Monday, 20 March 2023

Four in 10 NHS hospitals in England found to use outdated equipment in Lib Dem study

Four in 10 NHS hospitals in England found to use outdated equipment in Lib Dem study Four in 10 NHS hospitals in England are using outdated medical equipment including 37-year-old X-ray machines, according to research from the Lib Dems, who are calling for extra funding to replace outdated devices.

NHS hospitals are using hundreds of old X-ray machines, CT scanners and radiotherapy machines, with some dating back to the 1980s, according to research based on freedom of information requests to 69 hospital trusts. Of these, 41 said they had at least one X-ray machine that was more than 20 years old. The Guardian

See also:

Doubts grow over number of NHS doctors helped by pension giveaway

Doubts grow over number of NHS doctors helped by pension giveaway The number of hospital doctors that could be helped by Jeremy Hunt’s pensions giveaway has been cast into doubt, after new figures revealed that only 100 of them left the NHS last year due to voluntary early retirement.

Criticism has mounted about the measure announced in the budget, which would scrap the up to 55% tax levied on lifetime pension pots worth just over £1m and raise the annual allowance threshold from £40,000 to £60,000. The Guardian

NHS to offer 'world's most expensive' £1.8m-a-dose drug to cure baby spinal disease

NHS to offer 'world's most expensive' £1.8m-a-dose drug to cure baby spinal disease Babies born with a genetic disease that can lead to a life expectancy of just two years without intervention will now be cured on the NHS with a new £1.8million drug.

Around 56 infants are born with severe spinal muscular atrophy (SMA) in England every year, which causes muscle weakness and can lead to paralysis.

The National Institute for Health and Care Excellence (Nice), the NHS watchdog, has approved the use of onasemnogene abeparvovec, branded as Zolgensma, for babies born with the condition. The Daily Mail

Friday, 17 March 2023

Northampton General Hospital nurse shortlisted for national 'Nurse of the Year' for her commitment to end-of-life care

Northampton General Hospital nurse shortlisted for national 'Nurse of the Year' for her commitment to end-of-life care A nurse at Northampton General Hospital (NGH) has been shortlisted for a national ‘Nurse of the Year Award’ for the way she has helped enhance end-of-life care for patients and their families.

Kerry Messam, deputy lead nurse for specialist palliative and end of life care at the Cliftonville hospital, is in the finals of the British Journal of Nursing (BJN) Awards 2023. Northampton Chronicle and Echo

When is a death an excess death? Getting behind the numbers

When is a death an excess death? Getting behind the numbers The number of excess (ie, more than expected) deaths is a measure that’s probably now familiar to many since the Covid-19 pandemic started in 2020. It's widely used nationally and internationally to measure the mortality impact of Covid-19, including indirect impacts such as deaths resulting from unmet or delayed care. Rising numbers of excess deaths reported for the UK in the latter part of 2022 have received much attention, raising concerns about what's driving them. The King's Fund

The Leading Integration Peer Support Programme: using peer review to strengthen clinical and care professional leadership arrangements within Gloucestershire

The Leading Integration Peer Support Programme: using peer review to strengthen clinical and care professional leadership arrangements within Gloucestershire When developing its local framework for clinical and care professional leadership, Gloucestershire Integrated Care System (One Gloucestershire ICS) wanted to take an approach that explored opportunities to strengthen leadership in an inclusive way. An external peer review, facilitated by the Leading Integration Peer Support (LIPS) Programme, created an opportunity for everyone’s voice to be heard. NHS Confederation

UKHSA urges those with new or multiple sexual partners to get tested after gonorrhoea cases resurge

UKHSA urges those with new or multiple sexual partners to get tested after gonorrhoea cases resurge Provisional data indicates that gonorrhoea diagnoses from January to September 2022 were 21% higher than those reported over the same period in 2019. Data also indicates that during the first 9 months of 2022, gonorrhoea cases were higher than those reported over the same period in each of the last 3 years.

UK Health Security Agency (UKHSA) is reminding people to wear a condom and get tested regularly if having sex with new or casual partners. Testing is free and discreet and you should get tested even if you are not showing any symptoms.

See also:

Norovirus cases up 50% as NHS pressure significant

Norovirus cases up 50% as NHS pressure significant Commenting on the NHS weekly winter operational update for the week ending 12 March 2023, NHS National Medical Director, Professor Sir Stephen Powis, said: “Last week was a clear reminder that, even as we head into Spring, pressure on NHS staff remains significant with almost 5,000 more patients in hospital beds every day last week compared to this time last year, 10% more 111 calls answered than the week before, and we’ve seen a surge in norovirus with cases in hospital increasing by 50% over the past week. NHS England

See also: 

MHRA trialling pioneering stem cell robot that could transform the availability of life-saving cell therapies

MHRA trialling pioneering stem cell robot that could transform the availability of life-saving cell therapies An innovative new robot that grows stem cells, the CellQualiaTM Intelligent Cell Processing System, is being trialled by the Medicines and Healthcare products Regulatory Agency (MHRA). This robotic system has the potential to bring safer and more cost-effective treatments to people with a wide range of diseases. It is currently the only one in the world outside of Japan, where it was developed. Department of Health and Social Care

NHS 5% pay offer may end bitter dispute in England

NHS 5% pay offer may end bitter dispute in England A 5% pay rise from April has been offered to NHS staff in England, including nurses and ambulance workers.

In addition, staff have been offered a one-off payment of at least £1,655 to top up the past year's pay award.

You can see the complete offer in principle here Secretary of State offer in principle for the Agenda for Change (AfC) workforce (download).

Unions are recommending members back the deal, after nearly two weeks of talks with ministers, raising hopes the bitter dispute may be coming to an end.

The offer covers all NHS staff except doctors, who are on a different contract. BBC News

See also:

Plans to end free prescriptions for 60-65 year-olds ‘scrapped’ after backlash

Plans to end free prescriptions for 60-65 year-olds ‘scrapped’ after backlash Plans to end free NHS prescriptions for 60-65 year-olds in England have reportedly been scrapped by the Government following backlash.

The plan was first proposed in 2021 by Boris Johnson’s government to lift the qualifying age for free prescriptions from 60 to 66 to bring it into line with the state pension age. The Independent

Gene mutation which increases risk of breast and ovarian cancer linked to Orkney islands

Gene mutation which increases risk of breast and ovarian cancer linked to Orkney islands A gene mutation which increases the risk of breast and ovarian cancer has been linked to people with Orkney heritage.

Scientists from the universities of Aberdeen and Edinburgh have found that one in 100 people with grandparents from the islands off the north-eastern coast of Scotland, have a mutation of the gene BRCA1. Sky News

See also:

8 in 10 NHS hospitals are treating FEWER patients now than before Covid

8 in 10 NHS hospitals are treating FEWER patients now than before Covid The majority of NHS hospitals in England are still clearing fewer patients off their waiting lists than they were before Covid, MailOnline analysis shows.

Roughly 287,000 elective procedures, such as hip and knee ops, were carried out during January.

Yet 300,000-plus were performed during the same month in 2020 — two months before the pandemic hit Britain and caused NHS waiting lists to spiral to a record high. The Daily Mail

Thursday, 16 March 2023

Northampton General Hospital fire believed to have been started 'accidentally' as one ward remains closed to patients

Northampton General Hospital fire believed to have been started 'accidentally' as one ward remains closed to patients A fire at Northampton General Hospital is believed to have been started accidentally, according to the fire service.

Firefighters were called to the Cliftonville hospital shortly before 2pm on Monday (March 13) following reports of a blaze on the ground floor. Northampton Chronicle and Echo

Spring Budget 2023: what you need to know - NHS Confederation

Spring Budget 2023: what you need to know Analysis of what the Spring Budget means for health and care.

Compared to the Autumn Statement, this Budget had little focus on health and leaves more questions than it answers when it comes to the NHS. In particular, we emerge from today with uncertainty on the pay award for 2023/24 and without publication of the much-anticipated long-term workforce plan. NHS Confederation

See also:

Medical, dental, and healthcare students: UK numbers and student support arrangements

Medical, dental, and healthcare students: UK numbers and student support arrangements This briefing provides an overview of applicant and entrant numbers for medical, dental, and healthcare students across the UK. It also sets out the student support arrangements in place in each part of the UK, and covers the NHS bursary reforms in England. House of Commons Library

Public health ring-fenced grant 2023 to 2024: local authority circular

Public health ring-fenced grant 2023 to 2024: local authority circular Local authorities (upper tier and unitary) are responsible for improving the health of their local population and reducing health inequalities. In 2023 to 2024 the total public health grant to local authorities will be £3.529 billion. The grant will be ring-fenced for use on public health functions. This local authority circular sets out the allocations and conditions for using the grant. Department of Health and Social Care

    See also:

    Unions close to pay deal with government to avert more NHS strikes

    Unions close to pay deal with government to avert more NHS strikes Unions representing hundreds of thousands of health staff are thought to be close to agreeing a pay deal that would avert more NHS strikes.

    The offer would cover ambulance workers, nurses, midwives and physiotherapists in England, although not doctors.

    It is believed an agreement could be announced as soon as Thursday afternoon. BBC News

    See also:

    Steve Barclay accused of breaking pledge over NHS staff abuse data

    Steve Barclay accused of breaking pledge over NHS staff abuse data NHS staff have accused Steve Barclay of breaking a pledge to publish details of how many of them are abused and assaulted in the course of their work.

    In 2018, when Barclay was a junior minister in the Department of Health and Social Care (DHSC), he promised he would resume publication of those statistics in the following year.

    However, five years later, Barclay has not fulfilled his pledge, despite being in his second stint as health secretary. The Guardian

    Stagnating life expectancy of Britain and the US laid bare

    Stagnating life expectancy of Britain and the US laid bare British life expectancy has dropped in the world rankings with only the US faring worst among advanced economies, according to new analysis.

    Some 70 years ago people in the UK had one of the longest life expectancies ratings in the world, ranking tenth globally behind countries such as Norway, Sweden and Denmark.

    But despite the average person now living more than 12 years longer than in 1950, progress has stalled compared to other developed nations, with the UK falling to 36 on the global standings. The Daily Mail

    See also:

    Pharmacy access to NHS medical records would 'enormously improve outcomes for patients'

    Pharmacy access to NHS medical records would 'enormously improve outcomes for patients' Pharmacies should have access to customers' NHS medical records so they can deliver more care and ease pressure on GPs, the boss of Boots says.

    Seb James, managing director of the High Street chain, said giving his staff permission to read and write notes would 'enormously improve outcomes for patients'.

    He acknowledged a 'lot of people' struggle to access a family doctor and wants ministers to give pharmacists the power to take on some of the work. The Daily Mail 

    Woman has breakthrough transfusion of lab-grown red blood cells

    Woman has breakthrough transfusion of lab-grown red blood cells Scientists running the trial believe that lab-grown blood cells will survive for longer after a transfusion because they are 'younger' than those taken from a donor, which are of different ages. Sky News

    Wednesday, 15 March 2023

    Unprofessional behaviours: actions need consequences

    Unprofessional behaviours: actions need consequences If you had a magic wand and could change just one thing about diversity, equity and inclusion at work what would you change and why? The King's Fund

    Spring Budget 2023: five priorities for government investment

    Spring Budget 2023: five priorities for government investment Urgent action is needed in five priority areas to limit the already high demand on services and avoid storing up more problems for the future.

    The upcoming Spring Budget, much like the last Autumn Statement, meets difficult circumstances. The cost of living remains high, with inflation topping 10 per cent. This is to the detriment of the public purse and the impacts have caused their own public health emergency. NHS Confederation

    Fit for the future: GP pressures 2023

    Fit for the future: GP pressures 2023 This report, based on a survey of general practice staff, highlights the current workload and workforce pressures facing GPs and their teams, and the impact these are having on patients. GPs and their staff carried out 4.6 million (9 per cent) more appointments in December 2022 and January 2023 than in December 2019 and January 2020; however, the number of fully qualified full-time-equivalent GPs has dropped by 843 in the same period. The report sets out the RCGP's recommendations for the government to tackle the workforce and workload crisis in general practice, and support GPs and their teams to meet the health care challenges of the 21st century. Royal College of General Practitioners

      Scheme putting police in mental health teams must end, says NHS England

      Scheme putting police in mental health teams must end, says NHS England A controversial mental health monitoring system, which embedded police officers in clinical teams, must no longer be used in mental health services, NHS England has said. 

      In a letter seen by the Guardian, NHS England’s national clinical director for mental health, Prof Tim Kendall, gave the instruction about the serenity integrated mentoring (SIM) scheme and similar models.

      ‘Harrowing’ work pressure giving NHS junior doctors panic attacks, study finds

      ‘Harrowing’ work pressure giving NHS junior doctors panic attacks, study finds NHS junior doctors suffer panic attacks and feelings of desperation because they get so stressed from the pressure they are under at work, research has found.

      Some also experience intrusive thoughts, migraines and hair loss as a direct result of trying to give patients high-quality treatment in hospitals struggling with serious staff shortages. The Guardian

      See also: 

      Junior doctor strike: NHS chief says hospitals under major pressure

      Junior doctor strike: NHS chief says hospitals under major pressure Hospital emergency departments are under severe pressure with some experiencing their "busiest Monday of the year so far", says NHS England's medical director.

      With a junior doctor strike happening at the same time, Prof Sir Stephen Powis is asking the public to use services appropriately.

      NHS 111 is for non-urgent needs.

      Unlike during previous NHS strikes, there has been no let-up in the demand for care, say hospital representatives. BBC News

      See also: 

      Cough medicines containing pholcodine withdrawn over safety fears

      Cough medicines containing pholcodine withdrawn over safety fears Certain cough medicines sold behind the counter at pharmacies are being withdrawn over safety concerns.

      Health experts say there is a very rare chance that some people could experience an allergic reaction linked to an ingredient called pholcodine.

      People should check the packaging of any cough tablets or syrups they have at home to see if pholcodine is listed among the ingredients.

      If it is, talk to your pharmacist about taking a different medicine. BBC News

      See also:

      Hospitals urged to offer patients more gown sizes

      Hospitals urged to offer patients more gown sizes Hospitals are being asked to offer a wider range of gown sizes to better protect patients' dignity.

      It follows the experience of a patient from Wiltshire who said she was offered a gown that was "far too small" during a hospital stay in Bristol.

      Barbara Gale said it gaped at the back and made her feel "embarrassed".

      An NHS Supply Chain spokeswoman said it offers a range of "reusable patient gowns" with multiple sizing, which NHS trusts can use. BBC News

      Scandal-hit children’s hospital sanctioned by watchdog after ‘systemic abuse’ revealed

      Scandal-hit children’s hospital sanctioned by watchdog after ‘systemic abuse’ revealed A scandal-hit hospital group has been sanctioned by inspectors after The Independent revealed “systemic abuse” at a string of children’s mental health units.

      England’s safety watchdog issued an official warning to Ivetsey Bank Hospital in Staffordshire, run by The Huntercombe Group, after an extensive investigation by this newspaper found the private hospital had put the safety of young mental health patients at risk.

      Drinking coffee could help keep you slim and ward off type 2 diabetes, study suggests

      Drinking coffee could help keep you slim and ward off type 2 diabetes, study suggests Drinking coffee regularly may reduce body fat and lower your risk of getting type 2 diabetes, a study suggests.

      Researchers used genes which determine how fast people process caffeine to estimate the likely caffeine levels of almost 800,000 people over a lifetime, then looked at their weight.

      People with the highest estimated caffeine level had a significantly lower body mass index (BMI). The Daily Mail

      See also: 

      Tuesday, 14 March 2023

      Part of Northampton General Hospital evacuated after fire

      Part of Northampton General Hospital evacuated after fire Part of a hospital was evacuated after a fire broke out on the ground floor of a building.

      Six crews were sent to Northampton General Hospital's Cliftonville site just before 14:00 GMT and the public was asked to avoid the area.

      The hospital said the blaze was not in a clinical area but some patients were moved "as a precaution". BBC Northampton

      See also:

      The decline of publicly funded social care for older adults

      The decline of publicly funded social care for older adults How are services being provided and has access changed? The latest annual statement from QualityWatch presents a range of key statistics to show how the ability of the state to provide quality social care that older people can access is changing for the worse. Nuffield Trust

      Racism is the root cause of ethnic inequalities in health

      Racism is the root cause of ethnic inequalities in health According to this briefing, racism is the cause of health inequity, from birth through to adulthood and into later life. It finds that racism is a key driver of ethnic inequalities in health, both directly and indirectly. It has an impact in childhood – with children from ethnic backgrounds being born at a lower birthweight and not hitting developmental milestones, to life-limiting long term illness, and mental illness in adulthood. It also finds that racism leads directly to poorer health through stress or worsening mental health; and indirectly, by exposure to targeted marketing of harmful substances, and toxins in the environment. Race Equality Foundation

        Maximising the benefits of research: guidance for integrated care systems

        Maximising the benefits of research: guidance for integrated care systems This guidance sets out what good research practice looks like. It supports integrated care systems (ICSs) to maximise the value of their duties around research for the benefit of their population’s health and care and, through co-ordination across ICSs, for national and international impact. It supports integrated care boards, integrated care partnerships and their partners to develop a research strategy that aligns to or can be incorporated into their integrated care strategy, and helps them and their workforce to build on existing research initiatives and activities across health and social care to improve sector-wide performance and best practice. NHS England

          Supporting people with a learning disability and autistic people to live happier, healthier, longer lives: bitesize guide for local systems

          Supporting people with a learning disability and autistic people to live happier, healthier, longer lives: bitesize guide for local systems This guide draws together a number of resources and provides a one stop shop for professionals who put in place services and approaches to support children, young people and adults who have a learning disability or who are autistic to lead healthier, happier, longer lives. NHS England

            Patient safety concerns over Birmingham hospital probe

            Patient safety concerns over Birmingham hospital probe An NHS England investigation into claims of a toxic culture at a hospital trust has been described as lacking transparency and undermining trust.

            The Parliamentary Health Service Ombudsman also said there were "very serious" patient safety issues at University Hospitals Birmingham (UHB).

            Criticism is contained in letters seen by the BBC between the ombudsman, the trust and NHS England.

            The trust said it had told the ombudsman it took concerns seriously. BBC News

            See also:

            Junior doctors blame health secretary for triggering strikes across England

            Junior doctors blame health secretary for triggering strikes across England Junior doctors’ leaders have blamed Steve Barclay for triggering their three-day strike this week by ignoring their concerns and being “dismissive” of their demands for improved pay.

            Hospitals in England functioned effectively on Monday, the first day of the stoppage, with consultants – senior doctors – covering work usually done by junior colleagues. Many thousands of trainee medics refused to work, forcing hospitals to cancel outpatient appointments and operations. The Guardian

            See also:

            NHS leaders are concerned over lack of new funds in the Budget

            NHS leaders are concerned over lack of new funds in the Budget When Jeremy Hunt, the Chancellor, delivers the Budget on Wednesday (15 March), he is expected to announce policies to limit energy bills, bolster childcare support and give businesses tax breaks. Hunt is not, however, expected to announce additional funding for the NHS – despite the health service facing the biggest crisis in its history. The News Statesman

            Scientific breakthrough could prevent breast cancer ‘time bomb’

            Scientific breakthrough could prevent breast cancer ‘time bomb’ Scientists have come up with a strategy that could prevent breast cancer from returning in another part of a patient’s body years or decades later.

            In what experts have described as a “time bomb”, patients with the most common type of breast cancer – oestrogen receptor positive (ER+) – have a continued risk of their cancer recurring and forming incurable tumours, as secondary or metastatic breast cancer. The Independent

            See also:

            Mediterranean diet rich in seafood and vegetables may slash dementia chances by nearly a quarter

            Mediterranean diet rich in seafood and vegetables may slash dementia chances by nearly a quarter A diet rich in seafood, whole grains, nuts and vegetables could slash the chances of dementia by almost a quarter, a study suggests.

            Those who ate a Mediterranean diet were significantly less likely to develop the brain disease, research involving more than 60,000 Britons concluded. The Daily Mail

            See also:

            Most men with prostate cancer DON'T need harsh treatments, major study

            Most men with prostate cancer DON'T need harsh treatments, major study More men with prostate cancer can afford to delay harsh treatments without risking their health, a study suggests.

            The decades-long research indicated that active monitoring by healthcare professionals is an equally valid option for men who do not have late-stage cancer.

            The study found men who were monitored after being diagnosed were just as likely to survive for at least 15 years as people who underwent more severe radiation or surgical treatments. The Daily Mail

            See also:

            Monday, 13 March 2023

            'The NHS is still here but please don't call 999 or attend Accident and Emergency unless you have an emergency'

            The NHS is still here but please don't call 999 or attend Accident and Emergency unless you have an emergency' With upcoming industrial action next week, which will seriously impact on our hospitals, the local NHS is appealing to local people to play their part and only access 999 and emergency services if they have a serious illness or injury. Northampton Chronicle and Echo

            Minister backs threatened Corby children's centre

            Minister backs threatened Corby children's centre A Conservative MP and minister has given his backing to a children and families centre hit by cuts, in a special BBC debate in Corby.

            The Pen Green Centre in the Northamptonshire town is to have its budget cut in half, in a move campaigners have called "catastrophic".

            Corby MP Tom Pursglove said: "It makes no sense to lose the centre." BBC Northampton

            Going swimmingly or treading water: is the elective recovery plan bringing down NHS waiting lists?

            Going swimmingly or treading water: is the elective recovery plan bringing down NHS waiting lists? The NHS Elective recovery plan (ERP), launched in February 2022, is intended to make a major contribution to reducing waiting lists. This paper sets out: how the national waiting list has changed over the year and the impact of the ERP; inequalities in the waiting list by speciality and geography and how the ERP has so far impacted regions differently; and LCP’s projections past and future – how their previous projections compare to 2022’s waiting list and what their projections are to 2027 in light of over a years’ worth of new data being available. Lane Clark & Peacock LLP

              Pandemic preparedness for the real world: why we must invest in equitable, ethical and effective approaches to help prepare for the next pandemic

              Pandemic preparedness for the real world: why we must invest in equitable, ethical and effective approaches to help prepare for the next pandemic This report warns the global health community to think beyond vaccines and lockdowns, proposing investment in a five point action framework for pandemic preparedness which responds to people’s experiences, knowledge and needs. The proposed five areas for investment are: health professionals; diverse knowledge, expertise and perspectives; reform of health, social and other systems and structures to support resilience to disease crises; people’s trust in politics; and ethics and social justice. Institute of Development Studies

                World-Leading NHS Virtual Wards Treat 100,000 Patients In A Year

                World-Leading NHS Virtual Wards Treat 100,000 Patients In A Year More than 100,000 patients have been treated in NHS virtual wards in the last year, with 16,000 patients treated in January alone.

                Virtual wards allow patients to get hospital-level care at home safely and in familiar surroundings, helping speed up their recovery while freeing up hospital beds for patients that need them most.

                There are now more than 340 virtual ward programmes across England – 58 opened in January – including a total of 7,653 virtual beds. NHS England

                NHS on-the-spot liver scans find one in 10 people have liver damage that could lead to deadly cancer

                NHS on-the-spot liver scans find one in 10 people have liver damage that could lead to deadly cancer A new initiative to check for liver cancer in high-risk communities has been rolled out as part of a major NHS drive to catch more cancers earlier and save lives.

                The roaming trucks performed more than 7,000 fibroscans and identified over 830 people with cirrhosis or advanced fibrosis, a leading cause of liver cancer, in eight months (June 2022 to January 2023) – with the majority of those identified referred on to further care. NHS England

                Junior doctors’ strike prompts tens of thousands of hospital cancellations

                Junior doctors’ strike prompts tens of thousands of hospital cancellations Hospitals have cancelled tens of thousands of outpatient appointments and operations this week as they prepare for a junior doctors’ strike that will severely disrupt NHS care.

                NHS trusts in England have postponed many more procedures than for any of the recent walkouts by nurses and ambulance staff. The Guardian 

                See also:

                Disability the 'stark' face of England and Wales suicide statistics

                Disability the 'stark' face of England and Wales suicide statistics A leading disability rights charity has described new suicide statistics as the "tragic face of systemic inequality".

                The Office for National Statistics (ONS) suggested disabled people had the highest rate of dying by suicide compared to other groups.

                It found 48 disabled men per 100,000 people and 19 disabled women ended their lives, compared to 16 non-disabled men and five women.

                Fazilet Hadi from Disability Rights UK (DRUK) described it as "stark". BBC News

                MPs call for ban on electroconvulsive therapy for women in mental health care

                MPs call for ban on electroconvulsive therapy for women in mental health care MPs from across the political spectrum have called for a ban on electroconvulsive therapy (ECT) as a treatment for mental illness in England, and want the practice to be subject to an urgent inquiry.

                MPs told The Independent they have serious concerns that women are disproportionally given electroconvulsive therapy, and argued that patients are not properly notified of the treatment’s potential side effects.

                GPs plan to stop writing sick notes to free up time to see more patients 

                GPs plan to stop writing sick notes to free up time to see more patients GPs plan to stop signing sick notes, death certificates and disability forms in an effort to create more time to deal with their patients’ medical problems.

                The British Medical Association (BMA) – the doctors’ union – wants GPs to ditch unpaid bureaucratic tasks that eat into time they could allocate to more appointments. Instead, it says much of the red tape should be done by nurses and even pharmacists. The Daily Mail

                See also: 

                NHS surgeons use high-tech 3D printers to create replacement ribs for cancer patients

                NHS surgeons use high-tech 3D printers to create replacement ribs for cancer patients Patients recovering from surgery to cut out chest and lung tumours can hope to breathe easier thanks to replacement ribs created by high-tech 3D printers.

                The implants are given to people who have had part of their chest wall removed during treatment, and are created using scans of the ribcage that build up a mould in the printer, layer by layer, to perfectly match the bones that need to be replaced. The Daily Mail

                Friday, 10 March 2023

                Whistleblowers raise safeguarding concerns about brain injury ward at St Andrews Hospital in Northampton

                Whistleblowers raise safeguarding concerns about brain injury ward at St Andrews Hospital in Northampton A recent inspection found that the services for people with acquired brain injuries at St Andrews Hospital in Northampton ‘requires improvement’ after a number of concerns were raised about patient care.

                The hospital, in Billing Road, was visited by the Care Quality Commission (CQC) in October 2022 and - in a report published this week - rated the safety and leadership of the services as ‘requires improvement.’  Northampton Chronicle and Echo

                Children waiting two years for mental health support

                Children waiting two years for mental health support Some children and teenagers have been waiting up to two years for mental health support, a council investigation has found.

                A cross-party group of West Northamptonshire councillors found the system to help school pupils was "worse than expected".

                The group made several recommendations including providing more money to support services. BBC Northampton

                NHS Staff Survey 2022: key findings - NHS Employers

                NHS Staff Survey 2022: key findings The NHS National Staff Survey 2022 results, published 9 March 2023, highlight the ongoing challenges within the NHS. 

                The annual survey, carried out in autumn 2022, covers staff in all 215 NHS trusts in England, across all roles.  

                This year’s results illustrate a decline in certain key markers of staff experience. While staff discontent on pay is reflected in a fall in staff feeling well rewarded.

                The results demonstrate lower staff confidence in the quality of care they feel able to deliver, compared with last year. There has also been a decrease in staff morale. NHS Employers

                See also:

                NHS continues to make huge strides reducing waits for patients despite winter pressures

                NHS continues to make huge strides reducing waits for patients despite winter pressures The number of people waiting longest for routine care has fallen, despite hospitals having to contend with high levels of winter viruses and strike action, new figures show today.

                Thanks to the hard work of staff, the NHS is making significant progress against its elective recovery plan, with the number of people waiting over 18 months cut by over 9,000 in January compared to the previous month – and down almost two thirds on its peak in September 2021 (from 124,911 down to 45,631). NHS England

                See also:

                Productivity of the English National Health Service: 2020/21 update

                Productivity of the English National Health Service: 2020/21 update NHS productivity compares growth in health care outputs and inputs: the more outputs produced with a given amount of inputs, the higher the productivity growth. This assumes that more health care – such as operations in hospitals – generates more health for society. However this report finds that this assumption did not necessarily apply during the pandemic because hospitals were told to cancel as much non-emergency care as possible to free up acute beds and reduce the risk of Covid-19 infection. It also describes how, at the same time, the overall cost of the health care inputs – such as staff, beds, and medicines – remained or even increased because the pandemic required the employment of extra staff where possible and also extra spending on new safety measures. Centre for Health Economics

                  Progress with delivering the Emergency Services Network

                  Progress with delivering the Emergency Services Network According to this report, plans for a new communication network for emergency services have fallen further behind schedule, with the Home Office spending almost £2 billion on it since the programme began in 2015. The new Emergency Services Network will enable every police, fire, and ambulance service across England, Scotland and Wales to continue to communicate by voice and data, between the field and control rooms. National Audit Office

                    NHS crisis causing continued higher-than-normal levels of death

                    NHS crisis causing continued higher-than-normal levels of death Deaths in England and Wales have remained above average post-Covid lockdowns, with NHS delays likely to ‘have had substantial impact’

                    The crisis in the NHS is leading to continued higher-than-usual death levels in England and Wales, experts have said.

                    Figures from the Office for National Statistics reveal that almost 170,000 more people than normal died in England and Wales between March 2020, when coronavirus was declared a pandemic, and the end of 2022 – 11% higher than the five-year average. The Guardian

                    More than 500 deaths in England last year after long ambulance wait

                    More than 500 deaths in England last year after long ambulance wait Exclusive: figure is more than double the comparable fatalities in 2021, in what a union calls a ‘hidden scandal’ of delays

                    More than 500 seriously ill patients died last year before they could get treatment in hospital after the ambulance they called for took up to 15 hours to reach them, an investigation by the Guardian reveals.

                    The fatalities included people who had had a stroke or heart attack or whose breathing had suddenly collapsed, or who had been involved in a road traffic collision. The Guardian

                    See also:

                    NHS prescriptions to rise 30p to £9.65 in April despite the 'tax on health' being frozen last year

                    NHS prescriptions to rise 30p to £9.65 in April despite the 'tax on health' being frozen last year The cost of an NHS prescription will rise to £9.65 this year, the Government announced today. 

                    Patients in England will, from April 1, be forced to pay an extra 30p to collect their medication from a pharmacy.

                    Campaigners have long called the fee patients must pay to secure certain drugs like warfarin or asthma inhalers an 'unfair tax on health'. The Daily Mail

                    See also:

                    Thursday, 9 March 2023

                    Kettering General Hospital: Dozens criticise care at children's ward

                    Kettering General Hospital: Dozens criticise care at children's ward Dozens of families have shared concerns about care on a children's ward fighting to stay open.

                    Thirty-eight parents contacted the BBC about the treatment of their children at Kettering General Hospital (KGH) in Northamptonshire.

                    They said staff ignored symptoms of serious illnesses, sometimes with fatal consequences.

                    The hospital has apologised to families who felt let down. BBC Northampton

                    'Damning' report into children's mental health services in West Northamptonshire

                    'Damning' report into children's mental health services in West Northamptonshire Some children and teenagers are waiting up to two years for mental health support in a system that councillors found was “worse than expected” following an investigation. A cross-party group of West Northamptonshire councillors looked at the state of lower level mental health services over 2022 and provided a “damning” report to senior members. Northants Live

                    Moving from exclusion to inclusion in digital health and care

                    Moving from exclusion to inclusion in digital health and care Digital technologies can change how care is delivered, making health and care services more accessible, flexible, person centred, and a better experience for patients and staff while also improving efficiency. However, there is no guarantee of these positive effects until digitally enabled services are inclusive and meet the expectations of staff and the public. The King's Fund

                    NHS staff survey 2022

                    NHS staff survey 2022 The annual survey, carried out in autumn 2022, covers staff in all 215 NHS trusts in England, across all roles. This year’s results demonstrate staff discontent on pay which is reflected in a fall in staff feeling well rewarded. However, many top-level indicators have stabilised this year, staying broadly the same as in 2021. The results also find an improvement in staff perception of support for learning and development and an increase in feelings around positive teamworking and support from line managers. NHS Employers

                      NHS Pension Scheme: proposed amendments to scheme regulations - consultation response

                      NHS Pension Scheme: proposed amendments to scheme regulations - consultation response Starting in December 2022, the government consulted on proposals to amend NHS Pension Scheme regulations in line with the announcements made in Our plan for patients. Consultation respondents were broadly supportive of the measures proposed during the consultation process. This consultation response confirms that the government will proceed to implement the proposals. Department of Health and Social Care

                        £5 million Innovation Fund to reduce drug use

                        £5 million Innovation Fund to reduce drug use Five projects aimed at reducing drug use have been awarded £734,000 of the first allocation of a £5 million grant, with the remaining funding available across two further phases. Department of health and Social Care

                        NHS backlog progress at risk from junior doctors' strike in England

                        NHS backlog progress at risk from junior doctors' strike in England Progress being made on tackling the hospital waiting backlog will be put at risk by next week's junior doctors' strike, NHS bosses are warning.

                        NHS England medical director Prof Sir Stephen Powis said there had been huge achievements over the winter.

                        But he said it was inevitable the 72-hour walkout in England, which starts on Monday, would have an impact. BBC News

                        See also:

                        Mental-health crisis from pandemic was minimal - study

                        Mental-health crisis from pandemic was minimal - study People's general mental health and anxiety symptoms hardly deteriorated at all during the pandemic, research suggests.

                        Most people are resilient and made the best of a difficult situation, it says.

                        The BMJ review analysed 137 studies, most from high-income European and Asian countries.

                        Depression became a little worse overall and among women, older people, university students and those belonging to sexual or gender minorities. BBC News

                        See also:

                        Chinese firm got Covid contract despite trying to hack NHS data, minister says

                        Chinese firm got Covid contract despite trying to hack NHS data, minister says China’s leading genomics research company was given a Covid testing contract in the UK despite ministers knowing it had repeatedly sought to hack into the NHS’s genetic datacentre, a government minister has said.

                        The BGI Group was making multiple attempts every week to “hack” into Genomics England in 2014, George Freeman, a minister for science, innovation and technology, revealed to MPs, and is said to remain a “danger”. The Guardian

                        See also:

                        NHS trust to test AI's ability to detect blood clots in patients

                        NHS trust to test AI's ability to detect blood clots in patients A UK NHS trust has told how it is planning to use artificial intelligence (AI) to help its patients.

                        A trial will aim to discover whether AI is able to spot blood clots in the lungs (pulmonary embolic disease) of patients quicker and more accurately than doctors.

                        This in turn could save lives, those involved in the Royal United Hospitals (RUH) Bath NHS Foundation Trust trial say. Evening Standard

                        Breakthrough for tens of thousands of Crohn's sufferers

                        Breakthrough for tens of thousands of Crohn's sufferers A medical breakthrough is bringing hope to tens of thousands of people living with Crohn's.

                        A new daily tablet for the debilitating digestive system condition has gained its first global approval in the UK.

                        Upadactinib is now poised to become available on the NHS for the 200,000 people whose lives are blighted by its painful and embarrassing symptoms. The Daily Mail

                        Scientists create mice with TWO biological fathers

                        Scientists create mice with TWO biological fathers Science has moved one step closer to allowing two men to reproduce without the need of a surrogate.

                        Japanese researchers created seven mice with two male biological parents, using skin cells from a male mouse to form a viable egg and then fertilize it.

                        They hope this research pushes forward treatments for infertility. But, it also paves the way for men in same-sex relationships to have a child without needing a surrogate  - which has happened in increasing numbers recently. The Daily Mail

                        See also:

                        Wednesday, 8 March 2023

                        'She is a safe place': 'Most caring' nurse retires from Northampton General Hospital after 49 years of service

                        'She is a safe place': 'Most caring' nurse retires from Northampton General Hospital after 49 years of service An orthopaedic nurse, who has been described as “the most caring”, has retired from Northampton General Hospital after 49 years of service. Northampton Chronicle and Echo

                        Children’s mental health services 2021-2022

                        Children’s mental health services 2021-2022 This report looks to understand what is happening in children’s mental health provision. Using new figures sourced from NHS England and NHS Digital, it examines spending on children’s mental health, numbers of children referred to and accessing CYPMHS and waiting times between referral and treatment (having a second contact with CYPMHS)

                        This data is the first available since services were widely re-opened after the pandemic and shows a surging demand for help. 

                        The welcome progress that has been made in recent years on improving children’s access to the right support is struggling to keep up with this demand – with waiting times increasing in the first time in years. Children's Commissioner

                        See also:

                        Joining the dots: a blueprint for preventing and managing frailty in older

                        Joining the dots: a blueprint for preventing and managing frailty in older This document sets out seven system touchpoints and outcomes that should be considered when planning and commissioning health and social care for older people, alongside twelve actions that systems should take to create the conditions for high-quality integrated care for older people. The blueprint is aimed primarily at system leaders and commissioners of health and social care services for older people. It is hoped that it will assist these senior decision-makers to understand and implement the core features of age-attuned integrated care for older people. British Geriatrics Society

                          Most vulnerable to be offered spring COVID-19 booster

                          Most vulnerable to be offered spring COVID-19 booster The Joint Committee on Vaccination and Immunisation (JCVI) has confirmed its advice for a 2023 spring coronavirus (COVID-19) booster programme.

                          In January 2023, the committee advised preparations should begin for potential booster programmes in spring and autumn this year, with further details to be announced at a later date. UK Health Security Agency

                          See also:

                          Government to consider radical new approach to prevent life-threatening cardiovascular disease

                          Government to consider radical new approach to prevent life-threatening cardiovascular disease People across England stand to benefit from a project to identify radical new approaches to prevent cardiovascular disease (CVD) and reduce pressure on the NHS, following the appointment of Prof John Deanfield as Government Champion for Personalised Prevention Department of Health and Social Care

                          Optimising personalised care for adults prescribed medicines associated with dependence or withdrawal symptoms: framework for action for integrated care boards (ICBs) and primary care

                          Optimising personalised care for adults prescribed medicines associated with dependence or withdrawal symptoms: framework for action for integrated care boards (ICBs) and primary care NHS England working in partnership with integrated care system (ICS) leads and representatives, has devised a framework actions to help systems develop plans that can support people who are taking medicines associated with dependence and withdrawal symptoms. 

                          The actions will support ICSs to deliver on their four key objectives of: improving outcomes in population health and healthcare; tackling health inequalities in outcomes, experience and access; enhancing productivity and value for money; and helping the NHS support broader social and economic development.