Friday, 13 October 2017

Accountable care: policy fad or step forward on the journey towards integrated care?

Accountable care: policy fad or step forward on the journey towards integrated care? Accountable care is under discussion almost everywhere in the NHS. Groups of NHS providers (sometimes with the local commissioner) are exploring how they can work more closely together to take on the responsibility for the health and care of a given population within a given budget. Currently, we are seeing emerging accountable care arrangements adopting various forms according to local needs and preferences: in some areas the focus is on creating a single organisation; in others, organisations are keen to use the words ‘system’ or ‘partnership’ – to reinforce the notion of working together. The King's Fund

Falling number of nurses in the NHS paints a worrying picture

Falling number of nurses in the NHS paints a worrying picture Pressures on nursing staff and the potential impact on patients are again in the news just as Jeremy Hunt promises more nursing training places – for good reason as the latest NHS workforce statistics show.

The number of nurses employed in the NHS follows a stable seasonal pattern. Numbers rise in the autumn as newly qualified staff complete their training and then decline again until the following summer as some staff resign or retire, before beginning the cycle once more as another year’s newly qualified staff arrive.  The King's Fund

Sustainability and transformation partnerships: developing robust governance arrangements

Sustainability and transformation partnerships: developing robust governance arrangements This briefing includes a diagnostic tool to assess the status of governance arrangements arising from ‘at scale’ working. Completing the tool will provide a basis for discussion by the board/ governing body and/ or audit committee of an NHS body when seeking assurance about developing governance arrangements. Healthcare Financial Management Association

Of primary importance: commissioning mental health services in primary care

Of primary importance: commissioning mental health services in primary care This report showcases programmes that are embedding mental health in primary care and draws out advice from the commissioners and practitioners involved in their development and delivery. It highlights projects where CCGs and their partners are delivering better care for patients, working across the boundaries between physical and mental health, as well as health and social care, while at the same time reducing pressure on GPs and hospitals. NHS Clinical Commissioners

Antibiotics 'may be lost' through overuse, says chief medical officer

Antibiotics 'may be lost' through overuse, says chief medical officer Antibiotics 'may be lost' through overuse, says chief medical officer.


England's chief medical officer is urging global leaders to tackle the growing threat of antibiotic resistance.

Medical experts say these drugs are being used too much, and that 25,000 people die across Europe each year because of drug-resistant infections. BBC News

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Norfolk and Suffolk mental health trust back in special measures

Norfolk and Suffolk mental health trust back in special measures A mental health trust has been put back in special measures after its board "failed" to address serious concerns raised since 2014, a report says.

The Care Quality Commission (CQC), which rated the Norfolk and Suffolk NHS Foundation Trust (NSFT) as inadequate, has called for a host of improvements.

It is the only such trust in England to be put in special measures and only came out in October last year.

The NSFT said it was "disappointed" by the report. BBC News

Jeremy Hunt: Is government on track with more GPs promise?

Jeremy Hunt: Is government on track with more GPs promise? Addressing a room full of doctors, Health Secretary Jeremy Hunt reminded the audience of his promise in 2015 that there would be 5,000 more general practitioners working in the NHS in England by 2020.

We're halfway to Mr Hunt's deadline - so how is the government doing at meeting this target?

In 2015, there were about 34,500 GPs working in the NHS in England. The government wants there to be about 39,500 by 2020. BBC News

NHS urges 1.4m staff to have flu jab to reduce risk of epidemic

NHS urges 1.4m staff to have flu jab to reduce risk of epidemic Bosses write to workers saying they should get vaccinated as soon as possible – and must give a reason for refusing to do so.

NHS bosses are writing to all 1.4 million staff to say they must have the winter flu jab as soon as possible to reduce the risk of them infecting patients who might die. Continue reading... The Guardian

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‘Some see crying in front of patients as unprofessional. Most see it as being human’

‘Some see crying in front of patients as unprofessional. Most see it as being human’ A sense of shared sorrow or a weakness? An NHS chief executive, a paramedic, doctors and nurses weigh in on whether tears are a good thing or not

Working in healthcare can be emotionally fraught. Not only are staff working under increasing pressure but they are faced with humanity at its most vulnerable. They encounter death and witness in a week more than what most people might see over a lifetime.

Compassion is also a key part of any role in healthcare. It’s only natural that staff should need an emotional release under such circumstances. But is crying in front of patients a good idea? Does it detract from their grief or does it help professionals seem more human? Six healthcare professionals share their experiences.

The emotion of the moment ​​shouldn’t be about the doctor – it’s about the patient ​and their family Continue reading... The Guardian

NHS surgery waiting lists highest level in almost a decade

NHS surgery waiting lists highest level in almost a decade The number of patients waiting too long for routine operations is at its highest level in almost a decade, NHS figures reveal.

More than 400,000 patients have been waiting at least 18 weeks for procedures including hip and knee replacements and cataract surgery.

This is the highest number since September 2008 and prompting experts to warn that hospitals were going backwards.

Under the NHS Constitution, its rulebook, patients have a right to have an operation or procedure within 18 weeks of being referred by their consultant.

But figures for August show that 1 in 10 patients were waiting longer - only 89.4 per cent were treated within this 18 week target. The Daily Mail

Dementia stays as the leading cause of death

Dementia stays as the leading cause of death For the second-year running, the neurological disorder has claimed more lives than heart disease in England and Wales. It was responsible for 62,948 deaths registered in 2016. The Daily Mail

Air pollution kills over 500,000 Europeans a year

Air pollution kills over 500,000 Europeans a year Air pollution causes more than 500,000 premature deaths across Europe each year despite 'slowly' improving air quality on the continent, the EU's environment authority.

Although data from the Copenhagen-based European Environment Agency (EEA) reveals some encouraging signs, in large part the result of new technologies, air pollution remains the leading environmental cause of premature death in the region.

In its latest report, the EAA said 520,400 premature deaths in 41 European countries were caused by air pollutants generated by the burning of fossil fuels in 2014, compared with 550,000 in 2013. The Daily Mail

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