Thursday, 11 July 2013

Integrated care in Northern Ireland, Scotland and Wales: lessons for England

Integrated care in Northern Ireland, Scotland and Wales: lessons for England At a time when policy-makers in England have made a commitment to bring about closer integration of care both within the NHS and between health and social care, what can the health and social care system in England learn from the experiences of the other countries of the United Kingdom? This paper examines the context in which health and social care is provided; identifies policy initiatives that promote integrated care and the impact of these initiatives; and considers the barriers and challenges to achieving integrated care.

Medical education’s front line: a review of training in seven emergency medicine departments

Medical education’s front line: a review of training in seven emergency medicine departments This review found that high workloads and inconsistent supervision are putting off doctors from training in emergency medicine. The findings come from GMC checks on the training of doctors at six emergency medicine departments in England and one in Jersey over a two-month period. Concerns ranged from a lack of supervision of doctors in training at night to inadequate staffing levels. The report identifies a number of ways in which NHS trusts may be able to improve the quality of education and training in emergency medicine.

Patients spend money better than GPs, report suggests

Patients spend money better than GPs, report suggests Pilots of personal health budgets show that giving patients control of spending decisions for their own care benefits them and saves the NHS money. OnMedica News

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Public health statistics could cease to be published amid wave of budget cuts

Public health statistics could cease to be published amid wave of budget cuts ONS statisicians also looking at 'a significant reduction in the scale' of David Cameron's 'wellbeing programme'
A complete halt to the publication of politically sensitive official statistics on smoking, drinking, teenage pregnancies and infant mortality, is being considered for a programme of cuts being drawn up by the Office of National Statistics, documents show.

Serco's GP out-of-hours service in Cornwall 'substandard', say MPs

Serco's GP out-of-hours service in Cornwall 'substandard', say MPs Serco, the leading private contractor of services to the public sector, has come under attack for its "substandard" GP out-of-hours service in Cornwall, in a report published by the influential parliamentary public accounts committee on Thursday.
The company falsified figures on its performance 252 times, making it look better than it was, so that serious failings in the service only came to light thanks to whistleblowers, MPs say, yet the company's response was "bullying and heavy-handed".
The NHS primary care trust that had oversight of the contract was "deeply ineffective" in writing and managing it, did not impose any penalties when the failings were discovered, and instead made bonus payments to Serco even though it fell well short of required standards. The Guardian

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GPs 'rationing hospital care'

GPs 'rationing hospital care' GPs are rationing patients' access to hospital care, according to an investigation which found that regional managers are cutting costs by making it harder for patients to qualify for a host of minor procedures.The Daily Telegraph

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Wednesday, 10 July 2013

Named clinicians for vulnerable older people – how will it work in practice?

Named clinicians for vulnerable older people – how will it work in practice? Sipping my morning coffee on Friday, I caught BBC reports that the Secretary of State was announcing yet another initiative designed to assuage concern over the care of older people. ‘Elderly patients to be assigned named clinician’, ‘Mr Hunt will announce that a named doctor or nurse will be responsible for vulnerable patients at all times.’

Non-UK doctors 'face discrimination'

Non-UK doctors 'face discrimination' Complaints that foreign-trained doctors are suffering from discrimination in NHS exams to become GPs are being investigated by the General Medical Council. BBC News

Healthcare assistants training urged

Healthcare assistants training urged Healthcare assistants in hospitals, residential homes and the community in England have no minimum standard of training before they are allowed to work unsupervised, an independent report finds. BBC News

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Framework launched for nursing and midwifery

Framework launched for nursing and midwifery The new framework, launched by the Nursing and Midwifery Council, sets out a three-year strategy for assuring the quality of nursing and midwifery education and supervision of midwives. NHS Employers

NICE publishes guideline for treating people with acute heart attack

NICE publishes guideline for treating people with acute heart attack A new NICE guideline aims to improve the outcomes for people who have suffered the most severe type of heart attack. NICE

More than medicine

More than medicine This report argues that ring-fencing budgets may not be enough to help the NHS deliver the support required by an ageing population, as unhealthy lifestyles and the number of patients suffering from multiple long-term conditions continue to take their toll on the UK’s healthcare services. It calls for a complete overhaul of the healthcare operating model is needed if the NHS is to deliver better patient outcomes and care at lower costs. Key to this transformation, as pressure also increases to deliver higher quality care for less, will be the life sciences sector aligning its interests by partnering to share costs, data and risk to improve the value and effectiveness of the therapies offered to patients.

Getting on? Growing older with autism

Getting on? Growing older with autism This report sets out some of the key issues facing older people with autism and what government and other bodies need to do to make sure they have the services and support they need.

How CCGs are handling their new responsibilities

How CCGs are handling their new responsibilities One hundred days have passed since the official birth of CCGs, but how are they getting on?

A&E patients forced to wait more than 14 hours at struggling hospital

A&E patients forced to wait more than 14 hours at struggling hospital Patients are being forced to wait more than 14 hours to receive care at a struggling accident and emergency unit, a hard-hitting report has revealed.The Daily Telegraph

Redundancies cost NHS £1.1bn but more skilled staff are needed

Redundancies cost NHS £1.1bn but more skilled staff are needed The NHS has paid out hundreds of millions of pounds making staff redundant as part of its controversial health reforms, but skilled staff are still needed in key areas, official figures show. The Independent

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Government's bedroom tax forces carers to cut back on food

Government's bedroom tax forces carers to cut back on food Carers are being forced to cut back on essentials such as food and electricity because of the so-called bedroom tax. Despite Government promises to protect them from the under-occupancy charge, one in six carers forced to pay it are falling behind on their rent and face eviction, research by Carers UK shows. The Independent

Tuesday, 9 July 2013

NHS 111 continues to improve

NHS 111 continues to improve Use of the service continues to grow – in May there were 580,937 calls to the 111 service compared to 566,532 the previous month. The majority of NHS 111 services in England are now meeting the performance standards. Ninety-three percent of calls were answered in 60 seconds and just two percent of calls were abandoned after waits longer than 30 seconds. This is an improvement on the previous month when 87 percent  of calls were answered in 60 seconds and four percent of calls were abandoned. More .... NHS Networks

NHS@75: towards a healthy state

NHS@75: towards a healthy state This report sets out a challenging vision for the health service in 2023 and outlines the deliberate and courageous action needed to deliver this aspiration. The future vision outlined by this report is based around two key characteristics: the extent to which people take responsibility for their own health and care; and the degree to which the system adapts to the drivers of change and needs of the public.
Please note: this report requires free registration for full access.

The teeth in the NHS Constitution: the case of the right to NICE approved treatments

The teeth in the NHS Constitution: the case of the right to NICE approved treatments This report argues that many of the patient rights in the NHS Constitution lack clout unless new arrangements are put in place to support them. The study used literature reviews and a comprehensive survey of patient groups and organisations to try to establish whether people are achieving one of the clearest rights in the NHS Constitution – the right to receive clinically appropriate treatments that have been approved by NICE.

A good death at home: home palliative care services keep people where they want to be

A good death at home: home palliative care services keep people where they want to be Key message: There is good evidence that home palliative care increases the chance of dying at home and reduces symptom burden, especially for people with cancer, without increasing caregiver grief. Where would you prefer to die, if you had an … Continue reading →Evidently Cochrane

Are electronic patient records the next big thing?

Are electronic patient records the next big thing? The Patient from Hell wonders whether patient records should be kept by GPs instead of by hospitals. The Guardian

Care home boss: let people choose how to die

Care home boss: let people choose how to die People facing a slow or undignified death should be able to choose how, where and when they die, the chief of a leading care home chain will argue in a speech today.The Daily Telegraph

Monday, 8 July 2013

Controversial restraint used 50 times at NHS mental health hospitals this year - Northampton Chronicle & Echo

Controversial restraint used 50 times at NHS mental health hospitals this year - Northampton Chronicle & Echo A SPOKESWOMAN for NHS Northamptonshire Healthcare said: “The most common reasons for using restraint are to manage physical assaults by patients towards staff or other patients, prevent self-harm or risk of physical injury by accident. As a result of ... Northampton Chronicle and Echo

Are e-cigarettes being choked by regulation?

Are e-cigarettes being choked by regulation? Are governments getting too harsh on e-cigarettes? BBC News

Flu fighter campaign 2013/14...we're back

Flu fighter campaign 2013/14...we're back Our online ordering system is now open for you to place orders for your flu fighter campaign materials for 2013/14. NHS Employers

More change is required, says Sir Cyril Chantler, with leadership by doctors an ‘ethical imperative’

More change is required, says Sir Cyril Chantler, with leadership by doctors an ‘ethical imperative’ We are in trouble. A recent report from the Institute of Medicine in the USA showed that while America is the unhealthiest nation in the developed world in terms of life expectancy and amenable mortality, we in the UK are the second worst for preventable death, and the second fattest. This is likely to be … Continue reading » NHS Voices

Refreshing the Mandate to NHS England: 2014-2015

Refreshing the Mandate to NHS England: 2014-2015 This consultation includes proposals on: the actions being taken by NHS England in response to the Francis Report; working with NHS England to develop a vulnerable older people plan; and the need for the NHS to contribute to the recovery of the economy and make better use of resources in light of the challenging financial climate. Responses are invited until the 26th September 2013.

Strengthening corporate accountability in health and social care

Strengthening corporate accountability in health and social care This consultation asks for views on proposals to hold providers of health and social care to account where there are serious failures in care. It proposes that all directors of providers registered with the Care Quality Commission (CQC) including NHS hospitals, private hospitals and care homes, must meet a new fit and proper person test. The CQC will be able to insist on the removal of directors that fail this test. Responses are welcomed until the 6th September 2013.

NHS "is about to run out of cash" top official warns

NHS "is about to run out of cash" top official warns The NHS is "about to run out of cash" - and faces a £30 billion funding gap by 2020, senior health service officials have warned.The Daily Telegraph

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Explaining health managers' information seeking behaviour and use

Explaining health managers' information seeking behaviour and use "Managers are overwhelmed with too much information of various types and quality, yet often cannot find the information they need." Explaining health managers' information seeking behaviour and use: final report National Institute for Health Research Service Delivery and Organisation Programme

Read the full report here.

The NHS must adapt if it is to survive another 65 years | David Nicholson

The NHS must adapt if it is to survive another 65 years | David Nicholson Responding to massive cultural changes is key to the NHS's future – but putting patients first must remain at its core
On 5 July 65 years ago, Aneurin Bevan's revolutionary vision became a reality: a healthcare system that is free to everyone at the point of delivery, based on clinical need, not ability to pay. It still remains one of this country's greatest achievements, touching a million people every 36 hours, saving and improving lives in ways that its founders can scarcely have imagined.
But while reflecting on achievements is important, we must also focus on renewing the NHS so it can stay true to its founding principles for the next 65 years. The world moves on and all institutions must adapt to survive. The Guardian

Inquiry into policy that 'kills off' patients

Inquiry into policy that 'kills off' patients The Liverpool Care Pathway, widely recognised by healthcare professionals as the "gold standard" for easing the last days of dying patients, has never been properly tested. Concern over the fact that the LCP has never been subjected to a randomised clinical trial to test claims that it is the best way to treat the terminally ill has prompted the Health Secretary, Jeremy Hunt, to order a full inquiry, to be led by Baroness Neuberger. The Independent

NHS 'not safe with coalition,' poll reveals

NHS 'not safe with coalition,' poll reveals Fewer than one NHS worker in 10 think the health service is "safe in the hands" of the coalition government, a new poll reveals. The Independent

Friday, 5 July 2013

New training course for NHS staff about to undertake further study

New training course for NHS staff about to undertake further study We have developed the new Pre-course Course for NHS staff who are about to start (or may have already started) new studies. It may be a short course or module, a full Masters or even a PhD, but we can help.

New virus 'not yet global threat'

New virus 'not yet global threat' The deadly coronavirus that emerged last year does not currently appear to be infectious enough to pose a global threat, researchers say. BBC News

Surgeon death data 'not robust'

Surgeon death data 'not robust' Publishing death rates for individual surgeons will not spot poor performers in certain fields because too few operations take place, a study finds. BBC News

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'Named clinician' for older patients

'Named clinician' for older patients Elderly people in England are to have a named clinician responsible for their care when they leave hospital, the health secretary will say. BBC News

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New mileage allowances - from 1 July 2013

New mileage allowances - from 1 July 2013 The NHS Staff Council has agreed a new system for mileage allowances for staff (from 1 July 2013, handbook amendment number 29) who use their privately owned vehicles on NHS business, for example, providing care in the patient's home. NHS Employers

£73k coaching for committee appearances

£73k coaching for committee appearances enior NHS figures have been accused of spending £73,563 to prepare them for questions by the Public Accounts Committee. Public Service

NHS productivity from 2004/5 to 2010/11

NHS productivity from 2004/5 to 2010/11 his report follows year-on-year changes in productivity from 2004/5 to 2010/11 in order to examine improvements; a key element in meeting the Nicholson Challenge.

The wisdom of the crowd: 65 views of the NHS at 65

The wisdom of the crowd: 65 views of the NHS at 65 As the NHS reaches 65, this collection of essays asks 65 health and political leaders what they believe the state of the NHS to be at this moment in time; what they think the NHS will look like in ten years' time; what health and political leaders need to do to ensure it remains viable and fit for purpose; and whether they think the NHS can remain largely free at the point of use. The Nuffield Trust

How is the new NHS structured?

How is the new NHS structured? his collection of work aims to explain how the NHS is now structured, including how providers are regulated, who can influence the commissioning of services and how the money flows.

Exclusive: NHS 111 risks 'were known before launch'

Exclusive: NHS 111 risks 'were known before launch'  NHS Direct identified concerns about understaffing and call volume forecasts weeks before the troubled roll-out of its NHS 111 services. GP Online

Dementia cure by 2020 can help save the NHS, says Hunt

Dementia cure by 2020 can help save the NHS, says Hunt Science can save the NHS, with drug companies hopeful of finding a cure for dementia by 2020, amid "incredible" advances in British medicine, the Health Secretary has said.The Daily Telegraph

NHS watchdog spent £785,000 on spin team

NHS watchdog spent £785,000 on spin team The NHS watchdog implicated in a cover-up over a hospital where babies died through neglect spent £785,000 last year on 11 lobbyists.The Daily Telegraph

Victims of sex trafficking 'at risk' over NHS charging plans

Victims of sex trafficking 'at risk' over NHS charging plans Plans to charge non-EU migrants more for NHS care could put vulnerable women and victims of sex trafficking at risk, midwives have warned. The Independent

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A third of young people have had suicidal thoughts

A third of young people have had suicidal thoughts Nearly a third of children in Britain have contemplated or attempted suicide, according to a report revealing the scale of the mental health problems afflicting young people. The Independent

Thursday, 4 July 2013

New chief named for Northamptonshire’s health watchdog

New chief named for Northamptonshire’s health watchdog A new chief executive has been appointed to head up Northamptonshire’s new health and social care watchdog. Northampton Chronicle and Echo

Bosses resign from death probe trust

Police asked to investigate watchdog's missing emails

Police asked to investigate watchdog's missing emails The police have been asked to investigate evidence that the NHS watchdog accused of a cover-up over a maternity deaths scandal prevented damning emails from coming to light. The Daily Telegraph

VIDEO: 24-hour hospital care plan 'irresponsible'

VIDEO: 24-hour hospital care plan 'irresponsible' Health Secretary Jeremy Hunt wants to make care in the NHS truly 24/7, but some doctors say the proposals will not work in a service that is already overstretched.  BBC News

Hunt says NHS 111 will be reviewed as patients and providers find problems

Hunt says NHS 111 will be reviewed as patients and providers find problems Health Secretary Jeremy Hunt has admitted the public do not have confidence in the new non-emergency health hotline NHS 111. Public Service

Clinical informatics needs networks

Clinical informatics needs networks The development of chief clinical information officers and health informatics professionals requires sustained investment in networks and professionalism, says NHS England's clinical informatics director. The development of chief clinical information officers and health informatics professionals requires sustained investment in networks and professionalism, says NHS England's clinical informatics director. E-Health Insider

Read Code 'cross-maps' consultation

Read Code 'cross-maps' consultation This consultation aims to gain a deeper understanding of the level and nature of the use of cross-maps which enable hospitals to satisfy mandatory data collections and submissions, such as the Admitted Patient Care Commissioning Data Set and Hospital Episode Statistics. They also support secondary use cases such as epidemiology, clinical governance, commissioning and Payment by Results. The HSCIC is particularly keen to hear from Clinical Commissioning Groups and GPs as less is known about how these groups use cross-maps. Responses are invited until the 9th September 2013.

Injured patients taken to hospital in POLICE CARS because ambulances are taking too long following service cuts

Injured patients taken to hospital in POLICE CARS because ambulances are taking too long following service cuts Nottinghamshire Police Federation today spoke out against the use of police to do the job of paramedics, saying it was a 'real concern' for officers. The Daily Mail

Middle East virus claims third life as fears of pandemic spread

Middle East virus claims third life as fears of pandemic spread A man being treated in a London hospital for a lethal 'Sars-like' Middle Eastern virus has died.The Daily Telegraph

Scurvy returns among children with diets 'worse than in the war'

Scurvy returns among children with diets 'worse than in the war' Wartime diseases are returning to Britain because some children are living on junk food diets that are worse for them than rationing was 70 years ago, officials have claimed. The Daily Telegraph

Hospital bosses face prosecution over care failings

Hospital bosses face prosecution over care failings Hospital and care home managers who allow neglect and abuse to take place on their watch could face criminal prosecution and unlimited fines under new Government plans designed to restore trust in the health service after a series of high profile NHS scandals. The Independent

Wednesday, 3 July 2013

CQC chiefs admit cover-up error

CQC chiefs admit cover-up error Bosses at England's health regulator admit they "got it wrong" when they blocked the release of the names of officials accused of a cover-up. BBC News

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Herbal stimulant khat to be banned

Herbal stimulant khat to be banned The UK is to ban the herbal stimulant khat, going against the advice of its own drugs advisory body. BBC News

New ESR case studies published

New ESR case studies published Two new case studies from the NHS ESR Central Team are now available including one from HPMA Award winners Countess of Chester Hospital NHS Foundation Trust. NHS Employers

NHS England reaffirms its commitment to reducing health gap

NHS England reaffirms its commitment to reducing health gap NHS England has reaffirmed its commitment to reducing the gap in life expectancy. There is more than 11 years for men and 10 for women between the richest and poorest in the country.

Long-term night shifts can 'double' breast cancer risk

Long-term night shifts can 'double' breast cancer risk “Women who work long-term night-shift jobs … are twice as likely to develop breast cancer,” is the story in The Independent, as well as a number of other newspapers.
The report is based on a study which found that women who worked night shifts for 30 years or more were twice as likely to develop breast cancer.
Other studies have previously suggested a link between shift work and breast cancer, but they have mainly been confined to nurses. In this study, researchers looked at women working in many different roles.

Bowel cancer: national audit confirms for the first time huge difference in survival rates between surgery and non-surgery patients

Bowel cancer: national audit confirms for the first time huge difference in survival rates between surgery and non-surgery patients  Patients who have operation almost twice as likely to live two years beyond diagnosis. Health & Social Care Information Centre

NHS Direct pulls out of two 111 medical helpline contracts

NHS Direct pulls out of two 111 medical helpline contracts The new non-emergency NHS phoneline has been thrown into turmoil after a supplier pulled out of two contracts for providing the service.
NHS Direct has said it will be unable to provide the phoneline in two regions - despite winning the contracts to deliver service.
NHS Direct won 11 of the 46 contracts for the 111 service, but it said it could not provide the service in North Essex and Cornwall because the contract terms were "financially unsustainable". The Guardian

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Hospitals block patient complaints on legal grounds

Hospitals block patient complaints on legal grounds Hospitals are routinely using the threat of legal action to block investigations into medical blunders, patient safety campaigners have claimed, as they threaten a legal challenge against the Health Secretary. The Daily Telegraph

Doctors to monitor NHS patients via video link

Doctors to monitor NHS patients via video link Critically ill NHS patients are to be monitored via video link by doctors in a central contol room for the first time in Britain as part of a new scheme aimed to improve out-of-hours care.The Daily Telegraph

Fears of a care crisis at another NHS hospital

Fears of a care crisis at another NHS hospital There are fears of a new crisis at an NHS hospital after a report found patients are forced to wait for days to be seen and the care is so chaotic they are left in pain. The Daily Telegraph

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Foreigners to be made to pay £200 to use NHS

Foreigners to be made to pay £200 to use NHS Foreigners who visit Britain for more than six months will be made to pay at least £200 a year to use NHS services, under a set of proposals to be introduced tomorrow. The Independent

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'One size fits all' BMI index may be wrongly applied by doctors for ethnic groups, says NICE

'One size fits all' BMI index may be wrongly applied by doctors for ethnic groups, says NICE Black, Asian and other minority ethnic groups may be missing out on treatment for weight-related conditions such as diabetes because doctors wrongly using a “one size fits all” obesity measure, NICE has said. The Independent

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Tuesday, 2 July 2013

New vaccine offers babies protection against rotavirus

New vaccine offers babies protection against rotavirus Rotavirus infection is the most common cause of gastroenteritis (vomiting and diarrhoea) in children under 5. Nearly every child will develop rotavirus gastroenteritis by 5 years of age. Rotavirus gastroenteritis is responsible for 130,000 visits to the GP and 13,000 hospitalisations for dehydration every year.

One in five NHS workers 'bullied'

One in five NHS workers 'bullied' One in five NHS workers claims to have been bullied by colleagues during the last six months, a survey by Durham University finds. BBC News

'Funding gap costs hospitals £500m'

'Funding gap costs hospitals £500m' England's hospitals lost more than £500m of income last year because of the way they get paid for admitting emergency patients, findings reveal. BBC News

NHS England publishes details on how to apply for 260m Safer Hospitals, Safer Wards Technology Fund

NHS England publishes details on how to apply for 260m Safer Hospitals, Safer Wards Technology Fund NHS England has today published further details on the Safer Hospitals, Safer Wards Technology Fund which sets out the details on how NHS Foundation Trusts and NHS Trusts can access the new £260 million technology fund.

'Surgeons could avoid high-risk patients after death rate data release'

'Surgeons could avoid high-risk patients after death rate data release' Health Secretary Jeremy Hunt's decision to publish performance data and mortality rates for thousands of surgeons across the country has come under attack Public Service

Concerns raised about bovine TB-infected meat

Concerns raised about bovine TB-infected meat “Tens of thousands of diseased cattle, slaughtered after testing positive for bovine tuberculosis (bTB), are being sold for human consumption by Defra, the food and farming ministry,” reports The Sunday Times.
Following an investigation, the paper says it found that the meat is being sold to caterers and food processors by the government’s food and agriculture department, despite being banned by most supermarkets and burger chains.
It is important to note that your risk of catching TB from eating meat from an infected animal is minimal.

Commissioning treatment for dependence on prescription and over-the-counter medicines: a guide for NHS and local authority commissioners

This guidance sets out PHE’s expectation that support should be available in every area for people with a dependency on prescription or over-the-counter medicines, based on a full assessment of local need. It has been produced with input from experts on addiction to medicines, and outlines a number of sources that commissioners can use to identify the scale of misuse or dependence, and in relation to what medicines in their area.

Patients will get clearer data on surgeons' death rates next year

Patients will be able to compare the death rates of surgeons at every NHS hospital by next year, the national medical director has said, amid criticism that data published so far does not allow the public to make a meaningful choice.The Daily Telegraph

Investigation into Liverpool Care Pathway death

The death of an elderly woman on the controversial Liverpool Care Pathway is to be officially investigated after a man claimed doctors had attempted to "murder" his mother. The Daily Telegraph

Surgeons' contracts offer ‘poor value for money’ for limiting work outside office hours

A generous new contract for hospital consultants provided “poor value for money” because it did not require them to work in the evenings and at weekends, public spending watchdogs said on Tuesday. The Independent

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Monday, 1 July 2013

£1.9m investment in more nursing staff at NGH

£1.9m investment in more nursing staff at NGH: More than 120 additional nursing staff will be in place on Northampton General Hospital's wards by October, announced director of nursing and midwifery Suzie Loader today. NGH News