Thursday 31 October 2019

Cliftonville corridor improvement works to start in Northampton

Cliftonville corridor improvement works to start in Northampton Work on Northamptonshire County Council’s Cliftonville corridor improvement scheme will start on Monday to ease traffic near the hospital.

Northamptonshire County Council successfully secured £1.814m from the Department for Transport’s National Productivity Investment Fund for the scheme which aims to improve congestion on this busy route, which is an important north-south link, and one of the main access routes to and from Northampton General HospitalNorthampton Chronicle and Echo

Gender equality and the 100-year life: how policymakers can ensure gender equality in the era of extreme longevity

Gender equality and the 100-year life: how policymakers can ensure gender equality in the era of extreme longevity This is the second report of the series focusing on how the 100-year life may affect Britain’s society, economy and public services. This report focuses on gender equality and how policy-makers can make the 100-year life work for women. Research conducted by Insuring Women’s Futures on risk patterns highlighted the six 'moments that matter' in the lives of British women – these are used as the basis for this research. Social Market Foundation

    National Clinical Audit of Anxiety and Depression: inpatient mental health services

    National Clinical Audit of Anxiety and Depression: inpatient mental health services This report presents the main findings of the National Clinical Audit of Anxiety and Depression in inpatient mental health services carried out by the Royal College of Psychiatrists between 2017 and 2018. Healthcare Quality Improvement Partnership

    Introduction of nursing associates - year 2: evaluation report

    Introduction of nursing associates - year 2: evaluation report This report draws on three online surveys of trainee nursing associates (TNAs), which received 2,477 responses in total and 12 deep-dive enquiries. Line managers were also surveyed in the second year of the programme, with 531 responses received. It also draws on the analysis of key programme data, information from the regular TNA communities of practice events, and economic analysis of the programme and role. Health Education England

      A manager's guide to criteria-led discharge

      A manager's guide to criteria-led discharge Criteria-led discharge (CLD) is a process that empowers a competent member of the multidisciplinary team (eg junior doctor, registered nurse, therapist) to discharge a patient when they meet pre-agreed clinical criteria for discharge. This removes the need for the patient to wait for the lead clinician (eg consultant) to approve discharge. This guide to CLD supports managers to implement, sustain and spread CLD, as well as providing context and evidence around the process. NHS England and NHS Improvement

      NHS pagers are leaking medical data

      NHS pagers are leaking medical data An amateur radio rig exposed to the internet and discovered by a security researcher was collecting real-time medical data and health information broadcast by hospitals and ambulances across U.K. towns and cities.

      The rig, operated out of a house in North London, was picking up radio waves from over the air and translating them into readable text. The hobbyist’s computer display was filling up with messages about real-time medical emergencies from across the region. For some reason, the hobbyist had set up an internet-connected webcam pointed at the display. But because there was no password on the webcam, anyone who knew where to look could also see what was on the rig’s computer display. TechCrunch

      Spiders inspire double-sided sticky tape to heal wounds

      Spiders inspire double-sided sticky tape to heal wounds A double-sided tape designed to stick body tissue together after surgery has been inspired by the way spiders exude "glue" to catch their prey in the rain.

      Scientists at Massachusetts Institute of Technology noticed how the spiders' secretion absorbed water, helping to secure their next meal.

      The sticky tape does the same and was found to work within seconds in tests on pig skin and lungs.

      The team said with more research, it could be used in place of sutures. BBC News

      See also:

      'I was treated like a leper' - Asian cancer patient

      'I was treated like a leper' - Asian cancer patient Saj Dar was pregnant with her first child when she ran her hand over her right breast and felt a lump. She knew what that hardened tissue signified. And she knew she could not delay getting tested. But the fear of being treated "like a leper" by her local Pakistani community in the Berkshire town of Slough overpowered her. BBC News

      'I didn't know if he'd recover': NHS staff on the patients they'll never forget

      'I didn't know if he'd recover': NHS staff on the patients they'll never forget From physios working with stroke survivors to radiographers identifying 7/7 victims, it isn’t just doctors and nurses who form bonds with patients. The Guardian

      Why the 2019 general election will be fought in the hospitals of England

      Why the 2019 general election will be fought in the hospitals of England Legally speaking, the 12 December general election won't be confirmed until later this week, after it's been approved by the House of Lords and then signed off by the Queen. But today's session of Prime Minister's Questions - the longest in history, stretching beyond 70 minutes - confirmed that the campaign is well and truly under way already. iNews

      Tories still to decide on approach to social care crisis that ruined Theresa May's election campaign, health secretary admits

      Tories still to decide on approach to social care crisis that ruined Theresa May's election campaign, health secretary admits The Conservative general election manifesto may not contain firm proposals to solve the social care crisis, the health secretary has admitted.

      Matt Hancock said his party was “working on a plan” – after the controversy derailed Theresa May’s campaign in 2017 – but added: “We are not ready to publish it yet.”

      He would not commit to the Tories promising a cap on social care bills, telling BBC Radio 4’s Today programme: “I’m not going to get into the details of it.” The Independent

      Life expectancy in England and Wales has stalled worse than 20 other wealthy countries

      Life expectancy in England and Wales has stalled worse than 20 other wealthy countries Improvements in life expectancy in England and Wales are among the worst of all wealthy countries, research shows.

      Experts believe funding cuts to NHS and social care may be fuelling the trend, as well as a rise in alcohol and drug-related deaths.

      Between 2011 and 2016, life expectancy in England and Wales improved by less than five weeks for women and fewer than five months for men.

      It means that the average boy lives to the age of 79, while girls tend to live until they are roughly 83. The Daily Mail

      See also:

      Exercising more could reduce your chances of becoming frail in old age

      Exercising more could reduce your chances of becoming frail in old age Exercising more, eating healthily and quitting smoking could reduce your chances of becoming frail in old age, a study has suggested.

      Scientists led by a team at Leicester’s De Montfort University tracked almost 9,000 participants over the age of 50 for 12 years, on average.

      Age was the biggest risk factor for frailty – but being overweight and smoking also increases the odds of becoming frail, results showed. The Daily Mail

      See also:

      Wednesday 30 October 2019

      Northamptonshire: Crisis council replacement plans reach Parliament

      Northamptonshire: Crisis council replacement plans reach Parliament The legal process to scrap a cash-crisis council and seven others in the same county has reached Parliament.

      Legislation outlines plans for two unitary authorities in Northamptonshire to replace its troubled county council and the district and borough councils.

      The government has already approved the scheme, but it will now be considered by the Commons and Lords.

      If passed, North Northamptonshire and West Northamptonshire Councils are due to start operating on 1 April 2021. BBC Northampton

      See also:

      Tailor-made bras to be made for women at NGH after breast removal surgery

      Tailor-made bras to be made for women at NGH after breast removal surgery Patients who undergo a mastectomy or breast removal surgery at Northampton General Hospital will now receive a free suitable post-operative bra to wear during their recovery, thanks to local charity Crazy Hats Breast Appeal.

      It is hoped that the new bras will support patients through the next steps in their treatment and recovery and take away the daunting process of buying a bra post-surgery. Northampton Chronicle and Echo

      A descriptive analysis of health care use by high cost, high need patients in England

      A descriptive analysis of health care use by high cost, high need patients in England Despite the increasing financial pressure on the NHS over the past decades, there has been little research to understand the distribution and concentration of health care costs across the population.

      This paper explores for the first time the distribution of both primary and secondary health care costs in England, including GP-prescribed drug cost. Identifying high-cost, high-need patients and examining the way in which they use health care services might help to design initiatives to reduce costs or to improve efficiency. The Health Foundation

      See also:

      Prevention concordat for better mental health: consensus statement

      Prevention concordat for better mental health: consensus statement Describes the consensus statement of the prevention concordat for better mental health and lists the signatories. Public Health England

      Raising staff awareness of the NHS App

      Raising staff awareness of the NHS App The NHS wants to encourage health and care staff to simplify their lives by using the NHS App. Download resources and suggested copy to use, so your organisation can be part of the campaign. NHS Digital

      The expanding role of volunteers in the NHS

      The expanding role of volunteers in the NHS Helen Gilburt, fellow in health policy at the King’s Fund, explores the increasing importance and role of volunteers within the healthcare service. National Health Executive

      Peanut-allergy therapy 'protection not a cure'

      Peanut-allergy therapy 'protection not a cure' Treating peanut allergy with regular exposure to small amounts of the food is effective - but only if a patient stays on the therapy, a study suggests.

      King's College London scientists looked at the underlying behaviour of patients' cells - and found it did not change.

      They say that shows immunotherapy offers "protection but not a cure" for peanut allergies. BBC News

      See also:

      Asthma carbon footprint 'as big as eating meat'

      Asthma carbon footprint 'as big as eating meat' Many people with asthma could cut their carbon footprint and help save the environment by switching to "greener" medications, UK researchers say.

      Making the swap would have as big an "eco" impact as turning vegetarian or becoming an avid recycler, they say.

      It's because some inhalers release greenhouse gases linked to global warming.

      But the Cambridge University team told BMJ Open patients must check with a doctor before changing medication. BBC News

      See also:

      Progress in reducing food sugar content ‘lost’ as people buying more, Public Health England warns

      Progress in reducing food sugar content ‘lost’ as people buying more, Public Health England warns Progress in reducing food sugar content is being “lost” due to people consuming more sugary items, Public Health England‘s chief executive has warned.

      Duncan Selbie faced questions from the Health and Social Care Committee about the progress of the government’s childhood obesity plan which was published in 2016.

      Despite the plan setting a voluntary target for the food industry to reduce 20 per cent of sugar from key food categories by the end of 2020, Mr Selbie said the figure currently stood at a “disappointing” 2.9 per cent. The Independent

      I’m the dad who took on Boris Johnson over the NHS. I can’t stand by as he runs it down

      I’m the dad who took on Boris Johnson over the NHS. I can’t stand by as he runs it down | Omar Salem I confronted him about funding at Whipps Cross hospital. His reassurances since are utterly unconvincing

      A few days after my daughter was born, she nearly died. During this time, she had to wait for hours on a ward at Whipps Cross hospital in east London, just to see a doctor. The Guardian

      US healthcare algorithm is accused of being racially bias against black people

      US healthcare algorithm is accused of being racially bias against black people An algorithm used by hospitals in the US to identify patients with chronic diseases has a significant bias against black people, researchers have claimed.

      The artificial intelligence, sold by health firm Optum, disproportionately advised medics to give more care to white people even when black patients were sicker.

      It means just 18 per cent of black patients were suggested for a continued care programme, when 47 per cent of them were in desperate need of it.

      The software helps medics decide the future of roughly 200million patients across the US each year. The Daily Mail

      See also:

      Tuesday 29 October 2019

      Why you’re better off being a cleaner than a care worker

      Why you’re better off being a cleaner than a care worker Does the latest data on the social care workforce offer much optimism for the sector? In a word, no. The trends are largely a continuation of last year’s – a slowing almost to a standstill of the growth in jobs, an increasing vacancy rate and a high turnover rate. The King's Fund

      69% of consultant surgeons cut their hours because of NHS pensions ‘tax trap’, as waiting times rise

      69% of consultant surgeons cut their hours because of NHS pensions ‘tax trap’, as waiting times rise A YouGov survey of surgeons commissioned by the Royal College of Surgeons of England in October, and published today, reports:
      • 68% of consultant surgeons are considering early retirement because of the pensions tax situation.
      • 64% of consultant surgeons have been advised to work fewer hours in the NHS following recent changes in pension taxation rules to avoid ‘crippling and unpredictable’ tax bills.
      • 69% of consultant surgeons have reduced the amount of time they have spent working in the NHS as a direct result of changes to pension taxation rules.
      See also:

      Improving healthcare quality in Europe: Characteristics, effectiveness and implementation of different strategies

      Improving healthcare quality in Europe: Characteristics, effectiveness and implementation of different strategies Quality improvement initiatives take many forms, from the creation of standards for health professionals, health technologies and health facilities, to audit and feedback, and from fostering a patient safety culture to public reporting and paying for quality. For policy-makers who struggle to decide which initiatives to prioritise for investment, understanding the potential of different quality strategies in their unique settings is key.....This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies. European Observatory on Health Systems and Policies

      Brain illness spread by ticks has reached UK

      Brain illness spread by ticks has reached UK An infectious disease that can harm the brain and is spread to people by tick bites has been identified in ticks in the UK for the first time.

      Public Health England (PHE) says it has confirmed cases of tick-borne encephalitis virus in ticks from two parts of England - Thetford Forest and an area on the Hampshire-Dorset border.

      PHE says the risk to people is still "very low".

      It is monitoring the situation to check how common the infected ticks may be. BBC News

      Narcissists 'horrible people but happy'

      Narcissists 'horrible people but happy' Narcissists might have "grandiose" delusions about their own importance and an absence of "shame" - but psychologists say they are also likely to be happier than most people.

      An ongoing study of narcissism by researchers at Queen's University Belfast has found such people might infuriate others but are less likely to be stressed or depressed. BBC News

      See also:

      NHS bill for US drugs 'could soar under post-Brexit trade deal'

      NHS bill for US drugs 'could soar under post-Brexit trade deal' The price the NHS pays for US medicines could soar under a trade deal with the United States after the UK leaves the European Union, according to an investigation.

      Despite Boris Johnson’s assertion that the NHS is not on the table, sources with knowledge of the initial trade discussions between the two countries question whether the Prime Minister is able to keep to that promise. In fact “drug pricing” has been discussed in six initial meetings between trade officials from the two countries and secret meetings between US drugs firms and British civil servants where medicine “price caps” have been talked about, according to Dispatches. iNews

      See also:

      Lack of evidence showing medical cannabis helps mental health conditions, scientists say

      Lack of evidence showing medical cannabis helps mental health conditions, scientists say There is inadequate evidence that cannabinoids relieve depression, anxiety disorders or attention-deficit hyperactivity disorder, scientists have said.

      The meta-analysis also looked at the impact of medicinal cannabinoids on Tourette's syndrome, post-traumatic stress disorder and psychosis.

      Research which combined 83 studies involving 3,000 people suggested their use for the six mental health conditions cannot be justified based on the current evidence. The Independent

      See also:

      Doctors call on workplaces to ban sale of sugary drinks

      Doctors call on workplaces to ban sale of sugary drinks Research at University of California shows a ban slashed staff’s intake by nearly half

      Doctors have called on workplaces to ban sales of sugary drinks after research showed that removing them from cafes, canteens and vending machines helped reduce people’s waistlines and improve their health.

      Researchers monitored more than 200 staff at the University of California in San Francisco and its associated hospital after a ban was introduced in 2015. Before the ban, the participating staff consumed on average more than a litre of sugary drinks daily, but 10 months later had slashed their intake by nearly half. The Guardian

      See also:

      NHS manager allowed to work from Marbella on rates of £2,000 a day 

      NHS manager allowed to work from Marbella on rates of £2,000 a day An NHS manager is being paid rates of almost £2,000 a day and allowed to work from his home in Marbella, an investigation has found.

      The “astronomical” sums, revealed in Freedom of Information disclosures, are being paid by a health board which has a deficit of more than £40 million. The Daily Telegraph

      Schizophrenia could be detected by testing human hair, scientists claim

      Schizophrenia could be detected by testing human hair, scientists claim Schizophrenia could one day be detected by testing human hair for levels of a certain enzyme, scientists have claimed.

      Tests show patients with the severe mental health disorder have much higher levels of MPST, compared to those without.

      The Japanese team now say looking for levels of the enzyme in hair could help spot the condition before patients suffer hallucinations. The Daily Mail

      See also:

      Monday 28 October 2019

      Suicide bereavement support to be made available across England

      Suicide bereavement support to be made available across England People who have lost someone close to them due to suicide will benefit from dedicated bereavement care. The government has announced plans to roll out services on the NHS across England.

      The plans mean anyone affected by a family member or friend taking their own life will have access to practical and emotional support in the days and months following their death. Department of Health and Social Care

      My doctor flew off when cosmetic surgery went wrong

      My doctor flew off when cosmetic surgery went wrong Cosmetic surgery is a booming industry in the UK, with 65,000 operations carried out last year. But BBC Disclosure has discovered some companies use surgeons from abroad who fly in and out of the country, leaving patients exposed if complications arise. BBC News

      Frozen eggs storage 10-year limit 'should be changed'

      Frozen eggs storage 10-year limit 'should be changed' There is no scientific reason for the 10-year limit on storage of frozen eggs, which is forcing some women to destroy them before they are ready to become parents, say fertility experts.

      Under UK law, only eggs stored for medical reasons and premature infertility can be kept for longer.

      The regulator says any change would be a matter for parliament.

      But it admitted the time "might be right to look at a more appropriate storage limit".

      Freezing eggs - for medical and social reasons - is growing in popularity, but the numbers are still small. BBC News

      Dementia: New Alzheimer's drug 'could slow rate at which disease progresses'

      Dementia: New Alzheimer's drug 'could slow rate at which disease progresses' Scientists believe they could be on the cusp of a breakthrough, after a drugs company said it had the first treatment of its kind for Alzheimer's.

      The drug, which is called aducanumab, cannot cure it but Biogen says it slows down the rate at which it progresses, essentially meaning people stay more like themselves for longer.

      This came as a surprise as the company had suspended the drug trial in March 2019 because of disappointing results. BBC News

      GPs complain they are so rushed they don't have time to eat, drink and have to urinate in their consultation room

      GPs complain they are so rushed they don't have time to eat, drink and have to urinate in their consultation room Family doctors are so overworkedthey do not stop for food and water and even have to urinate in their consulting rooms, senior medics have said.

      A leader of a confidential service for burnt-out GPs has warned that pressure to get through patient lists means many feel unable to take the time to attend to their own basic needs. The Daily Telegraph

      NHS chiefs attempt to blacklist homeopathy amid anti-vax fears

      NHS chiefs attempt to blacklist homeopathy amid anti-vax fears NHS leaders have gone to war on homeopathy by attempting to have the practice blacklisted amid fears it is fuelling anti-vax propaganda.

      The chief executive and medical director of NHS England have written to the Professional Standards Authority (PSA), the statutory body that oversees healthcare regulation, urging it to strip accreditation from the Society of Homeopaths (SoH).

      They argue that endorsing the society affords it a “veneer of credibility” that lures vulnerable patients towards “bogus treatments”. The Daily Telegraph

      See also:

      NHS 'failing' elderly as more struck by flu

      NHS 'failing' elderly as more struck by flu Hospital admissions for people with flu jumped last winter, official figures reveal, as NHS leaders were accused of failing to vaccinate enough elderly people.

      The season saw 16,133 additional patients requiring specialist help for flu and pneumonia compared to the year before, almost a third of whom were pensioners.

      Despite the increased risk from flu faced by older people, only 15 per cent of local NHS areas are managing to hit the government target to immunise three-quarters of people aged 65 and over. The Daily Telegraph

      No country is fully prepared for the next deadly pandemic, report finds

      No country is fully prepared for the next deadly pandemic, report finds No country is fully equipped to deal with the next global pandemic, a major report has claimed.

      Scientists say an outbreak of a flu-like illness could sweep across the planet in 36 hours and kill tens of millions due to our constantly-travelling population.

      But a review of health care systems already in place across the world found just 13 countries had the resources to put up a fight against an 'inevitable' pandemic.

      Among the countries ranked in the top tier were Britain, the US, Australia, Canada, France and Holland. The Daily Mail

      See also:

      Friday 25 October 2019

      St Andrew's Healthcare: Girl locked in psychiatric unit 'cell' to receive damages

      St Andrew's Healthcare: Girl locked in psychiatric unit 'cell' to receive damages A girl with autism and extreme anxiety whose father said she was kept in "cell" at a psychiatric unit is to receive damages, a council and healthcare bosses have said.

      Bethany, 18, was locked in a St Andrew's Healthcare seclusion room in Northampton for almost two years.

      Her father Jeremy, from Birmingham, launched legal action to get her moved. BBC Northampton

      UK investing less in health care infrastructure compared to other EU countries

      UK investing less in health care infrastructure compared to other EU countries New analysis from the Health Foundation suggests that the UK is investing significantly less in health care capital – which includes buildings, equipment and IT – as a share of GDP compared to most other similar countries. As a result, the total value of capital in health care in the UK has fallen.

      The value of capital per health care worker in the UK – which provides an estimate of the resources available to staff to deliver care to patients – has fallen by 35% between 2000 and 2017, while many other countries have seen significant and sustained rises over the same period. Of the countries analysed*, the value of capital per health care worker in the UK is the second lowest, above Greece, and only just over half the average value.

      An outsider’s reflections on NHS primary care reform

      An outsider’s reflections on NHS primary care reform Martin Hefford is Chief Executive of TÅ« Ora Compass Health, a primary health organisation in New Zealand. He has been on a 12-week sabbatical hosted by The King’s Fund and the Birmingham Health Services Management Centre. During his sabbatical, he met with NHS clinicians and managers from across England – from Torbay to Manchester, as well as Scotland, Denmark and Macedonia, looking at primary care challenges and innovations. The King's Fund

      The state of medical education and practice in the UK: the workforce report 2019

      The state of medical education and practice in the UK: the workforce report 2019 This report draws on the GMC's medical register data and findings from a new survey on doctors’ workplace experiences. It sets out recommendations to help inform emerging workforce strategies and people plans across the UK. The data shows that the UK’s medical register continues to grow, with many overseas doctors joining our workforce. However, the GMC states that health services must prioritise strategies to retain UK and non-UK trained doctors, and develop supportive workplace cultures with compassionate leaders. General Medical Council

      See also:

      Investigation into pre-school vaccinations

      Investigation into pre-school vaccinations This investigation sets out the system for providing vaccinations to pre-school children in England. It is prompted by public concerns about the levels of uptake of pre‑school vaccinations. It sets out:
      • the current levels of vaccination uptake and cases of disease across England;
      • Public Health England (PHE)’s and NHS England’s understanding of the problem; and
      • PHE’s and NHS England’s response to the problem.
      We use the MMR vaccination, the 4-in-1 booster and the Hib/MenC booster to highlight many of the challenges that exist in the system for pre‑school vaccinations and illustrate in more detail how uptake of vaccinations is falling. National Audit Office

      See also:

      NHS England agrees price for 'unaffordable' cystic fibrosis drug

      NHS England agrees price for 'unaffordable' cystic fibrosis drug Patients will get Orkambi by next month after years of price wrangling with manufacturer

      Up to 5,000 children and young people in England with the life-shortening disease cystic fibrosis will soon get access to the new drug Orkambi, after the US manufacturer ended years of bitter wrangling and agreed a price with the NHS.

      Campaigners celebrated the news, which NHS England’s chief executive said meant cystic fibrosis patients would get the drug within the month. “Given the time it has taken for the company to reach this agreement, there must be no further delay,” wrote Sir Simon Stevens to the chair of the House of Commons health select committee, Sarah Wollaston. The committee held hearings on the impasse earlier this year. The Guardian

      See also:

      'NHS technology is so bad it takes me 17 minutes to log into my PC', country's most senior doctor reveals

      'NHS technology is so bad it takes me 17 minutes to log into my PC', country's most senior doctor reveals NHS technology is so out-of-date it takes 17 minutes to log into PCs in the morning, the UK’s top family doctor has said.

      Dr Helen Stokes-Lampard, chair of the Royal College of General Practitioners revealed she could almost complete two appointments in the time it takes to start up her 10-year-old IT system.

      The Midlands GP said her practice is still forced to rely on Windows 7. The Daily Telegraph

      More than HALF of GPs think ten-minute appointments are too short

      More than HALF of GPs think ten-minute appointments are too short More than half of GPs say patients are put in danger because ten-minute appointments are too short.

      A survey of 1,500 family doctors revealed that the majority do not think they have enough time to properly assess patients.

      It prompted the head of the Royal College of GPs (RCGP) to warn that the entire profession could 'crumble'. The Daily Mail

      British children face month-long delays in getting flu vaccine

      British children face month-long delays in getting flu vaccine British children face a month-long delay in getting vaccinated against the flu on the NHS this winter, it has been revealed.

      GPs have been told to prioritise vulnerable youngsters with underlying conditions, ensuring they are the first to get the nasal spray.

      Other children across the UK may have to wait until late November to be vaccinated, Public Health England (PHE) has warned. The Daily Mail

      Number of hospitals running short of nurses TRIPLES in five years

      Number of hospitals running short of nurses TRIPLES in five years The amount of hospitals regularly understaffed with nurses in England has almost tripled in five years, figures show.

      The number of NHS trusts which had 10 per cent or fewer nurses than they needed each month increased from 20 in June 2014 to 55 in June 2019.

      Some of the worst hit departments included critical care, geriatric medicine, acute medicine, cardiology and neonatal care – where quality care is essential to save lives. The Daily Mail

      See also:

      Thursday 24 October 2019

      Northampton General Hospital rating drops from 'good' to 'requires improvement' amid reports of 'bullying culture'

      Northampton General Hospital rating drops from 'good' to 'requires improvement' amid reports of 'bullying culture' Northampton's hospital has been given orders to improve after a watchdog found issues ranging from bullying to an unexpected maternity ward death during an inspection.

      The Care Quality Commission (CQC) also found incidents of staff failing to store medicines properly while waiting times for those requiring treatment were found to be consistently worse than national standards.

      The hospital, which employs almost 4,500 staff, has been rated as requires improvement overall today, falling from good, which it was awarded in its previous report in 2017. Northampton Chronicle and Echo

      See also:

      Kettering A&E to get £46m for new urgent care hub

      Kettering A&E to get £46m for new urgent care hub An A&E department where doctors' offices and broom cupboards were used as extra space for patients is to receive an extra £46m from the government.

      Kettering General Hospital bosses had demanded new investment "here and now" for an urgent care hub.

      Its A&E was built to accommodate 100 people a day, but now regularly has 300 patients. BBC Northampton

      National survey shows most people experience good urgent and emergency care, but lengthy waiting times remain a problem

      National survey shows most people experience good urgent and emergency care, but lengthy waiting times remain a problem Findings from a survey of more than 50,000 people who received urgent and emergency care from services provided by 132 NHS trusts across England show that the majority are positive about most aspects of their care and treatment. However, a significant number continue to report long waits, particularly those attending major accident and emergency (A&E) departments. Care Quality Commission

      See also:

      Steps to expand placement capacity

      Steps to expand placement capacity The NHS Long Term Plan sets out ambitions to increase the number of people in learning placements across the NHS. To meet these ambitions, employers will have to scale up the ability to offer a safe and high-quality learning environment that supports workforce development. Based on conversations with those organisations which have already grown their capacity, this briefing sets out a series questions and actions, under six key areas to help employers reflect on what more they can do to increase placement capacity in a way that is sustainable for their organisation. NHS Employers

      Babies born at 22 weeks 'can now survive'

      Babies born at 22 weeks 'can now survive' Improving survival rates for extremely premature babies mean it is now possible to save the lives of babies born at 22 weeks, guidance says.

      Previously it was recommended that only babies born at 23 weeks or later were given treatment to save their lives.

      But there is now evidence those born earlier can survive - although only in small numbers - the British Association of Perinatal Medicine said. BBC News

      See also:

      Almost half of women with breast cancer 'experience sexual problems after treatment'

      Almost half of women with breast cancer 'experience sexual problems after treatment' Nearly half of women diagnosed with breast cancer have experienced sexual difficulties as a result of treatment, a new survey suggests.

      The research, conducted by Breast Cancer Now and YouGov, questioned more than 1,000 women who had been diagnosed with breast cancer in the last 10 years. The Independent

      See also:

      Don't make yourself comfortable: GPs to trial standing appointments to 'set an example'

      Don't make yourself comfortable: GPs to trial standing appointments to 'set an example' GPs are to pilot standing-up appointments to “set an example” to patients about the perils of a sedentary lifestyle.

      Backed by the Royal College of General Practitioners (RCGP), the study will also investigate whether doing so will shorten the length of consultations.

      Starting in the Midlands, the pilot scheme will see family doctors equipped with £2,000 desks that can switch from sitting to standing formats at the push of a button. The Daily Telegraph

      See also:

      Parents urged to vaccinate children against whooping cough as number of cases rises four-fold 

      Parents urged to vaccinate children against whooping cough as number of cases rises four-fold Parents have been urged to vaccinate their children against whooping cough, as the number of cases has risen four-fold this decade.

      Whooping cough, also known as pertussis, is a highly-contagious bacterial infection which is spread through the coughs and sneezes of an infected person. The Daily Telegraph

      High blood pressure drugs more effective if taken at night before bed, study finds

      High blood pressure drugs more effective if taken at night before bed, study finds High blood pressure patients are being urged to take their medication before going to bed to slash their risk of an early death.

      A study found adults with hypertension were less likely to suffer heart attacks, heart disease or strokes, if they took the drugs in one go at bedtime.

      Spanish scientists looked at more than 19,000 patients on medication for high blood pressure, who were tracked for an average of six years. The Daily Mail

      See also:

      Wednesday 23 October 2019

      These are the faces of all the award-winning staff and volunteers at Northampton General Hospital

      These are the faces of all the award-winning staff and volunteers at Northampton General Hospital Staff and volunteers at Northampton General Hospital were recognised for their hard work and around the clock care at the hospital's annual awards ceremony. Northampton Chronicle and Echo

      Securing money to improve mental health care... but no staff to spend it on

      Securing money to improve mental health care... but no staff to spend it on The NHS long-term plan commits £2.3 billion a year by 2023/24 to provide high-quality evidence-based mental health services to an additional 2 million people. To provide this, mental health services will need 27,460 new posts, which are additional to the 21,000 posts specified in the mental health workforce plan for England. But how can services achieve this if they are already running out of staff to deliver care? The King's Fund

      Delivering the NHS long-term plan's ambition of ageing well: old age psychiatry as a vital resource

      Delivering the NHS long-term plan's ambition of ageing well: old age psychiatry as a vital resource This guidance is to help local areas plan and deliver specialist services, led by old age psychiatrists, to meet the needs of older people. It brings together views from older people, service users, carers and a wide range of health and social care professionals. Royal College of Psychiatrists

        Poor toilet hygiene behind E. coli superbug spread

        Poor toilet hygiene behind E. coli superbug spread People not washing their hands after going to the toilet, rather than undercooked meat, is behind the spread of a key strain of E. coli.

        Experts looked at thousands of blood, faecal and food samples.

        They found human-to-human transmission was responsible - "faecal particles from one person reaching the mouth of another".

        Public Health England said hand-washing and good hygiene were key to preventing the spread of infections. BBC News

        See also:

        Drugs: UK should consider legalising possession, MPs say

        Drugs: UK should consider legalising possession, MPs say The government should investigate decriminalising the possession of all illegal drugs in a bid to prevent the rising number of related deaths, a group of MPs has said.

        The health and social care committee said the level of such deaths in the UK had become a public health "emergency".

        It found the UK's position on drugs was "clearly failing" and called for a "radical new approach" in policy. BBC News

        See also:

        'Greedy' pharmacist who tippexed 1,500 prescriptions jailed for defrauding NHS - Sky News

        'Greedy' pharmacist who tippexed 1,500 prescriptions jailed for defrauding NHS A pharmacist who defrauded £76,000 from the National Health Service by using Tippex to alter prescriptions has been jailed for 16 months.

        For six years, Michael Lloyd billed the NHS for expensive liquid dementia medication while dispensing the same drug in its cheaper, tablet form.

        The judge at Cardiff Crown Court labelled 52-year-old Lloyd "greedy". Sky News

        First drug to slow Alzheimer’s disease could soon be on the market

        First drug to slow Alzheimer’s disease could soon be on the market A potentially “ground-breaking” drug which appears to slow Alzheimer’s disease could soon change the lives of thousands of dementia sufferers.

        The treatment offers new hope to patients in the early stages of the most common form of dementia, which affects about 850,000 people living in the UK.

        Biogen says its drug, aducanumab, would be the first treatment to “reduce the clinical decline” of patients in the early stages of Alzheimer’s disease if approved. The Independent

        See also:

        Boris Johnson drawn into row over 'unsafe' Hillingdon hospital

        Boris Johnson drawn into row over 'unsafe' Hillingdon hospital Hospital in prime minister’s constituency has moved child patients because of subsidence

        Boris Johnson has been drawn into a row over the future of his local hospital, parts of which are so dangerous that patients have been moved out of wards to ensure their safety.

        The prime minister has become involved in a dispute involving NHS chiefs and local MPs over whether Hillingdon hospital in his north-west London constituency should be rebuilt where it stands, when it is knocked down, or on another site. The Guardian

        Elderly people having to 'fend for themselves' as 40,000 fewer pensioners receive care despite rising demand

        Elderly people having to 'fend for themselves' as 40,000 fewer pensioners receive care despite rising demand Elderly people are being left to “fend for themselves”, a charity has warned, as 40,000 fewer pensioners are receiving council care despite rising demand.

        Figures released by NHS Digital yesterday [TUES] reveal that the number of people receiving long-term care has fallen each year - from from 872,520 in 2015-16 to 841,850 in 2018-19.

        Statisticians say that this has mainly been driven by a fall in care for those aged 65 and over, down 39,060 to 548,435. The Daily Telegraph

        Doctors will send almost one million NHS patients for singing, gardening or art classes

        Doctors will send almost one million NHS patients for singing, gardening or art classes Doctors will send almost one million NHS patients for singing, gardening or art classes under a £5million Government scheme.

        Ministers will launch the National Academy for Social Prescribing to co-ordinate the wider roll-out of arts, sport and leisure activities for patients across the country.

        Such 'social prescribing' has been shown to help people with illnesses including depression, loneliness and heart disease. The Daily Mail

        Anorexia cases are almost DOUBLE estimates in 2006, figures suggest

        Anorexia cases are almost DOUBLE estimates in 2006, figures suggest Anorexia is twice as common among young children in the UK now than it was a decade ago, researchers claim.

        Around 3.2 youngsters out of every 100,000 eight to 12-year-olds were diagnosed with the eating disorder in 2015.

        This is double that of the estimated 1.5 cases per 100,000 in 2006, according to scientists at King's College London. The Daily Mail

        See also:

        Tuesday 22 October 2019

        Councillor spots unallocated cashpot that could help day care centres facing cuts

        Councillor spots unallocated cashpot that could help day care centres facing cuts A councillor has identified an unallocated pot of cash that could be given to the day care centres which are losing a county council contract.

        A number of day centres for the elderly and organisations that help rough sleepers will lose their funding at the end of March because Northamptonshire County Council has decided not to continue its £1.6m annual social wellbeing contract. Northampton Chronicle and Echo

        Out of commission: What’s behind poor care for people with learning disabilities?

        Out of commission: What’s behind poor care for people with learning disabilities? As another report shows that care for people with learning disabilities is not good enough, Helen Buckingham looks more closely at the role of commissioners in preventing and addressing these systemic failures in care. Nuffield Trust

        “Unacceptable inequalities in health outcomes” for LGBT people “glare out wherever you look”

        “Unacceptable inequalities in health outcomes” for LGBT people “glare out wherever you look” LGBT people are being let down in health and social care, by structures and services that are not inclusive or designed with them in mind, and by a lack of leadership in Government, NHS and social services.

        In a new report the Women and Equalities Committee has found that too often LGBT people are expected to fit into systems that assume they are straight and cisgender. But the Committee has found that deep inequalities exist in health outcomes for these communities and that treating them “the same” as non-LGBT people will not address these poor outcomes.

        See also:

        Preventing serious violence: a multi-agency approach

        Preventing serious violence: a multi-agency approach This information is for partners in local areas across the country, including police and crime commissioners, public health departments and community safety partnerships. It will help them understand and respond to serious violence that affects their communities. Public Health England

        Designing digital skills interventions for older people

        Designing digital skills interventions for older people This report brings together recommendations for designing digital skills interventions for older people with care and support needs. It draws on insights from two pathfinders, which were funded by NHS Digital and supported by Good Things Foundation as part of the Widening Digital Participation programme. The pathfinders generated insights on small system-level changes that can embed digital inclusion in social care support and factors influencing digital inclusion within social housing schemes. Good Things Foundation

          Eating disorders: Over-65s unable to access some clinics

          Eating disorders: Over-65s unable to access some clinics Over-65s with eating disorders are being prevented from accessing some specialist clinics despite NHS England saying they are open to all ages, the BBC's Victoria Derbyshire programme has found. For some, such support is seen as essential in keeping them alive. BBC News

          Dementia in footballers three and a half times more likely than in general population

          Dementia in footballers three and a half times more likely than in general population Former professional footballers are three and a half times more likely to die of dementia than people of the same age range in the general population, according to new research.

          Experts at Glasgow University have been investigating fears that heading the ball could be linked to brain injuries.

          The study began after claims that former West Brom striker Jeff Astle died because of repeated head trauma. BBC News

          See also:

          Watchdog to investigate suicide monitoring of benefit claimants after ministers refuse to publish data

          Watchdog to investigate suicide monitoring of benefit claimants after ministers refuse to publish data A watchdog is to investigate the government’s monitoring of suicides among benefit claimants amid concerns about links between welfare reforms and declining mental health.

          The National Audit Office (NAO) said it would call on the Department for Work and Pensions (DWP) to reveal what information it held on the issue, after ministers refused to provide an MP with figures on the number of people in the welfare system who had taken their own lives. The Independent

          Chest X-rays miss nearly quarter of lung cancers, review finds

          Chest X-rays miss nearly quarter of lung cancers, review finds Lung Cancer is being missed at an early opportunity in almost a quarter of cases due to the use of out-dated X-rays, researchers have found.

          A review in the British Journal of General Practice reveals that despite being the recommended method for investigating suspicious symptoms, such as persistent coughs or chest aches, X-rays miss up to 23 per cent of patients with the disease. The Daily Telegraph

          See also:

          Cancer patients reluctant to bother overworked NHS staff

          Cancer patients reluctant to bother overworked NHS staff Cancer patients are suffering side-effects of treatment in silence because they are afraid of bothering overworked NHS staff, a new survey reveals.

          More than two thirds of newly diagnosed cancer patients questioned by Macmillan Cancer Support said they are not getting all the help they need - estimated to be about 300,000 people across the UK. The Daily Telegraph

          Number of over 85s in UK to double in 25 years, amid fears of social care crisis escalating

          Number of over 85s in UK to double in 25 years, amid fears of social care crisis escalating The number of over 85s in the UK is set to double within the next 25 years, new data reveals, amid fears of the social care crisis escalating.

          The Office for National Statistics (ONS) has today published data showing national population projections.

          Researchers found that the UK population is set to rise by 3 million (or 4.5%) in the next decade, from around 66.4 million in mid 2018 to around 69.4 million in mid 2028. The Daily Telegraph

          See also:

          Parents have a moral duty to give their children the MMR jab warns Health Secretary Matt Hancock 

          Parents have a moral duty to give their children the MMR jab warns Health Secretary Matt Hancock Parents who shun the MMR jab are endangering the lives of babies and seriously ill children, the Health Secretary warns today.

          Matt Hancock says unvaccinated youngsters may catch measles themselves and then infect vulnerable, high-risk patients.

          He says that while parents might think their decisions on jabs are a 'personal choice' and 'nobody else's business', they in fact have a 'moral' duty. The Daily Mail

          See also:

          Monday 21 October 2019

          Well-being cafe inspired by Kettering man who killed himself

          Well-being cafe inspired by Kettering man who killed himself A mother whose son took his own life five years ago said a mental health cafe named after him aims to fulfil his ambition "to make his name".

          Johnny's Happy Place on Rockingham Road, Kettering, was founded after the death of Johnny Mackay in October 2014.

          Johnny's mother Denise Mackay said: "He used to say to me 'Mummy one day I'm going to rock the world, I'm going to make my name'.

          "He didn't, but we are trying to do that." BBC Northampton

          These are the 10 worst GP practices in Northampton ranked for patient satisfaction

          These are the 10 worst GP practices in Northampton ranked for patient satisfaction The majority of patients surveyed at all the practices in Northampton were happy with their GPs - but these ones had the lowest scores. Northampton Chronicle and Echo

          National roll-out of electronic prescription service

          National roll-out of electronic prescription service The service will help GPs and pharmacists prescribe and dispense medicines faster and more securely and make it easier for patients to pick up repeat prescriptions. Department of Health and Social Care

          See also:

          Cancer research: Scientists seek clues to how disease 'is born'

          Cancer research: Scientists seek clues to how disease 'is born' British and American scientists are teaming up to search for the earliest signs of cancer in a bid to detect and treat the disease before it emerges.

          They plan to "give birth" to cancer in the lab to see exactly what it looks like "on day one".

          It is just one of the research priorities of the new International Alliance for Cancer Early Detection. BBC News

          See also:

          Air pollution is now a ‘health emergency’, head of NHS England warns

          Air pollution is now a ‘health emergency’, head of NHS England warns The head of NHS England has warned of a “health emergency” as new figures revealed hundreds more children and adults are suffering cardiac arrests, strokes or severe asthma attacks because of days of high air pollution.

          Stunted lung growth in children and links between pollution and lung cancer was also found by researchers who looked at nine cities across England. The Independent

          See also:

          NHS hospital fined £135,000 after a 350 per cent rise in breaches of ban on mixed sex wards 

          NHS hospital fined £135,000 after a 350 per cent rise in breaches of ban on mixed sex wards An NHS hospital has been fined £135,000 after a 350 per cent increase in breaches of rules banning mixed sex wards.

          Oxford University Hospitals NHS Foundation Trust recorded 809 breaches of mixed-sex accommodation rules in the 12 months ending in August - up from 177 the previous year.

          The NHS says trusts are expected to have a “zero-tolerance” approach towards placing men and women on the same wards, which it says is essential for ensuring safety, privacy and dignity for patients. The Daily Telegraph

          Google gets green light to access FIVE YEARS' worth of sensitive patient data from NHS

          Google gets green light to access FIVE YEARS' worth of sensitive patient data from NHS Google has been given the go-ahead to access five years' worth of sensitive NHS patient data.

          In a deal signed last month, the internet giant was handed hospital records of tens of thousands of patients up and down England.

          New documents show the data will include medical history, diagnoses, treatment dates and ethnic origin.

          The news has raised concerns about the privacy of the data, which could now be harvested and commercialised. The Daily Mail

          Friday 18 October 2019

          New children's commissioner at 'failing' Northamptonshire council

          New children's commissioner at 'failing' Northamptonshire council The government has appointed a new commissioner at a crisis-hit council's children's services department.

          Andrew Christie has replaced Malcolm Newsam, who announced he would be leaving his role at Northamptonshire County Council last month.

          Mr Newsam took up the role in 2018 after an Ofsted report found people in its care were at "potential risk".

          In July, inspectors said the authority was still "failing to keep children safe". BBC Northampton

          The deteriorating state of the NHS estate

          The deteriorating state of the NHS estate In recent years, the charmingly named ERIC (Estates Returns Information Collection) data collection has contained some deeply alarming news about the condition of NHS buildings and equipment. The King's Fund

          Suicide prevention: identifying and responding to suicide clusters

          Suicide prevention: identifying and responding to suicide clusters This toolkit, based on research of suicide clusters, is part of Public Health England's support for the government’s suicide prevention strategy.

          Departmental overview: Department of Health and Social Care 2019

          Departmental overview: Department of Health and Social Care 2019 This report is designed to provide a quick and accessible overview of the Department and its performance over the last year. It focuses on the Department’s responsibilities and how it spends its money, key developments in its areas of work and findings from our recent reports. National Audit Office

            Pathway navigator ‘critical’ to cutting lung cancer waiting times say experts

            Pathway navigator ‘critical’ to cutting lung cancer waiting times say experts An admin role, described as ‘critical’ in helping to cut lung cancer waiting times and speeding up diagnoses, continues to face national funding challenges says a new report by the UK Lung Cancer Coalition (UKLCC).

            According to Pathways Matter – the first report to track uptake of NHS England’s National Optimal Lung Cancer Pathway [NOLCP] guidance and identify barriers – the appointment of a patient pathway navigator can help to more than double the number of lung cancer patients receiving treatment by day 49.

            However, securing funding for the role remains ‘challenging’, according to interviews among 17 of the 19 Cancer Alliances.

            See also:

            Ending smoking in the UK could lift over a million people out of poverty

            Ending smoking in the UK could lift over a million people out of poverty Analysis of Government data carried out for Action on Smoking and Health (ASH) finds that the deadly addiction of tobacco, and the enormous profits of the tobacco industry, drive over a million (1,011,000) people into poverty in the UK.

            Seven out of ten adult smokers want to stop smoking, and three quarters regret ever having started, but most did so as children, before realising how hard it is to quit. More than two thirds of those who try smoking go on to become regular smokers, developing an expensive and often lifelong addiction causing disease, disability and premature death.

            See also:

            Clinical research improves health of UK economy and NHS

            Clinical research improves health of UK economy and NHS The value of clinical research to the NHS, the UK economy and jobs market has been evaluated in a new report, which provides an assessment of the economic impact of the National Institute for Health Research Clinical Research Network's (NIHR CRN) activities to support clinical research in England. Medical Xpress

            Fat found in overweight people's lungs

            Fat found in overweight people's lungs Fatty tissue has been found in the lungs of overweight and obese people for the first time.

            Australian researchers analysed lung samples from 52 people and found the amount of fat increased in line with body mass index.

            They said their findings could explain why being overweight or obese increased asthma risk.

            Lung experts said it would be interesting to see if the effect could be reversed by weight loss. BBC News

            See also:

            Female doctors called 'naughty girls' amid toxic 'old boys' club' at BMA

            Female doctors called 'naughty girls' amid toxic 'old boys' club' at BMA The British Medical Association has an “old boys’ club” culture which has seen women “treated as of less importance” and subjected to lewd sexual remarks and advances, a damning investigation has found.

            The independent review of sexism and bullying at the medics union describes a “toxic” environment, in which professional women are addressed in demeaning teams such as “naughty girls, little ladies and wee lassies”.

            Daphne Romney QC was commissioned by the BMA to carry out the investigation after female doctors spoke out against sexual harassment and sexism by senior members of the trade union. The Daily Telegraph

            See also:

            Thursday 17 October 2019

            Corby BAME doctors say racism is rising

            Corby BAME doctors say racism is rising Black and minority ethnic Northamptonshire GPs say they are facing an increasing level of racism while at work.

            The county’s two clinical commissioning groups have vowed to tackle the issue after GPs Dr Sanjay Gadhia, Dr Joanne Watt and Dr Miten Ruparelia, who all practice in Corby, spoke out about their personal experiences and the growing occurrences at the joint CCG board meeting. Northamptonshire Telegraph