Monday, 31 October 2016
A recent report has rated a Northampton surgery as ‘outstanding’
A recent report has rated a Northampton surgery as ‘outstanding’ A report published by the Care Quality Commission (CQC) has found the calibre of care provided at a Northampton surgery to be “outstanding” following an inspection carried out in January 2016. Northampton Chronicle and Echo
Co-production: an inconvenient truth?
Co-production: an inconvenient truth? As chief executive officer of West London Collaborative (WLC), a community-led and owned community interest company, I was lucky enough to have a place in the first cohort of The King’s Fund programme Leading collaboratively with patients and communities, together with the chief pharmacist at West London Mental Health NHS trust, Michele Sie.
This gave us the opportunity to reflect on our working relationships and our personal styles of handling conflict and disagreement. We learnt about ‘appreciative enquiry’ – a model seeking to encourage self-determined change – and some useful theories around organisational politics. This has been really helpful, as WLC works in partnership with the NHS to co-produce with patients around complex and difficult issues. As such I regularly have to challenge very senior people and we often get stuck at some point during the process. This usually revolves around denial of one consistent and very inconvenient truth: patient involvement is not co-production. The King's Fund
This gave us the opportunity to reflect on our working relationships and our personal styles of handling conflict and disagreement. We learnt about ‘appreciative enquiry’ – a model seeking to encourage self-determined change – and some useful theories around organisational politics. This has been really helpful, as WLC works in partnership with the NHS to co-produce with patients around complex and difficult issues. As such I regularly have to challenge very senior people and we often get stuck at some point during the process. This usually revolves around denial of one consistent and very inconvenient truth: patient involvement is not co-production. The King's Fund
Recovering the cost of NHS treatment for overseas patients
Recovering the cost of NHS treatment for overseas patients This report has found that the Department of Health and the NHS, working with other parts of government, have made progress to recover more of the cost of treating overseas visitors who are not entitled to free hospital treatment but, if current trends continue and the charging rules remain the same, will not achieve the government’s ambition of recovering up to £500 million a year by 2017-18. National Audit Office
NHS funds need urgent boost, say MPs
NHS funds need urgent boost, say MPs MPs on Parliament's Health Committee question the government's claim the NHS in England will receive £10bn extra by the end of the decade. BBC News
See also:
See also:
- The King’s Fund comments on Health Committee Chair’s letter to the Chancellor The King's Fund
- Theresa May and Jeremy Hunt misled the public on NHS money, says Tory MP Sarah Wollaston The Daily Mail
- Almost half of NHS authorities to cut hospital beds and third to close A&E The Daily Telegraph
- Health select committee chair asks chancellor to consider extra funding for NHS GP Online
- Theresa May’s claim on health funding not true, say MPs The Guardian
- GP politician makes direct plea to Chancellor on NHS funding OnMedica
Number of young seeking help for anxiety rises
Number of young seeking help for anxiety rises The number of young people in the UK seeking help for anxiety has increased by 35% in just a year, the NSPCC says. BBC News
GMC warns of 'state of unease' amongst doctors
GMC warns of 'state of unease' amongst doctors Its annual report highlights 'dangerous levels of alienation' felt by trainees. OnMedica
Health visitors aren't valued but we do more than just weigh babies
Health visitors aren't valued but we do more than just weigh babies Amid drastic cuts to health visiting services, I’m struggling to help the vulnerable families I see every day
Health visitors don’t always get good press at the school gates or toddler groups. Among my fellow nursing friends, the standing joke is that I spend my day simply weighing babies. I guess as a result it’s not hard to see why in some areas the value placed on health visiting has fallen so far that the service will be cut completely.
At the moment most councils are reviewing the funding for health visiting amid drastic cuts to public health budgets. Cumbria and Staffordshire are planning on cutting health visiting posts and a number of other NHS trusts have job freezes and have discussed redundancies. NHS Digitalreported this year that the number of health visitors dropped in UK by 433 posts.
Within an hour of taking a seat I’m asking personal questions. I won’t pretend that it doesn’t sometimes feel intrusive Continue reading... The Guardian
Health visitors don’t always get good press at the school gates or toddler groups. Among my fellow nursing friends, the standing joke is that I spend my day simply weighing babies. I guess as a result it’s not hard to see why in some areas the value placed on health visiting has fallen so far that the service will be cut completely.
At the moment most councils are reviewing the funding for health visiting amid drastic cuts to public health budgets. Cumbria and Staffordshire are planning on cutting health visiting posts and a number of other NHS trusts have job freezes and have discussed redundancies. NHS Digitalreported this year that the number of health visitors dropped in UK by 433 posts.
Within an hour of taking a seat I’m asking personal questions. I won’t pretend that it doesn’t sometimes feel intrusive Continue reading... The Guardian
Sick pay and work assessments to be reviewed, Jeremy Hunt reveals
Sick pay and work assessments to be reviewed, Jeremy Hunt reveals Consultation to be carried out as cost of treating long-term health conditions that prevent people from working reaches £7bn
The system of sick pay and GP “fit notes” is to be reviewed by the government, as Jeremy Hunt, the health secretary, highlighted the growing cost of long-term sickness to the NHS and suggested getting people back to work had major benefits for health.
The review will be announced in a draft consultation document published by the Department for Work and Pensions (DWP) on Monday, which will also examine changes to the controversial work capability assessments (WCA) undergone by disabled people in order to obtain welfare. Continue reading... The Guardian
The system of sick pay and GP “fit notes” is to be reviewed by the government, as Jeremy Hunt, the health secretary, highlighted the growing cost of long-term sickness to the NHS and suggested getting people back to work had major benefits for health.
The review will be announced in a draft consultation document published by the Department for Work and Pensions (DWP) on Monday, which will also examine changes to the controversial work capability assessments (WCA) undergone by disabled people in order to obtain welfare. Continue reading... The Guardian
How 6,000 patients waited more than 12 hours at hospital for crucial treatment in one year
How 6,000 patients waited more than 12 hours at hospital for crucial treatment in one year One in 12 stroke victims admitted to English hospitals last year had at least a 12 hour wait before they had even been given their first scan and in some hospitals the figure soared to more than a third. The Daily Mail
Mental health services must improve at 127 NHS groups, figures show
Mental health services must improve at 127 NHS groups, figures show Of 209 Clinical Commissioning Groups in England, 106 'need improvement', while 21 have the 'greatest need for improvement', NHS England figures reveal. The Daily Mail
Drug addicts to be given heroin in UK's first state shooting gallery
Drug addicts to be given heroin in UK's first state shooting gallery Drug addicts are to be given medical-grade heroin under plans to open the UK’s first state-approved 'shooting gallery' in Glasgow, which are expected to be given the green light today.
The local health board, city council and police are expected to approve the idea in principle in the hope it will help address the problems caused by an estimated 500 users who currently inject themselves on Glasgow’s streets.
Under the plan for so-called “fix rooms”, addicts will be given medical-grade heroin to inject under supervision of a medical professional with clean needles. The Daily Telegraph
The local health board, city council and police are expected to approve the idea in principle in the hope it will help address the problems caused by an estimated 500 users who currently inject themselves on Glasgow’s streets.
Under the plan for so-called “fix rooms”, addicts will be given medical-grade heroin to inject under supervision of a medical professional with clean needles. The Daily Telegraph
Friday, 28 October 2016
Rate of mesothelioma deaths in Corby continues to rise
Rate of mesothelioma deaths in Corby continues to rise
New figures show that six people die of asbestos-related cancer mesothelioma every day in England and Wales, with Corby having one of the highest mortality rates for the disease.
New figures show that six people die of asbestos-related cancer mesothelioma every day in England and Wales, with Corby having one of the highest mortality rates for the disease.
Northampton Chronicle
Recovering the cost of NHS treatment for overseas patients
Recovering the cost of NHS treatment for overseas patients
The National Audit Office has found that the Department of Health and the NHS, working with other parts of government, have made progress to recover more of the cost of treating overseas visitors who are not entitled to free hospital treatment but, if current trends continue and the charging rules remain the same, will not achieve the government’s ambition of recovering up to £500 million a year by 2017-18.
In light of concern that the NHS was “overly generous” to overseas visitors, in 2014 the Department launched a programme intended to extend the scope of charging and implement the existing regulations more effectively. Increasing overseas visitor income is one of several measures intended to help improve the financial position of the NHS. The ambition to recover up to £500 million a year represents a substantial increase on the estimated £73 million recovered in 2012-13. Current trends and data indicate that, within the existing cost recovery rules, the amount charged is forecast to be £346 million in 2017-18.
The National Audit Office has found that the Department of Health and the NHS, working with other parts of government, have made progress to recover more of the cost of treating overseas visitors who are not entitled to free hospital treatment but, if current trends continue and the charging rules remain the same, will not achieve the government’s ambition of recovering up to £500 million a year by 2017-18.
In light of concern that the NHS was “overly generous” to overseas visitors, in 2014 the Department launched a programme intended to extend the scope of charging and implement the existing regulations more effectively. Increasing overseas visitor income is one of several measures intended to help improve the financial position of the NHS. The ambition to recover up to £500 million a year represents a substantial increase on the estimated £73 million recovered in 2012-13. Current trends and data indicate that, within the existing cost recovery rules, the amount charged is forecast to be £346 million in 2017-18.
Trust vaccinates 75 per cent of frontline staff against flu
Trust vaccinates 75 per cent of frontline staff against flu
In record time, Doncaster and Bassetlaw Hospitals NHS Foundation Trust has vaccinated 75 per cent of its frontline healthcare workers against flu. They have put together a strong campaign, which has helped them to achieve a high uptake at such an early stage.
What have they done?
Here is a quick overview of what the flu team have done to increase uptake so they can protect staff, their loved ones and patients from flu:
set-up a very accurate reporting system that allows managers to view who has or hasn't had their jab
during the first six weeks of the flu vaccinating season, nurses in visible flu vaccinating tabards walked the wards to encourage people to get their jab
increased accessibility by holding flu clinics one hour every morning and afternoon. They also ensured that staff on evening and nightshifts had the opportunity to get their vaccination
created a strong communications campaign that was based around the ghostbusters theme.
support from the medical director and the head of nursing helped to spread the flu vaccination message far and wide.
used league table among the directorates to create some friendly competition. Latest NHS Employers
Need more information?
For more information on Doncaster and Bassetlaw Hospitals staff facing flu campaign email Helen Houghton, health and wellbeing lead.
In record time, Doncaster and Bassetlaw Hospitals NHS Foundation Trust has vaccinated 75 per cent of its frontline healthcare workers against flu. They have put together a strong campaign, which has helped them to achieve a high uptake at such an early stage.
What have they done?
Here is a quick overview of what the flu team have done to increase uptake so they can protect staff, their loved ones and patients from flu:
set-up a very accurate reporting system that allows managers to view who has or hasn't had their jab
during the first six weeks of the flu vaccinating season, nurses in visible flu vaccinating tabards walked the wards to encourage people to get their jab
increased accessibility by holding flu clinics one hour every morning and afternoon. They also ensured that staff on evening and nightshifts had the opportunity to get their vaccination
created a strong communications campaign that was based around the ghostbusters theme.
support from the medical director and the head of nursing helped to spread the flu vaccination message far and wide.
used league table among the directorates to create some friendly competition. Latest NHS Employers
Need more information?
For more information on Doncaster and Bassetlaw Hospitals staff facing flu campaign email Helen Houghton, health and wellbeing lead.
New data collection on out of area placements
New data collection on out of area placements
NHS Digital has launched a new data collection to enable national level reporting on out of area placements (OAPs) for adults requiring acute inpatient mental health care.
NHS Digital has launched a new data collection to enable national level reporting on out of area placements (OAPs) for adults requiring acute inpatient mental health care.
NHS Networks
Efficiency opportunities through health and social care integration: delivering more sustainable health and care
Efficiency opportunities through health and social care integration: delivering more sustainable health and care
This report finds that 45 per cent of decisions about patients' care could be improved which could lead to efficiency savings for health and social care services. It finds that up to one in four people are admitted to hospital unnecessarily and could be looked after elsewhere if better use was made of services available to treat people closer to home. The report examined areas where integration of health and social care was working and found that fewer people needed to be looked after in residential care.
Local Government Association (LGA)
Report
Press release
This report finds that 45 per cent of decisions about patients' care could be improved which could lead to efficiency savings for health and social care services. It finds that up to one in four people are admitted to hospital unnecessarily and could be looked after elsewhere if better use was made of services available to treat people closer to home. The report examined areas where integration of health and social care was working and found that fewer people needed to be looked after in residential care.
Local Government Association (LGA)
Report
Press release
Towards improved decision support in the assessment and management of pain for people with dementia in hospital: a systematic meta-review and observational study
Towards improved decision support in the assessment and management of pain for people with dementia in hospital: a systematic meta-review and observational study
Pain and dementia are common in older people, and impaired cognitive abilities make it difficult for them to communicate their pain. Accurate pain assessment in this vulnerable group is challenging for hospital staff, but essential for appropriate management. This study reviews the literature and explores staff and carer views to identify robust methods for identifying, assessing and managing pain.
Pain and dementia are common in older people, and impaired cognitive abilities make it difficult for them to communicate their pain. Accurate pain assessment in this vulnerable group is challenging for hospital staff, but essential for appropriate management. This study reviews the literature and explores staff and carer views to identify robust methods for identifying, assessing and managing pain.
UNISON evidence to NHS Pay Review Body 2017-18
UNISON evidence to NHS Pay Review Body 2017-18
This submission of evidence to the NHS Pay Review Body outlines the findings of UNISON's annual pay survey which seeks the views, experiences and strength of feeling on pay across NHS staff in the UK. This year's survey received over 21,000 responses and the results highlighted the increased pressures on personal finances with 67 per cent of respondents reporting that they have had to seek financial help from friends and family or make substantial changes to their living standards within the past year.
UNISON
Report
Press release
This submission of evidence to the NHS Pay Review Body outlines the findings of UNISON's annual pay survey which seeks the views, experiences and strength of feeling on pay across NHS staff in the UK. This year's survey received over 21,000 responses and the results highlighted the increased pressures on personal finances with 67 per cent of respondents reporting that they have had to seek financial help from friends and family or make substantial changes to their living standards within the past year.
UNISON
Report
Press release
We have to do more to protect vulnerable adults caught up in the criminal justice system – Peter McCabe
We have to do more to protect vulnerable adults caught up in the criminal justice system – Peter McCabe
Peter McCabe, Chief Executive of Headway, a UK-wide charity that supports individuals and families affected by acquired brain injury. Some months ago, I received a call from a very distressed mother. Her adult son, who is living with the long-term effects of an acquired brain injury (ABI), had been arrested and accused of committing a […]
Peter McCabe, Chief Executive of Headway, a UK-wide charity that supports individuals and families affected by acquired brain injury. Some months ago, I received a call from a very distressed mother. Her adult son, who is living with the long-term effects of an acquired brain injury (ABI), had been arrested and accused of committing a […]
NHS Commissioning
Report shows prevalence of conditions across England
Report shows prevalence of conditions across England
27 October 2016: Figures released today by NHS Digital provide information on the prevalence of 21 conditions, including heart disease, hypertension, dementia, diabetes, and depression.
27 October 2016: Figures released today by NHS Digital provide information on the prevalence of 21 conditions, including heart disease, hypertension, dementia, diabetes, and depression.
IC QOF
Thursday, 27 October 2016
The UK nursing labour market review 2016
The UK nursing labour market review 2016
This report finds that two thirds of NHS students have had to take on work on top of their studies in order to supplement their income.
The proportion of medical and health students taking on extra jobs has risen from 61% to 68% in the last decade and 64% of those surveyed say that working extra hours is affecting their ability to study. More....
NHS Networks
This report finds that two thirds of NHS students have had to take on work on top of their studies in order to supplement their income.
The proportion of medical and health students taking on extra jobs has risen from 61% to 68% in the last decade and 64% of those surveyed say that working extra hours is affecting their ability to study. More....
NHS Networks
Recruiting for values and behaviours in social care toolkit
Recruiting for values and behaviours in social care toolkit
Values based recruitment and retention is about finding and keeping people who have the right values, behaviours and attitudes to work in social care and know what it means to provide high quality care.
A toolkit from Skills for Care has guidance, suggestions and practical resources to help with recruitment.
NHS Networks
Values based recruitment and retention is about finding and keeping people who have the right values, behaviours and attitudes to work in social care and know what it means to provide high quality care.
A toolkit from Skills for Care has guidance, suggestions and practical resources to help with recruitment.
NHS Networks
Final apprenticeship funding arrangements announced
Final apprenticeship funding arrangements announced
Details of the final rules for how apprenticeships will be funded in the future are now available. These changes will take effect from May 2017.
Details of the final rules for how apprenticeships will be funded in the future are now available. These changes will take effect from May 2017.
NHS Employers
The government response to the House of Commons Health Select Committee report on primary care
The government response to the House of Commons Health Select Committee report on primary care
The government’s response to the Health Select Committee primary care report explains the measures which have been put in place to support primary care and improve patients’ access to services. These include increasing funding for primary medical care; greater incentives to increase the growth rate in number of GPs; and the implementation of new models of care.
The government’s response to the Health Select Committee primary care report explains the measures which have been put in place to support primary care and improve patients’ access to services. These include increasing funding for primary medical care; greater incentives to increase the growth rate in number of GPs; and the implementation of new models of care.
Sustainability and climate change: opportunities for PHE
Sustainability and climate change: opportunities for PHE
This document outlines PHE’s plans to adapt to environmental threats such as climate change and to reduce the impact on the nation’s health. It also provides an update on the progress made so far by the Sustainability and Climate Change Programme Board.
Public Health England (PHE)
Report
PHE publications
This document outlines PHE’s plans to adapt to environmental threats such as climate change and to reduce the impact on the nation’s health. It also provides an update on the progress made so far by the Sustainability and Climate Change Programme Board.
Public Health England (PHE)
Report
PHE publications
Lack of investment in new services puts NHS plan at risk
Lack of investment in new services puts NHS plan at risk
The absence of ring-fenced funding for investing in new services could jeopardise plans to improve patient care outlined in the NHS five year forward view (Forward View), according to a new report from The King's Fund.
£2.1 billion has been allocated this year to a Sustainability and Transformation Fund (STF), which ministers said would enable the NHS to transform services and meet the ambitions set out in the Forward View. However, £1.8 billion of this funding is being used to reduce deficits among NHS providers, leaving just £300 million to invest in new services this year.
New guidance published by NHS England states that £1.8 billion has also been set aside to cover deficits in 2017/18 and 2018/19, leaving little to invest in transforming services. The King's Fund's report warns that this could put the plans outlined in the Forward View at risk.
The report argues that most progress in implementing the Forward View has been made in the new care models programme, in work on sustainability and transformation plans, and in plans to devolve more responsibility to public sector leaders in Greater Manchester. But with two out of the five years covered by the Forward View already elapsed, much remains to be done to align national policies with the improvements in care it is seeking to bring about.
More rapid progress is needed in the development of payment systems to support new care models, such as capitated budgets, in the regulation of care systems as well as organisations, and in the use of contracts to support primary and acute systems and multispecialty community providers. The law on procurement and tendering also needs to be clarified to avoid unnecessary delays and cost in implementing new care models.
The report argues that national leaders must allow time for the changes outlined in the Forward View to become established, with a continuing emphasis on these changes being led from within the NHS rather than being imposed top down.
Chris Ham, Chief Executive of The King's Fund, said:
'The future of the NHS depends on being able to implement the changes outlined in the Forward View.
‘New care models hold out the prospect of moderating rising levels of demand, including through better integration of health and social care and more investment in community services to provide alternatives to care in hospitals or care homes. These models are still under development, but the most advanced hold out real promise.
‘The challenge is that developing new care models requires investment, which is currently in short supply, as well as time. National leaders should hold their nerve, continue to support innovations now well under way, and work to remove legislative and policy barriers to progress.
‘By ring-fencing £1.8 billion for the next two years to reduce deficits, national NHS bodies are effectively leaving the NHS without the investment needed to deliver the transformation of services set out in the Forward View.’
Kings Fund
The absence of ring-fenced funding for investing in new services could jeopardise plans to improve patient care outlined in the NHS five year forward view (Forward View), according to a new report from The King's Fund.
£2.1 billion has been allocated this year to a Sustainability and Transformation Fund (STF), which ministers said would enable the NHS to transform services and meet the ambitions set out in the Forward View. However, £1.8 billion of this funding is being used to reduce deficits among NHS providers, leaving just £300 million to invest in new services this year.
New guidance published by NHS England states that £1.8 billion has also been set aside to cover deficits in 2017/18 and 2018/19, leaving little to invest in transforming services. The King's Fund's report warns that this could put the plans outlined in the Forward View at risk.
The report argues that most progress in implementing the Forward View has been made in the new care models programme, in work on sustainability and transformation plans, and in plans to devolve more responsibility to public sector leaders in Greater Manchester. But with two out of the five years covered by the Forward View already elapsed, much remains to be done to align national policies with the improvements in care it is seeking to bring about.
More rapid progress is needed in the development of payment systems to support new care models, such as capitated budgets, in the regulation of care systems as well as organisations, and in the use of contracts to support primary and acute systems and multispecialty community providers. The law on procurement and tendering also needs to be clarified to avoid unnecessary delays and cost in implementing new care models.
The report argues that national leaders must allow time for the changes outlined in the Forward View to become established, with a continuing emphasis on these changes being led from within the NHS rather than being imposed top down.
Chris Ham, Chief Executive of The King's Fund, said:
'The future of the NHS depends on being able to implement the changes outlined in the Forward View.
‘New care models hold out the prospect of moderating rising levels of demand, including through better integration of health and social care and more investment in community services to provide alternatives to care in hospitals or care homes. These models are still under development, but the most advanced hold out real promise.
‘The challenge is that developing new care models requires investment, which is currently in short supply, as well as time. National leaders should hold their nerve, continue to support innovations now well under way, and work to remove legislative and policy barriers to progress.
‘By ring-fencing £1.8 billion for the next two years to reduce deficits, national NHS bodies are effectively leaving the NHS without the investment needed to deliver the transformation of services set out in the Forward View.’
Kings Fund
Doctors' low morale 'puts patients at risk'
Doctors' low morale 'puts patients at risk'
There is a "state of unease" in the UK medical profession that risks affecting patients, the GMC warns.
There is a "state of unease" in the UK medical profession that risks affecting patients, the GMC warns.
BBC News
Pharmacy access to GP summary records slashes admin by 80%
Pharmacy access to GP summary records slashes admin by 80%
Granting local pharmacists access to summary information from GP patient records alleviates strain on GP practices and cuts admin time dealing with pharmacists up to 80%, NHS Digital has said.
Granting local pharmacists access to summary information from GP patient records alleviates strain on GP practices and cuts admin time dealing with pharmacists up to 80%, NHS Digital has said.
GP Online
Patients must understand options, says Royal College of Surgeons
Patients must understand options, says Royal College of Surgeons
New guidance represents end of ‘paternalistic’ approach to inform-and-consent between surgeon and patient, after law change
Surgeons should stop being “paternalistic” and simply lay out all the options to “let patients choose” whether to undergo surgery, according to radical new guidance for medics.
New guidance represents end of ‘paternalistic’ approach to inform-and-consent between surgeon and patient, after law change
Surgeons should stop being “paternalistic” and simply lay out all the options to “let patients choose” whether to undergo surgery, according to radical new guidance for medics.
Guardian
Continue reading...
Continue reading...
NHS drug suppliers investigated over prices
NHS drug suppliers investigated over prices
Competition watchdog launches investigation after claims prices of 32 drugs rose 1,000% in five years
The competition watchdog has launched an investigation into drug companies accused of charging the NHS excessive prices.
If the companies are found by the the Competition and Markets Authority to have broken the law, they could face fines of up to 10% of their turnover.
Competition watchdog launches investigation after claims prices of 32 drugs rose 1,000% in five years
The competition watchdog has launched an investigation into drug companies accused of charging the NHS excessive prices.
If the companies are found by the the Competition and Markets Authority to have broken the law, they could face fines of up to 10% of their turnover.
NHS staff lay bare a bullying culture | Sarah Johnson
NHS staff lay bare a bullying culture | Sarah Johnson
A shocking four-fifths of respondents to a Guardian survey reveal they have been bullied, and a third have lost jobs as result
Bullying is a pernicious problem in the NHS. That’s the stark finding from exclusive research by the Guardian. The online survey of more than 1,500 doctors, nurses and other health workers in hospitals, primary care and community settings, found that 81% had experienced bullying and for almost half of them (44%), it is still ongoing. Close to nine out of 10 bullying victims who responded have been left with their cases unresolved.
Although the survey on bullying was self-selecting, the findings underline the results of the official annual NHS staff survey. The 2015 survey of nearly 300,000 healthcare professionals across England found that a quarter of staff in NHS trusts had experienced bullying, harassment or abuse in the previous 12 months.
Respondents who have been bullied take on average 108 days off work and a third have contemplated leaving their jobs.
A shocking four-fifths of respondents to a Guardian survey reveal they have been bullied, and a third have lost jobs as result
Bullying is a pernicious problem in the NHS. That’s the stark finding from exclusive research by the Guardian. The online survey of more than 1,500 doctors, nurses and other health workers in hospitals, primary care and community settings, found that 81% had experienced bullying and for almost half of them (44%), it is still ongoing. Close to nine out of 10 bullying victims who responded have been left with their cases unresolved.
Although the survey on bullying was self-selecting, the findings underline the results of the official annual NHS staff survey. The 2015 survey of nearly 300,000 healthcare professionals across England found that a quarter of staff in NHS trusts had experienced bullying, harassment or abuse in the previous 12 months.
Respondents who have been bullied take on average 108 days off work and a third have contemplated leaving their jobs.
British study suggests test on toddlers could 'stop 600 heart attacks a year'
British study suggests test on toddlers could 'stop 600 heart attacks a year'
A British study suggests simple tests could identify at least 2,500 children in the UK each year with an inherited condition that puts them at severe risk of heart disease, preventing 600 heart attacks a year.
A British study suggests simple tests could identify at least 2,500 children in the UK each year with an inherited condition that puts them at severe risk of heart disease, preventing 600 heart attacks a year.
Daily Mail
Wednesday, 26 October 2016
Press release: Public unaware of the factors that increase the risk of dementia
Press release: Public unaware of the factors that increase the risk of dementia
More than a quarter (28%) of the British public is unable to correctly identify any potentially modifiable risk factor for developing dementia, according to new findings from the British Social Attitudes survey, which was commissioned by Public Health England (PHE).
More than a quarter (28%) of the British public is unable to correctly identify any potentially modifiable risk factor for developing dementia, according to new findings from the British Social Attitudes survey, which was commissioned by Public Health England (PHE).
There is growing evidence that a third of dementia cases could be a result of factors potentially in our control, and actions like taking regular exercise and not smoking can reduce your risk of developing it. This means there is huge potential for prevention.
The survey, carried out by the National Centre for Social Research (NatCen), asked the public if they could identify any of the following risk factors: heavy drinking, smoking, high blood pressure, depression and diabetes as well as the protective factor of taking regular exercise and found just 2% of the public is able to identify all of them.
Also, more than 1 in 4 people (27%) in Britain incorrectly believe that there is nothing anyone can do to reduce their risks of getting dementia.
Respondents were asked whether they agreed with the statement “there is nothing anyone can do to reduce their risks of getting dementia”. 27% incorrectly agree that there is nothing anyone can do; a further 26% neither agree nor disagree; and only 43% correctly disagreed with the statement.
Older people are more likely to agree that there is nothing anyone can do to reduce their risk of developing dementia: 33% of those aged 65 and over said this compared with 26% of those under 65. Public Health England Read the report on the BSA website.
Involving patients and citizens: I statements for research and innovation
Involving patients and citizens: statements for research and innovation
This guidance sets a standard for how patients and citizens should be involved in research and innovation. It was developed as part of the Department of Health's accelerated access review and this guidance aims to provide standards for how patients and the public are involved in research and innovation in medical technologies, diagnostic tools, drugs and digital health care.
This guidance sets a standard for how patients and citizens should be involved in research and innovation. It was developed as part of the Department of Health's accelerated access review and this guidance aims to provide standards for how patients and the public are involved in research and innovation in medical technologies, diagnostic tools, drugs and digital health care.
Rapid review of evidence of the impact on health outcomes of NHS commissioned health services for people in secure and detained settings
Rapid review of evidence of the impact on health outcomes of NHS commissioned health services for people in secure and detained settings
This rapid review of evidence of the impact on health outcomes of NHS commissioned health services demonstrates that there have been significant improvements in the quality of health care in prison settings. The review will inform future health interventions and prioritisation in England where there are further improvements to be made.
This rapid review of evidence of the impact on health outcomes of NHS commissioned health services demonstrates that there have been significant improvements in the quality of health care in prison settings. The review will inform future health interventions and prioritisation in England where there are further improvements to be made.
Consultation outcome: Mutual recognition of professional qualifications in healthcare
Consultation outcome: Mutual recognition of professional qualifications in healthcare
Updated: Added consultation response.
The revised Mutual Recognition of Professional Qualifications (MRPQ) Directive has brought in a number of changes that aim to further facilitate the free movement of professionals within the EU.
This consultation sets out the changes that are specific to the sectoral health professions (nurses, midwives, pharmacists, doctors and dentists). It seeks views on the draft legislation that is needed to implement the changes and any potential impacts of the implementation. It also sets out a number of the cross-sector changes that were covered in the Department for Business Innovation and Skills consultation of March 2015 but that will impact on the health and care professional regulators.
Updated: Added consultation response.
The revised Mutual Recognition of Professional Qualifications (MRPQ) Directive has brought in a number of changes that aim to further facilitate the free movement of professionals within the EU.
This consultation sets out the changes that are specific to the sectoral health professions (nurses, midwives, pharmacists, doctors and dentists). It seeks views on the draft legislation that is needed to implement the changes and any potential impacts of the implementation. It also sets out a number of the cross-sector changes that were covered in the Department for Business Innovation and Skills consultation of March 2015 but that will impact on the health and care professional regulators.
Department of Health
NMC launches consultation into proposed changes to fitness to practise processes
NMC launches consultation into proposed changes to fitness to practise processes
Proposed changes will enable NMC to be more efficient and effective
The Nursing and Midwifery Council has today launched a consultation on proposed changes to its fitness to practise processes.
The consultation will seek views on changes to the Nursing and Midwifery Council (Fitness to Practise) Rules 2004, which will enable us to be more efficient and effective.
Proposed changes will allow us to give advice, issue warnings and recommend undertakings which we currently cannot do with our legislation.
We are also seeking views on the NMC's approach to reviewing decisions where there has been a finding of no case to answer.
Jackie Smith, NMC Chief Executive and Registrar said:
"I have maintained for a long time that our current legislation is outdated and in need of major reform. We know, and accept that it currently takes too long and costs too much to conclude cases. The launch of this consultation is a crucial step towards modernising our processes, which will better enable us to protect the public.
"We have worked closely with the Department of Health on these proposed changes which will allow us to develop a more proportionate approach to cases, with new powers to resolve some less contentious matters more simply and quickly, taking only the most serious cases to a full hearing."
This consultation follows on from the Department of Health’s consultation which ran from April to June 2016 which sought views on changes to our wider legislation.
Proposed changes will enable NMC to be more efficient and effective
The Nursing and Midwifery Council has today launched a consultation on proposed changes to its fitness to practise processes.
The consultation will seek views on changes to the Nursing and Midwifery Council (Fitness to Practise) Rules 2004, which will enable us to be more efficient and effective.
Proposed changes will allow us to give advice, issue warnings and recommend undertakings which we currently cannot do with our legislation.
We are also seeking views on the NMC's approach to reviewing decisions where there has been a finding of no case to answer.
Jackie Smith, NMC Chief Executive and Registrar said:
"I have maintained for a long time that our current legislation is outdated and in need of major reform. We know, and accept that it currently takes too long and costs too much to conclude cases. The launch of this consultation is a crucial step towards modernising our processes, which will better enable us to protect the public.
"We have worked closely with the Department of Health on these proposed changes which will allow us to develop a more proportionate approach to cases, with new powers to resolve some less contentious matters more simply and quickly, taking only the most serious cases to a full hearing."
This consultation follows on from the Department of Health’s consultation which ran from April to June 2016 which sought views on changes to our wider legislation.
'Super-parenting' improves children's autism
'Super-parenting' improves children's autism
Training mums and dads as "super parents" can dramatically improve a child's autism, a study shows. BBC News
Training mums and dads as "super parents" can dramatically improve a child's autism, a study shows. BBC News
Bengoa review: Radical health care shake-up unveiled
Bengoa review: Radical health care shake-up unveiled
Northern Ireland's health minister unveils a radical plan to improve a health and social care system 'at breaking point'.
Northern Ireland's health minister unveils a radical plan to improve a health and social care system 'at breaking point'.
BBC News
The mental health college that's a lifeline in 'a sea of being alone'
The mental health college that's a lifeline in 'a sea of being alone'
A scheme in south London pairs healthcare professionals with former patients to provide courses and advice to those with mental health problems
The students gathered on a three-hour “five ways to improve your wellbeing” course in south London are about to have a powerful realisation.
One of the group is asked to think about how many hours a week she spends seeing healthcare professionals, such as health visitors or psychiatrists, about her mental health condition.
I can’t talk to my son or husband because they don’t know what I’m talking about but people here do.
A scheme in south London pairs healthcare professionals with former patients to provide courses and advice to those with mental health problems
The students gathered on a three-hour “five ways to improve your wellbeing” course in south London are about to have a powerful realisation.
One of the group is asked to think about how many hours a week she spends seeing healthcare professionals, such as health visitors or psychiatrists, about her mental health condition.
I can’t talk to my son or husband because they don’t know what I’m talking about but people here do.
Guardian
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Patients 'welcome' weight loss interventions from their GP, study shows
Patients 'welcome' weight loss interventions from their GP, study shows
GPs opportunistically raising the issue of weight loss and offering referral to weight management programmes is effective and largely welcomed by patients, a study in the Lancet suggests.
GPs opportunistically raising the issue of weight loss and offering referral to weight management programmes is effective and largely welcomed by patients, a study in the Lancet suggests.
GP Online
Tuesday, 25 October 2016
Accelerated access review: final report
Accelerated access review: final report
This report sets out recommendations on how patients could get quicker access to innovative new diagnostic tools, treatments, and medical technologies. It argues that streamlined processes could bring forward patient access to drugs by up to four years and patients will benefit from quicker access to medical technologies too. The report will help the NHS to provide the best care to patients, use funds more effectively, and create the conditions to help the life sciences industry continue to thrive.
This report sets out recommendations on how patients could get quicker access to innovative new diagnostic tools, treatments, and medical technologies. It argues that streamlined processes could bring forward patient access to drugs by up to four years and patients will benefit from quicker access to medical technologies too. The report will help the NHS to provide the best care to patients, use funds more effectively, and create the conditions to help the life sciences industry continue to thrive.
Guidance: Suicide prevention: developing a local action plan
Guidance: Suicide prevention: developing a local action plan
Updated: Updated local suicide prevention planning resource.
The development of a local suicide action plan is recommended by government and supports the 2012 strategy ‘Preventing Suicide in England. A Cross Government Outcomes Strategy to save Lives’.
This document advises local authorities how to:
develop a suicide prevention action plan
monitor data, trends and hot spots
engage with local media
work with transport to map hot spots
work on local priorities to improve mental health
Public Health England
Updated: Updated local suicide prevention planning resource.
The development of a local suicide action plan is recommended by government and supports the 2012 strategy ‘Preventing Suicide in England. A Cross Government Outcomes Strategy to save Lives’.
This document advises local authorities how to:
develop a suicide prevention action plan
monitor data, trends and hot spots
engage with local media
work with transport to map hot spots
work on local priorities to improve mental health
Public Health England
Interactive Agenda for Change handbook launched online
Interactive Agenda for Change handbook launched online
Take a look at the interactive NHS terms and conditions of service handbook for Agenda for Change staff.
Take a look at the interactive NHS terms and conditions of service handbook for Agenda for Change staff.
NHS Employers
Health professions calling for greater leadership and action to tackle early deaths of people living with severe mental illness
Health professions calling for greater leadership and action to tackle early deaths of people living with severe mental illness
Although the health of the general population in the UK has improved significantly over the past 50 years, the life expectancy of adults with severe mental illness (SMI) in 2016 is lagging behind. Nearly half (46%) of people with SMI have a long-term physical health condition and are at risk of losing on average 10-20 years of their lifespan due to physical ill-health.
The report, ‘Improving the physical health of adults with severe mental illness: essential actions’ was written in partnership with the Academy of Medical Royal Colleges and the Royal Colleges of General Practitioners, Nursing, Pathologists, Physicians, the Royal Pharmaceutical Society and Public Health England. The report makes practical recommendations for changes that will help adults with SMI to receive the same standards of physical healthcare as the general population and reduce the risk of premature death.
The report makes eight recommendations to key bodies and inspectorates, including:
The creation of a new national steering group to lead and link key stakeholders with experts from the professions so that important aspects of physical healthcare are addressed and monitored at a national level.
Each mental health service, acute hospital, general medical practice or GP federation should develop a physical health strategy for patients with SMI which is approved by the board and reviewed annually; they should also appoint a lead clinician at board level to be responsible for its implementation.
Training for healthcare staff should be reviewed to ensure healthcare professionals are equipped to fulfil the physical health needs of people with SMI, such as being able to recognise physical illness and take appropriate action.
Infrastructure should be improved; e.g. systems for recognising acute illness; improved Information Technology to help with meeting current health-needs; better access to investigation results to help to improve standards of both physical and mental healthcare.
Chair of the Academy of Medical Royal Colleges, Professor Dame Sue Bailey commented: "Health professionals should have the same ambitions for the physical health of people with severe mental illness as for the general population. The ambition of this report is to provide a focused programme of actions that can be taken across the system, from training to leadership and best practice in care provision, to reduce preventable premature mortality in this vulnerable group."
Professor Maureen Baker, Chair of the Royal College of General Practitioners, said: "Patients are living longer and reaping the health benefits of advances in medicine over the last 50 years, and those with serious mental illness must not left behind. A key part of this is ensuring that patients with serious mental illness maintain good physical health and wellbeing.
"This report drives home the need for more mental health services in the community, and for GPs and our teams to have better, easier and quicker access to these.
"One of the pledges made in NHS England’s GP Forward View is for every GP practice to have access to a dedicated Mental Health therapist – and this will be essential in making sure our patients with serious mental illness receive optimal physical and mental health care.
"Mental health is an enduring priority for the RCGP and we have developed a number of practical resources to support GPs and other healthcare professionals to deliver the best possible care to our patients with mental health conditions. Promoting physical activity and lifestyle is also a priority, and we are working to support GPs to do this, in the best interests of all our patients."
Although the health of the general population in the UK has improved significantly over the past 50 years, the life expectancy of adults with severe mental illness (SMI) in 2016 is lagging behind. Nearly half (46%) of people with SMI have a long-term physical health condition and are at risk of losing on average 10-20 years of their lifespan due to physical ill-health.
The report, ‘Improving the physical health of adults with severe mental illness: essential actions’ was written in partnership with the Academy of Medical Royal Colleges and the Royal Colleges of General Practitioners, Nursing, Pathologists, Physicians, the Royal Pharmaceutical Society and Public Health England. The report makes practical recommendations for changes that will help adults with SMI to receive the same standards of physical healthcare as the general population and reduce the risk of premature death.
The report makes eight recommendations to key bodies and inspectorates, including:
The creation of a new national steering group to lead and link key stakeholders with experts from the professions so that important aspects of physical healthcare are addressed and monitored at a national level.
Each mental health service, acute hospital, general medical practice or GP federation should develop a physical health strategy for patients with SMI which is approved by the board and reviewed annually; they should also appoint a lead clinician at board level to be responsible for its implementation.
Training for healthcare staff should be reviewed to ensure healthcare professionals are equipped to fulfil the physical health needs of people with SMI, such as being able to recognise physical illness and take appropriate action.
Infrastructure should be improved; e.g. systems for recognising acute illness; improved Information Technology to help with meeting current health-needs; better access to investigation results to help to improve standards of both physical and mental healthcare.
Chair of the Academy of Medical Royal Colleges, Professor Dame Sue Bailey commented: "Health professionals should have the same ambitions for the physical health of people with severe mental illness as for the general population. The ambition of this report is to provide a focused programme of actions that can be taken across the system, from training to leadership and best practice in care provision, to reduce preventable premature mortality in this vulnerable group."
Professor Maureen Baker, Chair of the Royal College of General Practitioners, said: "Patients are living longer and reaping the health benefits of advances in medicine over the last 50 years, and those with serious mental illness must not left behind. A key part of this is ensuring that patients with serious mental illness maintain good physical health and wellbeing.
"This report drives home the need for more mental health services in the community, and for GPs and our teams to have better, easier and quicker access to these.
"One of the pledges made in NHS England’s GP Forward View is for every GP practice to have access to a dedicated Mental Health therapist – and this will be essential in making sure our patients with serious mental illness receive optimal physical and mental health care.
"Mental health is an enduring priority for the RCGP and we have developed a number of practical resources to support GPs and other healthcare professionals to deliver the best possible care to our patients with mental health conditions. Promoting physical activity and lifestyle is also a priority, and we are working to support GPs to do this, in the best interests of all our patients."
RCGP
Freeing up health analysis: using government data to improve health services
Freeing up health analysis: using government data to improve health services
This report argues that relevant government departments should adopt a data labs model to enable charities to better understand the impact of their services on people’s health. This would allow the whole health sector learn what works, and would help to build more effective and efficient services.
This report argues that relevant government departments should adopt a data labs model to enable charities to better understand the impact of their services on people’s health. This would allow the whole health sector learn what works, and would help to build more effective and efficient services.
Diabetes: Tenth of adults at risk of disease by 2035
Diabetes: Tenth of adults at risk of disease by 2035
Health experts are warning that one in 10 adults in the UK will be at risk of developing diabetes by 2035.
Health experts are warning that one in 10 adults in the UK will be at risk of developing diabetes by 2035.
BBC News
NHS to spend £130m upgrading or replacing radiotherapy machines
NHS to spend £130m upgrading or replacing radiotherapy machines
Upgrade of at least 100 linear accelerator machines should boost survival chances of hundreds of thousands of cancer patients
Cancer treatment is to get its biggest boost in 15 years, according to NHS England, which has said it will spend £130m upgrading or replacing radiotherapy machines to improve the survival chances of hundreds of thousands of patients.
The upgrade of at least 100 linear accelerator (Linac) machines across the country will ensure more patients get state-of-the-art treatment called intensity-modulated radiotherapy, which can target the tumour very precisely without damaging surrounding healthy tissue. New machines are more accurate and can deliver a higher dose to the cancer cells, which will reduce the amount of time a patient has to spend in radiotherapy and hopefully increase cure rates.
Upgrade of at least 100 linear accelerator machines should boost survival chances of hundreds of thousands of cancer patients
Cancer treatment is to get its biggest boost in 15 years, according to NHS England, which has said it will spend £130m upgrading or replacing radiotherapy machines to improve the survival chances of hundreds of thousands of patients.
The upgrade of at least 100 linear accelerator (Linac) machines across the country will ensure more patients get state-of-the-art treatment called intensity-modulated radiotherapy, which can target the tumour very precisely without damaging surrounding healthy tissue. New machines are more accurate and can deliver a higher dose to the cancer cells, which will reduce the amount of time a patient has to spend in radiotherapy and hopefully increase cure rates.
Guardian
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The Health Service Medical Supplies (Costs) Bill (Bill 72 of 2016-17)
The Health Service Medical Supplies (Costs) Bill (Bill 72 of 2016-17)
This briefing summarises the contents of the Health Service Medical Supplies (Costs) Bill 2016-17, background on the issues and relevant comment. The bill intends to make a number of amendments to the National Health Service Act 2006 on matters related to the control of medicine prices.
House of Commons Library
Briefing
Commons Library
This briefing summarises the contents of the Health Service Medical Supplies (Costs) Bill 2016-17, background on the issues and relevant comment. The bill intends to make a number of amendments to the National Health Service Act 2006 on matters related to the control of medicine prices.
House of Commons Library
Briefing
Commons Library
Reminiscence groups for people with dementia and their family carers: REMCARE trial
Reminiscence groups for people with dementia and their family carers: REMCARE trial
Elizabeth Collier writes her debut blog on the REMCARE randomised controlled trial of reminiscence groups for people with dementia and their family carers.
Elizabeth Collier writes her debut blog on the REMCARE randomised controlled trial of reminiscence groups for people with dementia and their family carers.
The Mental Elf
Monday, 24 October 2016
Northamptonshire gets share of 1,000 new 'nursing associates' being recruited across the UK
Northamptonshire gets share of 1,000 new 'nursing associates' being recruited across the UK
New teams of 'nursing associates' will be trained and recreated across Northamptonshire to work in hospitals, GP practices and care homes.
New teams of 'nursing associates' will be trained and recreated across Northamptonshire to work in hospitals, GP practices and care homes.
Evening Telegraph
Family doctors need to be able to dedicate their time to patients who really need their expert skills, says RCGP in response to Choosing Wisely report
Family doctors need to be able to dedicate their time to patients who really need their expert skills, says RCGP in response to Choosing Wisely report
Professor Maureen Baker, Chair of the RCGP, said: “At a time when patients in some areas of the country are having to wait for nearly a month to see their GP - due to rocketing demand and not enough GPs to keep pace – this report is a dose of common sense.
“The guidance shows there are many minor ailments and conditions that can be treated quickly and effectively without needing to see a GP, meaning that family doctors can dedicate their valuable time to those patients who really need our expert skills.
“As well as demonstrating to patients why going to the GP isn’t always the best course of action, it should also reduce the pressure on GPs to prescribe medications such as antibiotics which might not be needed.
“Overdiagnosis and overtreatment is harmful to patients. In 2013, the RCGP set up an Overdiagnosis group of GPs and patient group representatives to challenge problems facing general practice - such as random screening of the population for very specific diseases - and it now has over 150 active members.
“Today’s report reinforces the importance of this work and we hope it will be a major step forward in easing the pressures on GP time so that NHS resources are always directed where they can deliver the most benefit for our patients.”
Professor Maureen Baker, Chair of the RCGP, said: “At a time when patients in some areas of the country are having to wait for nearly a month to see their GP - due to rocketing demand and not enough GPs to keep pace – this report is a dose of common sense.
“The guidance shows there are many minor ailments and conditions that can be treated quickly and effectively without needing to see a GP, meaning that family doctors can dedicate their valuable time to those patients who really need our expert skills.
“As well as demonstrating to patients why going to the GP isn’t always the best course of action, it should also reduce the pressure on GPs to prescribe medications such as antibiotics which might not be needed.
“Overdiagnosis and overtreatment is harmful to patients. In 2013, the RCGP set up an Overdiagnosis group of GPs and patient group representatives to challenge problems facing general practice - such as random screening of the population for very specific diseases - and it now has over 150 active members.
“Today’s report reinforces the importance of this work and we hope it will be a major step forward in easing the pressures on GP time so that NHS resources are always directed where they can deliver the most benefit for our patients.”
RCGP
Recruiting for values and behaviours in social care toolkit
Recruiting for values and behaviours in social care toolkit
Values based recruitment and retention is about finding and keeping people who have the right values, behaviours and attitudes to work in social care and know what it means to provide high quality care.This toolkit has guidance, suggestions and practical resources to help with recruiting people with the right values, behaviours and attitudes.
Skills for Care
Toolkit
Values based recruitment and retention is about finding and keeping people who have the right values, behaviours and attitudes to work in social care and know what it means to provide high quality care.This toolkit has guidance, suggestions and practical resources to help with recruiting people with the right values, behaviours and attitudes.
Skills for Care
Toolkit
Unheeded warnings: health care in crisis: the UK nursing labour market review 2016
Unheeded warnings: health care in crisis: the UK nursing labour market review 2016
This research highlights risks to the future nursing supply in England as it finds that half of nurses are aged 45 or over and are within ten years of being eligible for early retirement. In comparison, a decade ago just a third of the nursing workforce was aged 45 or over. The report calls on the government to scrap the pay cap for NHS staff to help to alleviate the retention crisis.
Royal College of Nursing (RCN)
Report
Press release
This research highlights risks to the future nursing supply in England as it finds that half of nurses are aged 45 or over and are within ten years of being eligible for early retirement. In comparison, a decade ago just a third of the nursing workforce was aged 45 or over. The report calls on the government to scrap the pay cap for NHS staff to help to alleviate the retention crisis.
Royal College of Nursing (RCN)
Report
Press release
Community pharmacy in 2016/17 and beyond: final package
Community pharmacy in 2016/17 and beyond: final package
This paper outlines plans to modernise community pharmacies, which will ensure a better quality service for patients and relieve pressure in other parts of the NHS. The changes include a reward system for high quality service and a pharmacy access scheme for isolated areas with higher health needs. The accompanying documentation explains the package of reforms, including changes to the community pharmacy contractual framework.
Department of Health (DH)
Guidance
Associated documentation
Press release
This paper outlines plans to modernise community pharmacies, which will ensure a better quality service for patients and relieve pressure in other parts of the NHS. The changes include a reward system for high quality service and a pharmacy access scheme for isolated areas with higher health needs. The accompanying documentation explains the package of reforms, including changes to the community pharmacy contractual framework.
Department of Health (DH)
Guidance
Associated documentation
Press release
- £42 million fund for pharmacy NHS Guidance
Blighted lives
Blighted lives
The true cost of the diabetes epidemic facing the UK is lives blighted by years of disability.
The true cost of the diabetes epidemic facing the UK is lives blighted by years of disability.
BBC News
Doctors name treatments that bring little or no benefit
Doctors name treatments that bring little or no benefit
Senior doctors have drawn up a list of 40 treatments which bring little or no benefit to patients to try to reduce unnecessary medical procedures.
Senior doctors have drawn up a list of 40 treatments which bring little or no benefit to patients to try to reduce unnecessary medical procedures.
BMA calls for helpline for people addicted to prescription drugs
BMA calls for helpline for people addicted to prescription drugs
Organisation says specific services needed for those addicted to strong tranquillisers used for issues such as anxiety
The British Medical Association (BMA) has called for a 24-hour helpline to be introduced for patients who are addicted to prescription drugs.
The group believes it could help tackle problems created when strong tranquillisers prescribed for short-term use, to treat issues such as anxiety and insomnia, are issued for longer periods.
Organisation says specific services needed for those addicted to strong tranquillisers used for issues such as anxiety
The British Medical Association (BMA) has called for a 24-hour helpline to be introduced for patients who are addicted to prescription drugs.
The group believes it could help tackle problems created when strong tranquillisers prescribed for short-term use, to treat issues such as anxiety and insomnia, are issued for longer periods.
NHS figures show 'shocking' rise in self-harm among young
NHS figures show 'shocking' rise in self-harm among young
Upward trend is more pronounced among girls and is evidence of increased social pressures on children, say experts
The number of children and young people self-harming has risen dramatically in the past 10 years, new NHS figures obtained by the Guardian show.
The sharp upward trend in under-18s being admitted to hospital after poisoning, cutting or hanging themselves is more pronounced among girls, though there have been major rises among boys too.
Upward trend is more pronounced among girls and is evidence of increased social pressures on children, say experts
The number of children and young people self-harming has risen dramatically in the past 10 years, new NHS figures obtained by the Guardian show.
The sharp upward trend in under-18s being admitted to hospital after poisoning, cutting or hanging themselves is more pronounced among girls, though there have been major rises among boys too.
Guardian
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Sustainability and transformation plans are 'least bad option' for NHS
Sustainability and transformation plans are 'least bad option' for NHS
Chief executive of the King’s Fund believes STP process is helping deliver the Five Year Forward View
Two years after NHS England unveiled the Five Year Forward View (pdf) – its blueprint for community-based, integrated healthcare able to cope with the pressures of a growing and ageing population – the central bodies are still not doing enough to make it happen.
The King’s Fund is about to publish analysis of progress in reforming the way the NHS works to allow the new care models outlined in the Forward View to flourish. Speaking to the Guardian’s Healthcare Professionals Network, chief executive Chris Ham identified four ways in which the system is hampering local reforms – a shortage of cash to kickstart change, too little progress on a payment system which encourages collaboration, the need to sort out the debacle of the contracting rules which emerged from the Lansley reforms, and rushing change.
Chief executive of the King’s Fund believes STP process is helping deliver the Five Year Forward View
Two years after NHS England unveiled the Five Year Forward View (pdf) – its blueprint for community-based, integrated healthcare able to cope with the pressures of a growing and ageing population – the central bodies are still not doing enough to make it happen.
The King’s Fund is about to publish analysis of progress in reforming the way the NHS works to allow the new care models outlined in the Forward View to flourish. Speaking to the Guardian’s Healthcare Professionals Network, chief executive Chris Ham identified four ways in which the system is hampering local reforms – a shortage of cash to kickstart change, too little progress on a payment system which encourages collaboration, the need to sort out the debacle of the contracting rules which emerged from the Lansley reforms, and rushing change.
Friday, 21 October 2016
Northampton nursing home that did not give residents enough to eat and dressed people in the ‘wrong clothes’ is closing
Northampton nursing home that did not give residents enough to eat and dressed people in the ‘wrong clothes’ is closing A home for the elderly in Northampton has revealed it is to close down shortly after receiving a shocking report from Government inspectors, which found some residents were losing weight and becoming dehydrated through poor care. Northampton Chronicle and Echo
Health matters: reducing the burden of tuberculosis
Health matters: reducing the burden of tuberculosis This resource provides information on the incidence of tuberculosis (TB) in England and calls to action for health professionals and local authorities. It outlines the actions that can be taken to further reduce TB incidence and associated health inequalities. Public Health England
Nursing workforce heading for 'perfect storm'
Nursing workforce heading for 'perfect storm' Data analysed by the RCN for its Labour Market Review and evidence to the NHS Pay Review Body reveals that half of nurses are aged 45 or over and within 10 years of being eligible for early retirement. Ten years ago just a third of the nursing workforce in England was aged 45 or over.
This means the health service will be more reliant than ever on finding new staff.
The research also highlights an unprecedented number of risk factors which will affect the future supply of safe staffing levels.
These include the ageing workforce, rising demand, uncoordinated workforce planning, changes to student nurse funding, real terms cuts to nurse pay and the impact of Brexit on international recruitment. Royal College of Nursing
See also:
This means the health service will be more reliant than ever on finding new staff.
The research also highlights an unprecedented number of risk factors which will affect the future supply of safe staffing levels.
These include the ageing workforce, rising demand, uncoordinated workforce planning, changes to student nurse funding, real terms cuts to nurse pay and the impact of Brexit on international recruitment. Royal College of Nursing
See also:
Major variations in community stroke rehab, FoI reveals
Major variations in community stroke rehab, FoI reveals Stroke patients in England face hugely inconsistent care once they leave hospital, an audit of services by the Chartered Society of Physiotherapy reveals.
Reforms in recent years ensure patients receive intensive rehabilitation in the immediate aftermath of their stroke before being discharged from hospital.
But many patients then have to wait weeks to see a physiotherapist to continue their rehabilitation, which potentially stalls their progress and even risks a deterioration in their condition.
Freedom of Information responses by NHS clinical commissioning groups (CCGs) showed that in areas where patients could access an early supported discharge (ESD) service - or they were categorised as urgent - 97 per cent saw a physiotherapist within three days.
But where no such service existed, or they were considered non-urgent, just 15 per cent of patients were able to access community-based physio in less than a week.
See also:
Reforms in recent years ensure patients receive intensive rehabilitation in the immediate aftermath of their stroke before being discharged from hospital.
But many patients then have to wait weeks to see a physiotherapist to continue their rehabilitation, which potentially stalls their progress and even risks a deterioration in their condition.
Freedom of Information responses by NHS clinical commissioning groups (CCGs) showed that in areas where patients could access an early supported discharge (ESD) service - or they were categorised as urgent - 97 per cent saw a physiotherapist within three days.
But where no such service existed, or they were considered non-urgent, just 15 per cent of patients were able to access community-based physio in less than a week.
See also:
A breath of fresh air: addressing climate change and air pollution together for health
A breath of fresh air: addressing climate change and air pollution together for health This report makes the case for much more integrated strategies to address air pollution and climate change. It argues that approaches to addressing both challenges simultaneously will create much greater health benefits and cost-savings than strategies which address them separately. UK Health Alliance on Climate Change
The future of commissioning
The future of commissioning As the NHS looks to transform to meet the rising demand and financial challenges, all parts of the system need to respond to support the drive to change. ‘The future of commissioning’ which was informed by interviews with CCG leaders and other key players in the health and care sector, is clear that we will continue to see an evolution in the commissioning system but that it remains a vital part of the health system that is focused on delivering for patients and local populations. NHS Clinical Commissioning
Report highlights increased risk of pregnancy complications for women with diabetes
Report highlights increased risk of pregnancy complications for women with diabetes Many women with diabetes who become pregnant are at increased risk of complications because of a lack of preparation for pregnancy, according to a new report.
The National Pregnancy in Diabetes Audit 2015, published by NHS Digital, Diabetes UK and the Healthcare Quality Improvement Partnership (HQIP) found that few women with diabetes who become pregnant are well prepared, despite agreed national guidelines - resulting in increased risk of congenital abnormalities, stillbirth and large babies.
The National Pregnancy in Diabetes Audit 2015, published by NHS Digital, Diabetes UK and the Healthcare Quality Improvement Partnership (HQIP) found that few women with diabetes who become pregnant are well prepared, despite agreed national guidelines - resulting in increased risk of congenital abnormalities, stillbirth and large babies.
In search of a cure
In search of a cure BBC Radio 5 live finds out how patients fare when they go abroad in search on pioneering cancer treatments. BBC News
NHS pharmacy cuts: Tory ministers accused of piling even more pressure on A&Es
NHS pharmacy cuts: Tory ministers accused of piling even more pressure on A&Es Ministers were accused of piling more pressure on overcrowded GP surgeries and A&E departments after announcing cuts to pharmacies.
Opposition parties attacked the announcement that more than seven per cent will be slashed from funding for community pharmacies over the next two years, after weeks of speculation.
They said the reductions could trigger the closure of hundreds, if not thousands, of badly-needed high street pharmacies and were a “false economy”. The Independent
See also:
Opposition parties attacked the announcement that more than seven per cent will be slashed from funding for community pharmacies over the next two years, after weeks of speculation.
They said the reductions could trigger the closure of hundreds, if not thousands, of badly-needed high street pharmacies and were a “false economy”. The Independent
See also:
- New plans to modernise community pharmacies Department of Health
- Policy paper: Community pharmacy reforms Department of Health
- Pharmacy Integration Fund of £42 million announced NHS England
- Pharmacy plan 'could lead to High Street closures' BBC News
- Elderly and sick will have to walk further for vital medicines if subsidy cuts close rural pharmacies, ministers admit The Daily Telegraph
- Government announces massive cuts to community pharmacy funding OnMedica
GPs face 'scandalous' 76% hike in CQC fees from 2017
GPs face 'scandalous' 76% hike in CQC fees from 2017 CQC fees could rise by £2,000 for a GP practice of average size from 2017 under proposals from the watchdog to increase charges levied from GPs sharply for the second year running. GP Online
Jeremy Hunt promises better mental health services for young people
Jeremy Hunt promises better mental health services for young people Provision for children and teenagers is the NHS’s biggest weakness, says health secretary, and more schools should have counsellors on site
Jeremy Hunt has promised to tackle “big problems” and failings in NHS services for children and young people with mental health problems, which he says are causing “too many tragedies”.
The health secretary singled out children and adolescent mental health services (CAMHS) as “the biggest single area of weakness in NHS provision at the moment” in an interview with the Health Service Journal. Continue reading... The Guardian
Jeremy Hunt has promised to tackle “big problems” and failings in NHS services for children and young people with mental health problems, which he says are causing “too many tragedies”.
The health secretary singled out children and adolescent mental health services (CAMHS) as “the biggest single area of weakness in NHS provision at the moment” in an interview with the Health Service Journal. Continue reading... The Guardian
The night shift in A&E: a hellish blur where my best is never enough
The night shift in A&E: a hellish blur where my best is never enough Working overnight in a hospital is lonely and stressful, with not enough staff or beds for the queues of patients
It’s the start of my night shift in the district general hospital as the medical registrar. I’m on my own and I know it.
Like every night shift, I have no idea how I’m going to function effectively and people’s lives are in my hands. These thoughts are not new – I expect them – but each time they feel painfully new and unwelcome. I push down feelings of panic and remind myself that I have experience and training. I have done this, I can do this. Continue reading... The Guardian
It’s the start of my night shift in the district general hospital as the medical registrar. I’m on my own and I know it.
Like every night shift, I have no idea how I’m going to function effectively and people’s lives are in my hands. These thoughts are not new – I expect them – but each time they feel painfully new and unwelcome. I push down feelings of panic and remind myself that I have experience and training. I have done this, I can do this. Continue reading... The Guardian
Thursday, 20 October 2016
NHS England says it cannot fund all cost-effective treatments promptly
NHS England says it cannot fund all cost-effective treatments promptly
Can the NHS still afford to fund all the treatments and technologies the National Institute for Health and Care Excellence (NICE) recommends? The answer, from NHS England, seems to be no – and it has now published, along with NICE, a set of ideas for how to handle that.
This is just one more example of the growing financial pressure on the NHS. It has big implications for how far the service will stay abreast of cutting edge, if sometimes only incremental, advances in medical technology in general, and pharmaceuticals in particular. This is a big issue.
It has come to a head because over the past year or two, as the money has got ever tighter, NHS England has held back on implementing a small number of recommendations from the National Institute of Health and Care Excellence – despite the theory that the service, certain circumstances excepted, should implement all the cost-effective treatments that NICE recommends within 90 days.
Can the NHS still afford to fund all the treatments and technologies the National Institute for Health and Care Excellence (NICE) recommends? The answer, from NHS England, seems to be no – and it has now published, along with NICE, a set of ideas for how to handle that.
This is just one more example of the growing financial pressure on the NHS. It has big implications for how far the service will stay abreast of cutting edge, if sometimes only incremental, advances in medical technology in general, and pharmaceuticals in particular. This is a big issue.
It has come to a head because over the past year or two, as the money has got ever tighter, NHS England has held back on implementing a small number of recommendations from the National Institute of Health and Care Excellence – despite the theory that the service, certain circumstances excepted, should implement all the cost-effective treatments that NICE recommends within 90 days.
Mental illness recovery linked to deprivation, report finds
Mental illness recovery linked to deprivation, report
Official statistics show a strong link between deprivation and the likelihood of recovering from anxiety and depression.
NHS Networks
Official statistics show a strong link between deprivation and the likelihood of recovering from anxiety and depression.
NHS Networks
Does health literacy matter? – Jonathan Berry
Does health literacy matter? – Jonathan Berry
Jonathan Berry, Personalisation & Control Specialist in NHS England’s Person Centred Care Team, provides an update on the current work being done to transform health literacy and explains why it is so important and the positive impact it can have for patients. “Does health literacy matter?”. I am often asked this by clinicians and managers […]
Jonathan Berry, Personalisation & Control Specialist in NHS England’s Person Centred Care Team, provides an update on the current work being done to transform health literacy and explains why it is so important and the positive impact it can have for patients. “Does health literacy matter?”. I am often asked this by clinicians and managers […]
NHS Commissioning
Proposals for changes to the arrangements for evaluating and funding drugs and other health technologies appraised through NICE’s technology appraisal and highly specialised technologies programmes
Proposals for changes to the arrangements for evaluating and funding drugs and other health technologies appraised through NICE’s technology appraisal and highly specialised technologies programmes
NICE and NHS England have launched a consultation on changes to the arrangements for evaluating and funding drugs and other health technologies appraised through NICE’s Technology Appraisal and Highly Specialised Technologies programmes. The proposed changes could benefit patients by providing access to the most effective and cost-effective new treatments more quickly and will help the life sciences industry by increasing the opportunities for companies to help manage the introduction of their new technologies into the NHS. This consultation sets out a number of ways in which NICE and NHS England can provide an environment that encourages the life sciences industry and the NHS to work together in the best interests of patients. The closing date for comments is 13 January 2017.
NICE and NHS England have launched a consultation on changes to the arrangements for evaluating and funding drugs and other health technologies appraised through NICE’s Technology Appraisal and Highly Specialised Technologies programmes. The proposed changes could benefit patients by providing access to the most effective and cost-effective new treatments more quickly and will help the life sciences industry by increasing the opportunities for companies to help manage the introduction of their new technologies into the NHS. This consultation sets out a number of ways in which NICE and NHS England can provide an environment that encourages the life sciences industry and the NHS to work together in the best interests of patients. The closing date for comments is 13 January 2017.
A rapid review of evidence on the cost-effectiveness of interventions to improve the oral health of children aged 0-5 years
A rapid review of evidence on the cost-effectiveness of interventions to improve the oral health of children aged 0-5 years
These resources were developed to support local authorities investing in the local commissioning of oral health improvement programmes for pre-school children. They were commissioned from the York Health Economics Consortium and developed in partnership with Public Health England.
These resources were developed to support local authorities investing in the local commissioning of oral health improvement programmes for pre-school children. They were commissioned from the York Health Economics Consortium and developed in partnership with Public Health England.
Public Health England
Rapid review
ROI infographic
ROI interventions tool
Public Health England - publications
Rapid review
ROI infographic
ROI interventions tool
Public Health England - publications
NHS England sets out funding for GP infrastructure, indemnity and mental health
NHS England sets out funding for GP infrastructure, indemnity and mental health
Nearly 300 GP practices will receive premises or technology investment this year as part of a plan to invest £900m in general practice infrastructure by 2020/21, NHS England has announced.
Nearly 300 GP practices will receive premises or technology investment this year as part of a plan to invest £900m in general practice infrastructure by 2020/21, NHS England has announced.
GP Online
How do people with psychosis use online health information, and do they tell their clinicians?
How do people with psychosis use online health information, and do they tell their clinicians?
Sarah Knowles reviews a recent qualitative study of online mental health information seeking behaviour by people with psychosis.
Sarah Knowles reviews a recent qualitative study of online mental health information seeking behaviour by people with psychosis.
The Mental Elf
Doctors 'know too little about nutrition and exercise'
Doctors 'know too little about nutrition and exercise'
Letter from medics and dieticians calls for improvement in training to reduce lifestyle-related deaths
Most doctors are ill-equipped to tackle Britain’s increasing frequency of lifestyle-related diseases because they know worryingly little about how nutrition and exercise can improve health, a group of prominent medics has claimed.
“There is a lack of knowledge and understanding of the basic evidence for the impact of nutrition and physical activity on health among the overwhelming majority of doctors. This has its roots in the lack of early formal training,” they state in a letter to the Medical Schools Council (MSC) and General Medical Council (GMC).
Letter from medics and dieticians calls for improvement in training to reduce lifestyle-related deaths
Most doctors are ill-equipped to tackle Britain’s increasing frequency of lifestyle-related diseases because they know worryingly little about how nutrition and exercise can improve health, a group of prominent medics has claimed.
“There is a lack of knowledge and understanding of the basic evidence for the impact of nutrition and physical activity on health among the overwhelming majority of doctors. This has its roots in the lack of early formal training,” they state in a letter to the Medical Schools Council (MSC) and General Medical Council (GMC).
Guardian
Continue reading...
Continue reading...
How virtual reality is changing the game in healthcare
How virtual reality is changing the game in healthcare
UK hospitals are turning to simulation and the virtual world to train healthcare professionals in medical procedures
In a small operating theatre underneath University College London hospital, a team of cardiologists are in a race against time. They’re performing an angioplasty, a delicate and dextrous procedure where tiny wires are inserted into the heart to widen coronary arteries narrowed by plaque buildup. Things have gone badly wrong.
One of the wires has perforated the artery walls, causing a rapid leakage of blood. With fluid building up around the heart, the team must act quickly. A microscopic balloon has to be blown up inside the artery to stop further blood loss, before a drain is inserted through a tiny keyhole incision to remove the excess. This has to be done in less than five minutes to prevent the patient going into cardiac arrest.
UK hospitals are turning to simulation and the virtual world to train healthcare professionals in medical procedures
In a small operating theatre underneath University College London hospital, a team of cardiologists are in a race against time. They’re performing an angioplasty, a delicate and dextrous procedure where tiny wires are inserted into the heart to widen coronary arteries narrowed by plaque buildup. Things have gone badly wrong.
One of the wires has perforated the artery walls, causing a rapid leakage of blood. With fluid building up around the heart, the team must act quickly. A microscopic balloon has to be blown up inside the artery to stop further blood loss, before a drain is inserted through a tiny keyhole incision to remove the excess. This has to be done in less than five minutes to prevent the patient going into cardiac arrest.
Guardian
Wednesday, 19 October 2016
Northamptonshire among training pilot sites for new nursing role
Northamptonshire among training pilot sites for new nursing role Healthcare leaders in Northamptonshire have welcomed news that the county has been selected as a test site for training the first wave of nursing associates in the UK. Over 1,000 nursing associates will begin training across the UK this December in a new role that will sit alongside existing nursing care support workers and fully-qualified registered nurses to deliver hands-on care for patients. Northampton General Hospital
Guided Care: A Structured Approach to Providing Comprehensive Primary Care for Complex Patients
Guided Care: A Structured Approach to Providing Comprehensive Primary Care for Complex Patients In the Guided Care model, specially trained nurses create care plans, educate and support high-need patients and their caregivers, and coordinate care among providers, using formal assessment and planning tools to set priorities for stabilizing health and achieving patients’ goals. The Commonwealth Fund
Children's mental health services in 'emergency state'
Children's mental health services in 'emergency state' Children's mental health services are in a state of emergency and must be prioritised, a leading doctor has said.
The government has vowed to invest £1.4bn to transform young people's mental health services.
But Dr Richard Vautrey, a Leeds GP and deputy chair of the British Medical Association (BMA), said the government needs to "turn rhetoric into reality".
Figures show one in 50 children under 18 are in contact with specialist mental health services in England. BBC News
The government has vowed to invest £1.4bn to transform young people's mental health services.
But Dr Richard Vautrey, a Leeds GP and deputy chair of the British Medical Association (BMA), said the government needs to "turn rhetoric into reality".
Figures show one in 50 children under 18 are in contact with specialist mental health services in England. BBC News
Widespread Inequality Is At The Root Of The UK's Mental Health Crisis
Widespread Inequality Is At The Root Of The UK's Mental Health Crisis Setting out her One Nation agenda and making a clear break from the past, Theresa May used her first speech as Prime Minister to highlight the need to tackle social injustice. This rhetoric is welcome; but we must also be clear it can never translate into reality if the alarming situation in mental health is not resolved.
The high levels of health inequalities in the UK, especially within mental health, make this all the more urgent. Those in poverty are more likely to suffer from poor mental health than others, and at points in their life when we know people are vulnerable - infancy, childhood, and during poor physical health - they are not receiving enough support to prevent lasting mental health problems. Huffington Post UK
See also:
The high levels of health inequalities in the UK, especially within mental health, make this all the more urgent. Those in poverty are more likely to suffer from poor mental health than others, and at points in their life when we know people are vulnerable - infancy, childhood, and during poor physical health - they are not receiving enough support to prevent lasting mental health problems. Huffington Post UK
See also:
Failing national drugs policy behind rising death toll, say experts
Failing national drugs policy behind rising death toll, say experts We must learn lessons from our failing drugs policy in England, experts have warned in The BMJ this morning. They argue in theireditorial* that the current situation is a public health and primary care emergency. They call for better support for GPs looking after an ageing cohort of opiate users, better commissioning of services and more coordinated work between the NHS and local authorities.
Office for National Statistics figures published last month showed that, between 2012 and 2015, total drug-related deaths in England and Wales increased by 65.7% and opioid-related deaths by 107%. Professor John Middleton, president of the Faculty of Public Health, and co-authors pointed out that actual mortality associated with drug use is even higher, as these figures exclude deaths from bloodborne viruses and other conditions related to use of illegal drugs. OnMedica
Office for National Statistics figures published last month showed that, between 2012 and 2015, total drug-related deaths in England and Wales increased by 65.7% and opioid-related deaths by 107%. Professor John Middleton, president of the Faculty of Public Health, and co-authors pointed out that actual mortality associated with drug use is even higher, as these figures exclude deaths from bloodborne viruses and other conditions related to use of illegal drugs. OnMedica
Digital health devices are great - but the people who really need them can't afford them, warns public health professor
Digital health devices are great - but the people who really need them can't afford them, warns public health professor These technologies, such as activity trackers and blood pressure and glucose monitors, empower patients with the necessary information to better manage their conditions. The Daily Mail
The parents in denial about their children being fat: Just 9% consider their offspring overweight while half reward good behaviour with unhealthy snacks
The parents in denial about their children being fat: Just 9% consider their offspring overweight while half reward good behaviour with unhealthy snacks Just 9 per cent of children are considered overweight by their family – even though NHS figures show almost a third of two- to 15-year-olds are. The Daily Mail
Tuesday, 18 October 2016
New role created at Northampton General Hospital for victims of domestic violence
New role created at Northampton General Hospital for victims of domestic violence Northampton General Hospital has created a new role to strengthen the support it gives to patients at risk of domestic abuse .
Claire, an Independent Domestic Violence Advisor (IDVA) working for Northamptonshire Sunflower Centre, is now based at the hospital to offer advice and guidance to adults who have experienced domestic abuse and are at risk of injury, harm or homicide.
Claire will also introduce new training for our staff to help them to recognise signs of abuse and to act safely and appropriately to signpost and support them.
She will be based initially in the hospital's maternity offices working alongside the hospital's safeguarding midwives. Northants Herald and Post
See also:
Claire, an Independent Domestic Violence Advisor (IDVA) working for Northamptonshire Sunflower Centre, is now based at the hospital to offer advice and guidance to adults who have experienced domestic abuse and are at risk of injury, harm or homicide.
Claire will also introduce new training for our staff to help them to recognise signs of abuse and to act safely and appropriately to signpost and support them.
She will be based initially in the hospital's maternity offices working alongside the hospital's safeguarding midwives. Northants Herald and Post
See also:
- New hospital-based role to support patients at risk of domestic abuse Northampton General Hospital
Guidance: Safer maternity care
Guidance: Safer maternity care The Safer Maternity Care action plan from the Department of Health is part of the national ambition to halve rates of stillbirths, neonatal deaths, maternal deaths and brain injuries that occur during or shortly after birth, by 2030.
It is supported by a national package of measures and funding including:
It is supported by a national package of measures and funding including:
- an £8 million maternity safety training fund to support trusts to drive improvements in maternity safety
- the launch of ‘Our Chance’ campaign, targeted towards pregnant women and their families to raise awareness of the symptoms that can lead to stillbirth
- a £250,000 maternity safety innovation fund to support local maternity services to create and pilot new ideas
- a new National Quality Improvement Programme for all trusts.
- Maternity ratings for clinical commissioning groups across England will be published to benchmark local areas, help identify those areas needing improvement and examples of the best practice
Open consultation: Providing a 'safe space' in healthcare safety investigations
Open consultation: Providing a 'safe space' in healthcare safety investigations The proposal outlined in this consultation will legally ensure that information that staff provide as part of a health service investigation will be kept confidential except where there is an immediate risk to patient safety, or where the High Court makes an order permitting disclosure. This broadly mirrors the procedures followed in air accidents investigations. Department of Health
The NHS partners with Twitter to help shed light on what it means to work or be a patient in the NHS
The NHS partners with Twitter to help shed light on what it means to work or be a patient in the NHS A pioneering new initiative to lift the lid on the NHS through the voices of the people on its frontline goes live today with the launch of the @NHS Twitter account.
A UK first, @NHS will see a different NHS patient or member of its 1.3 million staff become curator each week over a three month pilot and report first hand their experiences of the health service. NHS England
A UK first, @NHS will see a different NHS patient or member of its 1.3 million staff become curator each week over a three month pilot and report first hand their experiences of the health service. NHS England
Inquiry call over NHS health provider's finances
Inquiry call over NHS health provider's finances An MP is demanding the health secretary investigates how a private firm running dozens of GP surgeries and NHS walk-in centres is handling its finances.
Integral Medical Holdings (IMH), which controls 50 NHS sites, swapped its debts for loan notes to its parent company, which is based in The Bahamas.
It essentially means taxpayers' money given to IMH ends up paying off interest of 20%.
IMH said the system allowed flexibility over when debts were repaid. BBC News
Integral Medical Holdings (IMH), which controls 50 NHS sites, swapped its debts for loan notes to its parent company, which is based in The Bahamas.
It essentially means taxpayers' money given to IMH ends up paying off interest of 20%.
IMH said the system allowed flexibility over when debts were repaid. BBC News
Sussex NHS mental health trust criticised over killings by patients
Sussex NHS mental health trust criticised over killings by patients A mental health trust underestimated the risk posed by its patients and sometimes did not act on threats to kill, a review of 10 killings over eight years has found.
The review examined deaths linked to Sussex Partnership NHS Foundation Trust patients between 2007 and 2015.
It found killings by Kayden Smith in 2012 and Roger Goswell in 2007 had been "preventable" and "predictable".
The trust has apologised and offered its condolences to families. BBC News
See also:
The review examined deaths linked to Sussex Partnership NHS Foundation Trust patients between 2007 and 2015.
It found killings by Kayden Smith in 2012 and Roger Goswell in 2007 had been "preventable" and "predictable".
The trust has apologised and offered its condolences to families. BBC News
See also:
- An independent thematic review ofinvestigations into the care and treatment provided to service users who committed ahomicide and to a victim of homicide Sussex
Partnership NHS Foundation Trust - Sussex deaths BBC News
- Review of 10 killings uncovers failings at NHS mental health trust that 'severely underestimated' risk posed by patients The Daily Telegraph
- NHS trust criticised for underestimating risk posed by patients who killed people The Guardian
- NHS Trust criticised for failings after 'killings' involving people with links to its mental health services ITV News
Ambulance patients face long A&E delays
Ambulance patients face long A&E delays Thousands of patients taken to hospital by ambulance face long delays before being seen by accident and emergency staff, figures for England show. BBC News
Threat to name NHS trusts over high agency spending
Threat to name NHS trusts over high agency spending NHS bosses are threatening to "name and shame" trusts in England as they try to crack down on agency spending. BBC News
Every 1% saved from chaotic NHS procurement could save £220m
Every 1% saved from chaotic NHS procurement could save £220m If health secretary Jeremy Hunt took a tougher line over procurement, the millions saved could pay for thousands more junior doctors
Last week, when she met Simon Stevens, the chief executive of NHS England, prime minister Theresa May dashed any hopes of a cash boost in next month’s autumn statement.
But there is one area of NHS England spending that has not yet come sufficiently under the microscope: procurement. Every 1% reduction – a reasonably conservative target – in hospital trusts’ annual procurement expenditure of £22bn could, for instance, pay for more than 4,000 extra junior doctors. Continue reading... The Guardian
Last week, when she met Simon Stevens, the chief executive of NHS England, prime minister Theresa May dashed any hopes of a cash boost in next month’s autumn statement.
But there is one area of NHS England spending that has not yet come sufficiently under the microscope: procurement. Every 1% reduction – a reasonably conservative target – in hospital trusts’ annual procurement expenditure of £22bn could, for instance, pay for more than 4,000 extra junior doctors. Continue reading... The Guardian
Hospital deficits could force NHS to divert money meant for improving care
Hospital deficits could force NHS to divert money meant for improving care Trusts in England will have £5.4bn made available to them until 2019 to help wipe out deficits, threatening plans to overhaul delivery of care, says thinktank
The NHS expects hospitals to go on racking up such large deficits in the next few years that it will have to divert £5.4bn earmarked for improving patient care to prop them up, experts claim.
NHS trusts in England, which recorded a collective deficit of £2.45bn last year, are meant to reduce their overspending this year to only £580m to help tackle the service’s acute financial problems. Continue reading... The Guardian
The NHS expects hospitals to go on racking up such large deficits in the next few years that it will have to divert £5.4bn earmarked for improving patient care to prop them up, experts claim.
NHS trusts in England, which recorded a collective deficit of £2.45bn last year, are meant to reduce their overspending this year to only £580m to help tackle the service’s acute financial problems. Continue reading... The Guardian
Third of people worry the NHS will share their personal data
Third of people worry the NHS will share their personal data More than 2,000 British adults were surveyed for a European-wide campaign known as eTRIKS - which tries to increase the sharing of patient data among scientific studies for medical breakthroughs. The Daily Mail
Monday, 17 October 2016
Parking charges at Northampton General Hospital among most expensive in the country
Parking charges at Northampton General Hospital among most expensive in the country Patients at Northampton General Hospital are paying some of the highest parking prices in England, new figures have revealed.
The cost to park at NGH is the sixth highest in the country, with patients and visitors forced to fork to £3.10 for a one-hour visit (price for 0-3 hours).
This is higher than the The Royal Free Hospital in London (at £3), while the most expensive is the Royal Surrey County Hospital where it costs £4.
These prices have been revealed this week as part of a Freedom of Information request by the Press Association. Northampton Herald and Post
The cost to park at NGH is the sixth highest in the country, with patients and visitors forced to fork to £3.10 for a one-hour visit (price for 0-3 hours).
This is higher than the The Royal Free Hospital in London (at £3), while the most expensive is the Royal Surrey County Hospital where it costs £4.
These prices have been revealed this week as part of a Freedom of Information request by the Press Association. Northampton Herald and Post
Commitments to increase mental health funding not reaching the front line
Commitments to increase mental health funding not reaching the front line
Promised increases in funding for mental health services have not materialised in many areas of the country, according to a new analysis.
The analysis shows that 40 per cent of mental health trusts saw their income fall in 2015/16. This is despite the government’s commitment to parity of esteem for mental health and assurances from NHS England that almost 90 per cent of plans submitted by clinical commissioning groups (CCGs) last year included mental health funding increases. NHS England had made it clear that it expected CCGs to increase mental health funding in 2015/16.
The findings are based on analysis of the annual accounts of all 58 mental health trusts in England. Given that mental health trusts provide about 80 per cent of all mental health care, the fact that income fell in so many trusts last year provides a clear indication that the promised funding increases are not reaching the front line. The analysis also showed that a higher proportion of trusts ended the year in deficit than in previous years. The King's Fund
See also:
Promised increases in funding for mental health services have not materialised in many areas of the country, according to a new analysis.
The analysis shows that 40 per cent of mental health trusts saw their income fall in 2015/16. This is despite the government’s commitment to parity of esteem for mental health and assurances from NHS England that almost 90 per cent of plans submitted by clinical commissioning groups (CCGs) last year included mental health funding increases. NHS England had made it clear that it expected CCGs to increase mental health funding in 2015/16.
The findings are based on analysis of the annual accounts of all 58 mental health trusts in England. Given that mental health trusts provide about 80 per cent of all mental health care, the fact that income fell in so many trusts last year provides a clear indication that the promised funding increases are not reaching the front line. The analysis also showed that a higher proportion of trusts ended the year in deficit than in previous years. The King's Fund
See also:
New birth injuries compensation scheme announced
New birth injuries compensation scheme announced The government is proposing a new system for compensating parents in England for injuries to babies during birth, which will allow medical staff to speak openly. BBC News
See also:
See also:
- Tripling in NHS legal bills for catastrophic childbirth blunders The Daily Telegraph
- Maternity wards in England to be rated by safety record The Guardian
Investigation over cancer 'cure' GcMAF in health food shop
Investigation over cancer 'cure' GcMAF in health food shop An undercover investigation by 5 live Investigates has found an unlicensed blood product being sold illegally in the UK to treat cancer. BBC News
Midwives: NHS spending on agency staff in England doubles to £25m
Midwives: NHS spending on agency staff in England doubles to £25m The NHS in England spent £25m on agency midwives last year - more than double the figure for 2013, a report from the Royal College of Midwives says. BBC News
See also:
See also:
- NHS midwife agency spend could solve midwife shortage says RCM in new report Royal College of Midwives
- Doubling in NHS agency spending with £50 hourly rates for midwives The Daily Telegraph
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