchdog for Northamptonshire patients has had its council funding cut by almost a fifth. Northampton Chronicle & Echo
The independent watchdog for Northamptonshire patients has had its council funding cut by almost a fifth. Northampton Chronicle & Echo
Jeremy Hunt pledges new deal to ease GP workloads
Jeremy Hunt pledges new deal to ease GP workloads
Health secretary unveils measures, including recruitment of physician associates – but NHS doctors’ leaders say a clear and costed plan is needed
The health secretary Jeremy Hunt will unveil his “new deal” for GPs promising a package of measures designed to ease their workload and make the profession more attractive to young doctors starting their medical careers.
He will pledge on Friday to ensure the recruitment of 1,000 “physician associates” into GP practices by 2020. They have less medical training than doctors, but help them to diagnose and manage patients and also relieve their administrative burden. Guardian
Related: We need more GPs – and new ways of working as they can’t do it all | Zara Aziz
Related: ‘GP recruitment is what keeps me awake at night’ | Denis Campbell
Continue reading...
Health secretary unveils measures, including recruitment of physician associates – but NHS doctors’ leaders say a clear and costed plan is needed
The health secretary Jeremy Hunt will unveil his “new deal” for GPs promising a package of measures designed to ease their workload and make the profession more attractive to young doctors starting their medical careers.
He will pledge on Friday to ensure the recruitment of 1,000 “physician associates” into GP practices by 2020. They have less medical training than doctors, but help them to diagnose and manage patients and also relieve their administrative burden. Guardian
Related: We need more GPs – and new ways of working as they can’t do it all | Zara Aziz
Related: ‘GP recruitment is what keeps me awake at night’ | Denis Campbell
Continue reading...
2012 Trust research activity league table
2012 Trust research activity league table
Click here to download the table
Click on the column headers to sort the data
Click here for the 2011 table- Healthcare Network
Continue reading...
Patient safety failures in asthma care: the scale of unsafe prescribing in the UK
Patient safety failures in asthma care: the scale of unsafe prescribing in the UK
Asthma UK has subsequently analysed data from over 500 UK GP practices which shows these prescribing errors were just the tip of the iceberg.
The analysis reveals there is evidence that over 22,000 people with asthma in the UK, including 2,000 children, have been prescribed medicines (long-acting reliever inhalers) in a way that is so unsafe they have a ‘black box warning’ in the USA due to the risk they pose to the lives of people with asthma. NHS Networks
Asthma UK has subsequently analysed data from over 500 UK GP practices which shows these prescribing errors were just the tip of the iceberg.
The analysis reveals there is evidence that over 22,000 people with asthma in the UK, including 2,000 children, have been prescribed medicines (long-acting reliever inhalers) in a way that is so unsafe they have a ‘black box warning’ in the USA due to the risk they pose to the lives of people with asthma. NHS Networks
More than one in 10 babies born to mothers who smoke
More than one in 10 babies born to mothers who smoke
18 June, 2015: New figures published today by the Health and Social Care Information Centre (HSCIC) show that 11.4 per cent (2) of pregnant women were recorded as smokers at the time of giving birth (3) in 2014-15, representing 70,880 out of 622,640 maternities (4). IC QOF
18 June, 2015: New figures published today by the Health and Social Care Information Centre (HSCIC) show that 11.4 per cent (2) of pregnant women were recorded as smokers at the time of giving birth (3) in 2014-15, representing 70,880 out of 622,640 maternities (4). IC QOF
NHS launches world’s first national review of deaths of people with learning disabilities
NHS launches world’s first national review of deaths of people with learning disabilities
Indpendent project to help NHS reduce premature mortality for people with learning disabilities.
NHS England, the Healthcare Quality Improvement Partnership (HQIP) and the University of Bristol have today (18 June) announced the world’s first national programme to review – and ultimately reduce – premature deaths of people with learning disabilities.
The three-year project will be the first comprehensive, national review set up to get to the bottom of why people with learning disabilities typically die much earlier than average, and to inform a strategy to reduce this inequality.
Indpendent project to help NHS reduce premature mortality for people with learning disabilities.
NHS England, the Healthcare Quality Improvement Partnership (HQIP) and the University of Bristol have today (18 June) announced the world’s first national programme to review – and ultimately reduce – premature deaths of people with learning disabilities.
The three-year project will be the first comprehensive, national review set up to get to the bottom of why people with learning disabilities typically die much earlier than average, and to inform a strategy to reduce this inequality.
Four step app 'endorsement' process
Four step app 'endorsement' process
Healthcare apps will go through a four-stage recommendation process as part of NHS England's plans to create an endorsement model for these tools. EHI News
Healthcare apps will go through a four-stage recommendation process as part of NHS England's plans to create an endorsement model for these tools. EHI News
Prevention programme can ease burden of diabetes on NHS
Prevention programme can ease burden of diabetes on NHS
Dr Matt Kearney, national clinical adviser to NHS England and Public Health England, says in ablog to mark Diabetes Week 2015, the programme will not only help GPs with their burgeoning workload in treating children and adults with the condition, but it will also provide high quality local services to them to refer high-risk patients into. NHS Networks
Dr Matt Kearney, national clinical adviser to NHS England and Public Health England, says in ablog to mark Diabetes Week 2015, the programme will not only help GPs with their burgeoning workload in treating children and adults with the condition, but it will also provide high quality local services to them to refer high-risk patients into. NHS Networks
Survey for health and wellbeing board reps on public health commissioning
Survey for health and wellbeing board reps on public health commissioning
Local Healthwatch and voluntary, community sector and social enterprise (VCSE) members of Health and Wellbeing Boards are invited to take part in an online survey as part of a research project funded through the Department of Health Policy Research Programme. The project is entitled ‘Commissioning public health services: the impact of the health reforms on access, health inequalities and innovation in service provision’ and is designed to assess the impact of transferring public health responsibilities to local government from April 2013. Researchers are seeking the views of all local Healthwatch and VCSE members of Health and Wellbeing Boards in order to understand changes in how preventative services are being commissioned and provided following these reforms and how VCSE organisations are being involved. The survey closes on 3 July 2015. Regional Voices
Survey
Regional Voices - news
Local Healthwatch and voluntary, community sector and social enterprise (VCSE) members of Health and Wellbeing Boards are invited to take part in an online survey as part of a research project funded through the Department of Health Policy Research Programme. The project is entitled ‘Commissioning public health services: the impact of the health reforms on access, health inequalities and innovation in service provision’ and is designed to assess the impact of transferring public health responsibilities to local government from April 2013. Researchers are seeking the views of all local Healthwatch and VCSE members of Health and Wellbeing Boards in order to understand changes in how preventative services are being commissioned and provided following these reforms and how VCSE organisations are being involved. The survey closes on 3 July 2015. Regional Voices
Survey
Regional Voices - news
Call to expand new stroke treatment
Call to expand new stroke treatment
Doctors urge the government to make an effective new stroke treatment more widely available across Scotland. BBC News
Doctors urge the government to make an effective new stroke treatment more widely available across Scotland. BBC News
MRSA found in sausages from British farms, Cambridge University researchers find
MRSA found in sausages from British farms, Cambridge University researchers find
Sausages and other pork products sold in UK supermarkets are contaminated with a strain of the superbug MRSA. The affected meat comes from pigs reared on British farms, experts say. Daily Mail
Sausages and other pork products sold in UK supermarkets are contaminated with a strain of the superbug MRSA. The affected meat comes from pigs reared on British farms, experts say. Daily Mail
Record 'fake drugs' haul by UK agency
Record 'fake drugs' haul by UK agency
Dangerous counterfeit and unlicensed medicines worth nearly £16m have been seized in a record haul by the UK's Medicines and Healthcare products Regulatory Agency. BBC News
Dangerous counterfeit and unlicensed medicines worth nearly £16m have been seized in a record haul by the UK's Medicines and Healthcare products Regulatory Agency. BBC News
Thursday, 18 June 2015
Evaluating the evidence on employee engagement and its potential benefits to NHS staff: a narrative synthesis of the literature
Evaluating the evidence on employee engagement and its potential benefits to NHS staff: a narrative synthesis of the literature
The objective of this research was to evaluate evidence and theories of employee engagement within the NHS and the general workforce to inform policy and practice. Four research questions focused on definitions and models of engagement; the evidence of links between engagement and staff morale and performance; approaches and interventions that have the greatest potential to create and embed high levels of engagement within the NHS; and the most useful tools and resources for NHS managers in order to improve engagement. National Institute for Health Research (NIHR)
Full report
Summary report
NIHR - publications
The objective of this research was to evaluate evidence and theories of employee engagement within the NHS and the general workforce to inform policy and practice. Four research questions focused on definitions and models of engagement; the evidence of links between engagement and staff morale and performance; approaches and interventions that have the greatest potential to create and embed high levels of engagement within the NHS; and the most useful tools and resources for NHS managers in order to improve engagement. National Institute for Health Research (NIHR)
Full report
Summary report
NIHR - publications
Putting digital to work for patients – Tim Kelsey
Putting digital to work for patients – Tim Kelsey
NHS England’s National Director for Patients and Information looks at how unleashing the power of technology and data can improve patient care:
Published in October 2014, the Five Year Forward View set out a clear direction for the NHS – showing why change is needed and what it would look like.
Since then, the National Information Board (NIB) has been examining how the NHS can harness the power of data and technology to transform health and care services and deliver greater quality and efficiency.
In November 2014, the NIB launched its framework for action – Personalised Health and Care 2020: Using data and technology to transform outcomes for patients and citizens setting out a bold vision for how technology should work harder and better for the NHS by 2020.
Today we go a step further by publishing detailed plans for how we will deliver on these commitments including offering patients the chance to view and take control of their full health records online; increasing the offer of digital health services and extending the provision of remote care provided through online platforms.
NHS England’s National Director for Patients and Information looks at how unleashing the power of technology and data can improve patient care:
Published in October 2014, the Five Year Forward View set out a clear direction for the NHS – showing why change is needed and what it would look like.
Since then, the National Information Board (NIB) has been examining how the NHS can harness the power of data and technology to transform health and care services and deliver greater quality and efficiency.
In November 2014, the NIB launched its framework for action – Personalised Health and Care 2020: Using data and technology to transform outcomes for patients and citizens setting out a bold vision for how technology should work harder and better for the NHS by 2020.
Today we go a step further by publishing detailed plans for how we will deliver on these commitments including offering patients the chance to view and take control of their full health records online; increasing the offer of digital health services and extending the provision of remote care provided through online platforms.
Exclusive: Patients fail to show up for 14m GP appointments a year
Exclusive: Patients fail to show up for 14m GP appointments a year
More than 60,000 GP appointments are wasted every week across England by patients failing to show up, analysis by GPonline reveals.
More than 60,000 GP appointments are wasted every week across England by patients failing to show up, analysis by GPonline reveals.
News story: PHE publishes Child Health Profiles 2015
News story: PHE publishes Child Health Profiles 2015
The Child Health Profiles 2015, published today (17 June 2015), presents data across 32 key health indicators of child health and wellbeing. The data will help local organisations work in partnership to improve health in their local area.
Local government and health services can use the profiles to:
understand the health needs of their community
help improve the health and wellbeing of children and young people
reduce health inequalities
Public Health England (PHE) has also published a condensed version of the profiles for clinical commissioning groups which uses some of the same key indicators.
PHE’s National Child and Maternal (ChiMat) Health Intelligence Network’s website also provides interactive maps and charts for users to create customised views of the data, and links to further supporting and relevant products.
The Child Health Profiles 2015, published today (17 June 2015), presents data across 32 key health indicators of child health and wellbeing. The data will help local organisations work in partnership to improve health in their local area.
Local government and health services can use the profiles to:
understand the health needs of their community
help improve the health and wellbeing of children and young people
reduce health inequalities
Public Health England (PHE) has also published a condensed version of the profiles for clinical commissioning groups which uses some of the same key indicators.
PHE’s National Child and Maternal (ChiMat) Health Intelligence Network’s website also provides interactive maps and charts for users to create customised views of the data, and links to further supporting and relevant products.
NHS England's e-Referral Service crashes almost as soon as it went live
NHS England's e-Referral Service crashes almost as soon as it went live
The e-Referral service was launched on Monday and went offline almost immediately. The booking service replaces its predecessor Choose and Book, which saw 40,000 patients a day make bookings. Daily Mail
The e-Referral service was launched on Monday and went offline almost immediately. The booking service replaces its predecessor Choose and Book, which saw 40,000 patients a day make bookings. Daily Mail
Employing more people with learning disabilities
Employing more people with learning disabilities
Employing people with learning disabilities can help create a diverse NHS workforce which delivers a better service and improved patient care. Latest NHS Employer News
Employing people with learning disabilities can help create a diverse NHS workforce which delivers a better service and improved patient care. Latest NHS Employer News
Could antibiotics replace surgery for treating appendicitis?
Could antibiotics replace surgery for treating appendicitis?
Surgery for appendicitis might be a thing of the past as a study finds that antibiotics could be enough to treat the inflammation. Independent
Surgery for appendicitis might be a thing of the past as a study finds that antibiotics could be enough to treat the inflammation. Independent
Press release: PHE study finds Ebola virus mutated slower than first thought
Press release: PHE study finds Ebola virus mutated slower than first thought
The Ebola virus responsible for the outbreak in West Africa mutated at a similar rate to previous outbreaks, according to a new international study led by Public Health England (PHE) and published today (18 June 2015) in Nature.
Early in the outbreak, research suggested the virus’ mutation rate was twice that of previous Ebola outbreaks. However, PHE’s study has established that the mutation rate was only slightly higher than previous outbreaks, which is reassuring to public health experts around the world.
Granted unprecedented access to data covering a period of almost a year, the scientists analysed 179 patient samples obtained by the European Mobile Laboratory (EMLab), which was deployed to the epicentre of the outbreak in Guinea, to reveal how the Ebola virus mutated and spread.
The analysis confirmed that the Ebola virus was introduced into the Guinean population in December 2013 at a single source, supporting theories from epidemiologists (scientists who investigate the spread of disease). Scientists believe the virus was initially transmitted from a bat to a 2 year old boy in Guinea.
The team also established how the virus spilled into Sierra Leone from Guinea in April or early May 2014. Notably, a large number of the early cases in different regions of Sierra Leone can be linked to a single funeral.
Lead author Professor Miles Carroll, Head of Research Microbiology Services for PHE, said:
Our analysis shows the Ebola virus responsible for the current outbreak mutated at a similar rate to the earlier outbreaks in Uganda and the Democratic Republic of Congo. The results are good news for the scientists working to develop long-term solutions for Ebola, such as vaccines and treatments, as it means these new interventions should still work against the mutated strains of the virus. Currently, rehydration and replacement of critical elements appear to be the best way to improve a patient’s chances of surviving Ebola.
Following this study, we have theorised that one of the key factors in whether Ebola kills someone is the host’s genetic makeup rather than changes in the virus itself. Our next study will investigate this theory which may lead to improved treatment options.
We would like to acknowledge the collaborative efforts of a great many colleagues who worked on this study here in the UK and across the European Union and in Africa. In particular, this work was an opportunity to transfer skills and knowledge to our colleagues in Guinea as an investment in the public health infrastructure of the region.
Professor David Heymann, PHE Chairman and of Infectious Disease Epidemiology at the London School of Hygiene and Tropical Medicine, said:
This project, funded by the European Commission, illustrates how international collaboration is the most effective way to progress our understanding of new emerging diseases and develop innovative public health treatments and vaccines.
PHE are supporting global efforts to find the best diagnostic, vaccine and treatment options for Ebola. This research is reassuring to scientists and the public that the recent work on Ebola has been worthwhile and could soon lead to a better state of preparedness and response for the future.
Background
The article reference is: Carroll et al. (2015). Temporal and spatial analysis of the 2014-2015 Ebola virus outbreak in West Africa. Nature.
The study involved 132 scientists from 50 organisations across the UK and European Union, and included scientists based at the EMLab in Guinea, Liberia and Sierra Leone. In addition to personnel from the Health Guinean Authorities, World Health Organisation (WHO) and Médecins Sans Frontières (MSF).
PHE exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. It does this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. PHE is an operationally autonomous executive agency of the Department of Health. www.gov.uk/phe. Twitter:@PHE_uk, Facebook: www.facebook.com/PublicHealthEngland
The EMLab is a consortium of laboratories located throughout the EU that specialise in working with dangerous viruses like Ebola. They received a grant from the EC in 2012 to develop three mobile units for the diagnosis of outbreak diseases in Africa and Europe. In March 2014 EMLab scientists were the first to be deployed to the epicentre of the Ebola outbreak in Gueckedou. EMLab worked closely with MSF for 1 year until the Gueckedou region was declared free from Ebola. The EMLab is co-ordinated by Prof Stephan Gunther from the Bernard Nocht Institute in Hamburg. This study was supported by a research grant from the EC that funds the subsequent analysis of the diagnostics material. The research arm of EMLab is called EVIDENT.
The genetic fingerprinting capability for Ebola virus has been in development for several years in collaboration with the study co-authors; Prof. Julian Hiscox and colleagues at the University of Bristol led by Dr David Matthews. The genetic analysis component of the study was led by Dr Mike Elmore (PHE), Dr Georgios Poliakis (Liverpool University) and Prof Andrew Rambaut (Edinburgh University).
The financial support for the study was provided by a €1.8 million grant awarded by the European Union to the research arm of the EMLab, EVIDENT, which is co-ordinated by Professor Stephan Gunther from the Bernard Nocht Institute in Germany. For more information, visit: evident-project.eu
PHE Press Office, infections
61 Colindale Avenue
London
NW9 5EQ
Email infections-pressoffice@phe.gov.uk
Telephone: 020 8327 7901
Out of hours: 020 8200 4400
The Ebola virus responsible for the outbreak in West Africa mutated at a similar rate to previous outbreaks, according to a new international study led by Public Health England (PHE) and published today (18 June 2015) in Nature.
Early in the outbreak, research suggested the virus’ mutation rate was twice that of previous Ebola outbreaks. However, PHE’s study has established that the mutation rate was only slightly higher than previous outbreaks, which is reassuring to public health experts around the world.
Granted unprecedented access to data covering a period of almost a year, the scientists analysed 179 patient samples obtained by the European Mobile Laboratory (EMLab), which was deployed to the epicentre of the outbreak in Guinea, to reveal how the Ebola virus mutated and spread.
The analysis confirmed that the Ebola virus was introduced into the Guinean population in December 2013 at a single source, supporting theories from epidemiologists (scientists who investigate the spread of disease). Scientists believe the virus was initially transmitted from a bat to a 2 year old boy in Guinea.
The team also established how the virus spilled into Sierra Leone from Guinea in April or early May 2014. Notably, a large number of the early cases in different regions of Sierra Leone can be linked to a single funeral.
Lead author Professor Miles Carroll, Head of Research Microbiology Services for PHE, said:
Our analysis shows the Ebola virus responsible for the current outbreak mutated at a similar rate to the earlier outbreaks in Uganda and the Democratic Republic of Congo. The results are good news for the scientists working to develop long-term solutions for Ebola, such as vaccines and treatments, as it means these new interventions should still work against the mutated strains of the virus. Currently, rehydration and replacement of critical elements appear to be the best way to improve a patient’s chances of surviving Ebola.
Following this study, we have theorised that one of the key factors in whether Ebola kills someone is the host’s genetic makeup rather than changes in the virus itself. Our next study will investigate this theory which may lead to improved treatment options.
We would like to acknowledge the collaborative efforts of a great many colleagues who worked on this study here in the UK and across the European Union and in Africa. In particular, this work was an opportunity to transfer skills and knowledge to our colleagues in Guinea as an investment in the public health infrastructure of the region.
Professor David Heymann, PHE Chairman and of Infectious Disease Epidemiology at the London School of Hygiene and Tropical Medicine, said:
This project, funded by the European Commission, illustrates how international collaboration is the most effective way to progress our understanding of new emerging diseases and develop innovative public health treatments and vaccines.
PHE are supporting global efforts to find the best diagnostic, vaccine and treatment options for Ebola. This research is reassuring to scientists and the public that the recent work on Ebola has been worthwhile and could soon lead to a better state of preparedness and response for the future.
Background
The article reference is: Carroll et al. (2015). Temporal and spatial analysis of the 2014-2015 Ebola virus outbreak in West Africa. Nature.
The study involved 132 scientists from 50 organisations across the UK and European Union, and included scientists based at the EMLab in Guinea, Liberia and Sierra Leone. In addition to personnel from the Health Guinean Authorities, World Health Organisation (WHO) and Médecins Sans Frontières (MSF).
PHE exists to protect and improve the nation’s health and wellbeing, and reduce health inequalities. It does this through world-class science, knowledge and intelligence, advocacy, partnerships and the delivery of specialist public health services. PHE is an operationally autonomous executive agency of the Department of Health. www.gov.uk/phe. Twitter:@PHE_uk, Facebook: www.facebook.com/PublicHealthEngland
The EMLab is a consortium of laboratories located throughout the EU that specialise in working with dangerous viruses like Ebola. They received a grant from the EC in 2012 to develop three mobile units for the diagnosis of outbreak diseases in Africa and Europe. In March 2014 EMLab scientists were the first to be deployed to the epicentre of the Ebola outbreak in Gueckedou. EMLab worked closely with MSF for 1 year until the Gueckedou region was declared free from Ebola. The EMLab is co-ordinated by Prof Stephan Gunther from the Bernard Nocht Institute in Hamburg. This study was supported by a research grant from the EC that funds the subsequent analysis of the diagnostics material. The research arm of EMLab is called EVIDENT.
The genetic fingerprinting capability for Ebola virus has been in development for several years in collaboration with the study co-authors; Prof. Julian Hiscox and colleagues at the University of Bristol led by Dr David Matthews. The genetic analysis component of the study was led by Dr Mike Elmore (PHE), Dr Georgios Poliakis (Liverpool University) and Prof Andrew Rambaut (Edinburgh University).
The financial support for the study was provided by a €1.8 million grant awarded by the European Union to the research arm of the EMLab, EVIDENT, which is co-ordinated by Professor Stephan Gunther from the Bernard Nocht Institute in Germany. For more information, visit: evident-project.eu
PHE Press Office, infections
61 Colindale Avenue
London
NW9 5EQ
Email infections-pressoffice@phe.gov.uk
Telephone: 020 8327 7901
Out of hours: 020 8200 4400
Wednesday, 17 June 2015
Northampton General Hospital disputing payments it receives for treating emergency patients
Northampton General Hospital disputing payments it receives for treating emergency patients
NHS bosses in Northamptonshire are involved in a stand-off with Northampton General Hospital over payments for treating emergency patients. Chronicle & Echo
NHS bosses in Northamptonshire are involved in a stand-off with Northampton General Hospital over payments for treating emergency patients. Chronicle & Echo
Ambulance service for Northamptonshire improves but misses life-threatening emergency targets
Ambulance service for Northamptonshire improves but misses life-threatening emergency targets
East Midlands Ambulance Service (EMAS) missed its annual targets for quickly getting medics to emergencies where someone’s life is in danger, but did show improvements. Evening Telegraph
East Midlands Ambulance Service (EMAS) missed its annual targets for quickly getting medics to emergencies where someone’s life is in danger, but did show improvements. Evening Telegraph
Ending the crisis in NHS leadership: a plan for renewal
Ending the crisis in NHS leadership: a plan for renewal
This is the final report of the HSJ Future of NHS Leadership inquiry and it aims to provide a real insight into the challenges faced by current and future NHS leaders, and to make some concrete recommendations on how they may be overcome. Health Service Journal
Report
HSJ article
This is the final report of the HSJ Future of NHS Leadership inquiry and it aims to provide a real insight into the challenges faced by current and future NHS leaders, and to make some concrete recommendations on how they may be overcome. Health Service Journal
Report
HSJ article
Choices rebranded as NHS.uk
Choices rebranded as NHS.uk
NHS Choices will be rebranded as NHS.uk as part of plans to make it a "digital hub" for people to access health services, according to Beverley Bryant, director of strategic systems and technology, NHS England. EHI News
NHS Choices will be rebranded as NHS.uk as part of plans to make it a "digital hub" for people to access health services, according to Beverley Bryant, director of strategic systems and technology, NHS England. EHI News
NHS accused of delaying access to 'highly tolerable' hepatitis C drugs over cost concerns
NHS accused of delaying access to 'highly tolerable' hepatitis C drugs over cost concerns
The NHS has been accused by leading health charities of attempting to “severely limit” the introduction of new drugs to treat hepatitis C because they are too expensive – despite the cost of them being cleared by officials. Independent
The NHS has been accused by leading health charities of attempting to “severely limit” the introduction of new drugs to treat hepatitis C because they are too expensive – despite the cost of them being cleared by officials. Independent
Diabetes is at a record high because we’re fatter than ever. But what can be done? | Ann Robinson
Diabetes is at a record high because we’re fatter than ever. But what can be done? | Ann Robinson
The ‘eat less, do more’ advice, drug regimes and surgery for patients with type 2 diabetes have thus far proved unequal to the scale of this ever-growing menace
Diabetes in the UK is at an all-time high, according to analysis of NHS data released by Diabetes UK to mark Diabetes week. There are now 3.9 million people with diabetes in the UK and growing numbers are diagnosed each year.
It could be argued that these numbers reflect the fact that better treatment means people are living longer with diabetes rather than dying from it prematurely. And some of the increased incidence may be due to better awareness and diagnosis by patients and doctors. GPs are incentivised to identify previously undiagnosed cases of diabetes and penalised if their rates of diagnosis are deemed too low. Guardian
A quarter of British adults are obese, compared with an average of 16.7% in the rest of Europe
Related: Type 2 diabetes and the diet that cured me
Continue reading...
The ‘eat less, do more’ advice, drug regimes and surgery for patients with type 2 diabetes have thus far proved unequal to the scale of this ever-growing menace
Diabetes in the UK is at an all-time high, according to analysis of NHS data released by Diabetes UK to mark Diabetes week. There are now 3.9 million people with diabetes in the UK and growing numbers are diagnosed each year.
It could be argued that these numbers reflect the fact that better treatment means people are living longer with diabetes rather than dying from it prematurely. And some of the increased incidence may be due to better awareness and diagnosis by patients and doctors. GPs are incentivised to identify previously undiagnosed cases of diabetes and penalised if their rates of diagnosis are deemed too low. Guardian
A quarter of British adults are obese, compared with an average of 16.7% in the rest of Europe
Related: Type 2 diabetes and the diet that cured me
Continue reading...
Are YOU at risk of type 2 diabetes? Take this test to find out...
Are YOU at risk of type 2 diabetes? Take this test to find out...
The test, created by NHS Choices, asks seven questions to ascertain whether a person is at high risk of developing type 2 diabetes, now, and within 10 years. Daily Mail
The test, created by NHS Choices, asks seven questions to ascertain whether a person is at high risk of developing type 2 diabetes, now, and within 10 years. Daily Mail
Blood test could pick up early signs of Alzheimer's disease 10 years early
Blood test could pick up early signs of Alzheimer's disease 10 years early
British researchers found that the blood level of a protein called MAPKAPK5 was lower in individuals whose cognitive ability declined over a ten year period. Telegraph
British researchers found that the blood level of a protein called MAPKAPK5 was lower in individuals whose cognitive ability declined over a ten year period. Telegraph
Do you need more psychotherapy to get better? New study suggests no relationship between number of sessions and improvement
Do you need more psychotherapy to get better? New study suggests no relationship between number of sessions and improvement
Sarah Knowles appraises a recent study of UK routine practice, which looks at the effect that duration of psychotherapy has on recovery and improvement rates. Mental Elf
Sarah Knowles appraises a recent study of UK routine practice, which looks at the effect that duration of psychotherapy has on recovery and improvement rates. Mental Elf
Hepatitis cases responsible for 93% of prison disease reports
Hepatitis cases responsible for 93% of prison disease reports
New figures from Public Health England (PHE) reveal hepatitis B and C cases accounted for 1,174 of 1,268 infectious diseases reported in English prisons during 2014.
The number of single reports of infectious diseases made to PHE has more than doubled since 2011 (549 reports). The increase in reports reflects significant improvements in testing for hepatitis and other blood borne viruses (BBV) in prisons, which in a major change is moving from an opt-in to an opt-out policy to help reduce transmissions. NHS Networks
New figures from Public Health England (PHE) reveal hepatitis B and C cases accounted for 1,174 of 1,268 infectious diseases reported in English prisons during 2014.
The number of single reports of infectious diseases made to PHE has more than doubled since 2011 (549 reports). The increase in reports reflects significant improvements in testing for hepatitis and other blood borne viruses (BBV) in prisons, which in a major change is moving from an opt-in to an opt-out policy to help reduce transmissions. NHS Networks
Elderly 'being trapped' in hospital
Elderly 'being trapped' in hospital
Elderly people are being "trapped" in English hospitals in ever greater numbers as there is no where else for them to go, the charity Age UK warns. BBC News
Elderly people are being "trapped" in English hospitals in ever greater numbers as there is no where else for them to go, the charity Age UK warns. BBC News
Charging migrants for emergency treatment would cost NHS money in long run, experts warn
Charging migrants for emergency treatment would cost NHS money in long run, experts warn
Government plans to charge migrants for emergency medical treatment would not only make Britain one of most restrictive countries in Europe when it comes to healthcare but could also prove to be a false economy, experts have warned. Independent
Government plans to charge migrants for emergency medical treatment would not only make Britain one of most restrictive countries in Europe when it comes to healthcare but could also prove to be a false economy, experts have warned. Independent
Common knee surgery only has 'inconsequential benefits', experts say
Common knee surgery only has 'inconsequential benefits', experts say
A common form of knee surgery – carried out on 150,000 people in the UK each year – has only “inconsequential”, short-term benefits over exercise or a placebo treatment for middle aged and older patients, experts have said. Independent
A common form of knee surgery – carried out on 150,000 people in the UK each year – has only “inconsequential”, short-term benefits over exercise or a placebo treatment for middle aged and older patients, experts have said. Independent
Campaigners raise concerns about new morning-after pill
Campaigners raise concerns about new morning-after pill
EllaOne has properties similar to an abortion drug, it is claimed. Telegraph
EllaOne has properties similar to an abortion drug, it is claimed. Telegraph
Tuesday, 16 June 2015
What will a seven-day NHS mean for healthcare professionals?
What will a seven-day NHS mean for healthcare professionals?
A pilot scheme shows it can be done, but spreading staff more thinly over a longer working week risks breakdown of the service
David Cameron’s promise of a seven-day NHS has been met by scepticism from health professionals. A lack of funding and staff could make the prime minister’s dream difficult to realise, but some GP surgeries and hospital departments are already experimenting with extended opening hours. So what might a seven-day health service mean for an already stretched workforce? And what can others learn from professionals currently trialling the new working week?
In October 2013, the government announced a £50m pilot scheme to help GPs provide a seven-day service, with a further pot of £100m allocated last September for a second wave in 2015/16. Guardian
Continue reading...
A pilot scheme shows it can be done, but spreading staff more thinly over a longer working week risks breakdown of the service
David Cameron’s promise of a seven-day NHS has been met by scepticism from health professionals. A lack of funding and staff could make the prime minister’s dream difficult to realise, but some GP surgeries and hospital departments are already experimenting with extended opening hours. So what might a seven-day health service mean for an already stretched workforce? And what can others learn from professionals currently trialling the new working week?
In October 2013, the government announced a £50m pilot scheme to help GPs provide a seven-day service, with a further pot of £100m allocated last September for a second wave in 2015/16. Guardian
Continue reading...
Every complaint matters: a seven-point plan for the NHS and social care
Every complaint matters: a seven-point plan for the NHS and social care
This action plan lays out seven points of action for the government to reform the health and social care complaints system that will create an effective and compassionate system that both gives patients what they need and ensures the NHS and social care services can learn from their mistakes. Healthwatch
Action plan
Healthwatch news
This action plan lays out seven points of action for the government to reform the health and social care complaints system that will create an effective and compassionate system that both gives patients what they need and ensures the NHS and social care services can learn from their mistakes. Healthwatch
Action plan
Healthwatch news
Public Health England: health and justice report 2014
Public Health England: health and justice report 2014
This report details the important changes in the health and justice system and discusses the public health needs of people in prisons and other prescribed places of detention. It found that this group experienced a number of health inequalities, including suffering a higher burden of chronic illnesses, mental health and substance misuse problems than the general public. It argues that improving health in prisons can help deal with entrenched inequalities, ultimately benefiting the health of the communities to which the majority of prisoners return, while tackling substance misuse problems in prisons also helps to reduce re-offending rates.
Report
Press release
This report details the important changes in the health and justice system and discusses the public health needs of people in prisons and other prescribed places of detention. It found that this group experienced a number of health inequalities, including suffering a higher burden of chronic illnesses, mental health and substance misuse problems than the general public. It argues that improving health in prisons can help deal with entrenched inequalities, ultimately benefiting the health of the communities to which the majority of prisoners return, while tackling substance misuse problems in prisons also helps to reduce re-offending rates.
Report
Press release
Watchdog criticises dentists over new patient claims and waiting lists
Watchdog criticises dentists over new patient claims and waiting lists
Report from Which? says over a third of dental surgeries claiming to take new cases turn away patients
A third of dentists who claim they are accepting new patients do not, while many that do leave their patients with lengthy waits, consumer watchdog Which? has found. Its team of undercover researchers found that of the 500 dental surgeries advertised as accepting new patients on NHS Choices, 37% said they did not have availability, while of those that could offer an appointment, 36% said they would have to wait two weeks. One surgery said it would be eight to nine months before an appointment would be available.
Which? said it was asking the Competition and Markets Authority to step in over the problem, which it said was part of a wider issue of poor information and communication in dentistry. Its investigation found that some researchers were asked to pay deposits for NHS appointments, and in one case were told this was non-refundable if the appointment was missed - even though neither of these practices is permitted under government legislation. Guardian
Continue reading...
Report from Which? says over a third of dental surgeries claiming to take new cases turn away patients
A third of dentists who claim they are accepting new patients do not, while many that do leave their patients with lengthy waits, consumer watchdog Which? has found. Its team of undercover researchers found that of the 500 dental surgeries advertised as accepting new patients on NHS Choices, 37% said they did not have availability, while of those that could offer an appointment, 36% said they would have to wait two weeks. One surgery said it would be eight to nine months before an appointment would be available.
Which? said it was asking the Competition and Markets Authority to step in over the problem, which it said was part of a wider issue of poor information and communication in dentistry. Its investigation found that some researchers were asked to pay deposits for NHS appointments, and in one case were told this was non-refundable if the appointment was missed - even though neither of these practices is permitted under government legislation. Guardian
Continue reading...
VIDEO: Stroke drug to be reviewed amid fears
VIDEO: Stroke drug to be reviewed amid fears
A leading drug used to treat strokes is being reviewed following concerns that it could do more harm than good. BBC News
A leading drug used to treat strokes is being reviewed following concerns that it could do more harm than good. BBC News
Unsafe asthma prescribing 'must end'
Unsafe asthma prescribing 'must end'
Tens of thousands of people with asthma in the UK are not getting the right medicines to keep their condition safely under control, according to an audit. BBC News
Tens of thousands of people with asthma in the UK are not getting the right medicines to keep their condition safely under control, according to an audit. BBC News
Older women 'ignoring cervical cancer danger'
Older women 'ignoring cervical cancer danger'
A fifth of cases and almost half of deaths are in women over 64, a study shows, but the current screening programme does not cover this age group
Health experts have called for NHS screening for cervical cancer to be rolled out to women over 64 after research found one in five new cases is diagnosed in this age group.
Around 3,000 cases of cervical cancer are diagnosed in the UK each year and it is the most common cancer in women under the age of 35. Guardian
Related: Women who avoid cervical screening tests risk their lives, say campaigners
Continue reading...
A fifth of cases and almost half of deaths are in women over 64, a study shows, but the current screening programme does not cover this age group
Health experts have called for NHS screening for cervical cancer to be rolled out to women over 64 after research found one in five new cases is diagnosed in this age group.
Around 3,000 cases of cervical cancer are diagnosed in the UK each year and it is the most common cancer in women under the age of 35. Guardian
Related: Women who avoid cervical screening tests risk their lives, say campaigners
Continue reading...
Campaigners to march on Department of Health over calls for safe NHS staffing levels
Campaigners to march on Department of Health over calls for safe NHS staffing levels
Patient safety campaigners will march on the Department of Health this week to call for safe staffing levels on NHS wards. Independent
Patient safety campaigners will march on the Department of Health this week to call for safe staffing levels on NHS wards. Independent
New tool helps emergency staff tackle coercive control
New tool helps emergency staff tackle coercive control
Frontline medical staff have limited amounts of time with victims, but can insist on a private meeting away from the abusive partner
There’s a new domestic abuse crime – but how will people spot it?
“There is a huge fear – a realisation that in the short window paramedics have, if you undermine the very fragile and co-dependent abuser-victim relationship, you can make matters so much worse,” says senior paramedic Amanda Williams, service improvement manager at Welsh Ambulance Services NHS Trust.
Part of Williams’ role involves delivering training and supporting the development of paramedics throughout the trust. As a paramedic, this has included exploring the difficulties of managing domestic abuse in a pre-hospital setting. Guardian
Continue reading...
Frontline medical staff have limited amounts of time with victims, but can insist on a private meeting away from the abusive partner
There’s a new domestic abuse crime – but how will people spot it?
“There is a huge fear – a realisation that in the short window paramedics have, if you undermine the very fragile and co-dependent abuser-victim relationship, you can make matters so much worse,” says senior paramedic Amanda Williams, service improvement manager at Welsh Ambulance Services NHS Trust.
Part of Williams’ role involves delivering training and supporting the development of paramedics throughout the trust. As a paramedic, this has included exploring the difficulties of managing domestic abuse in a pre-hospital setting. Guardian
Continue reading...
The elephant in the exhibition hall: What we did and didn’t hear from national health service leaders at Confed’s 2015 conference
The elephant in the exhibition hall: What we did and didn’t hear from national health service leaders at Confed’s 2015 conference
After attending the NHS Confederation 2015 conference, Natalie Berry reflects on the the current mood amongst the top tier of the NHS as the election dust settles and the reality of delivering the NHS Five Year Forward View amidst financial pressures really bites. Health Foundation
After attending the NHS Confederation 2015 conference, Natalie Berry reflects on the the current mood amongst the top tier of the NHS as the election dust settles and the reality of delivering the NHS Five Year Forward View amidst financial pressures really bites. Health Foundation
Transforming services for people with learning disability
Transforming services for people with learning disability
The five sites will bring together organisations across health and care that will benefit from extra technical support from NHS England. The sites will be able to access a £10m transformation fund to kick-start implementation from autumn 2015. NHS Networks
The five sites will bring together organisations across health and care that will benefit from extra technical support from NHS England. The sites will be able to access a £10m transformation fund to kick-start implementation from autumn 2015. NHS Networks
Learning Disability Week is all about listening
Learning Disability Week is all about listening
‘Hear My Voice’ is the theme of this year’s Learning Disability Week which runs from today.
The week aims to give people and their families a voice in shaping services – bringing their ‘lived experience’ and perspective to NHS England’s work programme, helping to co-design new and better services.
Dr Dominic Slowie, NHS England’s National Clinical Director for Learning Disability, explained: “When we are working to improve quality of care for this vulnerable group the most efficient place to start is by asking the people using the services what is working and what isn’t?
“We’ve engaged with many individuals and groups representing people with learning disabilities who have provided valuable perspectives and challenges. This has enabled us to focus and prioritise our work.
“We are in an exciting time of transformation in the NHS for a vulnerable population who have felt undervalued and not listened too for far too long.”
The week also reinforces NHS England’s commitment to improving the health and outcomes of people with learning disabilities and autism, and transforming services to improve the quality of care throughout peoples’ lives.
‘Hear My Voice’ is the theme of this year’s Learning Disability Week which runs from today.
The week aims to give people and their families a voice in shaping services – bringing their ‘lived experience’ and perspective to NHS England’s work programme, helping to co-design new and better services.
Dr Dominic Slowie, NHS England’s National Clinical Director for Learning Disability, explained: “When we are working to improve quality of care for this vulnerable group the most efficient place to start is by asking the people using the services what is working and what isn’t?
“We’ve engaged with many individuals and groups representing people with learning disabilities who have provided valuable perspectives and challenges. This has enabled us to focus and prioritise our work.
“We are in an exciting time of transformation in the NHS for a vulnerable population who have felt undervalued and not listened too for far too long.”
The week also reinforces NHS England’s commitment to improving the health and outcomes of people with learning disabilities and autism, and transforming services to improve the quality of care throughout peoples’ lives.
Monday, 15 June 2015
Policy paper: DH and HEE framework agreement 2015
Policy paper: DH and HEE framework agreement 2015
The framework agreement defines how the department and Health Education England will work together to serve patients, the public and the taxpayer. It sets out roles, responsibilities, governance and accountability arrangements. Department of Health
The framework agreement defines how the department and Health Education England will work together to serve patients, the public and the taxpayer. It sets out roles, responsibilities, governance and accountability arrangements. Department of Health
- Framework Agreement between the Department of Health and Health Education England Health Education England
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