Wednesday, 30 November 2016

Market structure, patient choice and hospital quality for elective patients

Market structure, patient choice and hospital quality for elective patients This paper examines the change in the effect of market structure on hospital quality for elective procedures following changes in 2006 to encourage greater patient choice of hospital in England. The study finds that post-2006, hospital quality was reduced as the probability of emergency readmission was increased for hip and knee replacement patients. Centre for Health Economics

Ambulance crews 'struggle to reach 999 calls'

Ambulance crews 'struggle to reach 999 calls' Ambulance services are struggling to reach seriously ill and injured patients quickly enough after rising demand has left the system at breaking point, a BBC investigation has found.

Patients with life-threatening conditions - like cardiac arrests - are meant to be reached in eight minutes.

But only one of the UK's 13 ambulance services is currently meeting its target.

Ambulance bosses are blaming rising demand and pressure in the system. BBC News

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New nursing apprentice role announced

New nursing apprentice role announced Aspiring nurses can soon enrol on a new on-the-job apprenticeship role, the government says.

From September 2017, up to 1,000 NHS staff will be able to take up the training without having to go down the conventional university route to get a nursing degree.

Health Secretary Jeremy Hunt says it complements the nursing associate role announced a year ago.

Both initiatives aim to offer flexible routes into nursing in England.

They might also give students an affordable way to train, since ministers plan to scrap student bursaries for nurses in September 2017. BBC News

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Give pharmacists more prescribing rights to ease GP burden

Give pharmacists more prescribing rights to ease GP burden Community pharmacists should routinely be allowed to prescribe for long-term conditions (LTCs) as well as to refer people with LTCs directly to other health care professionals, to “ease the overwhelming burden on the NHS”, pharmacy leaders said this morning. They said they have spare capacity in their workforce, and they pointed to new evidence that non-medical prescribers are just as effective as doctors – yet very few pharmacists currently prescribe.

The Royal Pharmaceutical Society will launch Frontline pharmacists: Making a difference for people with long term conditions at the House of Commons, in which it argues that “pharmacists have a crucial role to play in the support of people with LTCs”. OnMedica

Women with PMS 'should be offered psychological therapy', say Royal College experts

Women with PMS 'should be offered psychological therapy', say Royal College experts Women with premenstrual syndrome (PMS) should be offered therapy, experts have said.

New guidelines for healthcare workers suggest that women who have a diagnosed case of PMS should be offered cognitive behavioural therapy.

Experts from the Royal College of Obstetricians and Gynaecologists (RCOG) have devised the guidance to help those caring for women with the condition. The Independent

Life expectancy in UK rises but years spent in good health fall

Life expectancy in UK rises but years spent in good health fall ONS says people living longer but increase in proportion of time they experience bad health will put pressure on services

Life expectancy in the UK continues to rise, but the number of years spent in bad health is increasing, official statistics show.

Life expectancy for a newborn boy increased to 79.2 in 2013-15, compared with 78.5 in 2009-11, while for newborn girls it rose from 82.5 to 82.9. Continue reading... The Guardian

The squeezed NHS is responding to difficult times by innovating

The squeezed NHS is responding to difficult times by innovating Our report on the state of the health service paints a gloomy picture — but also highlights providers’ resilience and ingenuity

Times are hard for the health service: performance is on the decline, the money doesn’t add up, morale is low, there are finite resources and increasing demand. Is it a perfect storm? Or a very long winter of discontent?

NHS Providers has published its new report, The State of the Provider Sector, which gives a clear appraisal — and the picture is, in places, quite gloomy. But we also show how hospitals, mental health, community and ambulance services are responding with ingenuity in such challenging times. Continue reading... The Guardian

Why too many people are still scared of seeking help for their mental health 

Why too many people are still scared of seeking help for their mental health We are living through an era of profound change in our attitudes and behaviours towards mental health. For too long, mental health problems have been associated with weakness, with failure, and as a result too many sufferers have kept their conditions hidden, bottling up problems that can eventually be catastrophic for them, their families, their colleagues and the public.

Now this is changing. But there is still a long way to go. And the further we are able to normalise the diagnosis, and treatment, of mental health issues, the better off we will all be. The Daily Telegraph

NHS workers 'are quitting to stack shelves because it pays more'

NHS workers 'are quitting to stack shelves because it pays more' Low-paid NHS workers are quitting to stack shelves in supermarkets because they can earn more money for less stress, the leader of NHS hospitals has said.

Chris Hopson, chief executive of NHS Providers, which represents hospitals, said workers were leaving because pay in the health service had not kept up with rises in some parts of the private sector.

Mr Hopson said the health service was struggling to hire and retain staff because pay restraint in the NHS meant pay was “starting to become uncompetitive in certain areas”. The Daily Telegraph