Friday, 4 July 2014

David Cameron accused of misrepresenting A&E waiting times to Parliament

David Cameron accused of misrepresenting A&E waiting times to Parliament David Cameron has been accused of misleading MPs over A&E waiting times, after a claim he made three times was challenged by the politically neutral House of Commons Library. The Independent

Thursday, 3 July 2014

Further talks scheduled at ACAS next week between Northampton General Hospital and pathology staff

Further talks scheduled at ACAS next week between Northampton General Hospital and pathology staff Further roundtable talks between Northampton General Hospital and biomedical staff who have been locked out of the hospital will be held next week. Northampton Herald and Post

Accountable care organisations in the US and England

Accountable care organisations in the US and England Accountable care organisations in the United States and Englanddescribes the different types of ACOs emerging in the United States; presents some early evidence on their performance; assesses the future for ACOs; and discusses the implication of these developments for integrated care initiatives in England. The King's Fund

Flu fighter resources ordering system now live

Flu fighter resources ordering system now live Free printed campaign materials for your local staff flu vaccination campaign can now be ordered from our online system. NHS Employers

In the red? The state of the NHS finances

In the red? The state of the NHS finances This briefing focuses on the breakdown of commissioner spending on NHS and non-NHS providers in the acute, community and mental health sectors. It updates previous analysis published by the Nuffield Trust and IFS in May 2013 on the private/ public provider mix in the NHS and is extracted from a forthcoming report. Nuffield Trust

NHS plan 'a recipe for disaster'

NHS plan 'a recipe for disaster' Cutting back on hospital services in England before community services are geared up to provide care is a "recipe for disaster", MPs say. BBC News

See also:

NHS surgery 'age discrimination'

NHS surgery 'age discrimination' Age discrimination may be preventing older people from having access to vital surgery, a report suggests. BBC News

See also:

VIDEO: UK FGM failure 'a national scandal'

VIDEO: UK FGM failure 'a national scandal' A report by MPs claims the failure to tackle female genital mutilation (FGM) in the UK is a "national scandal" that has affected as many as 170,000 women. BBC News

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Caldicott to oversee care.data pilot

Caldicott to oversee care.data pilot The pilot phase of the controversial care.data programme will be subject to scrutiny from an independent panel led by Dame Fiona Caldicott, NHS England has revealed. E-Health Insider

NHS England rules out further local QOF schemes this year

NHS England rules out further local QOF schemes this year NHS England has ruled out the possibility of supporting additional local QOF schemes this financial year, a decision welcomed by the GPC. GP Online

NHS cancer care: planned switch to private contracts in £700m plans

NHS cancer care: planned switch to private contracts in £700m plans Private health firms ready to bid for £1.2bn worth of outsourced services at Staffordshire clinical commissioning group areas

Cancer care in the NHS could be privatised for the first time in the health service's biggest ever outsourcing of services worth over £1.2bn.

A host of private healthcare firms have already expressed interest in securing a £689m, 10-year contract to provide cancer care at four NHS GP-led clinical commissioning group areas in Staffordshire. Continue reading... The Guardian

PM must exclude NHS from EU-US trade deal or it could be sued, union warns

PM must exclude NHS from EU-US trade deal or it could be sued, union warns Healthcare workers, patients’ groups and the country’s biggest union are urging the Prime Minister to exclude the NHS from a “monster” new EU-US free trade deal they claim could make it impossible for botched privatisations ever to be renationalised. The Independent

Doctors forced to act as a surrogate social service, says British Medical Journal

Doctors forced to act as a surrogate social service, says British Medical Journal

Hundreds of thousands of victims of government cuts to welfare are becoming ill as a result, with doctors becoming a “surrogate social service,” according to the British Medical Journal (BMJ). The Independent

Wednesday, 2 July 2014

Future organisation models for the NHS: perspectives for the Dalton Review

Future organisation models for the NHS: perspectives for the Dalton Review Sir David Dalton’s forthcoming review provides a timely opportunity to explore the range of organisational models that providers could use to meet their current strategic and financial challenges. This publication explores some of the organisational options available, including how high-performing NHS organisations might support providers in difficulty. It provides an evidence review and a range of individual perspectives on some of those new organisational arrangements, in health and other sectors, nationally and internationally – in a bid to inform the work of the Dalton review. The individual contributions highlight the benefits and challenges of different organisational models. The King's Fund

Developing a model of mental health self-care support for children and young people

Developing a model of mental health self-care support for children and young people This study looks at the options of self-care support available to children and young people in order to help prevent mental ill-health or speed recovery from it. The study consists of a systematic review of the literature as well as case studies of existing self-care services for mental health in England and Wales. It found that self-care could aid in recovery and that patients and families welcomed the choice and flexibility in self-care services. National Institute for Health Research

PM warns of antibiotic resistance

PM warns of antibiotic resistance Medicine could soon be "cast back into the dark ages" unless action is taken to tackle the growing resistance to antibiotics, David Cameron says. BBC News

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Council-run care 'unsustainable'

Council-run care 'unsustainable' The council-run care system for the elderly and younger adults with disabilities is becoming "unsustainable", social services chiefs are warning. BBC News

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WHO calls emergency Ebola meeting

WHO calls emergency Ebola meeting Health ministers from 11 African countries are meeting in Accra, Ghana, in an attempt to "get a grip" on the deadly and worsening Ebola outbreak. BBC News

SCR reaches 40m patients

SCR reaches 40m patients The NHS Summary Care Record has hit the 40m patient mark, just over a year after low usage rates led to calls for it to be scrapped. E-Health Insider

Emotions manipulated in Facebook study

Emotions manipulated in Facebook study "Facebook made users depressed in secret research," the Mail Online reports. The news comes from a controversial experiment where researchers used the social networking site Facebook to explore the effects of "emotional contagion".

Emotional contagion is when emotional states are transferred between people. For example, if everyone in your office is in a good mood, chances are your own mood will be lifted.

To study its effects, researchers reduced the amount of negative or positive content that appeared in users' newsfeeds to see if this changed their emotional posting behaviour.

The study found when positive emotional content was reduced, people subsequently produced fewer posts containing positive words and more posts containing negative words. The opposite pattern occurred when negative emotional content was reduced.

But the effect sizes in the study were very small – just a few percentage points in terms of changes in the positive or negative terms used by individual users.

More patients surviving major trauma

More patients surviving major trauma New system of care ‘an NHS success story’ OnMedica

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Mental illness treatment needs massive investment. The case is overwhelming

Mental illness treatment needs massive investment. The case is overwhelming Giving greater access to therapies such as CBT is not only the right thing to do it would save the NHS huge sums.

What is the greatest source of misery in our society poverty, unemployment or mental illness? As surveys show, the answer is mental illness. Yet under a third of people with these problems are in treatment. If you break a bone, you receive care automatically, but if your spirit is broken, you do not.

Nearly 40% of all illness in this country is mental illness, but most of it is untreated. It is the greatest injustice in our society and every party's manifesto needs a plan to redress it. The good news is that both depression and chronic anxiety conditions are highly treatable by modern evidence-based psychological therapies such as cognitive behavioural therapy (CBT). Half of the people treated recover fully, and many others improve substantially. After recovery, the chances of relapse are much reduced; many patients say they feel reborn. Continue reading... The Guardian

Third baby death linked to contaminated hospital drip

Third baby death linked to contaminated hospital drip Health officials say 23 infants have now suffered infections after receiving liquid nutrition feed supplied by a private company to NHS hospitals. The Daily Telegraph

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Dementia sufferers are ‘cut adrift’ after diagnosis warning

Dementia sufferers are ‘cut adrift’ after diagnosis warning Dementia patients are being “cut adrift” after diagnosis, a charity has warned, with one patient claiming they received no more support than if they had been suffering tonsillitis. The Independent

See also:

Britain prepared to pay more tax to support the NHS, poll finds

Britain prepared to pay more tax to support the NHS, poll finds A majority of people are ready to pay more tax to safeguard the NHS and head off a looming financial crisis, according to a ComRes survey for The Independent.

Tuesday, 1 July 2014

Pathology industrial action will not jeopardise patient safety

Pathology industrial action will not jeopardise patient safety We were informed by Unite on 23rd June that a small number of our employees within the pathology service intended to undertake partial duties as part of their planned industrial action. This means they would be unlikely to undertake out-of-hours' work, be unable to meet current turnaround times for tests and potentially refuse to complete the required duties in their expected job role. Northampton General Hospital

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New flexible working request regime

New flexible working request regime A new flexible working request regime came into force on 30 June 2014. Read what this means for employers. NHS Employers

Meeting need or fuelling unnecessary demand?

Meeting need or fuelling unnecessary demand? This briefing studies the effects of demand for services of improved access to primary care. NHS England commissioned this briefing by the Nuffield Trust to ensure that the successful pilots from the Prime Minister’s Challenge Fund were in a position to learn from past experience and research. It examines how far increased access to general practice and other primary care services will deal with unmet need, or whether these efforts may only serve to stimulate additional use of services that would not have otherwise occurred.

Local authority health scrutiny

Local authority health scrutiny Local authorities are responsible for scrutinising local health organisations to ensure they are providing effective, efficient services and encourage improvement. The guidance explains the health scrutiny regulations and provides local authorities with advice about how to implement them to ensure that existing health services are providing effectively for local communities. Department of Health

Midwives support strike action

Midwives support strike action Midwives in England say they are prepared to take industrial action over pay. BBC News

Enter the CCG on stats use and abuse

Enter the CCG on stats use and abuse Just as everybody thinks they are a better-than-average driver, so everbody seems to think that they too can 'do statistics'. So I'm going to be blunt. Statistics isn't for the amateur: it's potentially dangerous - like surgery. E-Health Insider

Blood test for breast cancer 'has potential'

Blood test for breast cancer 'has potential' "Blood test could give early warning of breast cancer," The Guardian reports. Researchers have identified a genetic signature that may be useful in predicting whether a woman is likely to develop non-inherited breast cancer.

Reliable blood tests for inherited (genetic) cases of breast cancer already exist. These tests look for mutations in the BRCA gene and may be used in women with a strong family history of breast cancer.

They can predict whether a woman is at risk of developing breast cancer with a high degree of accuracy. Such tests provide women with the opportunity to take preventative treatment, as was the case recently with the actress Angelina Jolie.

But only a very small proportion of all breast cancers are in people with BRCA mutations, described as being fewer than 1 in 10.

GPs criticise 'misguided' DH plan to name practices with low cancer referral rates

GPs criticise 'misguided' DH plan to name practices with low cancer referral rates GP leaders have criticised a 'simplistic and misguided' plan by the DH to 'name and shame' GP practices with low cancer referral rates, warning it could increase unnecessary referrals. GP Online

The NHS is probably the best system in the world, despite being given a kicking

The NHS is probably the best system in the world, despite being given a kicking Politicians, doctors and patients who rubbish the NHS should temper their remarks. Which country does healthcare better?

The NHS may be "palpably fraying at the edges" according to Dr Mark Porter, chairman of the British Medical Association, but as a jobbing GP, I'd say it's not unravelled yet.

Undoubtedly, too many people pitch up at A&E. And when asked to account for their actions, a quarter say it's because they can't get access to their GP. Often that's true. Sometimes it's not. Unpublished data from a local study of A&E attendances that I worked on three years ago showed no correlation between GP opening times, type of appointments (booked as opposed to walk-in surgeries), and size of practice. Access to GPs is a problem in some areas but some patients don't even try to get an appointment. Continue reading... The Guardian

Monday, 30 June 2014

New KGH unit helps 10,000 patients

New KGH unit helps 10,000 patients

The team behind an award-winning care unit at Kettering General Hospital are celebrating a successful first year in which they have seen almost 10,000 patients. Evening Telegraph

Northamptonshire health body to involve the public in future decision-making

Northamptonshire health body to involve the public in future decision-making

A public health body has called on the public to play a more active role in shaping local health services. Chronicle & Echo

DH issues guidance on 'safe havens'

DH issues guidance on 'safe havens'

The Department of Health has issued guidance on the creation of patient data 'safe havens' that will govern access confidential data held by Health and Social Care Information Centre. EHI News

Protecting personal health and care data

Protecting personal health and care data

The government proposes allowing access under strong controls to information from peoples’ personal care records which could be used to identify an individual. These access procedures known as safe havens will need to be accredited by the secretary of state for health. NHS Networks

Six million people went to A&E because they failed to get an appointment with their GP

Six million people went to A&E because they failed to get an appointment with their GP

Millions of people are turning up at accident and emergency departments asking for medical help because they face long delays to get an appointment with their family doctor, a study published today warns. The Guardian

Expert view: how should we fund the NHS of the future?

Expert view: how should we fund the NHS of the future?


A mega funding crisis is beginning to engulf the NHS that will change the service out of all recognition. It could spin the service into a residual poor law-type institution. A £2bn deficit is forecast to rise to an annual £30bn deficit within seven years a cool one-third of the current budget. The Guardian

Continue reading...

GPs who miss cancer could be named

GPs who miss cancer could be named

GPs with a poor record in spotting signs of cancer could be named under government plans to boost NHS transparency. BBC News

Diabetes complications preventable

Diabetes complications preventable

The findings were published in the National Diabetes Inpatient Audit (NaDIA), carried out by the Health and Social Care Information Centre, in collaboration with Diabetes UK. NHS Networks

Lack of anatomy training could lead to shortage of surgeons

Lack of anatomy training could lead to shortage of surgeons

Medical students are leaving university with a "worrying" lack of anatomical knowledge, top surgeons have warned, with many never having dissected a body and some qualifying as doctors without even seeing a cadaver. The Independent

National report sheds new light on the health and care of older people

National report sheds new light on the health and care of older people

The new report, Focus on the Health and Care of Older People, June 2014, aims to provide a wider picture of older people's health and lifestyle and pulls together data on hospital activity, mental health, social care, prescribing, NHS workforce, census data and life expectancy. NHS Networks

'Supercooling' keeps organs fresh

'Supercooling' keeps organs fresh

A new technique known as "supercooling" can preserve organs for days before they are transplanted, US researchers claim. BBC News

Refer more diabetes patients to structured education, GPs told

Refer more diabetes patients to structured education, GPs told

GPs should refer more diabetes patients to structured education so they can better self-manage their condition, experts have advised. GP Online

Hospitals told to stop profiteering from parking

Hospitals told to stop profiteering from parking

Norman Lamb, the health minister, said he was prepared to insert a clause in the standard NHS contract to stop executives repeatedly hitting patients with high parking fees. Daily Telegraph

Patients with learning disabilities still in long-stay hospitals

Patients with learning disabilities still in long-stay hospitals

Some 88% still awaiting transfer date, new data shows. Onmedica

Whistleblowing framework: call for evidence - government response

Whistleblowing framework: call for evidence - government response


Following a consultation on support for whistleblowers, this document outlines the government's response. Employees who blow the whistle on wrongdoing in the workplace will receive more information and support under new measures to strengthen whistleblowing legislation.  Department for Business, Innovation & Skills (BIS)
Government response
BIS news

News story: Antibiotics wins the Longitude Prize

News story: Antibiotics wins the Longitude Prize


One of the problems contributing to antimicrobial resistance (AMR) is the lack of a simple test to tell doctors when an infection is caused by bacteria and should be treated by antibiotics. Incorrect use of antibiotics to treat viral infections gives bacteria the chance to develop resistance (without providing any benefit to the individual) and so later down the line, when you really do need an antibiotic, there might not be one that works. 5,000 people die each year in the UK from antibiotic resistant infections.

Chief Medical Officer Dame Sally Davies worked with the Longitude Committee to develop the antibiotic challenge which will help conserve our antibiotics and fight antimicrobial resistance.

Over the summer, the Longitude Committee will develop the challenge criteria that will set out what people need to do to win the multi-million pound prize. Ideas can then be submitted from the autumn and competitors will have up to 5 years to put their solution forward for assessment by the Committee.

Chief Medical Officer, Dame Sally Davies said:

I am delighted that Antibiotics has been voted to receive the Longitude prize funds. I feel extremely passionate about the work that will be able to take place now, and I thank everyone that has taken the time to vote.

Thanks to the Longitude Prize, we will be able to start the development of a rapid diagnostic test, which will help to conserve the antibiotics we have and thus ensure they remain effective for as long as possible. Antimicrobial Resistance is one of the most important issues facing modern medicine in the world today and development of a rapid diagnostic has the potential to improve patient care on a global scale.

Department of Health

Friday, 27 June 2014

Independent report: Liverpool Care Pathway review: response to recommendations

Independent report: Liverpool Care Pathway review: response to recommendations

The Leadership Alliance for the Care of Dying People, made up of 21 national health and care organisations, has published One Chance to Get it Right, the response to the recommendations set out in More Care, Less Pathway, the independent review of the Liverpool Care Pathway.

The response sets out the Alliance’s commitment that care for all people in the last days of their life should be compassionate and tailored to the needs and preferences of the dying person. To achieve this, the Alliance has developed 5 new Priorities for Care, which set out the standards of care that dying people and their families should expect to receive.

The Alliance has also published:
the commitments Alliance members have made to implement the Priorities for Care
a summary of public engagement into the Alliance’s proposed approach

Further materials for health and care staff and organisations involved in implementing the priorities are available from the NHS Improving Quality website.

Blood test for breast cancer comes step closer

Blood test for breast cancer comes step closer

A simple blood test which could help predict a woman’s chance of developing breast cancer is in development, after new research uncovered a genetic “early marker” of risk, scientists have said. Independent

Work experience student makes cystic fibrosis breakthrough

Work experience student makes cystic fibrosis breakthrough

A medical student on work experience has made a breakthrough in cystic fibrosis research that will improve treatment and could extend sufferers’ life expectancy. Independent

Health and wellbeing metrics and demographics

Health and wellbeing metrics and demographics

We’ve added new information, case studies and useful links to the health and wellbeing section of our website on using metrics and demographics. 
NHS Employers

Hunt calls for shared records and data

Hunt calls for shared records and data

The NHS will not reach its full potential without sharing of electronic patient records across health and social care, Jeremy Hunt has said. EHI News

Shine like a star: inspirational improvement innovations

Shine like a star: inspirational improvement innovations

Across the country teams are often developing and implementing ideas to improve safety, efficiency and person-centred care, but it's less common for teams to have the space and time to build the initial evidence needed to get wider interest and adoption. The Shine programme aims to help teams to do just that, says Jo Bibby.
Health Foundation

The impact of the older generation on England's healthcare system

The impact of the older generation on England's healthcare system


The government has produced a report looking at the impact people aged over 65 have on the NHS. We look at the figures

The proportion of England aged over 65 has increased dramatically over the past 50 years and looks set to grow even more in the coming decades

In 1951, 11% of people were aged 65 and less than 1% were over 85. In 2011, those proportions had increased to 16% and 2% respectively. Government projections suggest that by 2051, one in four will be over 65 while 7% of the population will be 85 and over. Guardian

Continue reading...

Call to halve target for added sugar

Call to halve target for added sugar

People need to more than halve their intake of added sugar to tackle the obesity crisis, according to scientific advice for the government in England. BBC News 

Juice could no longer count towards 'five a day'

Juice could no longer count towards 'five a day'

Health officials are considering changes so fruit juice no longer counts towards 'five a day' amid concerns that it is fuelling Britain's obesity epidemic. Daily Telegraph

Plain cigarette packaging regulations to be announced by ministers

Plain cigarette packaging regulations to be announced by ministers


Department of Health confirms it is bringing forward moves on plain packets, delighting doctors and health charities

Plain packaging for cigarettes will come a step closer when ministers announce regulations to enact the historic move on Thursday. Guardian

Continue reading...

Vitamin D deficiency linked to high blood pressure

Vitamin D deficiency linked to high blood pressure

"Vitamin D supplements could help high blood pressure," The Independent reports. The paper reports on new research into genetic variations associated with low vitamin D levels and their relationship with blood pressure.

Researchers pooled 35 studies of nearly 100,000 people with a European background. They found that the lower the vitamin D levels, the higher blood pressure was.

But they did not look at whether vitamin D supplements or exposure to sunlight would lower blood pressure. And, similarly, they also did not look at whether a lowering of blood pressure improves health outcomes.

These findings are also limited by the fact the study only included people with a European background. It is therefore unclear whether a similar association would be found in other ethnicities.

Thursday, 26 June 2014

Challenge to walk 20 million steps in a weekend as county is revealed to be ‘fifth fattest’ in UK

Challenge to walk 20 million steps in a weekend as county is revealed to be ‘fifth fattest’ in UK

A campaign to get people walking in Northamptonshire has been launched after it was revealed the county was the fifth fattest in the country. Chronicle & Echo

Sustaining and assuring the quality of student nurse mentorship: what are the challenges?

Sustaining and assuring the quality of student nurse mentorship: what are the challenges?


This briefing focuses on sustaining and assuring the quality of mentorship within a difficult economic climate and at a time of debate about its future direction. National Nursing Research Unit (NNRU)
Briefing
NNRU - publications

Interactive map reveals stark differences in mortality rates across UK

Interactive map reveals stark differences in mortality rates across UK

People living in Blackpool, Manchester and Middlesbrough are twice as likely to die as other parts of the country, according to the Office for National Statistics. Daily Mail

NICE approves canagliflozin as new type 2 diabetes treatment option

NICE approves canagliflozin as new type 2 diabetes treatment option

NICE has approved the use of canagliflozin in combination with other anti-diabetic drugs to treat people with type 2 diabetes, widening available treatment options for GPs. GP online

NICK BOYLE: How the NHS wastes billions over everything from drugs to surgical gloves... by a top consultant surgeon

NICK BOYLE: How the NHS wastes billions over everything from drugs to surgical gloves... by a top consultant surgeon

The organisation is filled with dedicated people, but they have to work in a bureaucratic, sluggish system, writes consultant surgeon NICK BOYLE. Daily Mail

NHS must earn trust on data - Manning

NHS must earn trust on data - Manning

The NHS needs to earn back the trust of patients in the way that it handles data, the chair of the Health and Social Care Information Centre has said. EHI News

BMA votes for care.data opt-in

BMA votes for care.data opt-in

The British Medical Association has voted in favour of making care.data an opt-in system rather than an opt-out one. EHI News

Lamb supports tech for integrated care

Lamb supports tech for integrated care

Technological innovation is "critical and central" to integrating care and addressing the financial pressures facing the NHS, care secretary Norman Lamb has said. EHI News

Developing pharmacy’s contribution to public health

Developing pharmacy’s contribution to public health

This report gives details of how Public Health England is providing leadership for the development, implementation and evaluation of public health practice for pharmacy, taking national and local priorities into account.  Public Health England 

Cannabis use 'genetically linked' to schizophrenia

Cannabis use 'genetically linked' to schizophrenia

“Study finds people predisposed to the condition [schizophrenia’] and drug users share common genes,” the Mail Online reports. A new study suggests that ‘schizophrenia’ genes are associated with cannabis use.

It has long been known that there is an association between cannabis use and schizophrenia – but the “direction of travel” has been hotly debated.

Does cannabis use trigger the onset of schizophrenia in vulnerable individuals? Or are people with a genetic predisposition to develop schizophrenia more likely to use cannabis than the population at large (possibly as a coping mechanism)?

This latest study suggests that the latter may be the case; at least in some people. The study involved 2,082 healthy adults whose genetic make-up was examined for risk factors for schizophrenia.

Five top tips on how to make person centred care really work

Five top tips on how to make person centred care really work


Better communication, access to information and involving patients in their care aren't just 'soft stuff' they have real benefits
Are personal health budgets the solution to integrated care?

There is little mystery about what matters to patients and their families. Research highlights a small number of things that people regard as vital. These include good information and communication from professionals, involvement in decisions yet respect for preferences, emotional support and empathy, and continuity and co-ordination of care. Some or all of these matter to everyone who comes into contact with health and care services, and they are of especial importance to the growing number of people affected by long-term conditions and disabilities.

Yet we know that our health and social care systems do not deliver them consistently. For example, half of hospital inpatients in England report that they are not as involved as they would like to be in decisions about their care. Only 3% of GP patients have a written care plan that is shared with them. Lack of information and poor communication lie at the heart of many negative experiences of care. Guardian

Continue reading...

Vitamin D supplements could help high blood pressure, scientists say

Vitamin D supplements could help high blood pressure, scientists say

Vitamin D supplements might be a cheap and effective way to treat high blood pressure, scientists have said, after a study uncovered the best evidence yet of a link between vitamin levels and hypertension. Independent

Wednesday, 25 June 2014

Investigation into deaths of five residents at Northampton care home to be reopened by police

Investigation into deaths of five residents at Northampton care home to be reopened by police

The investigation into the deaths of five residents of a former Northampton care home is to be reopened by Northamptonshire Police. Chronicle & Echo

Sir Robert Francis review of whistleblowing processes

Sir Robert Francis review of whistleblowing processes

It has been announced that Sir Robert Francis will lead a review of whistleblowing processes in the NHS. NHS Employers

Press release: NHS rated on open and honest reporting culture in world leading transparency drive

Press release: NHS rated on open and honest reporting culture in world leading transparency drive

Unprecedented hospital data release aims to ensure NHS remains a world leader on safety

New safety drive with ambition to save up to 6,000 lives and halve avoidable harm

New data published today will for the first time allow the public the opportunity to compare key safety measures across hundreds of NHS Trusts in England.

It shows that the vast majority of NHS hospitals are rated as “good” or “ok” for their reporting culture. However, around one in five acute trusts, or 20 per cent have been rated as “poor” for open and honest reporting, underlining the need to support NHS staff to report and raise safety concerns.

Sign up to Safety

Sign up to Safety

Today, the Secretary of State for Health launched a new campaign to make the NHS the safest healthcare system in the world, building on the recommendations of the Berwick Advisory Group. The campaign has set out a three-year shared objective to save 6,000 lives and halve avoidable harm as part of our journey towards ensuring patients get harm free care every time, everywhere.

The Sign up to Safety campaign is for everyone in the NHS. It will generate a movement which places the safety of patients as a top priority in everything the NHS does. NHS England, Department of Health, Monitor, NHS Trust Development Authority, NHS Litigation Authority and CQC have all agreed to sign up to safety and have made a commitment to align their organisations’ work with the campaign, which will be led by Sir David Dalton, Chief Executive of Salford Royal NHS Foundation Trust. NHS Commissioning

For more information visit the Sign up to Safety website.

Spike in whooping cough cases lead to vaccination fears

Spike in whooping cough cases lead to vaccination fears

One in five children who see a doctor with a persistent cough may have the rare and dangerous condition whooping cough, new research indicates. The Independent

Doctors face new language checks

Doctors face new language checks

New powers allowing the medical regulator to check doctors' English language skills come into force, in a move hailed as an "important milestone". BBC News - Health

Tackling health inequalities: the case for investment in the wider public health workforce

Tackling health inequalities: the case for investment in the wider public health workforce


Royal Society for Public Health (RSPH) -
This report calls for greater investment and better understanding of the impact of the wider public health workforce - people who are not professionally qualified public health practitioners, but have the ability or opportunity to positively impact public health in their community. This includes health trainers, health champions, and non-health professionals. It argues that this “wider workforce” could be instrumental in reducing the burden of health inequalities – the financial cost of which was last estimated at close to £60bn.  Kings Fund Blog
Report
Press release

Phones carry bacterial 'fingerprint'

Phones carry bacterial 'fingerprint'

More than 80% of the most common bacteria present on fingers end up on the screens of smartphones, according to a study. BBC News - Health

New 3D breast screening increases cancer detection by 41%

New 3D breast screening increases cancer detection by 41%

Pennsylvania scientists found the scan, also known as digital breast tomosynthesis, also led to a 15 per cent drop in patients being unnecessarily recalled due to false alarms. Mail online

Ibuprofen could prevent premature ageing by combating arthritis, study shows

Ibuprofen could prevent premature ageing by combating arthritis, study shows

Ibuprofen, taken by millions of Britons every day to treat headaches, could be a cheap and simple antidote to the toxic effects of chronic inflammation, scientists say. Daily Telegraph

Royal Colleges join forces to call for more action on mental health, making a commitment to what the two Colleges themselves will do

Royal Colleges join forces to call for more action on mental health, making a commitment to what the two Colleges themselves will do
In a new joint statement published today, the two Colleges set out how they will work together to improve the physical health of patients with mental health problems, including calling for rebalanced of NHS resources to support better care in the community for people with mental health problems.

There is strong evidence that people with serious mental health problems are more likely to suffer from physical health problems, including diabetes, coronary heart disease and respiratory disease.

In addition, people with serious mental health problems die on average 15-20 years earlier than the rest of the population, with over 33,000 dying prematurely every year

The RCGP and RCPsych are united in their determination that patients should benefit from:
More time to discuss, plan and manage their long-term care in consultation with GPs, psychiatrists and other health professionals in the community.
Services which are better coordinated with one another, and around patients’ lives, with health professionals from different disciplines – including GPs and psychiatrists – given the time and resources to develop more effective ways of working together.
Better continuity of care, with patients able to see members of the same team if they wish.
More care delivered closer to home outside hospitals, and expanded outreach services to those who need it.

UK 5 Year Antimicrobial Resistance (AMR) strategy 2013-2018: measuring success

UK 5 Year Antimicrobial Resistance (AMR) strategy 2013-2018: measuring success


This guidance outlines measures agreed by the UK antimicrobial resistance strategy High Level Steering Group, based on advice from expert scientific advisory committees including the Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infections (ARHAI). It covers 4 areas: trends in resistance; quality of prescribing in primary and secondary healthcare settings; public and professional knowledge and understanding of antimicrobials and their appropriate use; and global security through ensuring global alignment in addressing AMR. It is aimed at clinical professionals, NHS managers, primary and secondary care prescribers,stakeholders and healthcare workers. Department of Health
Guidance
DH - publications

Patient safety alert on risk of harm relating to interpretation and action on PCR results in pregnant women

Patient safety alert on risk of harm relating to interpretation and action on PCR results in pregnant women


A patient safety alert has been issued by NHS England on the risk of harm relating to interpretation and action on Protein Creatinine Ratio (PCR) results in pregnant women. The alert has been issued to all NHS services involved in ordering, processing, issuing and receiving urinary protein measurements in pregnancy. NHS Commissioning 
Read the full patient safety alert

Going with change: allowing new models of health care to be provided for NHS patients

Going with change: allowing new models of health care to be provided for NHS patients

This report uses examples from retail and manufacturing to illustrate how NHS hospitals and GP practices will operate in the next decade. NHS Networks

GPs' surgeries 'at risk of closure'

GPs' surgeries 'at risk of closure'

Thousands of patients could be left without a local GP as surgeries face closure due to a finding crisis, doctors warn. Daily Telegraph

NHS England publishes staffing data

NHS England publishes staffing data


The NHS take another step forward in its commitment to openness and transparency today as nurse, midwife and care staffing data down to ward level is published for the first time.

The information is available in one place on a new safety section on NHS choices alongside a range of other information including safety reporting, infection control, blood clots, pressure ulcers and patient and staff feedback.

Jane Cummings, Chief Nursing Officer for England, has also posted a blog on how providing accessible and meaningful information about our local health services is establishing the NHS as a global leader in openness and transparency and helping to inform the public and drive improvements. NHS Commissioning
Now read Jane Cummings’ blog
Also see: www.nhs.uk/safety

Tuesday, 24 June 2014

One in five hospitals rated 'poor' for honesty on safety risks

One in five hospitals rated 'poor' for honesty on safety risks

Jeremy Hunt is to launch a new transparency drive which will rate hospitals more highly for being honest about their errors.  Daily Telegraph

Fears hospital mistakes covered up

Fears hospital mistakes covered up

An analysis of reporting incidents shows 29 out of 141 hospital trusts in England are not registering the expected number of safety incidents. BBC News - Health

Guidance: UK AMR strategy: measuring success

Guidance: UK AMR strategy: measuring success


Antimicrobial resistance is when infections caused by microorganisms survive exposure to a drug that was supposed to kill them or stop their growth, this is a particular problem with antibiotics.

The measures agreed by the UK antimicrobial resistance strategy High Level Steering Group, taking advice from expert scientific advisory committees including the Advisory Committee on Antimicrobial Resistance and Healthcare Associated Infections (ARHAI), cover 4 areas:
trends in resistance
quality of prescribing in primary and secondary healthcare settings
public and professional knowledge and understanding of antimicrobials and their appropriate use.
global security through ensuring global alignment in addressing AMR

These measures apply equally to human and animal health.

Department of Health

Public Health England looks for high tech ways to improve nation’s health

Public Health England looks for high tech ways to improve nation’s health


The competition has been launched to demonstrate the commitment from PHE to identify and support the latest applications and utilities in order to make a difference to people’s lifestyles.

Successful Health X businesses will be offered promotional support through PHE’s Change4Life campaign, a presence on NHS Choices and help with product development. NHS Networks

Helping the NHS to change: Monitor’s annual plan for 2014/15

Helping the NHS to change: Monitor’s annual plan for 2014/15


The way Monitor regulates NHS foundation trusts will be reviewed with the aim of ensuring those organisations which provide healthcare are given room to innovate and take calculated risks, in order to provide better quality services for patients and better value for money.

The move is just one of several actions announced by Monitor in its annual plan, aimed at encouraging the NHS to develop services that better meet the needs of patients whilst doing more with the money it is given. NHS Networks

Mental health services 'a car crash'

Mental health services 'a car crash'

Mental health services in England are "a car crash" and not prioritised by the health secretary, says the Royal College of Psychiatrists' outgoing president. BBC News - Health

Are personal health budgets the solution to integrated care?

Are personal health budgets the solution to integrated care?


The health and social care system is facing increasing pressures that traditional solutions can't address
Health and care integration could prove too costly for the NHS

Integration used to mean common assessments, merged teams and management restructures. Times have changed, and it's no longer just about changing job titles and Tupe Transfer of Undertakings (Protection of Employment). Over the last few years the health and social care system has begun to embrace the idea of "person-centred, co-ordinated care" that shifts the focus from organisations back to the experience of the person needing support.

Some of this has become necessary because people receiving care are no longer willing to accept that certain models of institutionalised provision are right for them just because they have a particular diagnosis. Choice and control, while being policy terms that have been repeated so often that there's a risk of losing the meaning, do resonate with us all personally in the decisions in life that are most important: where we live, who's in our life, and how we spend our time. The Guardian
Continue reading...

Reducing unintentional injuries among children and young people

Reducing unintentional injuries among children and young people


These resources for local authorities cover the prevention of accidents to children and young people in the home and on the road. The reports show that whilst the number of children and young people killed or seriously injured continues to fall in England there are still significant numbers of deaths and emergency admissions from preventable causes. It also highlights actions that local partners can take to reduce accidents including improving safety for children travelling to and from school and using existing services like health visitors and children’s centres. 
Public Health England (PHE) 
Reports and data
Press release

Doctors reject seven-day routine services at BMA annual meeting

Doctors reject seven-day routine services at BMA annual meeting

Doctors have rejected the provision of seven-day routine NHS services after debates at the BMA annual representatives' meeting (ARM). GP Online

Stress 'causes damage to the heart,' study finds

Stress 'causes damage to the heart,' study finds

"Stress is already known to be bad for the heart, but now scientists have discovered why it is so harmful," The Times reports.

A new US study now offers a plausible model of how chronic psychological stress could lead to heart damage. It involved both mice and junior doctors.

Researchers checked the blood of a small group of doctors after a week at work in intensive care. After a week of this stressful work, their white blood cell count had increased.

Similarly, when mice were exposed to chronic stress (tilting their cage for an extended period of time), they also showed increased levels of white blood cells.

This finding is of interest and possible concern. Previous research suggested inflammatory white blood cells might be involved in the process of causing the rupture of fatty atherosclerotic plaques in the arteries of people with heart disease, which causes a heart attack.

However, this research is very far from providing conclusive proof that stress leads to the development of heart disease, or directly causes heart attacks.

Doncaster rolls out iPad dementia tests

Doncaster rolls out iPad dementia tests

An iPad-based test for early dementia diagnosis is being rolled out across 24 GP practices in Doncaster, following a pilot. EHI News