 Northampton Chronicle & Echo | NHS to launch three new breast-feeding programmes across Northamptonshire Northampton Chronicle & Echo But a raft of other services will be paid for by NHS Northamptonshire over the next 12 months with £60000 of funds. They include project work in an area of low breast feeding or high drop-off rates, where mums begin breast feeding and for some reason ... Northampton Chronicle & Echo |
Monday, 16 April 2012
NHS to launch three new breast-feeding programmes across Northamptonshire - Northampton Chronicle & Echo
Health and wellbeing boards – System leaders or talking shops?
Health and wellbeing boards – System leaders or talking shops?:
Health and wellbeing boards: System leaders or talking shops? presents the findings from that survey and includes case studies based on the experience of two early implementers.
The paper assesses the ways in which local authorities have begun to develop new arrangements with their partners – the size, composition and ways of working emerging from the shadow boards. NHS Networks
Health and wellbeing boards: System leaders or talking shops? presents the findings from that survey and includes case studies based on the experience of two early implementers.
The paper assesses the ways in which local authorities have begun to develop new arrangements with their partners – the size, composition and ways of working emerging from the shadow boards. NHS Networks
Consultation launched on standardised tobacco packaging
Consultation launched on standardised tobacco packaging:
A UK-wide consultation seeking views on whether tobacco products should be sold in standardised packaging has been launched.
The government is exploring whether action on tobacco packaging has the potential to bring public health benefits over and above those from our current initiatives.
Standardised packaging could consist of, for example:
The consultation asks for views on whether:
Any decisions to take further policy action on tobacco packaging will be taken only after full consideration is given to consultation responses, evidence and other relevant information.
The review was commissioned by the Department of Health and supported through the Public Health Research Consortium.
The report represents the work and views of the authors, and not necessarily those of the Department of Health.
Department of Health
A UK-wide consultation seeking views on whether tobacco products should be sold in standardised packaging has been launched.
The government is exploring whether action on tobacco packaging has the potential to bring public health benefits over and above those from our current initiatives.
Standardised packaging could consist of, for example:
- no branding
- a uniform colour
- standard font and text for any writing on the pack
The consultation asks for views on whether:
- tobacco packaging should remain unchanged
- plain packaging should be adopted
- a different option should be considered
“Smoking remains one of the most significant challenges to public health. Each year it accounts for over 100,000 deaths in the UK and one in two long-term smokers will die prematurely from a smoking disease.You have until 10 July to have your say on the tobacco packaging consultation.
“That is why the health ministers across the UK have a responsibility to look closely at initiatives that might encourage smokers to quit and stop young people taking up smoking in the first place.”
Any decisions to take further policy action on tobacco packaging will be taken only after full consideration is given to consultation responses, evidence and other relevant information.
Systematic review of evidence
The Public Health Research Consortium, a network of researchers funded by the Department of Health’s Policy Research Programme, has published a systematic review of the evidence on plain tobacco packaging.The review was commissioned by the Department of Health and supported through the Public Health Research Consortium.
The report represents the work and views of the authors, and not necessarily those of the Department of Health.
Department of Health
VIDEO: 'Parkinson's is with you for life'
VIDEO: 'Parkinson's is with you for life': Researchers are to conduct the world's biggest study into the causes of Parkinson's disease, a brain condition that affects almost 130,000 people in the UK. BBC News
Coalition to cut NHS redundancy costs
Coalition to cut NHS redundancy costs: Redundancy payments could add many millions of pounds to the overall costs of the reforms. Health & Social Care News
Elsevier launches Clinical Key
Elsevier launches Clinical Key: Scientific content publishers, Elsevier, this week launched Clinical Key, a "clinical insight engine" that aggregates information from textbooks and journals. EHI News
Doctors turn on No 10 over failure to curb obesity surge
Doctors turn on No 10 over failure to curb obesity surge: Major food and drinks firms fuel crisis with irresponsible marketing, claim doctors, who call for ban on fast-food sponsorship deals. The body that represents every doctor in the country has launched an unprecedented attack on the coalition government's failed strategy to tackle an obesity epidemic in the UK.The Academy of Medical Royal Colleges demands "bold and tough" measures to put an end to the role of "irresponsible marketing" by major food and drinks firms in fuelling the crisis. It calls on ...
Guardian
Guardian
NHS Bill for England: What changes will the public see?
NHS Bill for England: What changes will the public see?: about the changes patients will see and when they would start to take place. Kings Fund health News
Who will take responsibility for rolling out 'telecare'?
Who will take responsibility for rolling out 'telecare'?:
Despite the government's enthusiasm for telecare, many GPs will be too busy trying to commission to learn how to do it
Last week, I expressed my disappointment with the King's Fund's International Telehealth and Telecare Conference. I am so upset that I am returning to the subject again.
For starters, I was amazed that there were only three GPs present. I found this strange, as telecare is likely to change the way GPs treat patients for ever. Or do GPs consider telehealth as just another irritating technology, like electronic patient records and email, which will go away if you ignore them long enough?
One speaker involved in the project said that GPs were divided between those who were interested, those who were not sure and those who didn't want to know. One GP claimed that telecare increased patient anxiety and workload for GPs.
On the other hand, community matrons and nurses already involved in telecare monitoring were generally very positive. They found that telecare made it easier to manage their own time. They even claimed that telecare would reduce the GPs' workload! This figures in my experience; nurses tend to welcome new ways of treating patients, but doctors hang back, particularly if what is proposed will radically change their way of life.
One of the GPs who did turn up asked the minister, Paul Burstow, a very intelligent question: "We GPs are up to our eyes in learning how to commission. How are going to find time to get our heads round telehealth?"
The minister had been emphasizing that 3millionlives was not a top-down initiative, like Tony Blair's nasty centralised National Programme for IT. It is going to be rolled out by lovely localised commissioning consortia. Paul Burstow had no answer for that GP, who was going to be too busy for telecare.
All he had to offer were "how to do it" guides and awareness campaigns. The trouble is that too many clinicians do not seem to want to know. It will take more than awareness campaigns to persuade them, and then educate them, which could be a long and arduous process, with all the other demands on their time.
Burstow's sidekick in the Department of Health called for the NHS, social services and industry to work together. He asked for leaders to come forward, including financial leaders, to share the vision and drive 3millionlives forward. He is right. But I have heard these calls before, and they haven't been answered.
I can't see where the charismatic champions will come from. Instead, I have a nasty feeling that 3millionlives will come to be regarded by clinicians as just another part of the hated Lansley reforms, and will be rejected by the profession.
There was, however, one bit of good news to come out of the conference. Apparently, Cornwall was not waiting for the peer-reviewed report. It had decided to start extending telecare to 30,000 patients. They had seen the evidence with their own eyes, and have people fired up to give more patients the benefits of telecare. So, why hang about?
Guardian Healthcare Network
Last week, I expressed my disappointment with the King's Fund's International Telehealth and Telecare Conference. I am so upset that I am returning to the subject again.
For starters, I was amazed that there were only three GPs present. I found this strange, as telecare is likely to change the way GPs treat patients for ever. Or do GPs consider telehealth as just another irritating technology, like electronic patient records and email, which will go away if you ignore them long enough?
One speaker involved in the project said that GPs were divided between those who were interested, those who were not sure and those who didn't want to know. One GP claimed that telecare increased patient anxiety and workload for GPs.
On the other hand, community matrons and nurses already involved in telecare monitoring were generally very positive. They found that telecare made it easier to manage their own time. They even claimed that telecare would reduce the GPs' workload! This figures in my experience; nurses tend to welcome new ways of treating patients, but doctors hang back, particularly if what is proposed will radically change their way of life.
One of the GPs who did turn up asked the minister, Paul Burstow, a very intelligent question: "We GPs are up to our eyes in learning how to commission. How are going to find time to get our heads round telehealth?"
The minister had been emphasizing that 3millionlives was not a top-down initiative, like Tony Blair's nasty centralised National Programme for IT. It is going to be rolled out by lovely localised commissioning consortia. Paul Burstow had no answer for that GP, who was going to be too busy for telecare.
All he had to offer were "how to do it" guides and awareness campaigns. The trouble is that too many clinicians do not seem to want to know. It will take more than awareness campaigns to persuade them, and then educate them, which could be a long and arduous process, with all the other demands on their time.
Burstow's sidekick in the Department of Health called for the NHS, social services and industry to work together. He asked for leaders to come forward, including financial leaders, to share the vision and drive 3millionlives forward. He is right. But I have heard these calls before, and they haven't been answered.
I can't see where the charismatic champions will come from. Instead, I have a nasty feeling that 3millionlives will come to be regarded by clinicians as just another part of the hated Lansley reforms, and will be rejected by the profession.
There was, however, one bit of good news to come out of the conference. Apparently, Cornwall was not waiting for the peer-reviewed report. It had decided to start extending telecare to 30,000 patients. They had seen the evidence with their own eyes, and have people fired up to give more patients the benefits of telecare. So, why hang about?
Guardian Healthcare Network
Friday, 13 April 2012
Plans to close ambulance stations
Plans to close ambulance stations: The number of ambulance stations in the East Midlands could be slashed if new plans are approved. BBC Northampton
Care home nurse death cover-up
Care home nurse death cover-up:
A senior care home nurse who failed to check on a dying resident, then faked records to show she had served him cake and juice, may be struck off. Evening Telegraph
A senior care home nurse who failed to check on a dying resident, then faked records to show she had served him cake and juice, may be struck off. Evening Telegraph
Patients Association issues statement on late night discharges
Patients Association issues statement on late night discharges:
Overnight discharges from NHS hospitals
Katherine Murphy Chief Executive at the Patients Association comments,
“Discharging patients often elderly and vulnerable late at night is totally inconsiderate and unacceptable and displays no compassion or thought for the individual patient.
Hospitals may think it is convenient for them to ask people to leave in the middle of the night but is it convenient and safe for a patient who may well have been in hospital for a considerable amount of time, to go home without any warning to an empty cold house – how patient centred is this? This is totally unacceptable practice in what is supposed to be a caring environment. We regularly receive calls to our Helpline from patients and relatives shocked at this callous, cruel and thoughtless behaviour.
NHS Managers need to recognise that discharging vulnerable patients at night is a poor reflection on their management skills and those Trusts that are guilty of doing this must be penalised.
The Patients Association today calls for intervention from the Department of Health, the Care Quality Commission and the Secretary of State for Health. No patient, unless they are in agreement and it is clinically safe to do so should be discharged after 6pm it is inappropriate”. Patients Association
Overnight discharges from NHS hospitals
Katherine Murphy Chief Executive at the Patients Association comments,
“Discharging patients often elderly and vulnerable late at night is totally inconsiderate and unacceptable and displays no compassion or thought for the individual patient.
Hospitals may think it is convenient for them to ask people to leave in the middle of the night but is it convenient and safe for a patient who may well have been in hospital for a considerable amount of time, to go home without any warning to an empty cold house – how patient centred is this? This is totally unacceptable practice in what is supposed to be a caring environment. We regularly receive calls to our Helpline from patients and relatives shocked at this callous, cruel and thoughtless behaviour.
NHS Managers need to recognise that discharging vulnerable patients at night is a poor reflection on their management skills and those Trusts that are guilty of doing this must be penalised.
The Patients Association today calls for intervention from the Department of Health, the Care Quality Commission and the Secretary of State for Health. No patient, unless they are in agreement and it is clinically safe to do so should be discharged after 6pm it is inappropriate”. Patients Association
Changes to the professional use of controlled drugs by pharmacists and nurses
Changes to the professional use of controlled drugs by pharmacists and nurses:
The Royal Pharmaceutical Society is delighted to be able to confirm that legislation which introduces a number of changes to the professional use of controlled drugs by pharmacists and nurses was laid before parliament on the 30 March 2012 and will be coming into force on 23 April 2012. NHS Networks
The Royal Pharmaceutical Society is delighted to be able to confirm that legislation which introduces a number of changes to the professional use of controlled drugs by pharmacists and nurses was laid before parliament on the 30 March 2012 and will be coming into force on 23 April 2012. NHS Networks
Guidance on direct access to diagnostic tests for cancer published
Guidance on direct access to diagnostic tests for cancer published:
Guidance on direct referral by GPs to specific diagnostic tests for the assessment of particular symptoms where cancer may be suspected but the urgent GP referral (two week wait) process is not applicable, has been published.
The guidance aims to help GPs in determining which patients would be suitable for direct referral to local services providing the diagnostic tests.
It deals specifically with the circumstances and symptoms that may warrant such referrals and is aimed at health care professionals across primary and secondary care and those who both provide and commission services.
The guidance, which was commissioned by the Cancer Diagnostics Advisory Board, forms part of the broader programme to support the implementation of direct access to diagnostics.
Read the guidance
Cancer survival rates in England are lower than the best outcomes in Europe and the Government has set a level of ambition to save an additional 5,000 lives each year by in England by 2014/15 – equivalent to the European average.
In the majority of cases the GP is the first medical professional to see a patient with symptoms suspicious of cancer and GPs need easy access to the right diagnostic tests to help them diagnose or exclude cancer earlier.
Improving earlier diagnosis is key to improving cancer survival and the actions to achieve this are set out in Improving Outcomes: A Strategy for Cancer, published in January 2011.
Department of Health
Guidance on direct referral by GPs to specific diagnostic tests for the assessment of particular symptoms where cancer may be suspected but the urgent GP referral (two week wait) process is not applicable, has been published.
The guidance aims to help GPs in determining which patients would be suitable for direct referral to local services providing the diagnostic tests.
It deals specifically with the circumstances and symptoms that may warrant such referrals and is aimed at health care professionals across primary and secondary care and those who both provide and commission services.
The guidance, which was commissioned by the Cancer Diagnostics Advisory Board, forms part of the broader programme to support the implementation of direct access to diagnostics.
Read the guidance
Cancer survival rates in England are lower than the best outcomes in Europe and the Government has set a level of ambition to save an additional 5,000 lives each year by in England by 2014/15 – equivalent to the European average.
In the majority of cases the GP is the first medical professional to see a patient with symptoms suspicious of cancer and GPs need easy access to the right diagnostic tests to help them diagnose or exclude cancer earlier.
Improving earlier diagnosis is key to improving cancer survival and the actions to achieve this are set out in Improving Outcomes: A Strategy for Cancer, published in January 2011.
Department of Health
Reforms in the 1990s were supposed to make nursing care better. Instead, there's a widely shared sense that this was how today's compassion deficit began. How did we come to this?
Reforms in the 1990s were supposed to make nursing care better. Instead, there's a widely shared sense that this was how today's compassion deficit began. How did we come to this?:
Yesterday, Christina Patterson described how extensive first-hand experience of Britain's hospitals persuaded her that all was not well with British nursing – and how subsequent research suggested that her disquiet was widely shared. Here, she tries to identify the origins of the crisis.The Independent
Yesterday, Christina Patterson described how extensive first-hand experience of Britain's hospitals persuaded her that all was not well with British nursing – and how subsequent research suggested that her disquiet was widely shared. Here, she tries to identify the origins of the crisis.The Independent
Late-night hospital discharges to be probed
Late-night hospital discharges to be probed:
Hospitals are ‘throwing patients out of hospitals’ late at night to free up beds, according to an investigation by The Times.
The newspaper estimates that each year more than 400,000 patients are discharged from hospital between 11pm and 6am: many of whom could be elderly or vulnerable patients with inadequate care and support.
The Times sent Freedom of Information requests to 170 NHS hospital trusts and analysed data from 100 that responded. These recorded 239,233 late-night discharges in the past year, which would equate to over 400,000 across the country. This represents around 3.5% of NHS hospital discharges each year.
The Times report included case studies of several patients who had been discharged inappropriately. However, the data reported tells us only the raw number of patients discharged during the seven-hour window. It does not explain why they were discharged, what the patients experienced or how many of the discharges were inappropriate.
Sir Bruce Keogh, Medical Director of the NHS told The Times that he will now investigate the issue of late-night discharges. Sir Bruce said “Patients should only be discharged when it’s clinically appropriate, safe and convenient for them and their families. It is simply not fair to be sending people home late at night. We will look at this.”
Individual patients’ stories support the case that some are being discharged wrongly at night to free up beds but not all night-time discharges will be inappropriate. A small proportion of patients will always leave hospital at night for a variety of legitimate reasons, as some news sources have highlighted:
If you aren’t satisfied with the way the NHS deals with your complaint, you can take it to the independent Parliamentary and Health Service Ombudsman.
Under the NHS Constitution you can also make a claim for judicial review if you think you have been directly affected by an unlawful act or decision of an NHS body, and receive compensation if you have been harmed.
You can also raise your concerns by contacting regulatory bodies such as the Care Quality Commission. Read more about this in other options for complaints.
Overnight discharges from NHS hospitals to be examined. BBC News, April 12 2012
NHS patients 'discharged overnight'. The Daily Telegraph, April 12 2012
NHS patients 'discharged overnight'. The Independent, April 12 2012
NHS chief to investigate overnight discharges. The Guardian, April 12 2012
8000 NHS patients discharged in middle of night 'every week'. Metro, April 12 2012
Health News from NHS Choices
The newspaper estimates that each year more than 400,000 patients are discharged from hospital between 11pm and 6am: many of whom could be elderly or vulnerable patients with inadequate care and support.
The Times sent Freedom of Information requests to 170 NHS hospital trusts and analysed data from 100 that responded. These recorded 239,233 late-night discharges in the past year, which would equate to over 400,000 across the country. This represents around 3.5% of NHS hospital discharges each year.
The Times report included case studies of several patients who had been discharged inappropriately. However, the data reported tells us only the raw number of patients discharged during the seven-hour window. It does not explain why they were discharged, what the patients experienced or how many of the discharges were inappropriate.
Sir Bruce Keogh, Medical Director of the NHS told The Times that he will now investigate the issue of late-night discharges. Sir Bruce said “Patients should only be discharged when it’s clinically appropriate, safe and convenient for them and their families. It is simply not fair to be sending people home late at night. We will look at this.”
Why might patients be discharged at night?
Although the story has been front-page news, it does not explain why so many patients are being discharged at night or how many of these discharges are inappropriate.Individual patients’ stories support the case that some are being discharged wrongly at night to free up beds but not all night-time discharges will be inappropriate. A small proportion of patients will always leave hospital at night for a variety of legitimate reasons, as some news sources have highlighted:
- Alcohol-related admissions: binge drinking is thought to cause over a million NHS hospitalisations each year, and drunk patients attending A&E may sometimes be transferred to wards so their health can be monitored. They may be discharged or choose to leave at night once they are more sober.
- Births: women who give birth to healthy babies often have no need to remain in hospital, and may choose to return home soon after their delivery rather than staying in hospital for the rest of the night.
- Cleared emergencies: patients brought in at night for suspected emergencies can sometimes be briefly booked into wards for checks and tests. Once it is considered safe for patients to return home they may be discharged the same night.
- Record-keeping practices: the way discharges are recorded in hospitals may not be totally accurate. For example, discharges recorded on paper might be keyed into computer systems at quieter periods such as night-time, suggesting a late-night discharge. Also, errors might occur when entering discharge times.
- Deaths: some hospital record systems count a patient as discharged if they die while in hospital. Therefore the figures are likely to include a number of patient deaths recorded during the seven-hour period from 11pm to 6am.
How can I give feedback on my hospital stay?
You can use the NHS Choices site to give feedback. As well as rating your hospital, you can also read and leave feedback on your GP practice, dental practice or optician. You can add positive and negative ratings and comment on what you have experienced. To post your views, simply find your facility in our NHS services directory and click the button marked “Rate and comment” to begin.How can I make a complaint?
If you are not happy with the care or treatment you or a relative have received, or you have been refused treatment for a condition, you have the right to:- make a complaint
- have your complaint properly investigated
- be given a full and prompt reply
If you aren’t satisfied with the way the NHS deals with your complaint, you can take it to the independent Parliamentary and Health Service Ombudsman.
Under the NHS Constitution you can also make a claim for judicial review if you think you have been directly affected by an unlawful act or decision of an NHS body, and receive compensation if you have been harmed.
You can also raise your concerns by contacting regulatory bodies such as the Care Quality Commission. Read more about this in other options for complaints.
Links To The Headlines
Scandal of NHS patients 'thrown out in the dark'. The Times, April 12 2012 [Paid content, avaiable via subscription from The Times online]Overnight discharges from NHS hospitals to be examined. BBC News, April 12 2012
NHS patients 'discharged overnight'. The Daily Telegraph, April 12 2012
NHS patients 'discharged overnight'. The Independent, April 12 2012
NHS chief to investigate overnight discharges. The Guardian, April 12 2012
8000 NHS patients discharged in middle of night 'every week'. Metro, April 12 2012
Health News from NHS Choices
Thursday, 12 April 2012
Health boards ''could integrate care''
Health boards ''could integrate care'': Health and wellbeing boards could be the catalyst for delivering integrated care, says King's Fund
Health and Social Care News from Public Service
Health and Social Care News from Public Service
Coroner finds ‘failings’ in care of 19-month-old boy who died of dehydration
Coroner finds ‘failings’ in care of 19-month-old boy who died of dehydration:
THE CORONER for Northamptonshire has identified a series of “failings and catastrophic” mistakes made by medical staff at Northampton General Hospital (NGH) who treated a 19-month-old boy who later died of dehydration. Northampton Chronicle and Echo
THE CORONER for Northamptonshire has identified a series of “failings and catastrophic” mistakes made by medical staff at Northampton General Hospital (NGH) who treated a 19-month-old boy who later died of dehydration. Northampton Chronicle and Echo
The role of the health workforce in tackling health inequalities: action on the social determinants of health
The role of the health workforce in tackling health inequalities: action on the social determinants of health:
It focusses on three main areas of action - practice, education, and incentives, monitoring, and directives. It has now been released for consultation and the closing date for comments is 18th May 2012. More ...
NHS Networks
It focusses on three main areas of action - practice, education, and incentives, monitoring, and directives. It has now been released for consultation and the closing date for comments is 18th May 2012. More ...
NHS Networks
Strategic review of the Nursing and Midwifery Council (NMC): interim report
Strategic review of the Nursing and Midwifery Council (NMC): interim report:
This interim report focusses on regulatory purpose, leadership, governance, decision making and operational management. It sets out 16 recommendations to help the NMC carry out its regulatory role better in the future.
This interim report focusses on regulatory purpose, leadership, governance, decision making and operational management. It sets out 16 recommendations to help the NMC carry out its regulatory role better in the future.
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