Monday 30 April 2018

Northamptonshire County Council: Adult service users 'in crisis'

Northamptonshire County Council: Adult service users 'in crisis' Users of a cash-strapped council's adult social services are in "crisis" and its staff are "stressed", according to a former employee.

Nicki Slawson, a nurse and ex-care manager at Northamptonshire County Council, works for a law firm taking on cases where people are struggling to access social care funding.

In March, an inspector's report said the council "should be scrapped".

The authority said the service is "making good progress". BBC Northampton

Survey launched asking Northamptonshire's teenagers if they know where to go for help with their mental health

Survey launched asking Northamptonshire's teenagers if they know where to go for help with their mental health Children and young people in Northamptonshire are being asked to shape how they can find help with their emotional health and wellbeing.

A survey asking Northamptonshire's young people about their wellbeing has been launched to find if they have the support they need in the county. Northamptonshire Telegraph

Alcohol and mental health: policy and practice in England

Alcohol and mental health: policy and practice in England This report highlights that people who have difficulties with alcohol and mental health are still not getting the help and support they need. It is based on a survey and seminar session held with professionals working in mental health and/or alcohol services across the country. It finds that co-morbidity is a barrier to treatment, and support for people with co-occurring alcohol and mental health problems is too often poor and fragmented. Centre for Mental Health

NHS medicines provision: a tricky balancing act

NHS medicines provision: a tricky balancing act Providing new medicines costs money. Indeed, the introduction of new technologies, including drugs, is one of the main causes of the growth in spending on health care. But at a time when the NHS budget is rising very slowly this creates a tension which has potentially significant implications for patients. The King's Fund

Cancer workforce in England: A census of cancer, palliative and chemotherapy speciality nurses and support workers in England in 2017

Cancer workforce in England: A census of cancer, palliative and chemotherapy speciality nurses and support workers in England in 2017 Macmillan commissioned a census in order to better understand the specialist adult cancer nursing and support workforce in England. It provides a snapshot of the workforce on a single day: 9 October 2017. NHS Trusts submitted data from their organisations. Macmillan Cancer Support

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Health bosses criticise visa rules for doctors

Health bosses criticise visa rules for doctors Immigration rules are hampering the ability of the NHS to recruit doctors, health leaders are warning.

The number of skilled non-EU workers granted UK visas is capped - with the Home Office arguing the restriction is in "the national interest".

But NHS bosses say increasing numbers of doctors are being refused permission, worsening rota gaps and the waits patients face for treatment. BBC News

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Body cameras deter attacks and abuse at Welsh hospitals

Body cameras deter attacks and abuse at Welsh hospitals Body cameras are being used to record attacks and abuse towards hospital staff at five of Wales' health boards in a bid to deter violent behaviour.

Aneurin Bevan is the latest to give security staff the cameras after 15,113 incidents in the last five years.

One A&E nurse said he was threatened on a weekly basis and once had a patient grab him by the throat.

He said the cameras meant "it's no longer just our word against theirs". BBC News

'The NHS treatment that caused my cancer'

'The NHS treatment that caused my cancer' A High Court judge is starting work this week as chairman of a public inquiry into the biggest treatment scandal in NHS history. Tens of thousands want answers after being infected with hepatitis C and HIV from contaminated blood products.

"It's become a life of sickness, illness, worry, anxiety," Steve Dymond tells the BBC's Victoria Derbyshire programme.

"It is not the life I imagined, in terms of dreams, in terms of ambitions."

In 2016, Steve had a tumour removed from his liver. BBC News

DJ found in contempt of court after NHS compensation bid

DJ found in contempt of court after NHS compensation bid A DJ who tried to claim £837,000 from the NHS for negligence has been found in contempt of court.

Sandip Singh Atwal, 33, from Birmingham, went to hospital for injuries to his hands and lip after being attacked in 2008.

He said the treatment he received was negligent, and had left him unemployed and dependent.

But the DJ was filmed working as a courier and dancing in a music video for a single he also released.

It is thought to be the first time an NHS trust has brought such proceedings. BBC News

NHS frontline staff watch children die, but managers tell us to keep it to ourselves

NHS frontline staff watch children die, but managers tell us to keep it to ourselves I find it naive a data manager can tell me that, having kept a stiff upper lip at work during an awful shift, I cannot tell the person closest to me a bit about my day. The Independent

Supermarket breast cancer screening to be offered by NHS 

Supermarket breast cancer screening to be offered by NHS Women will be offered breast cancer screening while they shop, under NHS plans to harness space technology.

Breast screening vans will be sent to supermarkets across the country in schemes to drive up detection rates, meaning women can receive results within days.

Officials hope that making checks more convenient will mean thousands of cases are picked up earlier - when the disease is more treatable. The Daily Telegraph

Lots of talk but little action means we risk losing the arms race against superbugs

Lots of talk but little action means we risk losing the arms race against superbugs Next month will mark the two-year anniversary of the publication of the review into antimicrobial resistance(AMR) that I led for the then Prime Minister, David Cameron.

Leading that review was possibly the most stimulating job I have ever done, not only because of its importance, but also because of the global nature of the antimicrobial resistance threat, and the complexity and diversity of issues the challenge presented.

In our review we outlined a scenario showing that, if we lose the arms race against bacteria, 10 million lives could be lost globally by 2050. Yes, 10 million, on top of the accumulated economic cost of those deaths and lost productivity to the world economy of $100 trillion. The Daily Telegraph

Homeopaths are offering 'fake' autism cures

Homeopaths are offering 'fake' autism cures Homeopaths across the UK are offering a ‘bogus’ therapy that claims to heal autism.

The National Autistic Society has strongly criticised CEASE therapy, which is based on the belief that vaccines contribute to autism and prescribes massive amounts of vitamin C to ‘nourish the brain’.

The Professional Standards Authority, which oversees homeopaths, has said it is concerned that CEASE - which stands for Complete Elimination of Autistic Spectrum Expression - ‘strongly implies the ability to cure autism’. The Daily Mail

Friday 27 April 2018

The Montefiore Health System in New York: integrated care and the fight for social justice

The Montefiore Health System in New York: integrated care and the fight for social justice The Montefiore Health System in the Bronx, New York, has found ways of helping even the most deprived by stepping beyond the bounds of conventional health services. The King's Fund

Facing the future audit 2017: standards for acute general paediatric services

Facing the future audit 2017: standards for acute general paediatric services This report highlights the struggle hospitals face to meet standards that provide children with high quality, safe and consistent healthcare. It calls on the government to expand the consultant workforce to help units increase consultant presence at peak times and improve the standard of hospital care. Royal College of Paediatrics and Child Health

Are NHS mental health therapies working for everyone?

Are NHS mental health therapies working for everyone? A recently published briefing on mental health statistics in England looked at on how common mental health problems are, and how NHS mental health services are performing.

Here is a discussion on one key finding: mental health treatments appear to be working much better for some groups of people, while minority groups are experiencing worse outcomes. This raises questions as to whether NHS psychological therapies in England are working for everyone. House of Commons Library

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Migrant rules 'leaving NHS short of doctors'

Migrant rules 'leaving NHS short of doctors' Immigration rules are hampering the ability of the NHS to recruit doctors, health leaders are warning.

The number of skilled non-EU workers granted UK visas is capped - with the Home Office arguing the restriction is in "the national interest".

But NHS bosses say increasing numbers of doctors are being refused permission, worsening rota gaps and the waits patients face for treatment.

It comes amid a row after visas for 100 Indian doctors were refused. BBC News

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'Don't panic' over medicines' link to dementia, says expert

'Don't panic' over medicines' link to dementia, says expert A study has suggested that taking some medicines increases the risk of patients getting dementia.

However, Dr Ian Maidment of Aston University, who is one of the investigators, has told people "not to panic" and to consult their doctors as the risks of not taking certain drugs can be outweighed by the benefits of staying on them. BBC News

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NHS hospitals dealing with thousands of pest problems and sewage leaks as outstanding maintenance bills top £17m

NHS hospitals dealing with thousands of pest problems and sewage leaks as outstanding maintenance bills top £17m NHS trusts are having to pay millions in maintenance bills to tackle pest infestations and leaky sewage pipes and roofs, after funding for repairs was instead raided by ministers to keep the health service running. The Independent

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NHS preparing to offer ‘game-changing’ cancer treatment

NHS preparing to offer ‘game-changing’ cancer treatment Health service chief calls for affordable access to CAR-T, which modifies immune system to destroy cancer cells

The NHS is preparing to fast-track a “game-changing” cancer treatment into hospitals, its chief executive has said, calling for the manufacturers to help by setting an affordable price.

Simon Stevens said CAR-T therapy, which has been licensed in the US but not yet in the UK, could be approved for use this year. The treatments, which are hugely expensive, work by genetically engineering the patient’s immune system’s killer T-cells to recognise and destroy cancer cells.Continue reading... The Guardian

Of course we can pay for the NHS. We can’t afford not to

Of course we can pay for the NHS. We can’t afford not to The message from the Darzi review is clear: politicians must stop treating the health and social care system as a liability

“You’re always playing catch-up, from the minute you start. What we used to consider a busy day 10 years ago … is now quite nice. You worry you’re not giving people the care they deserve. You’re giving [them] the bare minimum you can … It’s not what you go into nursing for. If somebody said to me now that they wanted to go into nursing, I would say don’t.”

That’s the view of one nurse with over 10 years’ experience working in the NHS. Spring is upon us, but this year’s winter crisis – officially the worst on record – is still fresh in the minds on NHS staff. Operations cancelled, queues outside A&E, and people waiting on trolleys in corridors for treatment. Experts such as the British Medical Association suggest that this is “the new normal”: pressures on the NHS during the summer are set to equal those of winters in years gone by. Continue reading... The Guardian

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Skype GP consultations will be the norm within 10 years, head of NHS review says 

Skype GP consultations will be the norm within 10 years, head of NHS review says Virtual consultations with doctors could be more common than seeing medics in person within a decade, the man leading a review of NHS technology has said.

Genetist Dr Eric Topol has been commissioned by the Health Secretary to examine the NHS approach to genomics, robotics and artificial intelligence. The Daily Telegraph

Figures reveal emergence of pan-resistant infections 

Figures reveal emergence of pan-resistant infections Untreatable superbugs have affected 36 patients in England, new figures obtained by the Telegraph show.

Public Health England (PHE) recorded 36 cases of pan-resistant-infections between April 2013 and February 2018, this includes the patient who picked up "super-gonorrhoea" in south east Asia which was resistant to the two most commonly used antibiotics. The Daily Telegraph

Hospital boss bans employees from telling patients trust is short-staffed

Hospital boss bans employees from telling patients trust is short-staffed A hospital boss has come under fire for banning his employees from telling patients that wards are short-staffed.

Nick Hulme, chief executive of Colchester General Hospital, gave the order after it emerged patients felt they didn't see enough nurses on duty.

Speaking at a meeting of the trust's board of directors, he said: "No member of staff should ever tell a patient we are short-staffed". The Daily Telegraph

Leaked NHS documents reveal a large backlog of unreported scans

Leaked NHS documents reveal a large backlog of unreported scans Hospitals have reported a surge in the number of patients waiting for the results of X-rays and scans, leaked documents show.

On average, there were 2,800 'unreported' scans per NHS trust at the end of the 2016-17 year, an increase of 130 per cent.

But experts warn the true situation could be 'very much worse' as many radiologists are too busy to review scans - leading to a rise in 'auto-reporting'.

The NHS Benchmarking report, leaked to the Health Service Journal, looked at data from 95 anonymised NHS trusts. The Daily Mail

Thursday 26 April 2018

Rising spend on NHS medicines could jeopardise patients’ access to drugs, warns The King's Fund

Rising spend on NHS medicines could jeopardise patients’ access to drugs, warns The King's Fund NHS funding levels are failing to keep pace with growth in NHS spending on medicines, potentially compromising patients’ access to drugs, according to a new report from The King's Fund.

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New NMC figures continue to highlight ‘major concern’ as more EU nurses leave the UK

New NMC figures continue to highlight ‘major concern’ as more EU nurses leave the UK New figures from the NMC register which show a significant rise in the number of EU nurses and midwives leaving the register.

Between April 2017 and March 2018, 3,962 people left – an increase of 29 percent.

There continues to be a dramatic drop in those joining the register from the EU. Over the same period 805 EU nurses and midwives joined the register compared with 6,382 the year before – a drop of 87 percent.

Following a period of sustained decline the number of UK trained nurses and midwives registered to work appears to be stabilising. Those joining the register for the first time is at its highest level for four years while 4,034 fewer people left the register. Nursing and Midwifery Council

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Resources to support the safe adoption of the revised National Early Warning Score (NEWS2)

Resources to support the safe adoption of the revised National Early Warning Score (NEWS2) Failure to recognise or act on signs that a patient is deteriorating is a key patient safety issue. It can result in missed opportunities to provide the necessary care to give the best possible chance of survival.

Recognising and responding to patient deterioration relies on a whole systems approach and the revised National Early Warning Score (NEWS2), published by the Royal College of Physicians in December 2017, reliably detects deterioration in adults, triggering review, treatment and escalation of care. NHS Improvement

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Mental health counselling in primary schools could offer a six-fold return on investment, benefiting children’s economic future and creating savings for taxpayers

Mental health counselling in primary schools could offer a six-fold return on investment, benefiting children’s economic future and creating savings for taxpayers Mental health counselling in primary schools could offer a six-fold return on investment, benefiting children’s economic future and creating savings for taxpayers

With a one-year investment of £4.2 million1, charity Place2Be delivers one-to-one counselling to 4,548 children across 251 schools, generating a potential societal benefit of £25.9 million, says new report by Pro Bono Economics for Place2Be

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NHS needs '£50bn extra by 2030'

NHS needs '£50bn extra by 2030' The NHS needs £50bn more by 2030 in England, a former health minister and leading surgeon says.

The prediction, by Labour's Lord Darzi, comes after Prime Minister Theresa May said the government planned to devise a long-term funding plan for the health service.

There is speculation this will be unveiled during the 70th anniversary of the creation of the NHS in July.

Lord Darzi's report has been supported by both Tory and Lib Dem politicians. BBC News

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New prostate therapy recommended on NHS

New prostate therapy recommended on NHS A new treatment for non-cancerous enlargement of the prostate, a very common condition in older men, has been recommended for use by the NHS.

It's called prostate artery embolisation. And it blocks some of the blood supply to the prostate using tiny synthetic beads, causing the troublesome tissue to shrink and die.

Officials say there is good evidence that the non-invasive treatment works.

And it can spare men surgery and side-effects, such as impotence. BBC News

Thousands of pre-NHS healthcare photographs discovered

Thousands of pre-NHS healthcare photographs discovered Thousands of photographs documenting healthcare in Britain before the NHS was founded have been discovered.

The 4,050 images, taken between 1938 and 1943, were uncovered by staff at Historic England's archive in Swindon.

The images show blood transfusions and sterilising equipment, as well as healthcare staff enjoying time off.

Abigail Coats, from Historic England, said the photographs show "how far some medical developments have come" and "what has stayed unchanged". BBC News

Party leaders urge Theresa May to act on childhood obesity

Party leaders urge Theresa May to act on childhood obesity Jeremy Corbyn among those seeking curbs on TV advertising for junk food and discount deals

A ban on buy-one-get-one-free offers on junk food, as well as strict new rules on how and when it can be advertised, are among a host of measures aimed at tackling childhood obesity proposed by the leaders of the main opposition parties in a letter to the prime minister on Wednesday.

The letter, coordinated by the celebrity chef and healthy eating campaigner Jamie Oliver, also calls for action that would make healthier foods cheaper and easier to recognise, adding that the NHS is struggling to cope with the burgeoning obesity crisis. Continue reading... The Guardian

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Alfie Evans's father threatened private murder prosecution against doctors treating the toddler

Alfie Evans's father threatened private murder prosecution against doctors treating the toddler The father of Alfie Evans, the critically ill child at the centre of a bitter life-support dispute, threatened to take out a private prosecution for murder against doctors treating his son, it has emerged.

The Appeal Court heard on Wednesday that Tom Evans had talked of taking out the private prosecutions against three doctors for "conspiracy for murder".

Mr Justice Hayden decided at a hearing in the Family Division of the High Court in Manchester on Tuesday, that Alfie should not be allowed to leave Alder Hey Children's Hospital in Liverpool and travel to a hospital in Italy. The Daily Telegraph

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Homes of elderly should be used to fund social care, NHS head says

Homes of elderly should be used to fund social care, NHS head says Pensioners’ homes should be used to fund social care instead of major tax rises on those of working age, the head of the NHS has said.

Simon Stevens said the “accumulated housing wealth” held by older generations should be used to pay for their care, saying they were in a “relatively advantaged position” compared to younger generations.

The comments to MPs are set to spark a fierce political debate about how to tackle a growing crisis in elderly care. The Daily Telegraph

Patients are overdosing on paracetamol due to a shortage of dentists

Patients are overdosing on paracetamol due to a shortage of dentists Patients with dental pain are overdosing on painkillers because they are unable to access professional treatment, claims a new report.

The two-year study found that 38 per cent of emergency admissions for paracetamol overdose were a direct result of dental pain.

Paracetamol overdosing can occur after taking too much paracetamol over a number of hours or days, leading to liver failure, which may be fatal.

The study comes as Britain is gripped by a dental crisis, which has meant charities, normally assisting third world countries, have been forced to step in and help British patients as dentists are too busy to treat them. The Daily Mail

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Wednesday 25 April 2018

Nursing in the digital age

Nursing in the digital age The Queen’s Nursing Institute has launched a major new report on the use of digital and information technology at its conference for Queen’s Nurses on 23rd of April.

The new report, ‘Nursing in the Digital Age – Using Technology to Support Patients at Home’is based on a survey of over 500 nurses working in the community, the document revisits a subject first analysed by the QNI in its 2012 publication, ‘Smart New World’.

The new report seeks to determine how far new healthcare information technology has changed in the previous six years and how skills and attitudes within community services have adapted.

NHS staff deliver more than 50 million babies

NHS staff deliver more than 50 million babies England’s top midwife says NHS staff have delivered more than 50 million babies over the last seven decades and is urging young people to consider the “uniquely rewarding” career. NHS England

Six things you should expect from social care support

Six things you should expect from social care support People have told us they want to feel listened to and involved in decisions about their social care. Here are six things you should expect from care services, according to new guidelines. HealthWatch

Parents facing 'unfair child abuse claims' over bruising

Parents facing 'unfair child abuse claims' over bruising Parents are being investigated for possible child abuse because of the misinterpretation of guidelines on bruising in babies, it's claimed.

Official guidelines from health watchdog NICE for hospital workers suggest such bruising is very uncommon.

University of Central Lancashire research suggested the guidelines mean social services are investigating parents too often.

Its research said more than a quarter of babies are bruised accidentally. BBC News

US soldier gets world's first penis and scrotum transplant

US soldier gets world's first penis and scrotum transplant A team of US doctors has successfully carried out the world's first total transplant of a penis and scrotum.

Surgeons at Johns Hopkins University in Baltimore, Maryland, performed the operation on a soldier who had been wounded by a bomb in Afghanistan.

They used a penis, scrotum and partial abdominal wall transplanted from a deceased donor.

They say the soldier should be able to regain sexual function, which is impossible with penis reconstructions.

The team of 11 surgeons performed the transplant over 14 hours on 26 March. BBC News

NHS reorganisation could "threaten patient safety"

NHS reorganisation could "threaten patient safety" NHS England says Accountable Care Organisations will target funds and services more effectively.

Proposed changes to the way NHS services are provided in England will be challenged at the High Court in Leeds.

Campaigners are bringing a judicial review of plans to create new regional Accountable Care Organisations (ACOs) to oversee healthcare.

ACOs are part of emerging plans across the country intended to help integrate NHS services, encouraging hospital and ambulance trusts, GPs, local authorities, social care providers and health commissioning groups working more closely together.

NHS England, backed by Health Secretary Jeremy Hunt, says they will help meet soaring demand in the health service, ease pressure on hospitals and provide care in appropriate and cost-efficient settings. Sky News

A separate NHS tax would only further its fragmentation

A separate NHS tax would only further its fragmentation This ‘cross-party’ campaign to address the health service crisis will do nothing to cure the ills of privatisation

When MPs from different parties put aside their differences to work together, it’s worth listening to what they have to say – especially when it comes to protecting our crisis-ridden NHS. So when Liz Kendall, Norman Lamb and Nick Boles took to the airwaves this morning proposing a cross-party solution to our healthcare crisis, I understand why many people will have listened with interest.

I agree with a number of the proposals, including a commitment to keeping the NHS free at the point of use, integration of social care and increasing funding above inflation. But sadly – and I don’t doubt these MPs care about the NHS – I believe that the sum total of their “ten principles of long-term funding for NHS and social care” ​risk undermining healthcare in this country. Continue reading... The Guardian

VIP lab tours for child patients is healthcare innovation of the year

VIP lab tours for child patients is healthcare innovation of the year Malcolm Robinson, scientist and founder of charity Harvey’s Gang, named overall winner at Advancing Healthcare awards

A biomedical scientist has scooped top honours in the annual awards for therapists and health scientists for his idea of giving child patients VIP tours of the laboratories where their blood samples are analysed.

Malcolm Robinson, from Western Sussex hospitals NHS foundation trust, came up with the scheme when Harvey Buster Baldwin, then aged six, kept asking questions about the process. Robinson gave him an explanatory tour and arranged for him to have a child-size lab coat, cardboard security pass and goody bag. Continue reading... The Guardian

Tuesday 24 April 2018

Talking about the ‘return on investment of public health’: why it’s important to get it right

Talking about the ‘return on investment of public health’: why it’s important to get it right The increasingly common misunderstanding and misuse of the term ‘return on investment’ and its conflation with ‘cost saving’ to public services – usually the NHS – are a cause for concern. The King's Fund

Investigation: WannaCry cyber attack and the NHS

Investigation: WannaCry cyber attack and the NHS On Friday 12 May 2017 a computer virus, known as WannaCry, which encrypts data on infected computers and demands a ransom payment to allow users access, was released worldwide. WannaCry was the largest cyber attack to affect the NHS in England, although individual trusts had been attacked before 12 May.

The National Audit Office investigation focused on the ransomware attack’s impact on the NHS and its patients; why some parts of the NHS were affected; and how the Department and NHS national bodies responded to the attack.

Retention from an organisational development perspective

Retention from an organisational development perspective How did University Hospitals Bristol NHS Foundation Trust focus on staff retention? This case study features key learning points, discusses how the trust overcame certain challenges, and highlights a number of additional resources which may be useful for organisations seeking to address retention of the workforce. NHS Employers

A cross-party solution to NHS pressures?

A cross-party solution to NHS pressures? Just before Easter, Theresa May announced she had finally accepted the case for a longer-term, and bigger financial commitment to the NHS.

But how much to pay, and how to find the money is not yet decided.

The Health Secretary, Jeremy Hunt, has appealed to his colleagues for ideas, promising in a letter to all Tory MPs that solutions for the NHS and proposals on social care will be settled by the summer.

But a cross-party group of MPs including former ministers, is again urging the government to convert National Insurance into a specific tax for the NHS.

That proposal is part of a wider set of principles upon which they would base a commission to look at the health service's long-term pressures, that is being published today. BBC News

New ban on epilepsy drug in pregnancy

New ban on epilepsy drug in pregnancy An epilepsy drug that can damage unborn babies must no longer be prescribed to girls and women of childbearing age in the UK unless they sign a form to say that they understand the risks.

Drug regulator the MHRA says the new measures it's introducing will keep future generations of children safe.

Those already on valproate medication should see their GP to have their treatment reviewed.

No woman or girl should stop taking it without medical advice though. BBC News

Government announces Jamaican nurse recruitment partnership amid Windrush scandal

Government announces Jamaican nurse recruitment partnership amid Windrush scandal The government has announced a recruitment drive to attract new NHS nurses from Jamaica despite the unfolding scandal over the deportation of Windrush generation Britons after decades in the UK.

In the second phase of “earn, learn, return” partnerships, Jamaican nurses will come to work in the NHS for a fixed term of around three years and then return with new skills and experience, the Government said.

The scheme is intended to increase the NHS workforce by 5,500 full time nurses and help address a record 34,000 unfilled nursing and midwifery posts across the health service in England. The Independent

GMC to review why BME doctors receive more fitness-to-practise referrals

GMC to review why BME doctors receive more fitness-to-practise referrals The GMC has commissioned new research to investigate why a disproportionate number of black and minority ethnic (BME) doctors are subject to fitness-to-practise referrals. GPonline

NHS England faces first legal challenge to plans for health shake-up

NHS England faces first legal challenge to plans for health shake-up Judicial review on Tuesday one of two examining legality of accountable care organisations

NHS England faces a legal challenge to its plans to overhaul how the health service operates, which critics say are unlawful and could lead to patients being denied treatment.

Campaigners on Tuesday will try to derail plans to introduce of “ accountable care organisations” (ACOs), which they say could force doctors to decide what care a patient needs based on how much money is available rather than how sick someone is. Continue reading... The Guardian

Catastrophic blunders are happening to 9 NHS patients every week

Catastrophic blunders are happening to 9 NHS patients every week Catastrophic hospital blunders deemed so serious that they should never take place are happening to nine NHS patients every week.

There were more than 430 so-called ‘never events’ logged at NHS trusts across England in the 11 months between last April and March this year.

Bungling doctors have operated on the wrong body parts, mixed up organs and left surgical tools inside patients a staggering number of times.

And the worst eight hospitals were today named and shamed - with Guys and St Thomas’ in London responsible for 10 errors. The Daily Mail

Monday 23 April 2018

NHS70 – can you love something too much?

NHS70 – can you love something too much? With less than three months to go until the NHS turns 70 years old, preparations are being made across the country to celebrate the big day – from tea parties to special 10p coins to ceremonies at Westminster Abbey and York Minster.

It is, of course, a wonderful opportunity to thank NHS staff and volunteers for their tremendous work caring for patients, especially in particularly tough times for the NHS. And it’s an opportunity to pause and learn more about the history of the thing that makes us most proud to be British.

But once the candles have been blown out and the bunting put away, what do we want to be the longer-term impact of marking 70 years of the NHS? And how can we measure our success? The King's Fund

Resistant gonorrhoea case demonstrates importance of safe sex

Resistant gonorrhoea case demonstrates importance of safe sex Public Health England (PHE) has been investigating a UK case of Neisseria gonorrhoeae acquired in South East Asia which had high-level resistance to the 2 antibiotics, azithromycin and ceftriaxone, which are currently recommended for first-line treatment. The case has now been successfully treated with another antibiotic, ertapenem.

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New support to help children living with alcohol-dependent parents

New support to help children living with alcohol-dependent parents New plans announced today by Health and Social Care Secretary Jeremy Hunt will help identify at-risk children more quickly, and provide them with rapid access to support and advice.

The package of measures is backed by £6 million in joint funding from the Department of Health and Social Care and the Department for Work and Pensions. It is designed to help an estimated 200,000 children in England living with alcohol-dependent parents.

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Paying for IAPT case studies

Paying for IAPT case studies NHS England has published case studies based on the experience of five organisations (three CCGs and two providers) on developing and implementing a new payment approach for improving access to psychological therapies services, which link a component of payment to quality and outcome-measures.

Accountability in modern government: what are the issues?

Accountability in modern government: what are the issues? This report argues that weak accountability increases the risk of failure of public services – whether through financial mismanagement, chronic underperformance or the collapse of services. At the same time, the report says there is a tendency to overemphasise blame when something goes wrong. Instead of frank conversations about what would be needed to improve the situation, the tendency is to obscure the facts. Institute for Government

Jeremy Hunt threatens social media with new child-protection laws

Jeremy Hunt threatens social media with new child-protection laws Social media firms are being threatened with new laws if they don't do more to protect children online.

In a letter to companies including Facebook and Google, Health Secretary Jeremy Hunt accuses them of "turning a blind eye" to their impact on children.

He gives them until the end of April to outline action on cutting underage use, preventing cyber bullying, and promoting healthy screen time.

Google and Facebook say they share Mr Hunt's commitment to safety.

The age requirement to sign up to Facebook, Instagram, Twitter and Snapchat is 13. To use WhatsApp or to have a YouTube account, you must also be at least 13. BBC News

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Allied Healthcare: Home care provider seeks rescue plan

Allied Healthcare: Home care provider seeks rescue plan One of the biggest providers of UK home care is in financial difficulty.

Allied Healthcare, which cares for 13,500 elderly and vulnerable patients across the UK, is set to file for protection from its creditors due to a "highly challenging environment".

The company said it would continue to provide care and there would be no redundancies.

"Councils have robust contingency plans" to manage care, the Local Government Association said.

Allied employs 8,700 people and is owned by a private equity firm.

The home care visits it arranges help people live independently and can include cooking and cleaning, managing medication and overnight stays. BBC News

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Gestational diabetes an 'epidemic'

Gestational diabetes an 'epidemic' Experts say more screening is needed to tackle the disease, which affects pregnant women. BBC News

NHS spending hundreds of millions on care for women with vaginal mesh implants which can cause 'horrifying complications'

NHS spending hundreds of millions on care for women with vaginal mesh implants which can cause 'horrifying complications' The NHS spent “at least” £245m on follow-up hospital appointments and aftercare for women who have had vaginal mesh implants, which can cause “horrific” complications.

An analysis by academics at the Oxford University Centre for Evidence Based Medicine (CEBM) concluded that the true costs, when accounting for lost quality of life, was likely to be far higher.

At a Commons debate on the impacts of mesh this week, MPs shared accounts from constituents about the implants, used to treat incontinence and organ prolapse, which can deform and cut into the flesh, causing agony and permanent disability. The Independent

I am a burnt out doctor. This is why it matters

I am a burnt out doctor. This is why it matters The shocking number of physician suicides indicates a culture and system that fails to value the profession.

The clinic is running late. My last patient walks in. Her scan report, printed in front of me – bad news. The cancer has grown. I’m experienced at this, I take it slowly. I use the “right” words. She crumples, her eyes fill. The specialist nurse reaches out, takes her hand. In this maelstrom of intense emotion, I feel … nothing. No tears, no heartbreak. I gently explain the next steps, desperately hoping she cannot detect the emptiness behind my words.

This is burnout. A deadening of emotion, a feeling of detachment. I recognise it in myself. I hear it in my colleague’s dark humour, or another doctor wondering aloud how many people’s day she has ruined. Over half of young oncologists working in northern Europe exhibit signs of burnout, a strikingly high number. What causes this level of burnout in young, talented, empathetic doctors? Continue reading... The Guardian

Ambulance staff face rise in physical and verbal sexual assaults

Ambulance staff face rise in physical and verbal sexual assaults Number of annual incidents in England has almost trebled over last six years, NHS figures show

Growing numbers of frontline ambulance staff are being sexually assaulted at work or having lewd comments made to them, NHS figures reveal.

The number of such incidents involving ambulance workers in England has almost trebled from 52 in 2012-13 to 145 in 2017-18. Figures from eight of the 10 NHS regional ambulance services in England show a total of 662 physical and verbal sexual assaults between April 2012 and February 2018, with the annual number rising year on year over that period. Continue reading... The Guardian

Dementia patients restrained with controversial techniques – report

Dementia patients restrained with controversial techniques – report Methods such as raising bed bars and putting walking aids out of reach leave elderly people stressed, says government-funded research

Hospital staff are sometimes confining patients with dementia to bed through controversial “containment and restraint” techniques, new government-funded research reveals.

The findings, paid for by the National Institute for Health Research, reveal that nurses and healthcare assistants are raising the siderails of beds and tucking bedsheets tightly around patients with dementia, reducing their mobility. Others are prevented from getting up by their walking frames being put out of reach or by being sedated with drugs. The techniques are used, say the researchers, because of an exaggerated fear that patients will fall if left to move around wards freely. The study says the tactics lead to the “dehumanisation” of patients, leaving them angry and highly stressed and worsening their already poor health.

Between 2010-11 and 2016-17, health spending increased by an average of 1.2% above inflation and increases are due to continue in real terms at a similar rate until the end of this parliament. This is far below the annual inflation-proof growth rate that the NHS enjoyed before 2010 of almost 4% stretching back to the 1950s. As budgets tighten, NHS organisations have been struggling to live within their means. In the financial year 2015-16, acute trusts recorded a deficit of £2.6bn. This was reduced to £800m last year, though only after a £1.8bn bung from the Department of Health, which shows the deficit remained the same year on year. Continue reading... The Guardian

Elderly and disabled at risk in inadequate housing, human rights watchdog finds

Elderly and disabled at risk in inadequate housing, human rights watchdog finds Britain's planning rules are fueling a housing "crisis" for the elderly and disabled which is forcing the frail to live in dangerous conditions, a leaked report by the Equality and Human Rights Commission seen by the Telegraph has found.

The Commission’s report, due to be released next month, found a "severe shortage of accessible and adaptable housing" with only seven per cent of homes in England offering minimal accessibility features.

It warns that local councils are failing to build enough accessible homes to meet demand and were not taking action against developers who failed to comply with regulations. The Daily Telegraph

Measles alert issued after holidaymakers return from Europe with bug

Measles alert issued after holidaymakers return from Europe with bug A measles health alert has been issued after unvaccinated holidaymakers returning from Europe lead to a surge in cases.

Public Health England have urged people to protect themselves from the viral illness after more than 250 cases have been reported since the start of the year.

A further 90 laboratory tests are also underway, meaning the number could be higher. Last year, just 243 cases were reported.

Health officials suspect the rise can be attributed to holidaymakers returning from the continent. In Europe, there has been a large outbreak in measles this year. The Daily Telegraph

Friday 20 April 2018

Have your say on the future of Northamptonshire's children's centre services under library cuts

Have your say on the future of Northamptonshire's children's centre services under library cuts Families with young children are being invited to tell the council what should happen to universal children's centre services under the potential of closure libraries of in Northamptonshire.

The county council voted to cease running 21 libraries in February and has offered to hand them over to community groups.

But the move also threatens universal children's centre services for under-fives such as meetups and play and learn sessions, which are run by the council through libraries. Northampton Chronicle and Echo

New lifelike training for KGH staff

New lifelike training for KGH staff Kettering General Hospital has started work on a £600,000 project to improve simulation training for its staff including doctors and nurses.

The trust is building a new High Fidelity Simulation Suite complete with realistic full-sized patient manikins - which are computerised and can be programmed to simulate real medical emergencies. Northamptonshire Telegraph

NHS Genomics threatened by ethics, IT and funding

NHS Genomics threatened by ethics, IT and funding The deployment of the UK’s world-leading genomics capabilities in the NHS is being held back by NHS digital infrastructure delays and reduced training budgets, and risks losing public support due to low public awareness of the benefits on offer.

Genomic medicine has the potential to transform the NHS, and the transformation has been made possible by the 100,000 Genomes Project – which has established the UK as a world-leader in the field. Nevertheless, issues around digital infrastructure, staff training and ethical concerns over the collection and use of patient data risk making the planned NHS Genomic Medicine Service unable to deliver upon this potential. Commons Science and Technology Select Committee

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Pensioners face crippling care bills because of a postcard lottery which denies them NHS funding

Pensioners face crippling care bills because of a postcard lottery which denies them NHS funding Those with the most complex medical needs still face a postcode lottery of getting their full care costs outside hospital paid by NHS ‘continuing healthcare’ funding in England, Which? analysis has found.

The latest 2017-18 figures show that there are huge differences between regions when it comes to the proportion of patients whose care costs are fully funded.

NHS funders (known as local clinical commissioning groups, or CCGs) for South Reading funded 8.78 patients per 50,000 of the population, while Salford CCG funded 25 times as many at 220.38 per 50,000 of the population.

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Ex-MP Tessa Jowell first to donate data to medical database

Ex-MP Tessa Jowell first to donate data to medical database Baroness Tessa Jowell has become the first person to donate her medical information to a new global database.

The ex-culture secretary, who has an aggressive brain tumour, said she hoped that the Universal Cancer Databank would help develop better treatments.

She feels a "sense of responsibility" to pave the way for others, her daughter Jess Mills said.

Researchers will be able to access the anonymised data in the UCD, set up by an Australian billionaire, for free. BBC News

Hospitals recruit managers faster than doctors and nurses

Hospitals recruit managers faster than doctors and nurses Hospitals in England have recruited managers at a higher rate than doctors and nurses, BBC analysis of official figures reveals.

Since 2013, an additional 3,600 managers started at NHS trusts compared with 8,300 more doctors and 7,000 more nurses.

It means management increased by 16% while the number of doctors and nurses increased by 8% and 2% respectively.

NHS Improvement said there were still "too few" managers.

However the Royal College of Nursing (RCN) has described the figures as "galling" and said a failure to train enough nurses had contributed to a "shortage". BBC News

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Majority of GP practices report cuts to public health funding

Majority of GP practices report cuts to public health funding More than three quarters of GP partners have experienced a reduction in funding for public health services over the past year, a GPonline survey has found - with smoking cessation the worst-hit service.

An alarming rise in mental-health sectioning in Britain

An alarming rise in mental-health sectioning in Britain Fewer psychiatric beds and growing risk-aversion among doctors may be to blame.

The number of detentions under the Mental Health Act in England rose from 43,463 in 2009 to 63,622 in 2016. The process requires two doctors and one approved mental-health professional, like a social worker or nurse, to agree that a patient needs hospital treatment for a mental-health disorder, and that they may pose a danger to themself or others. The Economist

Sore throats and false nails - the ambulance call-outs that cost millions

Sore throats and false nails - the ambulance call-outs that cost millions Ambulance call-outs are increasing, resulting in services operating under enormous, and probably unsustainable, pressure. While most calls do need an emergency response, far too many don’t. A study of 300 consecutive emergency ambulance arrivals to an accident and emergency department in London found that only 54 per cent of the patients legitimately needed an ambulance. The Independent

Windrush scandal: Albert Thompson still in dark about cancer treatment despite May's promise

Windrush scandal: Albert Thompson still in dark about cancer treatment despite May's promise Londoner still has not received any appointment date for radiotherapy – or an apology

Albert Thompson, the Londoner whose case has come to epitomise the Windrush scandal, has spoken of his anguish as he remains uncertain about whether he is to get radiotherapy for his cancer a day after he heard Theresa May announce on television that he would “be receiving the treatment he needs”.

As the fallout from the scandal continued to emerge, Thompson told the Guardian he was distressed to have no clarity, and upset that he had had no apology from the Royal Marsden hospital for the ongoing interruption to his cancer treatment. Continue reading... The Guardian

NHS hospital in London bans patients from wearing pyjamas in the day

NHS hospital in London bans patients from wearing pyjamas in the day An NHS hospital has banned patients from wearing pyjamas during the day in an attempt to get them better sooner.

Patients at Whittington Hospital in north London now have to wear their 'normal clothes' in daylight hours.

The pyjama ban, enforced by the hospital's chief nurse, comes alongside a national NHS campaign to help patients recover quicker. The Daily Mail

Thursday 19 April 2018

Developing new models of care in the PACS vanguards: a new national approach to large-scale change?

Developing new models of care in the PACS vanguards: a new national approach to large-scale change? This independent report was commissioned by NHS England as part of a package of support provided to primary and acute care system (PACS) vanguard sites by The King’s Fund. The PACS model is an attempt to bring about closer working between GPs, hospitals, community health professionals, social care and others.

Global burden of multiple serious illnesses must be urgently addressed

Global burden of multiple serious illnesses must be urgently addressed Increasing numbers of people worldwide are suffering life-long disability and dying prematurely due to the ineffective treatment of people with multiple health conditions, a new report suggests.

Most health services, including the NHS, are not designed to care for patients with multiple illnesses. This is likely to contribute to the increasing pressures on health systems and budgets worldwide, the report suggests. It concludes that without a better understanding of multimorbidity, it will not be possible for any country to plan future healthcare resources and redesign services effectively. Academy of Medical Sciences

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Women in a quarter of the UK still can’t access vital maternal mental health services

Women in a quarter of the UK still can’t access vital maternal mental health services New maps launched today by the Maternal Mental Health Alliance’s Everyone’s Business Campaign show that pregnant women and new mums in a quarter of the UK still cannot access lifesaving specialist perinatal mental health services, which meet national guidelines.

The Maternal Mental Health Alliance welcomes the encouraging signs of progress seen in some parts of the UK but raises the alarm: there is not progress for all parts of the country at the same rate, meaning right now, women and families still face a postcode lottery.

According to the new data, pregnant women and new mums in 24% of the UK still have no access to specialist perinatal mental health services (rated red on the map). The maps show that whilst many more women now live in an area coloured green on the map, meaning specialist perinatal mental health services are available in their locality, it is unacceptable that so many women and their families still cannot access essential care.

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Less waste, more health: a health professional's guide to reducing waste

Less waste, more health: a health professional's guide to reducing waste This report report explains how health professionals can positively influence societal health and wellbeing by making simple changes to the procurement and disposal of medical supplies. It features a range of case studies and 12 recommendations setting out how everyone from individual to trust level can: positively influence the health of patients; aid financial savings; and shape the impact of the NHS on the environment. Royal College of Physicians

Cyber attack on the NHS

Cyber attack on the NHS The Public Accounts Committee states that the WannaCry cyber-attack on Friday 12 May 2017, was a wake-up call for the NHS. The Department of Health and Social Care and its arm's-length bodies were unprepared for the relatively unsophisticated WannaCry attack; they had not shared and tested plans for responding to a cyber-attack, nor had any trust passed a cyber-security inspection.The report sets an end of June deadline for the Department of Health and Social Care to provide anupdate on costed plans for vital security investment. Public Accounts Select Committee

Workforce to care force: who cares?

Workforce to care force: who cares? This discussion paper has been prepared by John Bryant, Head of Integration and development at Torbay Council and chair of the Workforce Group for Association of Adult Social Services (ADASS) South West branch. The paper explores some questions about the future of the health and social care workforce, and discusses some of the changes in assumptions and practices which may be needed across the UK in the next few years. Institute of Public Care

Retrospective review of use of mesh or tape for urogynaecological surgery

Retrospective review of use of mesh or tape for urogynaecological surgery This report has been produced to investigate activity, summarised within Hospital Episode Statistics (HES) data, for the NHS, in England, of patients who have had a urogynaecological procedure for the treatment of urogynaecological prolapse or stress urinary incontinence, including those where mesh, tape or their equivalents have been used. It has been undertaken to assist the NHS and others in establishing a clearer national picture of patients who have had such procedures. These statistics are classified as experimental and should be used with caution. Experimental statistics are new official statistics undergoing evaluation. They are published in order to involve users and stakeholders in their development and as a means to build in quality at an early stage. NHS Digital

NHS reform: How many patients will benefit?

NHS reform: How many patients will benefit? Billed as the biggest national move to integrate care of any Western country, radical changes are afoot in parts of the NHS in England.

From this month, groups of local NHS and social care leaders are working together formally to devise appropriate care for individual patients, which will increasingly be provided away from hospitals.

But few are aware of these schemes and that's probably because, so far, they only affect a small minority of the population.

The so-called integrated care systems are up and running in 10 areas of England.

NHS leaders say more will come on stream soon with about 20% of the population covered by the end of the current financial year. BBC News

Mental health patients want immediate diagnosis, says report

Mental health patients want immediate diagnosis, says report Mental health diagnosis needs to be useful for patients and not simply a meaningless label, a report suggests.

Research from Norfolk and Suffolk NHS Foundation Trust and University of East Anglia suggests patients would prefer to be told their diagnosis face-to-face rather than by other means.

However, doctors said that a diagnosis can be complex and take time to assess.

Royal College of GPs chairwoman Prof Helen Stokes-Lampard told the BBC a diagnosis should be a "starting point".

She said it should be the position "from which we can begin a course of treatment tailored to that individual, in partnership with them. No patient should ever see a diagnosis as a 'meaningless label'." BBC News

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NHS website defaced by hackers

NHS website defaced by hackers An NHS website hosting data from patient surveys that was defaced by hackers has been fixed.

The site, insights.london.nhs.uk, was given a black background, eerie music and a message in white text that read: "Hacked by AnoaGhost."

Cyber-security expert Kevin Beaumont spotted the defacement and tweeted a screenshot of it to his followers on Tuesday afternoon.

A few hours later, the message was removed. BBC News

200 GPs working for Babylon as 40000 NHS patients apply

200 GPs working for Babylon as 40000 NHS patients apply Babylon, the company behind the GP at Hand online app, now has 200 GPs on its roster, it has been revealed.

This includes GPs working across its private and NHS services, remotely or from its London headquarters.

Pulse has learned that Babylon offers a full-time salary of around £90,000 to work from home, or £108,000 if office based.

But GP leaders warned the company's rapid expansion risked spreading the rest of the NHS GP workforce 'more thinly'.

NHS workers top list of those applying for payday loans

NHS workers top list of those applying for payday loans NHS workers’ representatives say it is a ‘terrible state of affairs’ for staff to be forced to take on loans with interest of up to 1,325%

NHS staff, council officials and gig economy workers are among the most regular applicants for payday loans, which charge interest of up to 1,325% per year, industry data has revealed.

In Birmingham, Leeds and Manchester, city council workers were among the most frequent applicants for the ultra-high interest debt last month, according to figures from a loan comparison website. Continue reading... The Guardian

Two-thirds of NHS healthcare assistants doing nurses' duties, union finds

Two-thirds of NHS healthcare assistants doing nurses' duties, union finds Unison survey finds HCAs give out medication, dress wounds and take blood pressures

Almost two-thirds of healthcare assistants (HCAs) are performing roles usually undertaken by nurses, such as giving patients drugs and dressing their wounds, in the latest illustration of the NHS’s staffing crisis.

The apparently growing trend of assistants acting as “nurse substitutes” has sparked concern that patients may receive inferior or potentially unsafe care because they do not have the same skills.

The UK has fewer doctors and nurses than many other comparable countries both in Europe and worldwide. According to the Organisation for Economic Co-operation and Development (OECD), Britain comes 24th in a league table of 34 member countries in terms of the number of doctors per capita. Greece, Austria and Norway have the most; the three countries with the fewest are Turkey, Chile and Mexico. Jeremy Hunt, the health secretary, regularly points out that the NHS in England has more doctors and nurses than when the Conservatives came to power in 2010. That is true, although there are now fewer district nurses, mental health nurses and other types of health professionals. Continue reading... The Guardian

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GPs at one in 12 practices are still prescribing homeopathic treatments for their patients

GPs at one in 12 practices are still prescribing homeopathic treatments for their patients More than 600 GP surgeries have been prescribing homeopathic treatments for their patients – even though there is no scientific evidence that it works.

Research by Oxford University found that doctors at one in 12 practices had used the controversial alternative therapies.

Last year Simon Stevens, the head of the NHS, urged doctors to stop prescribing homeopathy remedies, while health service guidelines state they are no better than placebos and should not be used to treat any health condition. The Daily Mail

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Wednesday 18 April 2018

Malaria experts fear disease's resurgence

Malaria experts fear disease's resurgence For the first time in 10 years, global malaria cases are no longer falling, and experts are worried. BBC News - Health
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Self care apps help patients come off diabetes medication

Self care apps help patients come off diabetes medication Self-care smartphone apps can bring 'significant improvements' in diabetes management and education, a trial across 18 London GP practices has found. GP Online

NHS ransomware attack response criticised

NHS ransomware attack response criticised The government and NHS bodies have been criticised by MPs for failing to implement measures to improve cyber-security nearly a year after a major ransomware attack on the service.

Twenty-two recommendations were made after the WannaCry attack led to nearly 20,000 cancelled hospital appointments.

The Public Accounts Committee said it was "alarming" these measures had still not been introduced. BBC News - Health
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Organisations “taking measures” to prevent violence against staff, says NHS Employers

Organisations “taking measures” to prevent violence against staff, says NHS Employers Responding to media reports on the increase of violence against hospital staff, Danny Mortimer, chief executive of NHS Employers, said organisations were “taking measures” to prevent violence against staff. NHS Employers

KGH launches ‘Care at Home’ initiative

KGH launches ‘Care at Home’ initiative Kettering General Hospital has launched an alternative way of caring for some clinically stable hospital patients.

The KGH Care at Home initiative was launched at the beginning of February and has already helped 59 patients to be supported outside of hospital.

KGH’s aim is to look after 28 patients at any one time in their own home (or care home) each month with specialist medical and therapy provided by a company called Healthcare at Home, which specialises in supporting hospitals across the country. Northamptonshire Telegraph

Half-hour treatment for swollen prostate condition that affects one-in-three men over 50 arrives at Northampton ... - Northampton Chronicle and Echo

Half-hour treatment for swollen prostate condition that affects one-in-three men over 50 arrives at Northampton General Hospital Men can now benefit from a new treatment for swollen prostates at Northampton General Hospital without major surgery or a lengthy stay on the ward.


The procedure uses implants to reposition and move tissue rather than removing it, saving time for patients and the NHS. Northampton Chronicle and Echo

Tuesday 17 April 2018

Steep rise in reported assaults against NHS staff

Steep rise in reported assaults against NHS staff Last year in England physical assaults on NHS staff rose by nearly 10% compared to 2015/16, according to new figures published today (Tuesday) by UNISON and HSJ.

The figures were obtained following a Freedom of Information (FoI) request – submitted by HSJ working on behalf of UNISON – to all the 244 NHS trusts in England. Answers were received from 181 organisations.

The biggest increase was in the acute sector, with reported attacks on health workers in hospitals with an A&E department up a staggering 21%, says UNISON. There were 18,720 assaults in 2016/17 in the acute trusts who responded, compared to 15,469 the previous year.

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Independent NHS, Simpler Quangos

Independent NHS, Simpler Quangos A new report out by the TaxPayers’ Alliance shows that the NHS could save nearly £800 million by merging various NHS management bodies.

The report advocates reducing the number of quangos from 19 to 7:
  • This would save approximately £760 million.
  • This would also release top managerial time to improve efficiencies in the system.
  • And granting more independence to NHS England would free it from meddling politicians.
  • Savings to the Department of Health could save a further £40 million.
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Strategic direction for sexual assault and abuse services

Strategic direction for sexual assault and abuse services This strategic document outlines how services for victims and survivors of sexual assault and abuse, in all settings of the health and care system, need to evolve between now and 2023. It sets out six core priorities that NHS England will focus on to reduce inequalities experienced.

Sustainable improvement change model

Sustainable improvement change model NHS England’s sustainable improvement team has published an updated and enhanced version of the change model.

The model, originally developed in 2012 with hundreds of health and care staff, is a framework for any project or programme that is seeking to achieve transformational, sustainable change. The refreshed version of the model includes a PDF guide and a series of supporting diagnostic tools to use in your work.

Mortality in the UK

Mortality in the UK In the United Kingdom, there has been a long-term downward trend in both the number of deaths and the crude death rate. This briefing discusses the rise in number of deaths and crude death rate since 2011. House of Commons Library

The 'nanobots' and 'ninja polymers' transforming medicine

The 'nanobots' and 'ninja polymers' transforming medicine With advances in stem cell research and nanotechnology helping us fight illnesses from heart disease to superbugs, is the fusion of biology and technology speeding us towards a sci-fi future - part human, part synthetic? BBC News

GP trainee 'cautiously optimistic' as Home Office drops deportation bid

GP trainee 'cautiously optimistic' as Home Office drops deportation bid The Home Office has dropped its bid to deport a Manchester-based doctor who faced being kicked out of the UK just five months before he was due to qualify as a GP - after more than 300,000 people signed a petition to support him. GPonline

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Universities are a key resource for the NHS. Why are they so underused?

Universities are a key resource for the NHS. Why are they so underused? The UK’s research ecosystem is fragmented. We need more collaboration to pool expertise and improve public health

Good public health is central to the success of our cities, nations and regions. It’s an area in which higher education has a key role to play, since working to address local and global health challenges and develop cutting-edge drug therapies is deeply rooted within academic institutions. Yet universities are still an underused resource in tackling local public health problems.

The main obstacle is the absence of organisations that connect universities and the NHS. In the UK, there are just six Academic Health Science Centres, which bring together research, education and clinical practice to translate research swiftly into patient care and ensure that patient interactions contribute to the generation of new knowledge. These AHSCs are not spread evenly around the country: three are in London, and one in Oxford, Cambridge and Manchester.

A commitment to ensuring the health and wellbeing of local communities is fundamental to every university’s purpose Continue reading... The Guardian