Wednesday, 27 November 2013

Are private patients 'too posh to push'?

Are private patients 'too posh to push'? "Well-off mothers really are 'too posh to push'," the Mail Online reports after an Irish study found that mothers who use private healthcare services had twice the odds of having a planned caesarean section as women using state-funded care.

Self-harm: half of inpatient cases dealt with by hospitals involve existing mental health service users

Self-harm: half of inpatient cases dealt with by hospitals involve existing mental health service users A third of all service user cases involve intentional self-harm with prescription drugs. Health and Social Care Information Centre

Francis report: Jeremy Hunt has prioritised blame over support

Francis report: Jeremy Hunt has prioritised blame over support The government's response fits in with the wider political strategy of blaming individuals for shortcomings in the system.

More transparency needed in hospitals

More transparency needed in hospitals Jane Cummings, the chief nursing officer, says openness will help drive up standards for patients. The Daily Telegraph

See also:

Bitter conditions linked to deaths of additional 31,000 people last winter - a rise of almost one third

Bitter conditions linked to deaths of additional 31,000 people last winter - a rise of almost one third

There was a 29 per cent increase in deaths linked to the cold weather last winter, new figures have revealed. The Independent

See also:

Tuesday, 26 November 2013

Invitation to talk health in Corby

Invitation to talk health in Corby Healthwatch Northamptonshire is inviting people to a meeting about health and social care at the Corby Cube on Thursday, December 5. Northamptonshire Telegraph

The Third National Survey of Sexual Attitudes and Lifestyles

The Third National Survey of Sexual Attitudes and Lifestyles Results published across six papers in The Lancet give the most detailed picture yet of the British population’s sex lives over the last 10 years, as part of the third National Survey of Sexual Attitudes and Lifestyles survey (Natsal).

See also:

Child-on-child abuse 'shocking'

Child-on-child abuse 'shocking' "Shocking" sexual violence is being carried out by children against other children as young as 11, according to an official report. BBC News

Solving a game of hospital Tetris

Solving a game of hospital Tetris Can tracking technology help fill hospital beds? BBC News

AUDIO: Carers 'paid less than minimum wage'

AUDIO: Carers 'paid less than minimum wage' Some care workers are being paid less than the minimum wage, a report has found. BBC News

Tough decisions needed on NHS pay says Dean Royles

Tough decisions needed on NHS pay says Dean Royles It is the same every year. The annual planning cycle means that each September, we submit our written evidence to the NHS Pay review bodies – independent bodies that recommend pay awards for NHS staff. They will decide in spring 2014 whether or not to accept our recommendations. The review body asked us for evidence …NHS Voices 

Waiting times for GPs predicted to worsen this winter, as result of emerging £10.2bn funding black hole

Waiting times for GPs predicted to worsen this winter, as result of emerging £10.2bn funding black hole According to new research by the Royal College of General Practitioners (RCGP), funding has drifted away from primary care towards hospitals over the last eight years – with the result that general practice now receives £2.4bn less a year than if funding had kept pace with secondary care.

Steroid use in premature babies linked to ADHD

Steroid use in premature babies linked to ADHD "Steroid injections for premature babies could raise ADHD risk," reports The Daily Telegraph after a Finnish study found a link between steroid use (corticosteroids) in premature babies and developmental conditions such as attention deficit hyperactivity disorder (ADHD).

Still ignoring the risks? An interim review of health and wellbeing boards

Still ignoring the risks? An interim review of health and wellbeing boards Earlier this year, the Campaign to End Loneliness published Ignoring the health risks?, which tracked whether the newly established health and wellbeing boards across England had prioritised the public health issues of loneliness and isolation within their strategies. This review updates the research and finds that more than half of boards  have included some reference to loneliness or isolation in their strategies.

Improve access to support for domestic abuse, BMA demands

Improve access to support for domestic abuse, BMA demands GPs have key role in spotting signs of abuse, but often lack confidence in how best to handle it. OnMedica

Obesity crisis: more than one third of 60-70 year olds now dangerously overweight

Obesity crisis: more than one third of 60-70 year olds now dangerously overweight People are growing fatter in old age with waist sizes rising faster than body mass index. The Daily Telegraph

Monday, 25 November 2013

Fire crews treated patients 387 times in three months

Fire crews treated patients 387 times in three months Hundreds of patients who dial 999 and ask for an ambulance are now being sent firefighters or, on some occasions, police officers. Northampton Chronicle and Echo

Speech: Secretary of State for Health: message to NHS staff

Speech: Secretary of State for Health: message to NHS staff This week was a major milestone for the NHS, with our final response to the Francis report. It comes on the back of a challenging year of unprecedented scrutiny and transparency. It has not been easy, but I am confident the result will be a profound change in culture that will make our NHS the safest health system in the world.

Friendship line for elderly launched

Friendship line for elderly launched Esther Rantzen launches a free 24-hour dedicated helpline for older people that aims to provide friendship and combat loneliness. BBC News

Delayed hospital discharges examined

Delayed hospital discharges examined NHS figures have highlighted the growing impact of delays in discharging patients in England once they are fit to leave hospital. BBC News

See also:

'Fat gene' could make you 'eat more and move less'

'Fat gene' could make you 'eat more and move less' "Do YOU have the fat gene?" the Mail Online asks, saying that, "90% of obese people could have mutation that means they're programmed to eat more and move less". Its report is based on a genetic analysis of a multigenerational Arab Israeli family in which it appeared that morbid obesity "ran in the family".

The UK strategy for rare diseases

The UK strategy for rare diseases This strategy contains over 50 commitments to ensure people living with a rare disease have access to the best evidence-based care and treatment that health and social services, working with charities, researchers and industry, can provide.

Hospitals scramble to prevent crisis in NHS's 'toughest ever' winter

Hospitals scramble to prevent crisis in NHS's 'toughest ever' winter NHS deputy chief executive says service 'pulling out all the stops' to deal with impact of bad weather, flu and vomiting bug.

Hundreds of convicted doctors still practising

Hundreds of convicted doctors still practising Medical chiefs say they cannot automatically ban convicted doctors because it may breach their human rights. The Daily Telegraph

'Stealth' pay rises for NHS staff costing £1bn a year

'Stealth' pay rises for NHS staff costing £1bn a year The NHS is spending almost £1 billion a year on a stealth system of automatic pay rises, which have seen earnings rise by up to a third in five years. The Daily Telegraph

NHS hospitals send overseas for nurses before winter crisis

NHS hospitals send overseas for nurses before winter crisis

Hundreds of Spanish nurses will start work across Britain this week, having been fast-tracked to work at NHS hospitals in what the Royal College of Nursing is describing as a “crisis in workforce supply”. The Independent

Reactor closure puts medical scans at risk as shortage of radioactive material could jeopardise patients’ health

Reactor closure puts medical scans at risk as shortage of radioactive material could jeopardise patients’ health

A worldwide shortage of radioactive material vital for the operation of medical scanners could jeopardise patients’ health in the UK, say senior doctors. They are calling on the Government to prevent a shortage of a radioactive isotope used to diagnose cancers and heart defects. The Independent

Friday, 22 November 2013

‘Legal high’ cases on the rise at Northampton General Hospital

‘Legal high’ cases on the rise at Northampton General Hospital One person a week is being taken to Northampton General Hospital suffering from the effects of ‘legal highs’, an accident and emergency consultant has warned. Northampton Chronicle and Echo

See also:

The state of health care and adult social care in England 2012/13

The state of health care and adult social care in England 2012/13 This year’s State of Care report looks at the pressures on A&E services due to an increase of admissions for ‘avoidable’ conditions. It also brings together the findings of more than 35,000 inspections to try and give a picture of the quality of health and social care services in 2012/13.
See also:

Elderly emergency admissions rising

Elderly emergency admissions rising Urgent action is needed to stem the rise in avoidable emergency admissions among the elderly, regulators say. BBC News

See also: 

Concern at brain haemorrhage delays

Concern at brain haemorrhage delays Experts warn of delays in the diagnosis and treatment of patients with brain haemorrhages, especially at weekends, which they say is causing 'unnecessary harm'. BBC News

A question of behaviours: why delivering care integration and managing acute demand depends as much on changing behaviour as new systems

A question of behaviours: why delivering care integration and managing acute demand depends as much on changing behaviour as new systems This report from iMPOWER addresses two connected challenges: the increasing dependency on acute settings and urgent care, particularly for the elderly and the positive agenda to integrate care in home and community settings.

Health at a glance 2013: OECD indicators

Health at a glance 2013: OECD indicators This report provides the latest comparable data on different aspects of the performance of health systems in OECD countries. It provides evidence of large variations across countries in the costs, activities and results of health systems. Key indicators provide information on health status, the determinants of health, health care activities and health expenditure and financing in OECD countries.

NHS wastes millions each year on utilities

NHS wastes millions each year on utilities The NHS in England could have saved £41.4m by simply paying the average tariff for energy and water OnMedica

See also:

Middle managers can bridge gap between ward and board

Middle managers can bridge gap between ward and board The NHS doesn't always encourage sharing information across the tiers – but it is essential to improving patient safety.

Britain's rates of cancer and stroke survival on par with Eastern Europe, study finds

Britain's rates of cancer and stroke survival on par with Eastern Europe, study finds Britain's rates of cancer and stroke survival are on a par with Eastern Europe, despite Government pledges to improve care, the Organisation for Economic Co-operation Development finds. The Daily Telegraph

Thursday, 21 November 2013

Labour demands health bosses hold meetings over possible cuts

Labour demands health bosses hold meetings over possible cuts Northamptonshire’s Labour Party says health bosses in the county have gone back on their pledge to hold public meetings over plans which could see a reduction in funding for services. Northamptonshire Telegraph

Hunt for Northampton General Hospital poster girl

Hunt for Northampton General Hospital poster girl A search has begun for a girl who appeared in a charity fund-raising film for Northampton General Hospital almost 80 years ago. Northampton Chronicle and Echo

See also:

The role of rules and regulation in patient safety

The role of rules and regulation in patient safety The concrete steps we should take in making progress towards Berwick’s noble vision are unlikely to involve dispensing with rules and regulation altogether, says Karen Yeung, the question is how to design them so that they promote behaviour deemed desirable without thwarting the very conduct we seek to encourage. The Health Foundation  

NHS electronic prescribing 'patchy'

NHS electronic prescribing 'patchy' Better use of electronic prescribing in NHS hospitals would improve patient safety, a study suggests. BBC News

A&Es get extra money as winter bites

A&Es get extra money as winter bites The government is expected to make an extra £150m available for A&E units in England as they gear up for what looks set to be a tough winter, the BBC understands. BBC News

See also:

Analysing your staff survey results

Analysing your staff survey results A useful analysis tool which can assess links between staff and patient experience. NHS Employers

Aspirin at bedtime 'cuts' morning heart attack risk

Aspirin at bedtime 'cuts' morning heart attack risk “Take aspirin before bed to cut morning heart risk,” is the advice in The Daily Telegraph today. It’s prompted by a presentation that explained research that found a night-time aspirin helped thin the blood in the morning.

Dementia carers ‘close to breaking point’

Dementia carers ‘close to breaking point’ Charities say better support will save costs in both short and long term. OnMedica

NHS doctors spend 10 hours a week on bureaucracy

NHS doctors spend 10 hours a week on bureaucracy NHS doctors and nurses spend up to 10 hours a week on bureaucracy - a third of which is unneccesary, a Government review has found. The Daily Telegraph

Patient care and choice is at risk, say senior NHS figures

Patient care and choice is at risk, say senior NHS figures The National Health Service is undergoing its biggest shake-up in decades, but its own directors and board members, as well as those across the health sector, are concerned that patient care is deteriorating, that the NHS is worse equipped to deliver value-for-money, and that patient choice and satisfaction is going to get worse. The Independent

Wednesday, 20 November 2013

Mid Staffordshire NHS Foundation Trust public inquiry: government response

Mid Staffordshire NHS Foundation Trust public inquiry: government response These documents build on the government’s initial response: Patients First and Foremost, which was published in March 2013. They explain the changes that have been put in place since the initial response was published, and set out how the whole health and care system will prioritise and build on this. Volume 2 outlines the responses to each of the 290 recommendations made by the public inquiry.
See also:

How to ensure the right people, with the right skills, are in the right place at the right time: a guide to nursing, midwifery and care...

How to ensure the right people, with the right skills, are in the right place at the right time: a guide to nursing, midwifery and care... this guidance, published by the National Quality Board, aims to support providers and commissioners to make the right decisions about nursing, midwifery and care staffing capacity and capability. It outlines expectations related to staffing; signposts tools and resources to support this; and explains what national organisations will do to underpin the expectations

Hospital self-harm care 'lacking'

Hospital self-harm care 'lacking' Many hospitals in England are failing to provide adequate care for people who have self-harmed, despite a national drive to improve services, research suggests. BBC News

Challenging bureaucracy

Challenging bureaucracy In February 2013, the Secretary of State for Health commissioned the NHS Confederation to complete a review of the bureaucratic burdens on providers of NHS care from national bodies. NHS Confederation

General practice funding at a nine-year low

General practice funding at a nine-year low New figures published by the RCGP and the National Association for Patient Participation (NAPP) show funding for general practice at a nine-year low. Royal College of General Practitioners 

The cost of our health: the role of charging in healthcare

The cost of our health: the role of charging in healthcare This report examines the funding of health and care and the role of user charging in healthcare. It argues that new charges could raise nearly £3 billion per year to fund NHS services.

Evidence submission: Health Select Committee's inquiry into public expenditure on health and social care

Evidence submission: Health Select Committee's inquiry into public expenditure on health and social care This submission considers the financial pressures the NHS is currently under and will continue to face in the coming years. It analyses the progress being made in the attempt to meet the Nicholson Challenge target of making £20 billion of savings.

NHS 'privatisation': what's the mood among independent providers?

NHS 'privatisation': what's the mood among independent providers?
Private sector providers continue to increase their presence, despite a widespread feeling that political support for them has expired.

Tuesday, 19 November 2013

Hospitals to publish staffing levels

Hospitals to publish staffing levels Hospitals in England will be made to publish monthly details of whether they have enough nurses working on their wards, from next April. BBC News

See also:

Call to raise prescriptions to £10

Call to raise prescriptions to £10 Prescription charges in England should be increased to £10 to fund cash-strapped NHS services, a centre-right think-tank says. BBC News

Care of brain injury victims 'poor'

Care of brain injury victims 'poor' BBC Newsnight has been shown secretly-filmed footage that shows poor treatment of patients with brain injuries who need specialist rehabilitation. BBC News

VIDEO: How does the NHS plan for winter?

VIDEO: How does the NHS plan for winter? Doctors have described life inside accident and emergency units as "always winter but never Christmas" and The College of Emergency Medicine has warned that this year could bring the "worst crisis on record". BBC News

A place for parity: health and wellbeing boards and mental health

A place for parity: health and wellbeing boards and mental health This report is the result of a study which reviewed 100 strategies and found that nine did not include mental health in their priorities at all. It looks at how much focus the boards have given to mental health in their strategies, which areas of mental health they focus on and what factors helped or hindered the agenda of mental health during the development of the strategies.

Seven day consultant present care: implementation considerations

Seven day consultant present care: implementation considerations This report from the Academy of Medical Royal Colleges argues that most patients in hospital over a bank holiday or a weekend would benefit from a daily review of their care led by a consultant. It also argues that for seven day care proposals to succeed, strong links between hospitals and community care need to be in place, particularly for frail, elderly and vulnerable patients.

Will a duty of candour provoke a culture change in the NHS?

Will a duty of candour provoke a culture change in the NHS? Health and social care professionals must be able to speak out about failings within the NHS without fear of sanctions.

Survival rates increase for children beating cancer

Survival rates increase for children beating cancer The number of children beating cancer has risen to more than eight in 10, figures show. The Independent

Monday, 18 November 2013

Antibiotics are 'not for snot'

Antibiotics are 'not for snot' Running noses and green phlegm do not mean patients need antibiotics, say doctors and public health experts. BBC News

See also:

Infection control concerns highlighted by RCN and IPS

Infection control concerns highlighted by RCN and IPS The RCN and the Infection Prevention Society (IPS) are working together to highlight concerns over ongoing infection prevention and control arrangements in England.

The return of the 'proper' family doctor?

The return of the 'proper' family doctor? Many newspapers are heralding the return of “family doctors” after the announcement of a new contract agreed between the government and GPs. The GP contract has been agreed between the NHS and GPs in England. 

Vascular surgery warning over 21 hospital trusts

Vascular surgery warning over 21 hospital trusts Fears over risk to patients if too few procedures carried out as surgeons say 100 in three years should be minimum.

NHS competition holds up creation of specialist cancer treatment centres

NHS competition holds up creation of specialist cancer treatment centres Hospitals block reorganisations by claiming mergers are anti-competitive and would reduce patient choice.

Malnutrition cases in English hospitals almost double in five years

Malnutrition cases in English hospitals almost double in five years

The shocking impact of recession and austerity on England’s poorest people has come to light again in figures showing the number of malnutrition cases treated at NHS hospitals has nearly doubled since the economic downturn. The Independent

NHS spending on local surgeries has dropped

NHS spending on local surgeries has dropped Family doctors are receiving a smaller slice of NHS funding than ever before and urgently need more support, the Royal College of General Practitioners has warned. The Independent

See also:

NHS staff face jail if patients are neglected

NHS staff face jail if patients are neglected

Nurses, doctors and managers who mistreat or neglect their patients will face up to five years in prison under a major law change announced by David Cameron. The Independent

See also

Friday, 15 November 2013

Corby Urgent Care Centre extends its hours

Corby Urgent Care Centre extends its hours The urgent care centre in Corby has won £500,000 funding to extend its winter opening hours and help ease pressure on Kettering General Hospital. Northamptonshire Telegraph

Hospital staff in Northampton raise concerns about child abuse ‘four times a day’

Hospital staff in Northampton raise concerns about child abuse ‘four times a day’ Abuse alerts about children are being spotted by staff at Northampton General Hospital at a rate of more than four a day. Northampton Chronicle and Echo

GPs 'to go extra mile' for frailest

GPs 'to go extra mile' for frailest The 100,000 most frail patients in England will be identified and given a named GP to co-ordinate their care, BBC News

See also:

NHS 111 pilot scheme 'had teething problems'

NHS 111 pilot scheme 'had teething problems' "NHS 111 helpline adds to pressure on A&E, according to study," The Guardian reports after a study has suggested that the new NHS 111 helpline needs further work to improve its effectiveness.

Saving money, losing sight

Saving money, losing sight This report finds that delays in diagnosis, treatment and follow-up care are resulting in people losing their sight needlessly. The research is based on findings from an RNIB survey sent to staff in eye clinics across England. Staff were asked about current and future capacity in their eye department, the impact of insufficient capacity on patient care and possible solutions.

National audit of intermediate care 2013

National audit of intermediate care 2013 This audit aims to provide an overview of intermediate care commissioning and provision in England. In 2012, the audit focused on health based bed and home intermediate care services. In 2013, the study has been extended to cover crisis response and social care re-ablement services.

Seven-day NHS could lead to changes in care standards

Seven-day NHS could lead to changes in care standards Reorgansied health services might mean better specialist care.

Charity claims loneliness is the reason one in 10 visit their GP

Charity claims loneliness is the reason one in 10 visit their GP

As many as one in 10 patients who visit GP surgeries could be visiting not because they are medically unwell, but because they are lonely, a charity has claimed. The Independent.

Colchester General Hospital placed in special measures over cancer waiting time claims

Colchester General Hospital placed in special measures over cancer waiting time claims

The hospital at the centre of a police investigation over allegations staff changed cancer waiting times figures has been placed in special measures. The Independent

See also:

Thursday, 14 November 2013

Hospital staff alerted authorities ‘118 times about concerns for care home residents

Hospital staff alerted authorities ‘118 times about concerns for care home residents Serious concerns about care home residents seen at Northampton General Hospital with dehydration or pressure sores were raised by hospital staff 68 times in one year, it has been revealed. Northampton Chronicle and Echo

Elderly 'face £150,000 care bill'

Elderly 'face £150,000 care bill' lderly people face paying £150,000 for residential care before they hit the cap on care costs, an analysis by Labour suggests. BBC News

Poor eye care 'leaving people blind'

Poor eye care 'leaving people blind' People may be losing their eyesight because clinics in England do not have the capacity to treat patients, a charity warns. BBC News

See also: 

Phone app to locate defibrillators

Phone app to locate defibrillators An ambulance trust launches a mobile phone app which can locate the nearest portable defibrillator. BBC News

Engagement in research: an innovative three-stage review of the benefits for health-care performance

Engagement in research: an innovative three-stage review of the benefits for health-care performance The aim of this study was to conduct a theoretically and empirically grounded synthesis to map and explore plausible mechanisms through which research engagement might improve health services performance. It suggests that when clinicians and health-care organisations engage in research there is the likelihood of a positive impact on health-care performance.

Transforming urgent and emergency care services in England: urgent and emergency care review - end of phase 1 report

Transforming urgent and emergency care services in England: urgent and emergency care review - end of phase 1 report This report proposes a new blueprint for local services across the country that aims to make care more responsive and personal for patients, as well as deliver even better clinical outcomes and enhanced safety. It highlights opportunities to shift care closer to home, finding that 40 per cent of A&E patients are discharged requiring no treatment; up to one million emergency admissions were avoidable last year; and up to 50 per cent of 999 calls could be managed at the scene.

Half of NHS regions cut maternity funding despite baby boom

Half of NHS regions cut maternity funding despite baby boom Five of 10 English regions see reductions of up to 15% in 2012-2013 compared with previous year.
The NHS has cut its funding for maternity care in half of England's health regions, despite births being at their highest in 40 years and childbirth services being understaffed.
The amount of money going to maternity units in five of the NHS's 10 English regions of the country fell by up to 15% in 2012-13 compared with the previous year. The East Midlands saw the biggest drop.

NHS 111 line 'is doing more bad than good'

NHS 111 line 'is doing more bad than good' NHS phone line designed to lift pressure on A&E departments has actually added to the burden on hospitals, research suggests. The Daily Telegraph

See also:

Future of NHS 'depends on speedier healthcare outside hospitals'

Future of NHS 'depends on speedier healthcare outside hospitals' The future of the health service depends on improved access to urgent healthcare outside of hospitals, Britain's most senior doctor has said. The Daily Telegraph

Government doctors to reconsider whether UK should vaccinate all children against deadly disease meningitis B

Government doctors to reconsider whether UK should vaccinate all children against deadly disease meningitis B

Government doctors will reconsider whether the UK should vaccinate all children against the deadly disease meningitis B, having previously said immunisation would not be cost-effective. The Independent

International Profiles of Health Care Systems, 2013: Australia, Canada, Denmark, England, France, Germany, Italy, Japan, the Netherlands,...

International Profiles of Health Care Systems, 2013: Australia, Canada, Denmark, England, France, Germany, Italy, Japan, the Netherlands,... This publication presents overviews of the health care systems of Australia, Canada, Denmark, England, France, Germany, Japan, Italy, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States. The Commonwealth Fund