Thursday, 13 April 2023

NHS hospitals serving up the worst food are named and shamed in new table - so how does YOURS fare?

NHS hospitals serving up the worst food are named and shamed in new table - so how does YOURS fare? The dire state of hospital food has been laid bare in a fascinating new league table which ranks every trust. 

England's worst-offending sites — located across Yorkshire and Cheshire — had an approval rate barely above 70 per cent.

The score comes from a survey of patients and staff, who were all asked to rank the offerings on a range of different factors. The Daily Mail

Wednesday, 12 April 2023

Striking junior doctors in Northampton want talks over pay

Striking junior doctors in Northampton want talks over pay Junior doctors at the beginning of a four-day walkout said they hoped it would prompt talks between their union and the health secretary.

The British Medical Association (BMA) has asked for a 35% pay rise, but Steve Barclay said this was "unreasonable".

Striking doctor Katy McDowall, a specialist registrar in maternity at Northampton General Hospital, said pay rates meant the NHS found it "really difficult retain staff".

Northampton General Hospital (NGH) said there would be "some disruption" and it would prioritise urgent care. BBC Northampton 

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Effectively embedding digital in your trust

Effectively embedding digital in your trust This guide, prepared with Public Digital as part of the Digital Boards programme, highlights key learnings from the programme's previous six leadership guides. It covers insights from NHS board leaders on a range of topics, including: digital leadership – understanding the role of the board; building and enabling digital teams; creating an effective digital strategy; making technology decisions; digital delivery; and optimising electronic patient record systems (EPR). NHS Providers

    Learning disabilities: policies to reduce inpatient care

    Learning disabilities: policies to reduce inpatient care Around 1.5 million people in England have a learning disability. The Government and NHS England are working to reduce health inequalities for people with a learning disability and have established national programmes to improve care and outcomes.

    This briefing outlines health policies aimed at reducing inpatient care for people with a learning disability. House of Commons Library

      A national framework to deliver improved outcomes in all-age autism assessment pathways: guidance for integrated care boards

      A national framework to deliver improved outcomes in all-age autism assessment pathways: guidance for integrated care boards This national framework sets out the principles that should underpin the planning, design and delivery of an autism assessment pathway that works for everyone irrespective of where they live, their background, age, ethnicity, sex, gender, sexuality, disability, or health conditions. Implementation of this national framework will include taking actions to reduce known sources of health inequality that exist in access to, or experiences of, an autism assessment across England. NHS England

        Record doctors and nurses working in the NHS helping to cut waiting lists

        Record doctors and nurses working in the NHS helping to cut waiting lists There are record numbers of doctors and nurses working in the NHS in England helping to deliver extra appointments, speed up diagnoses and cut waiting lists, according to the latest stats.

        Data published today by NHS Digital shows in January 2023 there were almost 1.27 million full-time equivalent staff working in NHS trusts and commissioning bodies in England - over 48,700 more people compared to a year ago, an increase of 4%. Department of Health and Social Care

        NHS drop-out rate an accident waiting to happen, says surgeon

        NHS drop-out rate an accident waiting to happen, says surgeon A leading surgeon says a major drop-out rate of trainee doctors is "an accident waiting to happen" for the NHS.

        Nigel Mercer was tasked with prioritising surgery across the NHS during the pandemic when services were under intense pressure.

        His biggest fear with what he sees as an up to 40% drop-out rate is whether there will be enough doctors to replace his generation of medics.

        The government said the majority of trainees go on to work in the NHS. BBC News

        Parkinson's disease device trial at Addenbrooke's Hospital

        Parkinson's disease device trial at Addenbrooke's Hospital A device that could potentially improve the mobility of people with Parkinson's disease is being trialled on inpatients at a Cambridge hospital.

        The CUE1, worn on the sternum of the chest, delivers vibration and pulses intended to improve motor skills and alleviate stiffness.

        It is hoped the device, being trialled at Addenbrooke's Hospital, will also reduce falls. BBC News

        Over 1,600 ‘sexual safety incidents’ in one 59-bed children’s hospital

        Over 1,600 ‘sexual safety incidents’ in one 59-bed children’s hospital A single children’s mental health hospital with just 59 beds reported more than 1,600 “sexual safety incidents” in four years, shocking NHS figures reveal.

        Huntercombe Hospital in Maidenhead was responsible for more than half of the sex-related investigations reported in the 209 children’s mental health units across the country. The Independent

        Covid no longer: Leading cause of death in England and Wales revealed

        Covid no longer: Leading cause of death in England and Wales revealed Covid-19 has dropped out of the top five leading causes of death in England and Wales for the first time since the start of the pandemic, figures show.

        Coronavirus was recorded as the main cause of death for 22,454 people in 2022, or 3.9% of all deaths registered, making it the sixth leading cause overall. The Independent

        Hugely contentious study that claimed Covid jabs have killed 280,000 people in the US gets pulled

        Hugely contentious study that claimed Covid jabs have killed 280,000 people in the US gets pulled The publisher of some of the world's most prestigious scientific journals has today sensationally retracted a study that wrongly claimed Covid vaccines have killed up to 280,000 people across the US. 

        The bombshell estimate was jumped on by anti-vaxx groups across the planet, who demanded roll-outs across the world were urgently suspended.

        Springer Nature has now taken the rare step of retracting the paper, more than three months after it was initially published in one of its underling journals. The Daily Mail

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        Tuesday, 11 April 2023

        Northamptonshire NHS offers advice to patients as junior doctors set to strike

        Northamptonshire NHS offers advice to patients as junior doctors set to strike The NHS in Northamptonshire is offering advice to patients following the announcement that junior doctors will strike.

        The BMA and HSCA have announced a junior doctors strike running from 06:59 on Tuesday April 11 until 06:59 on Saturday April 15. Northamptonshire Telegraph

        The NHS Staff Survey 2022: what do the results tell us?

        The NHS Staff Survey 2022: what do the results tell us? March 2023 saw the publication of the full 2022 NHS Staff Survey results with 636,348 respondents taking part, 46 per cent of the 1.3 million workforce who were invited to participate, down from 48 per cent in 2021. The drop in response between 2021 and 2022 means that we did not hear from more than 12,000 members of staff this year. Given the work pressures across all areas of the health service and the ongoing problems with retaining staff, ensuring all voices were heard in the survey this year was critical. The drop in responses reveals the confidence that staff have in the NHS’s ability to change following the results and is important feedback that we need to pay attention to. What else do the results tell us? The King's Fund

        RCN launches new standards to boost the mental health and wellbeing of the nursing workforce

        RCN launches new standards to boost the mental health and wellbeing of the nursing workforce The RCN was commissioned to produce education standards to provide those delivering the Professional Nurse Advocate (PNA) programme with a universal framework to align training and establish higher quality assurance levels.

        The programme, launched by NHS England in March 2021, is part of the response to the ongoing work-based stress, burnout and mental wellbeing challenges faced by the nursing workforce. It’s been designed to promote reflection on personal experience and have a positive impact on personal wellbeing as well as developing strategies to deal with stress in the workplace. Royal College of Nursing

        Smokers urged to swap cigarettes for vapes in world first scheme

        Smokers urged to swap cigarettes for vapes in world first scheme One million smokers will be encouraged to swap cigarettes for vapes under a pioneering new ‘swap to stop’ scheme designed to improve the health of the nation and cut smoking rates.

        As part of the world-first national scheme, almost 1 in 5 of all smokers in England will be provided with a vape starter kit alongside behavioural support to help them quit the habit as part of a series of new measures to help the government meet its ambition of being smokefree by 2030 - reducing smoking rates to 5% or less. Department of Health and Social Care

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        Health and Social Care Secretary statement on vaccination of at-risk children aged 6 months to 4 years

        Health and Social Care Secretary statement on vaccination of at-risk children aged 6 months to 4 years Children aged 6 months to 4 years in a clinical risk group will be eligible for a Covid vaccine. Department of Health and Social Care

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        Junior doctors' strike: NHS braces for most disruptive walkout yet

        Junior doctors' strike: NHS braces for most disruptive walkout yet Junior doctors across England have begun a four-day walkout, expected to be the most disruptive in NHS history.

        More than a quarter of a million appointments and operations could be cancelled, and some hospitals say up to half of planned treatment is affected.

        The British Medical Association, which is asking for a 35% pay rise, said "we've had no offer whatsoever" from Health Secretary Steve Barclay.

        Mr Barclay said it was "extremely disappointing" patients were at risk. BBC News

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        Four million calls to NHS 111 abandoned last year with waiting times of 25 minutes

        Four million calls to NHS 111 abandoned last year with waiting times of 25 minutes Almost 4 million calls to the NHS 111 service were abandoned last year as callers struggled to get through to the helpline.

        People calling 111 waited an average of 25 minutes to get through in December, figures released by the Department of Health and Social Care show. The Independent

        Essex mental health inquiry pointless without legal powers, say families

        Essex mental health inquiry pointless without legal powers, say families Bereaved relatives have said an independent inquiry into the death of almost 2,000 mental health patients across NHS trusts in Essex is not “fit for purpose” in the absence of legal powers to compel witnesses to give evidence.

        The call for a statutory inquiry by 83 families comes after the chair of the review, Dr Geraldine Strathdee, published an open letter saying it would “not be able to meet its terms of reference with a non-statutory status”. The Guardian

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        Government accused of 'not getting to grips with the crisis' as six million a month give up GP visit

        Government accused of 'not getting to grips with the crisis' as six million a month give up GP visit Almost six million people a month are giving up trying to see a GP due to long waits for an appointment, figures reveal.

        Others are not seeking help because they are unable to get through to a receptionist or fear being a burden on the overloaded NHS.

        A survey of 4,494 adults by the Office for National Statistics found that 43 per cent of those who required a GP appointment in the past month said it was 'difficult' or 'very difficult' to make one. The Daily Mail

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        Three-quarters of women took avoidable health risks before getting pregnant, study says

        Three-quarters of women took avoidable health risks before getting pregnant, study says Three-quarters of pregnant women took avoidable health risks before expecting a child, a study has revealed.

        Almost 73 per cent of English mums-to-be had not taken folic acid before conceiving, it found.

        The findings show that public health messages about protecting babies from neural tube defects such as spina bifida have not reached most people. The Daily Mail

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        Thursday, 6 April 2023

        What does all the recent turmoil mean for the current status and future prospects of the health service?

        What does all the recent turmoil mean for the current status and future prospects of the health service? The last 6 months have been exceptionally turbulent. We’ve seen economic turmoil, the sacking and resignation of the chancellor and the prime minister, unprecedented winter pressures in the NHS and public sector strikes. A tornado has whirled through public life. But does spring bring signs that the turbulence is subsiding? And where does that leave the health service? The Health Foundation

        Deaths at home during the Covid-19 pandemic and implications for patients and services

        Deaths at home during the Covid-19 pandemic and implications for patients and services There has been a steady increase in the numbers of people dying at home in recent years. These trends became entrenched during the pandemic, which could reflect people fearful of Covid-19 in hospitals and care homes just as much as broader patient preferences for dying at home. So did those dying in their place of residence receive the care they needed, at a good standard? This new research sheds light on the services used by people who died at home in England, before and during the first year of the pandemic. Nuffield Trust

        Is Hewitt turning the tide of performance management or swimming against it?

        Is Hewitt turning the tide of performance management or swimming against it? Patricia Hewitt’s independent review of integrated care systems (ICSs) is aimed squarely at one of the biggest challenges facing ICSs – the strong culture of top-down performance management in the NHS. The reforms introduced by the 2022 Health and Care Act, with their focus on collaboration across boundaries in local systems, represent a direct challenge to this hierarchical culture, and without a new approach to accountability in the NHS there is little hope of ICSs living up to their original promise. The King's Fund

        Understanding the primary care research landscape

        Understanding the primary care research landscape Research is a key driver of innovation and improvement. In the NHS it is a vital tool in improving medicines, patient care and pathways, as well as staff wellbeing. The majority of research in the NHS is currently carried out in secondary care, with very little primary care involvement. As a result, the quality of research in the NHS can be restricted in its scope by a smaller patient base and the range of conditions and experiences which present in hospital settings. NHS Confederation

        Patients at risk during doctor strike - NHS bosses

        Patients at risk during doctor strike - NHS bosses Hospital bosses in England say they cannot guarantee patient safety during next week's four-day strike by junior doctors.

        London's Guy's and St Thomas' NHS Trust conceded patients could be harmed as managers struggle to staff rotas.

        Other hospital bosses also voiced concerns over the walkout, which will affect both emergency and planned care.

        The British Medical Association has refused to exempt any services but says it has plans to protect patients. BBC News

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        Judge says parents and children should receive infected blood payments

        Judge says parents and children should receive infected blood payments The parents and children of victims of the contaminated blood scandal should receive government compensation, a judge has said.

        The chairman of the infected blood public inquiry, Sir Brian Langstaff, said it was time to "recognise deaths which have so far gone unrecognised".

        More than 3,000 people died after contracting HIV or hepatitis C via NHS treatments in the 1970s and 80s.

        The government must now respond to the recommendations. BBC News

        New tool can spot those most at risk of developing lung cancer, say researchers

        New tool can spot those most at risk of developing lung cancer, say researchers Lives could be saved by a new tool that identifies those most at risk of developing lung cancer, according to researchers.

        The CanPredict tool can spot those most at risk of developing the disease over the next decade and put them forward for screening tests earlier, researchers from the University of Oxford and the University of Nottingham said. The Independent

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        NHS in England to offer pioneering cancer drug to patients with ‘Jolie gene’

        NHS in England to offer pioneering cancer drug to patients with ‘Jolie gene’ Health watchdog reverses decision not to recommend olaparib for patients with genetic fault

        The NHS in England is to offer thousands of cancer patients the world’s first cancer drug to target an inherited genetic fault, after a U-turn by the health watchdog.

        The National Institute for Health and Care Excellence (Nice) opted last year not to recommend olaparib for breast cancer patients with the so-called “Angelina Jolie gene” because of its high cost. The pioneering drug’s list price is £2,317.50 for one pack of 150mg tablets, excluding VAT. The Guardian

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        Wednesday, 5 April 2023

        Most vulnerable in Northamptonshire invited to book Covid-19 Spring jabs

        Most vulnerable in Northamptonshire invited to book Covid-19 Spring jabs Thousands of the most vulnerable people in Northamptonshire are being invited to top-up their protection from coronavirus and book a Spring Covid-19 vaccine from today (Wednesday, April 5).

        Eligible groups for Spring Covid-19 jabs include residents in care homes for older people, people who are 75 and over and adults and children (aged five and over) with a weakened immune system. Northamptonshire Telegraph

        Retaining NHS nurses: what do trends in staff turnover tell us?

        Retaining NHS nurses: what do trends in staff turnover tell us? Nurse shortages are a key contributor to NHS workforce shortages. Registered nurse posts consistently account for more than a third of all full-time equivalent vacancies in NHS trusts in England.

        Understanding how the NHS competes for nurses is crucial for better workforce planning and pay determination. In this analysis we examine the movement of employees into and out of the NHS nurse labour market in England between 2011/12 and 2021/22. The Health Foundation

        Vacancy rates reach 23% in speech and language therapy

        Vacancy rates reach 23% in speech and language therapy In January 2023 we asked managers of speech and language therapy services to tell us about vacancy rates and recruitment issues both in the NHS and the independent sector.

        The results paint a shocking picture with the average vacancy rate reaching 23% across the UK. Of the managers who responded, 96% managing children’s services and 90% managing adult services said recruitment is more or much more challenging than at any time in the last three years. This is pan-sector with vacancies just as high, if not higher, in non-NHS services. Royal College of Speech and Language Therapy

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        Independent report: Hewitt Review: an independent review of integrated care systems

        Independent report: Hewitt Review: an independent review of integrated care systems The review set out to consider the oversight and governance of integrated care systems (ICSs). Each ICS has an integrated care board (ICB), a statutory organisation responsible for developing a plan for meeting the health needs of the population, managing the NHS budget and arranging for the provision of health services in the ICS area. ICBs include representatives from local authorities, primary care and NHS trusts and foundation trusts.

        The review covered ICSs in England and the NHS targets and priorities for which ICBs are accountable, including those set out in the government’s mandate to NHS England.

        The government is now considering the recommendations made by the review. Department of Health and Social Care

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        Next steps to put people at the heart of care: a plan for adult social care system reform 2023 to 2024 and 2024 to 2025

        Next steps to put people at the heart of care: a plan for adult social care system reform 2023 to 2024 and 2024 to 2025 This document sets out how the government proposes to make sure adult social care is of outstanding quality, personalised and accessible. It details how £700 million will be spent, including investment in: improved access to care and support; recognising skills for careers in care; driving digitisation and technology adoption; data and local authority oversight; support to enable people to remain independent at home; encouraging innovation and improvement; and joining up services to support people and carers. Department of Health and Social Care

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          Rare tick disease found in England

          Rare tick disease found in England A virus carried by ticks, which is common in many parts of the world, is now present in the UK and health officials are reminding the public how to avoid bites from the tiny bugs.

          They say the risk of tick-borne encephalitis is very low - only one person is confirmed to have been infected in England so far, last year.

          But the tick species which carries the virus is widespread in the UK.

          Most people do not develop symptoms but swelling to the brain is possible. BBC News

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          'Major moment in MS research' as new Octopus trial starts

          'Major moment in MS research' as new Octopus trial starts Ailsa, now 47, is taking part in a groundbreaking new trial, which is looking into whether existing drugs can be repurposed to help slow MS progression.

          The way it is designed means several drugs can be tried at the same time, and more can be added or dropped as results emerge.

          The Octopus trial - so-called because it is a multi-arm, multi-stage trial - is being run by Prof Jeremy Chataway, from the National Hospital for Neurology and Neurosurgery UCLH in London, with £13m in funding from the UK's MS Society.

          A similar trial design has been used to test drugs for prostate cancer and Covid. BBC News

          Short works breaks do not prevent mental fatigue or increase efficiency – study

          Short works breaks do not prevent mental fatigue or increase efficiency – study Stopping for tea breaks while at work does nothing to make people more efficient or prevent them from feeling tired, research suggests.

          A study that simulated an office day – with tasks involving attention, concentration, learning, and memory – showed that healthy men who took a 10-minute break every 50 minutes were more likely to experience mental exhaustion. The Independent

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          NHS trust warned doctors on visas who chose to strike will be reported to BORDER FORCE

          NHS trust warned doctors on visas who chose to strike will be reported to BORDER FORCE An NHS trust has sparked fury after warning that immigrant doctors who take to picket lines could be referred to Border Force. 

          An unnamed medic at Lewisham and Greenwich NHS Trust messaged staff to warn that any medic on a work visa who strikes would have their 'absence' reported to the Home Office — which could make any future visa renewals 'problematic'. 

          The message, which was circulated on social media, drew the ire of junior medics and the British Medical Association (BMA), which said it 'will unnecessarily instil fear and doubt' among doctors. The Daily Mail

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          GPs working long hours are up to 5 times more likely to prescribe opioids and antibiotics 

          GPs working long hours are up to 5 times more likely to prescribe opioids and antibiotics GPs working long hours are up to five times more likely to prescribe high levels of opioids and antibiotics, a study found.

          Those experiencing signs of burnout such as emotional exhaustion, feeling detached from colleagues and patients and lower job satisfaction were more likely to overprescribe medications.

          This was particularly true in more deprived areas, according to the government-backed study. The Daily Mail

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          Tuesday, 4 April 2023

          New discharge lounge planned for Northampton General Hospital will help ease pressure

          New discharge lounge planned for Northampton General Hospital will help ease pressure Northampton General Hospital is creating a new discharge lounge to support patients leaving hospital and their families.

          The discharge lounge will support up to 16 patients – with four rooms and 12 chairs - and is at the Cliftonville Trust entrance. Northampton Chronicle and Echo

          The cap on medical and dental student numbers in the UK

          The cap on medical and dental student numbers in the UK This briefing provides an overview of government policy on training doctors and dentists in the UK. It highlights calls to lift the cap on medical and dental school places and explains some of the associated challenges. House of Commons Library

            NHS England’s three year delivery plan for maternity and neonatal services

            NHS England’s three year delivery plan for maternity and neonatal services On 30 March 2023 NHS England published a three year delivery plan for maternity and neonatal services. Following several national plans and reports, including the reports by Donna Ockenden and Dr Bill Kirkup, the plan brings together the key objectives services are asked to deliver against over the next three years. This briefing summarises the key contents of the plan. NHS Providers

              From delegation to integration: lessons from early delegation of primary pharmacy, ophthalmology and dentistry commissioning to integrated care boards

              From delegation to integration: lessons from early delegation of primary pharmacy, ophthalmology and dentistry commissioning to integrated care boards Delegation of primary pharmacy, ophthalmology and dentistry (POD) from NHS England to integrated care boards (ICBs) on 1 April 2023, provides an opportunity to transform care for patients but will need a realistic timetable and smooth transition if this transformation is to be achieved. This report provides evidence from nine ‘early adopter’ ICBs and argues that closer local collaboration between NHS systems and frontline providers can be the single biggest to driver to address local provision challenges. NHS Confederation

                Independent report: Higher-risk patients eligible for COVID-19 treatments: independent advisory group report (March 2023)

                Independent report: Higher-risk patients eligible for COVID-19 treatments: independent advisory group report (March 2023) Update to the independent advisory group report that identifies which patient groups are at highest risk of serious illness from COVID-19 and would benefit from new COVID-19 treatments. Department of Health and Social Care

                UK’s next generation of medical researchers given funding boost

                UK’s next generation of medical researchers given funding boost Over 1,200 researchers in medical research charities will receive over £50 million in funding to help solve some of the biggest global health challenges and secure the future of the UK’s world-class life sciences sector.

                Announced by Science Minister George Freeman, Sunday 2 April, the funding will support researchers across 90 charities early on in their careers at a time when the UK is committing record amounts to R&D, reaching £20 billion a year by 2024/25. The £50 million investment is aimed at sparking a new wave of revolutionary medical research across the industry, including in dementia, motor neurone disease and brain tumour research. Department of Health and Social Care

                Social care reform funding halved for England, government confirms

                Social care reform funding halved for England, government confirms Funding promised to develop the social care workforce in England has been halved, the government has confirmed.

                In 2021 the government pledged "at least" £500 million for reforms, to be spent on training places and technology over three years.

                But that figure is now £250 million, according to the Department of Health.

                A coalition of charities said this cut is "just the latest in a long series of disappointments" over social care. BBC News

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                England's new ambulance numbers not 800 promised, figures show

                England's new ambulance numbers not 800 promised, figures show The number of new ambulances in England will be far less than the hundreds promised by the government, a Freedom of Information request has revealed.

                In January, 800 new ambulances were announced, with a 10% fleet increase.

                But vehicles being ordered by trusts are mostly replacements they were prevented from purchasing because of procurement changes and the pandemic.

                NHS England said it was "delivering on its urgent and emergency care recovery plan". BBC News

                Essex mental health inquiry: Staff could be compelled to give evidence

                Essex mental health inquiry: Staff could be compelled to give evidence The government is actively considering whether to give full legal powers to an independent inquiry investigating the deaths of mental health patients.

                Roughly 2,000 deaths at the Essex Partnership University NHS Foundation Trust (EPUT) are being examined.

                The BBC understands Conservative Health Secretary Stephen Barclay is minded to make the inquiry statutory, which would compel witnesses to come forward. BBC News

                NHS consultants to be balloted over strike action

                NHS consultants to be balloted over strike action NHS consultants will be balloted over strike action next month, the British Medical Association has announced.

                Senior doctors will vote from May 15 on whether to strike over pay in a move that could deepen the NHS crisis.

                Health Secretary Steve Barclay has agreed to pay talks with the union to avert potential strike action. Evening Standard

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                Antibiotics and resistance ‘two-way street’ between animals and humans – study

                Antibiotics and resistance ‘two-way street’ between animals and humans – study Antibiotic consumption and antimicrobial resistance (AMR) is a two-way street between animals and humans, researchers have suggested.

                The findings reveal the use of antibiotics in animals like cattle, pigs and chickens is associated with AMR in humans and using antibiotics in humans is linked with resistance in animals.

                Experts across the world are determined to slow down the rise in AMR, which is partly fuelled by unnecessary use of antibiotics. The Independent

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                NHS should abolish raft of national targets, Patricia Hewitt review says

                NHS should abolish raft of national targets, Patricia Hewitt review says The NHS should abolish a raft of national targets while shifting its focus towards preventing ill health, according to a review by a former Labour health secretary.

                The study by Patricia Hewitt, commissioned by the Government and officially published on Tuesday, says a few targets help concentrate minds but having too many makes them less effective.

                It comes as the NHS continues to miss major targets on A&E waits, ambulance response times and cancer waits and treatment times. The Independent

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                Healthy Start NHS food voucher scheme has ‘pitifully’ low take-up

                Healthy Start NHS food voucher scheme has ‘pitifully’ low take-up The government has missed its target to increase the take-up of NHS healthy food vouchers aimed at vulnerable parents of young children, it has emerged, despite soaring grocery prices and rising food poverty.

                The latest figures show that take-up of the ill-starred Healthy Start scheme, designed to help pregnant women and parents of under-fours in low-income families pay for fruit, vegetables, milk, and baby milk powder, has barely shifted in a year. The Guardian

                Backlog in NHS genome service leaves families facing long wait for results

                Backlog in NHS genome service leaves families facing long wait for results Families of children with rare genetic disorders are being made to wait more than a year for genome sequencing results under a flagship NHS programme, the Guardian has learned.

                Senior doctors said worsening backlogs in the Genomics Medicines Service risked children not accessing treatments or support designed to give them the best outcomes. In other cases, parents wishing to know if their child has an inherited genetic condition in order to plan future pregnancies are being left in limbo for unacceptable time periods, experts said.

                HRT could help ward off dementia - but only if women take it when their menopause begins

                HRT could help ward off dementia - but only if women take it when their menopause begins Hormone replacement therapy can reduce the risk of dementia in women with early menopause – but only if they start treatment promptly, a study suggests.

                Women make up around two-thirds of people with Alzheimer's, with early menopause linked to a heightened risk of the illness.

                Now a study claims that those who are prescribed HRT from the onset of symptoms are at no greater risk. The Daily Mail

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                Monday, 3 April 2023

                Have your say on Northampton and Kettering General Hospitals and how services can be improved

                Have your say on Northampton and Kettering General Hospitals and  how services can be improved A patient panel is being launched across both Northampton General and Kettering General Hospitals to help ensure patients’ and carers’ voices are heard.

                The patient experience teams at both hospitals have developed the panel idea - which will work to improve services across both hospitals - as a new way for patients, carers, and their families to get involved in the development of services. Northampton Chronicle and Echo

                Dying well at home: Three things I’ve learnt about working with patients, carers and families in end-of-life care.

                Dying well at home: Three things I’ve learnt about working with patients, carers and families in end-of-life care. In the project, we explored how NHS and local authority commissioners in England measure and assure the quality of the end-of-life care for people who die at home and how they identify and tackle inequalities in commissioning services. As part of the project, we held a focus group and workshop with families and carers who cared for a loved one during the pandemic. The King's Fund

                Waiting for prosperity: Modelling the economic benefits of reducing elective waiting lists in the NHS

                Waiting for prosperity: Modelling the economic benefits of reducing elective waiting lists in the NHS As well as compelling moral reasons to reduce NHS waiting lists, there is also a convincing economic case to go further and faster on elective recovery. We find that delivering against the target set by the Elective Recovery Plan would deliver an estimated increase in production of £73 billion over five years.

                But delivering a 30 per cent increase in elective activity is a challenging task – and not one that data suggest will happen without further policy intervention. To help identify immediate opportunities for intervention, in this report we explore the most pressing bottlenecks in the elective treatment pathways. Institute for Public Policy Research

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                Exploring perceptions of green social prescribing among clinicians and the public

                Exploring perceptions of green social prescribing among clinicians and the public Green social prescribing (GSP) is the practice of supporting people to engage in nature-based interventions and activities to improve their mental health. Preventing and tackling mental ill-health through green social prescribing is a cross-government project that was launched in October 2020. By effectively implementing GSP, the project aims to: improve mental health outcomes; reduce health inequalities; reduce demand on the health and social care system; and develop best practice at a local level. This report focusses on public and clinical perceptions of GSP. Department of Health and Social Care

                  New scheme for cheaper Hormone Replacement Therapy launches

                  New scheme for cheaper Hormone Replacement Therapy launches Women experiencing symptoms of the menopause can now access cheaper hormone replacement therapy (HRT) – the main treatment for menopause symptoms – helping to save hundreds of pounds in prescription charges.

                  The new HRT prepayment certificate (PPC) being rolled out from the 1st of April will reduce prescription costs to just £19.30 per year and can be used against a list of eligible HRT items which includes patches, tablets and topical preparations. Patients can use the HRT PPC as many times as they need across the year. Department of Health and Social Care

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                  NHS hits milestone of 200 children with Hep C treated in bid to stamp out virus

                  NHS hits milestone of 200 children with Hep C treated in bid to stamp out virus Two hundred children in England have now received life-saving treatment for hepatitis C as part of a world-first NHS programme, according to latest figures.

                  Thanks to a new national service, the children – aged three to 18 years – were identified for treatment over the past two years and became the first in the world to receive curative anti-viral tablets with a treatment success rate of 99%. NHS England

                  Covid booster vaccine available for most vulnerable

                  Covid booster vaccine available for most vulnerable The NHS in England is launching a spring booster vaccine campaign against Covid-19 for people most at risk of serious illness from the disease.

                  Around five million are eligible, including people aged 75 and over, some people with weakened immune systems, and older residents in care homes.

                  From Monday, older adults in care homes are expected to begin receiving their vaccines, given by visiting NHS teams.

                  Other eligible people will be able to receive jabs from mid-April. BBC News

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                  Tuberculosis warning as cases of disease rise for first time in decades in Europe

                  Tuberculosis warning as cases of disease rise for first time in decades in Europe Disruption caused by the coronavirus pandemic is being blamed for the first recorded rise in tuberculosis (TB) cases and deaths in Europe for two decades.

                  Some 27,300 people died from TB in the World Health Organisation’s Europe region in 2021, up from 27,000 deaths the previous year, according to a new surveillance report by the WHO and European Union’s disease prevention agency. The Independent

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                  Menopause symptoms could be treated with testosterone patch in world-first

                  Menopause symptoms could be treated with testosterone patch in world-first Researchers in the UK are developing the world’s only testosterone patch aimed at easing symptoms experienced as a result of the menopause.

                  Low levels of testosterone following the menopause can cause low libido, and are also linked to a loss of energy, headaches, and difficulty concentrating. The Independent

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                  Thousands of children in England facing ‘unacceptable’ NHS delays

                  Thousands of children in England facing ‘unacceptable’ NHS delays Thousands of children experiencing “unacceptable” long waits for NHS treatment face a “lifelong” impact on their health, a senior doctor has warned, as shocking figures reveal that nearly 15,000 paediatric operations were cancelled over the last year.

                  Dr Camilla Kingdon, president of the Royal College of Paediatrics and Child Health, said the mounting treatment backlog in England risked “serious” and “devastating” physical and mental consequences for children and their families. The Guardian

                  Failed IT systems at Capita fuel fears of cyber-attack on crucial NHS provider

                  Failed IT systems at Capita fuel fears of cyber-attack on crucial NHS provider Computer systems abruptly stopped working at outsourcing group Capita on Friday morning, triggering fears that a company that runs crucial operations for the NHS and the military could be under cyber-attack.

                  Staff are understood to have been unable to access IT systems at the outsourcing company since Friday morning, with an early investigation yet to establish the cause. The Guardian

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                  NHS hospital triggers outrage after staff are promised 'goodies' for rapidly discharging patients

                  NHS hospital triggers outrage after staff are promised 'goodies' for rapidly discharging patients An NHS hospital has triggered outrage after offering medical teams chocolate prizes for rapidly discharging patients.

                  NHS bosses have urged all hospitals to free up beds ahead of the Easter weekend and the junior doctors' strike.

                  But one hospital was forced to apologise after it offered boxes of chocolates to those who were the speediest at sending patients home. The Daily Mail

                  Fury as NHS's maternity plan to prevent more tragedies will be unsafely staffed for FIVE YEARS

                  Fury as NHS's maternity plan to prevent more tragedies will be unsafely staffed for FIVE YEARS Tragedy-stricken NHS maternity units face being unsafely staffed for another five years, officials admitted today.

                  Damning inquiries into devastating scandals, which saw hundreds of mothers and babies harmed, partly blamed a lack of midwifery staff. 

                  Yet NHS bosses have given hospitals until 2027/28 to ensure they meet workforce requirements. The Daily Mail

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                  Thousands of women miss out on vital breast cancer scans because they have to book themselves

                  Thousands of women miss out on vital breast cancer scans because they have to book themselves Women's lives are in danger from having to book their own mammograms, as evidence suggests thousands are missing out on vital breast cancer checks.

                  Before the pandemic, all women received mammogram appointments with a set date and time.

                  But the NHS now recommends 'open invitations', which require women to call and book their own appointment. The Daily Mail

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                  Friday, 31 March 2023

                  Birthday event for Recovery College NHFT celebrates five years of supporting recovery

                  Birthday event for Recovery College NHFT celebrates five years of supporting recovery A host of dignitaries and guests joined a special birthday event celebrating five fantastic years of helping people on their health recovery journey.

                  Recovery College NHFT, run by Northamptonshire Healthcare NHS Foundation Trust, held its fifth birthday celebration on March 29 at the Sikh Community Centre in Northampton, in the presence of key healthcare professionals, as well as many of those who have benefited from both developing, and attending, the college’s well-being courses. Northamptonshire Telegraph

                  The hidden problems behind delayed discharges and their costs

                  The hidden problems behind delayed discharges and their costs In the past six months, there has been a rapid increase in the number of people experiencing delayed discharge from hospitals in England, with the number of patients remaining in hospital overnight who no longer meet the criteria to remain averaging 13,771 in February 2023. That’s up from 12,589 on average in April, an increase of 9.4 per cent. The King's Fund

                  RCP view on healthcare sustainability and climate change

                  RCP view on healthcare sustainability and climate change The Royal College of Physicians (RCP) has published a new position paper on healthcare sustainability and climate change setting out recommendations to improve the sustainability of healthcare and reduce the health impacts of climate change.  

                  Climate change represents the biggest long-term threat to human health.

                  Lack of reimbursement leaves home haemodialysis patients left out in the cold, according to new report

                  Lack of reimbursement leaves home haemodialysis patients left out in the cold, according to new report According to a Kidney Care UK report released today, one third of home dialysis patients are not receiving any reimbursement from their trusts and less than a third of trusts are reimbursing patients using the appropriate tariff. This is despite the fact that NHS trusts receive funds from NHS England to pay for reimbursements.

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                  Integrated Care Systems: autonomy and accountability

                  Integrated Care Systems: autonomy and accountability This report into new partnerships aimed at delivering joined-up health and care services is calling for the Government and NHS England to address key concerns if an opportunity to deliver change is to be realised. It found enthusiasm for the potential of Integrated Care Systems to deliver on challenges facing the health and care sectors. However, it warns of a lack of clarity in some areas with risks that short-term pressures could be given priority over longer term ambitions such as preventing ill-health. Health and Social Care Select Committee

                    MPs lament NHS and Government complaints body’s “lack of ambition” to return to pre-pandemic service delivery levels

                    MPs lament NHS and Government complaints body’s “lack of ambition” to return to pre-pandemic service delivery levels The Public Administration and Constitutional Affairs Committee has today published its report on the performance of the Parliamentary and Health Service Ombudsman (PHSO) from 2021-22.

                    The Committee raises concerns with the PHSO continuing its policy of not considering less serious health complaints, introduced to reduce the backlog of cases resulting from the Covid-19 pandemic.

                    Despite successfully reducing caseload levels, MPs do not see the policy as an “appropriate long-term solution”. MPs note it is “regrettable” that the organisation makes no reference in its recent corporate strategy for 2022-25 to how it will cope with the ongoing impacts of Covid-19 and high levels of cases.

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                    COVID-19 testing approach from April 2023

                    COVID-19 testing approach from April 2023 Changes to coronavirus (COVID-19) testing will come into effect on 1 April 2023, to ensure testing continues to focus on those at highest risk, enables appropriate clinical treatment and supports the management of outbreaks in high-risk settings including health and social care.

                    Testing in England can now be further aligned with the management of other common respiratory infections thanks to the ongoing success of the vaccination programme, increased access to therapeutic treatments and high immunity amongst the population. UK Health Security Agency

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                    UKHSA update on scarlet fever and invasive group A strep

                    UKHSA update on scarlet fever and invasive group A strep The latest data from the UK Health Security Agency (UKHSA) shows that scarlet fever notifications are in line with what we would expect to see at this time of year, and have significantly reduced since the peak in December 2022. However, iGAS notifications remain higher than normally seen at this point in the season. UK Health Security Agency

                    Policy paper: NHS mandate 2022 to 2023

                    Policy paper: NHS mandate 2022 to 2023 The government’s mandate to NHS England confirms their objectives and budgets for the year ahead.

                    The financial directions published alongside (revised on 30 March 2023) provide further details on how NHS England’s budget is broken down. Department of Health and Social Care