Friday, 6 June 2014
Dropping the 'N' in NHS
Dropping the 'N' in NHS Can the new NHS England boss encourage local innovation? BBC News
Three new baby poisoning cases
Three new baby poisoning cases Three new cases of babies developing blood poisoning from a suspected contaminated drip have come to light. BBC News
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Air pollution linked to irregular heartbeat and lung blood clots
Air pollution linked to irregular heartbeat and lung blood clots "Air pollution is linked to increased risk of developing an irregular heartbeat and blood clots in the lung," BBC News reports.
A large study found that short-term exposure to small particulate matter – a form of air pollution linked to cars and other sources – was linked to a raised risk of death from these conditions.
Small particulate matter is known to potentially be dangerous – because of its size (which can be 100 times thinner than a human hair), it can bypass the body's defences against foreign objects and affect the heart and the lungs.
Reassuringly, though, the study found no clear evidence of a link between air pollution and the risk of having a heart attack or stroke.
But the link found between irregular heartbeats (atrial fibrillation) and blood clots in the lungs (pulmonary embolism) is still a matter of concern. Both conditions can cause serious complications, especially in vulnerable people with a pre-existing health condition.
A large study found that short-term exposure to small particulate matter – a form of air pollution linked to cars and other sources – was linked to a raised risk of death from these conditions.
Small particulate matter is known to potentially be dangerous – because of its size (which can be 100 times thinner than a human hair), it can bypass the body's defences against foreign objects and affect the heart and the lungs.
Reassuringly, though, the study found no clear evidence of a link between air pollution and the risk of having a heart attack or stroke.
But the link found between irregular heartbeats (atrial fibrillation) and blood clots in the lungs (pulmonary embolism) is still a matter of concern. Both conditions can cause serious complications, especially in vulnerable people with a pre-existing health condition.
Linking pay with performance toolkit
Linking pay with performance toolkit This toolkit aims to support employers to link pay with performance in line with the 2013 Agenda for Change flexibilities. In March 2013, amendments to Agenda for Change were introduced that included an explicit requirement that progression through all pay points is conditional on meeting the required local level of performance. It aims to help make decisions on how to link pay progression and performance in a way that is appropriate to individual organisations, guiding employers through the relevant processes and offering examples of where it is already being implemented effectively. NHS Employers
Thousands of disabled people lose their liberty because of red tape
Thousands of disabled people lose their liberty because of red tape Tens of thousands of people with disabilities and mental health problems could have their right to freedom wrongly denied because of vast backlogs in assessing their care. The Independent
Labour vows to 'reset' the NHS after the next election
Labour vows to 'reset' the NHS after the next election The NHS in England will have to be “reset” after the next election, Labour have said, with a fundamental shift from hospital care to support in the home. The Independent
Thursday, 5 June 2014
The NHS can rise to the challenge, Simon Stevens tells NHS leaders
The NHS can rise to the challenge, Simon Stevens tells NHS leaders NHS England Chief Executive Simon Stevens sets out critical steps the Health Service must take to address head-on the challenges it faces over the next five years and beyond. NHS England
See also:
See also:
- Speech by Simon Stevens, CEO NHS England, to the NHS Confederation Annual Conference 2014 NHS England
- NHS 'failing elderly patients' BBC News
- GPs could merge with hospital services, says NHS chief executive GP Online
- NHS faces ‘defining moment’ in its history but it can rise to its challenges OnMedica
- New NHS boss: service must become world leader in personalised medicine The Guardian
- NHS hospitals to be given bonuses for treating patients well The Daily Telegraph
Patient and Family-Centred Care toolkit
Patient and Family-Centred Care toolkit Patient and Family-Centred Care toolkit This toolkit is a step-by-step guide to improving processes of care and staff–patient interactions, using a technique called Patient and Family-Centred Care. It aims to offer a simple way for health care organisations to show their commitment to patients’ experience of the care they receive while also attending to the wellbeing of the staff who deliver that care. The toolkit evolved from the Patient and Family-Centred Care programme.
This initiative was run jointly by the Health Foundation and The King’s Fund to develop a small number of exemplary hospitals and a team of professional staff and managers who could demonstrate their achievements to others and bring sustainable improvement in patients' experience and outcomes.
This initiative was run jointly by the Health Foundation and The King’s Fund to develop a small number of exemplary hospitals and a team of professional staff and managers who could demonstrate their achievements to others and bring sustainable improvement in patients' experience and outcomes.
New mileage rates from 1 July 2014
New mileage rates from 1 July 2014 Changes to the rates of reimbursement for the additional costs incurred by employees who travel on NHS business. NHS Employers
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See also:
- NHS trusts to save millions on mileage adjustment NHS Employers
The Gold Guide (fifth edition) is now available
The Gold Guide (fifth edition) is now available This fifth edition of A Reference Guide for Postgraduate Specialty Training in the UK (the “Gold Guide”) sets out the arrangements agreed by the four UK Health Departments for core and/or specialty training programmes.
The Gold Guide is applicable to trainees taking up appointments in core and/or specialty training programmes which commence on or after 1 August 2007. This edition is a consolidation of earlier versions of the Gold Guide and replaces the first, second and third editions of the Gold Guide with immediate effect. Health Education England
The Gold Guide is applicable to trainees taking up appointments in core and/or specialty training programmes which commence on or after 1 August 2007. This edition is a consolidation of earlier versions of the Gold Guide and replaces the first, second and third editions of the Gold Guide with immediate effect. Health Education England
'Male hormones' in womb linked to autism
'Male hormones' in womb linked to autism “Boys who develop autism may be exposed to higher levels of hormones…in the womb,” The Daily Telegraph reports.
Autistic spectrum disorder (ASD), commonly known as autism, is more common in males, but the reason why is still unknown. One hypothesis is that there may be factors in the development of male infants that increase their risk of ASD, such as exposure to certain hormones.
This study measured sex hormone levels in the amniotic fluid (which surrounds and supports the baby) of over 300 boys. Hormone levels were found to be higher in boys who developed ASD.
However, this does not necessarily mean this is the cause of ASD. The average levels were higher, but many of the boys who developed ASD had normal and low levels, meaning there has to be other factors that play a role in the development of these conditions.
These findings have no immediate implications.
Autistic spectrum disorder (ASD), commonly known as autism, is more common in males, but the reason why is still unknown. One hypothesis is that there may be factors in the development of male infants that increase their risk of ASD, such as exposure to certain hormones.
This study measured sex hormone levels in the amniotic fluid (which surrounds and supports the baby) of over 300 boys. Hormone levels were found to be higher in boys who developed ASD.
However, this does not necessarily mean this is the cause of ASD. The average levels were higher, but many of the boys who developed ASD had normal and low levels, meaning there has to be other factors that play a role in the development of these conditions.
These findings have no immediate implications.
The open data era in health and social care
The open data era in health and social care This report contains a blueprint for the NHS in England to develop a research and learning programme for the open data era in health and social care. It suggests ways to enable a conversation about how the health and care system can maximize the impact of sharing open data through establishing priorities and clear ways of measuring benefits. The GovLab
Establishing incentives and changing cultures to support data access
Establishing incentives and changing cultures to support data access This study seeks to understand the factors that help and hinder researchers in making data more widely available, and to investigate the need to create new incentives to facilitate data sharing. In addition to a review of previous work on this topic, the research encompassed a web survey, expert interviews and focus group discussions with researchers and data managers. The report makes a series of recommendations to funders and research leaders about how they could work to build incentives and embed cultural change. Wellcome Trust
Early death and violent crime rates have risen in people with schizophrenia
Early death and violent crime rates have risen in people with schizophrenia Eight times as likely to die early as general public; emphasises need for secondary prevention, say researchers OnMedica
Only an injection of cash can avert an NHS crisis | Denis Campbell
Only an injection of cash can avert an NHS crisis | Denis Campbell Its new chief executive Simon Stevens is on a mission to save the NHS. But will the coalition come up with a pre-election bailout?
Suddenly the rhetoric around the NHS has got very dramatic. The service is "at a defining moment". Says who? None other than Simon Stevens, NHS England's new chief executive. His self-declared mission: to make the NHS sustainable. No pressure, eh? Interestingly, the ex-Labour special adviser personally wooed by David Cameron to take the job seems relaxed about being seen so widely as the service's saviour. Today brings his first big speech. Stevens' turn at the NHS Confederation's annual conference in Liverpool this week will expand upon themes he set out last week about reorganising services out of hospital care and making proper support for older people the top priority. Rarely have an NHS leader's views been more eagerly anticipated, or important. Answers and action are urgent.
The King's Fund, not an organisation given to hyperbole, recently warned that "the NHS is rapidly approaching a major crisis". The threat in the near future is of a service that, without a significant injection of extra cash, will run out of money and see deficits becoming common, care standards slipping or both. Continue reading... The Guardian
Suddenly the rhetoric around the NHS has got very dramatic. The service is "at a defining moment". Says who? None other than Simon Stevens, NHS England's new chief executive. His self-declared mission: to make the NHS sustainable. No pressure, eh? Interestingly, the ex-Labour special adviser personally wooed by David Cameron to take the job seems relaxed about being seen so widely as the service's saviour. Today brings his first big speech. Stevens' turn at the NHS Confederation's annual conference in Liverpool this week will expand upon themes he set out last week about reorganising services out of hospital care and making proper support for older people the top priority. Rarely have an NHS leader's views been more eagerly anticipated, or important. Answers and action are urgent.
The King's Fund, not an organisation given to hyperbole, recently warned that "the NHS is rapidly approaching a major crisis". The threat in the near future is of a service that, without a significant injection of extra cash, will run out of money and see deficits becoming common, care standards slipping or both. Continue reading... The Guardian
Baby dies after contracting bacterial infection from contaminated drip feed
Baby dies after contracting bacterial infection from contaminated drip feed One baby has died and 14 others are being treated for blood poisoning after a harmful bacteria entered their drip feed in one of the worst contamination scandals in NHS history, it has been revealed. The Independent
See also:
See also:
- Hospital feed 'poisons 15 babies' BBC News
- Feed firm 'saddened' by baby death BBC News
- One baby dead and 14 with blood poisoning from contaminated drip The Daily Telegraph
- Baby dies of blood poisoning from contaminated IV drip The Guardian
- Premature Baby Dies At St Thomas' Hospital, 15 Others Infected The Huffington Post
Wednesday, 4 June 2014
VIDEO: Dedicated hospital stroke unit opens
VIDEO: Dedicated hospital stroke unit opens A new dedicated stroke unit to help the rehabilitation of patients has opened at Kettering General Hospital. BBC Northamptonshire
Dorrell leaves Commons health role
Dorrell leaves Commons health role Former Cabinet minister Stephen Dorrell steps down as chair of the Commons health committee with immediate effect. BBC News
Just five sunburns increase your cancer risk
Just five sunburns increase your cancer risk “Five serious sunburns increase the risk of deadly skin cancer by 80%,” The Daily Telegraph reports. A US study has found that sun overexposure during the teenage years significantly increases the risk of developing skin cancer in later life.
The study followed over 110,000 nurses over 20 years, using questionnaires. It found that women who had five or more blistering sunburns between the ages of 15 and 20, compared to those that had none, were 80% more likely to develop melanoma (the most aggressive form of skin cancer).
The study followed over 110,000 nurses over 20 years, using questionnaires. It found that women who had five or more blistering sunburns between the ages of 15 and 20, compared to those that had none, were 80% more likely to develop melanoma (the most aggressive form of skin cancer).
Community specialist palliative care enabling more people to die at home
Community specialist palliative care enabling more people to die at home But more still needs to be done to open up services to non-cancer patients, says report. OnMedica
Hospital chiefs call for urgent reforms to ensure NHS survives
Hospital chiefs call for urgent reforms to ensure NHS survives Health service leaders call on three main parties to recognise scale of the challenge as £30bn funding gap is revealed.
The NHS will become "unsustainable" in its current form unless politiciansurgently work out how to modernise and fund the service so that it cancope with sharply rising pressures, hospital bosses warn today.
In a letter to the Guardian, 71 NHS leaders urge the three main parties to start producing solutions to help the NHS survive or risk it ceasing to be a universal servicethat is free at the point of need. Continue reading... The Guardian
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The NHS will become "unsustainable" in its current form unless politiciansurgently work out how to modernise and fund the service so that it cancope with sharply rising pressures, hospital bosses warn today.
In a letter to the Guardian, 71 NHS leaders urge the three main parties to start producing solutions to help the NHS survive or risk it ceasing to be a universal servicethat is free at the point of need. Continue reading... The Guardian
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Psychiatric support teams improve patient care and save hospitals millions | Sarah Whitehead
Psychiatric support teams improve patient care and save hospitals millions | Sarah Whitehead A project to diagnose mental illness in inpatients is improving treatment while also reducing readmissions and waiting lists.
Vicky Mason, 69, cares for her 94-year-old mother, Jane, who was diagnosed with Parkinson's disease a decade ago. In recent years, Jane has begun to show signs of dementia and delirium. "She has been deteriorating over the past few years. She still knows who we are, but her memory is fading," says Mason.
But a project to provide specialist psychiatric support to dementia patients while they are in hospital has
both stabilised Jane's cognitive abilities and improved the way in which her Parkinson's is treated. On noticing a change in behaviour, the doctors treating Mason's mum on the Parkinson's ward in Heartlands
hospital, Birmingham, referred her to the project's rapid assessment interface and discharge (Raid) team based in the hospital, for immediate specialist psychiatric support. Continue reading.. The Guardian
Vicky Mason, 69, cares for her 94-year-old mother, Jane, who was diagnosed with Parkinson's disease a decade ago. In recent years, Jane has begun to show signs of dementia and delirium. "She has been deteriorating over the past few years. She still knows who we are, but her memory is fading," says Mason.
But a project to provide specialist psychiatric support to dementia patients while they are in hospital has
both stabilised Jane's cognitive abilities and improved the way in which her Parkinson's is treated. On noticing a change in behaviour, the doctors treating Mason's mum on the Parkinson's ward in Heartlands
hospital, Birmingham, referred her to the project's rapid assessment interface and discharge (Raid) team based in the hospital, for immediate specialist psychiatric support. Continue reading.. The Guardian
Britain must do more to protect growing population of over-100s
Britain must do more to protect growing population of over-100s Britain needs to transform the way it looks after its oldest people,
expanding care home capacity to meet the needs of rising numbers of
“survivors” who live be 100 or more, experts have said. The Independent
expanding care home capacity to meet the needs of rising numbers of
“survivors” who live be 100 or more, experts have said. The Independent
Hospital inspectors facing ‘intolerable’ workload, leaked CQC documents reveal
Hospital inspectors facing ‘intolerable’ workload, leaked CQC documents reveal Hospital inspectors warn their workload has become “unsustainable”, as leaked documents reveal serious concerns about pressures faced by staff, inconsistent inspections and even drinking on the job. The Independent
Tuesday, 3 June 2014
What gets measured gets done. Or does it?
What gets measured gets done. Or does it? What gets measured gets done' – a well-established mantra, and with good reason. But Penny Pereira isn't entirely comfortable with the implication that results always neatly follow from applying focus and pressure to priority problems. The Health Foundation
Fairness and the GMC
Fairness and the GMC The GMC has published an independent study which shows how doctors from a range of backgrounds view the GMC and its work. The study, undertaken by NatCen Social Research, interviewed doctors in focus groups and surveyed a random sample of doctors. NHS Employers
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- Fairness and the GMC: Doctors’ views General Medical Council
- GMC determined to put fairness front and centre (press release) General Medical Council
- GMC registration and fitness to practise unfair, black and minority ethnic doctors say GP Online
Elderly care overhaul at risk over short-term funding deal, council chiefs warn
Elderly care overhaul at risk over short-term funding deal, council chiefs warn Care crisis could spiral out of control without new five-year multi-billion pound cash pot, says LGA. The Daily Telegraph
The 'Saatchi Bill': can a PR guru cure cancer?
The 'Saatchi Bill': can a PR guru cure cancer? Lord Saatchi's medican innovations Bill won't encourage good research - and, in its original form, could have opened the door for dangerous quackery, writes Nick Ross. The Daily Telegraph
Hospitals’ financial forecasts ‘are too optimistic’
Hospitals’ financial forecasts ‘are too optimistic’ Hospitals across the country have been advised to go back to the drawing board and reassess their financial plans for next year amid fears that their current forecasts are unrealistically rosy. The Independent
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- NHS hospital pays finance chief rates of £600,000 a year The Daily Telegraph
Exclusive: Private contractor Healthcare at Home blamed for NHS drug delays
Exclusive: Private contractor Healthcare at Home blamed for NHS drug delays Thousands of patients, some seriously ill, are facing “disgraceful” and “unsafe” delays in receiving prescription medication because of failures at a company contracted to deliver it by the NHS. The Independent
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Monday, 2 June 2014
Volunteers 'worth £500m to NHS'
Volunteers 'worth £500m to NHS' The country's healthcare system is being supported by 1.9 million volunteers, worth almost £500 million to the NHS, according to a new study. Northamptonshire Telegraph
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- Volunteer army is worth £487million to Britain’s healthcare system Royal Voluntary Service
Corby Urgent Care Centre given top marks
Corby Urgent Care Centre given top marks Inspectors have delivered a glowing report after visiting Corby Urgent Care Centre. Northamptonshire Telegraph
MP Andy Sawford makes GP appointment promise
MP Andy Sawford makes GP appointment promise An MP has promised his constituents they will be guaranteed an appointment to see their GP within 48 hours if his party win the next General Election. Northamptonshire Telegraph
Cancer waiting time targets slip
Cancer waiting time targets slip A key government target for treating people diagnosed with suspected cancer has been breached for the first time since it was introduced in 2009. BBC News
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- Cancer waiting time figures reveal first breach of target The Guardian
- Cancer waiting time targets breached for first time The Daily Telegraph
- NHS misses cancer targets for the first time ever The Independent
Mental health beds 'crisis' warning
Mental health beds 'crisis' warning Pressure on mental health beds is so severe that some patients are being sectioned to secure necessary care, according to a survey of junior doctors. BBC News
Is sleeping in a light room linked to obesity?
Is sleeping in a light room linked to obesity? "Sleeping in a room with too much light has been linked to an increased risk of piling on the pounds," BBC News reports. The news comes from a study that assessed self-reported sleeping habits and body weight measurements in a group of women at a single point in time.
The researchers did find a significant link between light levels in women's rooms at night and their risk of being overweight and obese. However, the study could not provide evidence that light was causing the difference in obesity risk. The authors were aware of this limitation and cautiously described their results as "intriguing".
The researchers did find a significant link between light levels in women's rooms at night and their risk of being overweight and obese. However, the study could not provide evidence that light was causing the difference in obesity risk. The authors were aware of this limitation and cautiously described their results as "intriguing".
College sets out safe models of psychiatric care
College sets out safe models of psychiatric care Psychiatrists say service change must ensure ease of patient access. OnMedica
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- Service models in adult psychiatry Royal College of Psychiatrists
The NHS must evolve or face a painful death | Ian Birrell
The NHS must evolve or face a painful death | Ian Birrell Our health service is treated as sacred. But if we want it to survive, now is the time for a frank talk about privatisation.
Politicians have a poor record of fighting the wars of the past rather than facing up to those of the future. Now we see this again amid panic over Ukip winning a protest election, with corrosive talk over the supposed curse of immigration. The desire of people to come to Britain is a gratifying sign of economic success, yet Westminster is convulsed as parties vie to appear hostile to hard-working migrants.
They ignore an issue of far more profound consequence to national wellbeing: the looming implosion of the health service. Yet as Lord Ashcroft revealed in his latest electoral analysis, nearly as many voters mention the NHS as immigration as the issue that determines their vote and as financial pressures grow, this will rise up the agenda. It is worth mentioning in passing that the two issues are inextricably linked: Britain's beloved NHS would instantly collapse without the one in four doctors from abroad, let alone all those foreign-born nurses, midwives, porters and cooks. Continue reading... The Guardian
Politicians have a poor record of fighting the wars of the past rather than facing up to those of the future. Now we see this again amid panic over Ukip winning a protest election, with corrosive talk over the supposed curse of immigration. The desire of people to come to Britain is a gratifying sign of economic success, yet Westminster is convulsed as parties vie to appear hostile to hard-working migrants.
They ignore an issue of far more profound consequence to national wellbeing: the looming implosion of the health service. Yet as Lord Ashcroft revealed in his latest electoral analysis, nearly as many voters mention the NHS as immigration as the issue that determines their vote and as financial pressures grow, this will rise up the agenda. It is worth mentioning in passing that the two issues are inextricably linked: Britain's beloved NHS would instantly collapse without the one in four doctors from abroad, let alone all those foreign-born nurses, midwives, porters and cooks. Continue reading... The Guardian
Millions face postcode lottery in GP services
Millions face postcode lottery in GP services Doctors surgeries' are 'on the brink of collapse', senior medic warns as research shows deprived communities face the longest GP waiting times. The Daily Telegraph
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See also:
- Millions facing postcode lottery over GP appointments Royal College of General Practitioners
NHS breaks promise after Winterbourne View scandal
NHS breaks promise after Winterbourne View scandal Thousands of children and adults with learning disabilities failed as NHS breaks its promise to re-home in the wake of a major scandal. The Daily Telegraph
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Exclusive: Labour plans big rise in NHS spending
Exclusive: Labour plans big rise in NHS spending Labour is drawing up plans to go into the next election with a manifesto pledge to increase NHS spending significantly should the party be returned to power,The Independent can reveal. The Independent
Death more likely after a weekend operation: Weekly dip in recovery rates worldwide proves need for a ‘seven-day NHS
Death more likely after a weekend operation: Weekly dip in recovery rates worldwide proves need for a ‘seven-day NHS Sick? In need of an operation? Then keep your fingers crossed that your consultant doesn’t schedule your procedure for a weekend afternoon – especially one in February. Patients are up to 17 per cent more likely to die if they are admitted at the weekend, an unprecedented global study has revealed. The Independent
Friday, 30 May 2014
E-cigarettes: a burning issue for future public health policy?
E-cigarettes: a burning issue for future public health policy? Although some of the Labour party’s early thinking on public health policy has recently been leaked, in the run-up to the general election all political parties will need to develop their ideas for improving the public’s health, from policies on alcohol and food, to the role of industry and taxes. With plain (or rather standardised) cigarette packaging now close – in no small measure thanks to the compelling Chantler Review – the next political issue on tobacco must surely be a clearer view on e-cigarettes.
Enabling integrated care in the NHS
Enabling integrated care in the NHS Guidance on how healthcare providers and commissioners can enable better integration of care so services are less fragmented and easier for patients to access. Monitor
New NHS boss backs smaller hospitals
New NHS boss backs smaller hospitals Smaller community hospitals should play a bigger role especially in the care of older patients, the new head of the NHS in England says. BBC News
See also:
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- Simon Stevens: 'The NHS is at a defining moment' The Daily Telegraph
- NHS chief Simon Stevens: We need cottage hospitals The Daily Telegraph
Drugs to treat alcohol top £3m
Drugs to treat alcohol top £3m There were a million hospital admissions related to alcohol in England last year and £3.13m was spent on drugs to treat alcohol dependency. BBC News
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- Cost of drugs for treating alcohol dependence tops £3 million for the first time Health & Social Care Information Centre
Developing a sustainable podiatry workforce for the UK towards 2030
Developing a sustainable podiatry workforce for the UK towards 2030 This report was commissioned by the Society of Chiropodists and Podiatrists as evidence to inform and influence organisations responsible for health workforce strategy, funding of under and post graduate education and service provision for Podiatry. The College of Podiatry
Environmental sustainability in hospitals: the value of efficiency
Environmental sustainability in hospitals: the value of efficiency This guide aims to help hospital and care system leaders navigate the world of sustainability and build upon their organizations’ existing efforts. Hospitals in Pursuit of Excellence
How can the NHS find its way out of the funding crisis?
How can the NHS find its way out of the funding crisis? Two possible solutions have been offered but are they viable and will they prove successful?
This week two visions are being offered for how the NHS can find its way out of the funding and quality crises. One is a myth, the other might make a difference.
The myth is, of course, being peddled by a politician. This week it's the turn of health secretary Jeremy Hunt (again). In an HSJ interview he claimed that safety and technology are all that are needed to get the NHS through more years of deficit reduction. Eradicating mistakes while installing new kit appears to be the way forward. Continue reading... The Guardian
This week two visions are being offered for how the NHS can find its way out of the funding and quality crises. One is a myth, the other might make a difference.
The myth is, of course, being peddled by a politician. This week it's the turn of health secretary Jeremy Hunt (again). In an HSJ interview he claimed that safety and technology are all that are needed to get the NHS through more years of deficit reduction. Eradicating mistakes while installing new kit appears to be the way forward. Continue reading... The Guardian
NHS providers face mounting financial and staffing pressures
NHS providers face mounting financial and staffing pressures NHS providers are worrying how to keep the quality of patient care high as resources are squeezed.
NHS foundation trusts (FT) and NHS trusts are facing the broadest range of challenges for more than a generation including dealing with an ever tighter budget and rapidly rising demand. With NHS England warning of an "even more challenging" financial year than 2013-14, how did NHS providers end last year and what shape are they in to deliver the changes needed to make the NHS clinically and financially sustainable?
The last fortnight has seen the publication of year end reports from Monitor for NHS Foundation Trusts and the Trust Development Authority for NHS Trusts. They identify four trends: "very significant financial pressure", a rapid, largely unfunded, growth in staff numbers, good operational performance with some growing concerns, and a pessimistic outlook. Continue reading... The Guardian
NHS foundation trusts (FT) and NHS trusts are facing the broadest range of challenges for more than a generation including dealing with an ever tighter budget and rapidly rising demand. With NHS England warning of an "even more challenging" financial year than 2013-14, how did NHS providers end last year and what shape are they in to deliver the changes needed to make the NHS clinically and financially sustainable?
The last fortnight has seen the publication of year end reports from Monitor for NHS Foundation Trusts and the Trust Development Authority for NHS Trusts. They identify four trends: "very significant financial pressure", a rapid, largely unfunded, growth in staff numbers, good operational performance with some growing concerns, and a pessimistic outlook. Continue reading... The Guardian
Deaths from high blood pressure in decline
Deaths from high blood pressure in decline Hundreds of thousands of lives have been saved because of improvements to the treatment of high blood pressure, according to a new study. The Independent
See also:
See also:
- Blood pressure advances save lives BBC News
- Blood pressure drugs prevent 70,000 heart attacks in a single year: Tens of thousands of lives saved by improved diagnosis and treatment The Daily Mail
- 55,000 strokes and heart attacks could be prevented in 2022 with better blood pressure control The Daily Telegraph
Thursday, 29 May 2014
Beyond Francis and Berwick...sign up to improvement?
Beyond Francis and Berwick...sign up to improvement? We’ve faltered in England. There hasn’t been a medium term strategy for improvement in the NHS based on recognised tried and tested quality improvement techniques, some from other industries with complex high risk systems like the NHS. Isn’t it now time for something more strategic, on the back of Francis and given the financial squeeze? asks Dr Jennifer Dixon. The Health Foundation
QualityWatch: Focus on: antidepressant prescribing
QualityWatch: Focus on: antidepressant prescribing This research, conducted jointly between The Nuffield Trust and The Health Foundation, reveals that the financial crisis and subsequent recession saw a significant acceleration in the numbers of antidepressants prescribed by GPs. This striking increase is despite the incidence of depression having risen much more slowly over the same time period, meaning that either antidepressants were heavily under-prescribed in 1998, or they are heavily over prescribed now.
Meet the people using social media to make a difference
Meet the people using social media to make a difference NHS Employers have collaborated with HSJ and Nursing Times to celebrate healthcare’s social media pioneers.
Call to 'resist e-cigarette controls'
Call to 'resist e-cigarette controls' Public health specialists are pressing the World Health Organization to "resist the urge to control and suppress e-cigarettes". BBC News
NICE: 'Obese should be prescribed slimming clubs'
NICE: 'Obese should be prescribed slimming clubs' “GPs told to prescribe £100 slimming courses for millions of obese patients,” the Daily Mail reports.
The news is based on new guidelines from the National Institute for Health and Care Excellence (NICE) that aim to encourage sustainable weight loss in the obese; “lose a little, and keep it off”.
The guidance is mainly aimed at commissioners (who plan and agree which services will be provided in the NHS and monitor them), health professionals and groups who provide lifestyle weight management programmes. The recommendations may also be of interest to members of the public, including people who are overweight or obese.
The guidance has been issued because being overweight or obese is a common and important health problem in the UK. In 2012 about a quarter of men and women aged 16 and over in England had a body mass index (BMI) over 30, classified as obese.
The news is based on new guidelines from the National Institute for Health and Care Excellence (NICE) that aim to encourage sustainable weight loss in the obese; “lose a little, and keep it off”.
The guidance is mainly aimed at commissioners (who plan and agree which services will be provided in the NHS and monitor them), health professionals and groups who provide lifestyle weight management programmes. The recommendations may also be of interest to members of the public, including people who are overweight or obese.
The guidance has been issued because being overweight or obese is a common and important health problem in the UK. In 2012 about a quarter of men and women aged 16 and over in England had a body mass index (BMI) over 30, classified as obese.
Less than half of patients accept NHS Health Check
Less than half of patients accept NHS Health Check Check up numbers rose by 9.5% in past year. OnMedica
Clinical commissioning groups are key to transforming the NHS
Clinical commissioning groups are key to transforming the NHS CCGs can build relationships locally and take the lead on integrated and innovative work.
For the past year clinical commissioning groups (CCGs) have been working hard to make a difference in a system that isn't set up to support them. But in spite of increasingly unstable finances and an NHS that is still embedding and adapting to new ways of working, CCGs are making responsible, clinically-led decisions in partnership with GPs, patients and providers which are making a difference to the care being delivered to their communities. Our Taking the Lead publication highlights 16 CCGs across the country who are unleashing the power of clinical leaders, working with local government, the voluntary sector and other key partners.
The 16 examples show what results for patients the innovation, enthusiasm, energy and clinical leadership of CCGs can have for example, in Corby, senior GPs now work part of their week in a new urgent care facility, and local people no longer have to travel eight miles to A&E for an x-ray. Or take Oldham, where the CCG is working with the local council and a housing association to lift people out of fuel poverty so that 1,000 households stay warm in the winter. In Leicester, health coaches are helping people with chronic lung disease to look after themselves, and in east London people recovering from mental ill-health can now be seen out of hospital in their GP surgery. Continue reading... The Guardian
For the past year clinical commissioning groups (CCGs) have been working hard to make a difference in a system that isn't set up to support them. But in spite of increasingly unstable finances and an NHS that is still embedding and adapting to new ways of working, CCGs are making responsible, clinically-led decisions in partnership with GPs, patients and providers which are making a difference to the care being delivered to their communities. Our Taking the Lead publication highlights 16 CCGs across the country who are unleashing the power of clinical leaders, working with local government, the voluntary sector and other key partners.
The 16 examples show what results for patients the innovation, enthusiasm, energy and clinical leadership of CCGs can have for example, in Corby, senior GPs now work part of their week in a new urgent care facility, and local people no longer have to travel eight miles to A&E for an x-ray. Or take Oldham, where the CCG is working with the local council and a housing association to lift people out of fuel poverty so that 1,000 households stay warm in the winter. In Leicester, health coaches are helping people with chronic lung disease to look after themselves, and in east London people recovering from mental ill-health can now be seen out of hospital in their GP surgery. Continue reading... The Guardian
New guidelines to improve healthcare's 'horrendous' supply chain record
New guidelines to improve healthcare's 'horrendous' supply chain record Calls for a statement of ethical procurement to be included in the NHS constitution as public sector lags behind business
"There are some horrible working conditions; kids as young as seven making surgical instruments; people losing limbs. It's horrendous," says Dr Mahmoud Bhutta, consultant surgeon and founder of the British Medical Association's (BMA) Medical Fair and Ethical Trade Group, established in 2007. "Many of the companies [which supply the NHS] have been burying their heads in the sand."
Bhutta does not hold back in his criticism of the companies that collectively spend £30bn of public money on behalf of the NHS. The publication of new BMA guidance for GPs and commissioners, which strive to protect workers' rights in medical supply chains, only highlights the lack of progress since 2008 when the guidelines were released. Continue reading... The Guardian
"There are some horrible working conditions; kids as young as seven making surgical instruments; people losing limbs. It's horrendous," says Dr Mahmoud Bhutta, consultant surgeon and founder of the British Medical Association's (BMA) Medical Fair and Ethical Trade Group, established in 2007. "Many of the companies [which supply the NHS] have been burying their heads in the sand."
Bhutta does not hold back in his criticism of the companies that collectively spend £30bn of public money on behalf of the NHS. The publication of new BMA guidance for GPs and commissioners, which strive to protect workers' rights in medical supply chains, only highlights the lack of progress since 2008 when the guidelines were released. Continue reading... The Guardian
UK women are fattest in western Europe: 1 in 12 are clinically obese
UK women are fattest in western Europe: 1 in 12 are clinically obese Young women in the UK are fatter than anywhere else in western Europe with one in 12 being clinically obese, a study has shown. The Independent
See also:
See also:
- Overweight total tops 2.1bn globally BBC News
- VIDEO: Overweight total tops 2.1bn globally BBC News
- More than a quarter of the world's population is overweight or obese The Independent
- Obesity among British girls highest in Western Europe The Daily Telegraph
Wednesday, 28 May 2014
Realistic weight loss goals better than quick fixes
Realistic weight loss goals better than quick fixes Losing even a small amount of weight can help to improve the health of people who are overweight or obese and lower their risk of developing type 2 diabetes, heart disease and cancer, says NICE.
See also;
- Guidance on Obesity NICE
- 'Lose a little' advice on obesity BBC News
- VIDEO: 'Lose a little' obesity advice BBC News
- NHS must treat obesity patients with compassion and dignity, report concludes The Independent
- Most Brits need slimming classes, NHS guidance says The Daily Telegraph
Police investigate patient restraint
Police investigate patient restraint A police force confirms it is investigating claims of unlawful patient restraint at a West Midlands Hospital trust. BBC News
Be wary of Wikipedia, say scientists
Be wary of Wikipedia, say scientists The internet encyclopaedia Wikipedia contains errors in nine out of 10 of its health entries, and should be treated with caution, scientists warn. BBC News You may want to contact your local NHS Library instead...
See also:
See also:
- Don't diagnose yourself on Wikipedia, doctors warn The Daily Telegraph
- 90% of Wikipedia medical entries are inaccurate, say experts The Daily Mail
Care.data should be opt-in, say GPs
Care.data should be opt-in, say GPs Data extraction from patient records for care.data should be 'opt-in' and take place only with the 'explicit and informed consent' of patients, GP leaders have said. GP Online
Is this hospital a miracle cure for the NHS? It has a Michelin chef, happy patients and is run by doctors and nurses. And shock, horror,...
Is this hospital a miracle cure for the NHS? It has a Michelin chef, happy patients and is run by doctors and nurses. And shock, horror,... Just imagine an NHS hospital whose standards match those of a top-quality hotel, with a welcoming reception area, polished floors, tasteful artwork on the freshly-painted walls, and menus inspired by a Michelin-starred chef. The Daily Mail
Family doctor service in crisis: head of Royal College
Family doctor service in crisis: head of Royal College Family doctors are working 'ludicrous' hours and seeing far too many patients as general practice pressure reach crisis levels, medical leaders warn. The Daily Telegraph
See also:
See also:
- GP: 'My surgery is breaking apart' BBC News
Tuesday, 27 May 2014
Big Report: Staffing levels at KGH
Big Report: Staffing levels at KGH
Kettering General Hospital bosses have been told by inspectors that they do not have enough staff to keep patients safe and meet their needs. Evening Telegraph
Kettering General Hospital bosses have been told by inspectors that they do not have enough staff to keep patients safe and meet their needs. Evening Telegraph
Cars raise cash for KGH
Cars raise cash for KGH
Parking at Kettering General Hospital generated a total of £672,129 in 2012-13. Evening Telegraph
Parking at Kettering General Hospital generated a total of £672,129 in 2012-13. Evening Telegraph
Chairman of Mid-Staffs scandal inquiry speaks out
Chairman of Mid-Staffs scandal inquiry speaks out
In an exclusive interview, Robert Francis, head of the public inquiry into the Mid-Staffs scandal warns that NHS complacency is killing patients, and hails a "refreshing" candour from ministers about failings in patient care. Daily Telegraph
In an exclusive interview, Robert Francis, head of the public inquiry into the Mid-Staffs scandal warns that NHS complacency is killing patients, and hails a "refreshing" candour from ministers about failings in patient care. Daily Telegraph
Misjudged counselling and therapy can be harmful, study reveals
Misjudged counselling and therapy can be harmful, study reveals
Analysis of talking therapies finds many have a positive outcome but some vulnerable people can be left feeling more depressed
Counselling and other psychological therapies can do more harm than good if they are of poor quality or the wrong type, according to a major new analysis of their outcomes.
Talking therapies are usually helpful to people who are distressed, but in a minority of cases where it goes wrong it can leave vulnerable people more depressed than when they first sought help, the authors say. Guardian
Continue reading...
Analysis of talking therapies finds many have a positive outcome but some vulnerable people can be left feeling more depressed
Counselling and other psychological therapies can do more harm than good if they are of poor quality or the wrong type, according to a major new analysis of their outcomes.
Talking therapies are usually helpful to people who are distressed, but in a minority of cases where it goes wrong it can leave vulnerable people more depressed than when they first sought help, the authors say. Guardian
Continue reading...
A new route to good dementia care
A new route to good dementia care
Aimed at doctors and providers of community care, the Dementia Roadmap is a comprehensive “one stop shop” designed to reflect a patient’s needs as they progress through the disease and signpost them to relevant local resources at the right time, from diagnosis onwards.
Produced in collaboration with the Alzheimer’s Society and funded by the Department of Health, the Dementia Roadmap provides a platform to help CCGs and other local organisations to bring together information for patients in their area for the first time, so that GPs can refer them to the best care to meet their needs as quickly as possible. NHS Networks
Aimed at doctors and providers of community care, the Dementia Roadmap is a comprehensive “one stop shop” designed to reflect a patient’s needs as they progress through the disease and signpost them to relevant local resources at the right time, from diagnosis onwards.
Produced in collaboration with the Alzheimer’s Society and funded by the Department of Health, the Dementia Roadmap provides a platform to help CCGs and other local organisations to bring together information for patients in their area for the first time, so that GPs can refer them to the best care to meet their needs as quickly as possible. NHS Networks
Save general practice GPs issue plea to patients
Save general practice GPs issue plea to patients
Hundreds of thousands of patients are set to be asked, over the summer, to sign a petition calling on the four governments of the UK to save general practice.
The petition, which will be accompanied by a hard-hitting poster showing long queues of people waiting outside a GP practice in a nightmare vision of the future, will be sent out to every surgery in the UK over the next week.
The petition and poster, which have been produced by the Royal College of General Practitioners and the National Association for Patient Participation, call on the governments of the UK to reverse the swingeing cuts made to the funding of general practice over the last decade - which many believe have left some services struggling to survive.
Research from the RCGP has revealed that over the last decade, the number of patient consultations has soared to an all-time high while funding for general practice has dropped to an historic low.
Hundreds of thousands of patients are set to be asked, over the summer, to sign a petition calling on the four governments of the UK to save general practice.
The petition, which will be accompanied by a hard-hitting poster showing long queues of people waiting outside a GP practice in a nightmare vision of the future, will be sent out to every surgery in the UK over the next week.
The petition and poster, which have been produced by the Royal College of General Practitioners and the National Association for Patient Participation, call on the governments of the UK to reverse the swingeing cuts made to the funding of general practice over the last decade - which many believe have left some services struggling to survive.
Research from the RCGP has revealed that over the last decade, the number of patient consultations has soared to an all-time high while funding for general practice has dropped to an historic low.
Government failing on violence reduction scheme via A&E departments
Government failing on violence reduction scheme via A&E departments
Nationwide plan agreed in 2010 for sharing data with police adopted by only a third of English hospitals, say surgeons
Ministers are failing to fulfil a coalition pledge to roll out a violence reduction scheme that has been shown to reduce attacks by as much as 40%, leading accident and emergency surgeons claim.
The Tories and Liberal Democrats agreed in 2010 to introduce the nationwide scheme, which involves A&E departments sharing anonymised information about violent incidents with police forces, allowing problem spots to be targeted. Guardian
Continue reading...
Nationwide plan agreed in 2010 for sharing data with police adopted by only a third of English hospitals, say surgeons
Ministers are failing to fulfil a coalition pledge to roll out a violence reduction scheme that has been shown to reduce attacks by as much as 40%, leading accident and emergency surgeons claim.
The Tories and Liberal Democrats agreed in 2010 to introduce the nationwide scheme, which involves A&E departments sharing anonymised information about violent incidents with police forces, allowing problem spots to be targeted. Guardian
Continue reading...
Dieting 'may reduce chance of cancer spread'
Dieting 'may reduce chance of cancer spread'
Low calorie diet may help breast cancer sufferers, study suggests. Daily Telegraph
Low calorie diet may help breast cancer sufferers, study suggests. Daily Telegraph
Spoilt for choice? Four new Cochrane reviews on antipsychotics for schizophrenia
Spoilt for choice? Four new Cochrane reviews on antipsychotics for schizophrenia
Schizophrenia is a crippling condition characterised by psychotic experiences such as delusions and hallucinations. It can be hugely debilitating for the patient and their family and it can also be an enormous challenge for psychiatrists and other health and social care professionals who are responsible for providing care and support to the service user. Currently, [read the full story...] The Mental Elf
Schizophrenia is a crippling condition characterised by psychotic experiences such as delusions and hallucinations. It can be hugely debilitating for the patient and their family and it can also be an enormous challenge for psychiatrists and other health and social care professionals who are responsible for providing care and support to the service user. Currently, [read the full story...] The Mental Elf
Freezing stabbing victims in suspended animation could save lives as trials begin
Freezing stabbing victims in suspended animation could save lives as trials begin
Doctors are set to recreate a sci-fi technique as they begin suspended animation by freezing trauma victims in the hope of keeping them alive. Independent
Doctors are set to recreate a sci-fi technique as they begin suspended animation by freezing trauma victims in the hope of keeping them alive. Independent
How reliable are medical research checks?
How reliable are medical research checks?
Is the system for reviewing medical research working? BBC News
Is the system for reviewing medical research working? BBC News
Child sight loss 'on the increase'
Child sight loss 'on the increase'
Increasing numbers of British children are being registered as blind or partially sighted as more very premature babies survive, say campaigners. BBC News
Increasing numbers of British children are being registered as blind or partially sighted as more very premature babies survive, say campaigners. BBC News
Thousands of children treated for self-harm
Thousands of children treated for self-harm
The number of young people self-harming has risen by 30 per cent - with the increase believed to be linked to the rise of cyber-bullying. Daily Mail
The number of young people self-harming has risen by 30 per cent - with the increase believed to be linked to the rise of cyber-bullying. Daily Mail
Fingolimod, drug used to treat multiple sclerosis found to help us forget experiences that caused pain
Fingolimod, drug used to treat multiple sclerosis found to help us forget experiences that caused pain
Scientists at Virginia Commonwealth University, US, say fingolimod could now be used to wipe traumatic events, phobias and even sexual hang-ups. Daily Mail
Scientists at Virginia Commonwealth University, US, say fingolimod could now be used to wipe traumatic events, phobias and even sexual hang-ups. Daily Mail
Abortion clinic guidance published
Abortion clinic guidance published
The guidance for abortion providers in England has been clarified to reinforce the fact that terminating a pregnancy on the grounds of gender alone is illegal. BBC News
The guidance for abortion providers in England has been clarified to reinforce the fact that terminating a pregnancy on the grounds of gender alone is illegal. BBC News
Friday, 23 May 2014
Intrapreneurship can get innovation in the NHS unstuck
Intrapreneurship can get innovation in the NHS unstuck Innovation is the most exhausted word in the health care vernacular. Everyone seems to be doing it, but who’s doing it right? Na'eem Ahmed discusses the issue and gives his ideas for unlocking innovation. The Health Foundation
Changes to right to work checks
Changes to right to work checks On 16 May 2014, the Home Office made changes to the type of documents employers can ask for to verify an individual's right to work in the UK. NHS Employers
How Monitor, CQC and the NHS Trust Development Authority will work together to assess how well led-organisations are
How Monitor, CQC and the NHS Trust Development Authority will work together to assess how well led-organisations are One of the five questions CQC now asks of all providers is ‘how well-led is this organisation?’. The quality of leadership is one of the most important determinants of the quality and safety of services. This framework outlines the dimensions of leadership that organisations will be assessed on and allows organisations to align themselves with the common expectation of what good looks like. Care Quality Commission
Hospital admissions cut plan 'risky'
Hospital admissions cut plan 'risky' A £3.8bn scheme to cut hospital admissions in England and treat more people at home is risky, and "overly optimistic", health researchers warn. BBC News
See also:
See also:
GPs say no to charging patients
GPs say no to charging patients Calls to charge patients for GP visits in the UK have been rejected by family doctors at the British Medical Association's annual conference. BBC News
See also:
See also:
- RCGP statement on proposals to charge for GP appointments Royal College of General Practitioners
- GPs vote against charging patients for appointments The Guardian
AUDIO: To A&E or not to A&E?
AUDIO: To A&E or not to A&E? Dr Clifford Mann and Professor Keith Willett debate new estimates of the number of A&E patients that could be treated in the community. BBC News
See also:
See also:
- Emergency Departments - More useful than the official data suggests College of Emergency Medicine
- People not overusing A&E findings The Guardian
- RCGP response to College of Emergency Medicine report proposing to have GPs in Emergency Departments of hospitals Royal College of General Practitioners
Superbugs pose graver threat than climate change: scientists
Superbugs pose graver threat than climate change: scientists Antibiotic resistant superbugs pose a graver threat to humanity than climate change due to a 'feeble' global response, leading scientists warn. The Daily Telegraph
Patients forced to use GP out of hours by poor appointment times
Patients forced to use GP out of hours by poor appointment times Thousands of patients are being forced to use GP out of hours services because surgeries fail to offer convenient appointments, a study suggests. The Daily Telegraph
See also:
See also:
Drug-resistant HIV pandemic is a 'real possibility', expert claims
Drug-resistant HIV pandemic is a 'real possibility', expert claims A new HIV pandemic is “a real possibility”, one of the world’s leading authorities on infectious disease has said, warning that a rise of drug resistant strains of the virus could “reverse progress made since the 1980s” in combating the disease. The Independent
Thursday, 22 May 2014
Interim guidance: implementing patients’ right to choose any clinically appropriate provider of mental health services
Interim guidance: implementing patients’ right to choose any clinically appropriate provider of mental health services This guidance covers issues such as how to support patients in the choices they are able to make; how to respond to any significant changes in where patients are referred to when patients make their choices; and clarity on pricing and paying for mental health services. There are exemptions to the new right to choice, which are also set out in the guidance. NHS England
Most patients 'right to go to A&E'
Most patients 'right to go to A&E' Efforts to redirect patients away from busy A&E departments will not work, say doctors, as a new study shows most need to be seen there. BBC News
Invest in nurse leaders to improve dementia care
Invest in nurse leaders to improve dementia care The RCN has published a report into a major year-long programme which has highlighted the importance of investing in nurse leaders and dementia nurse specialists to improving dementia care. Royal College of Nursing
E-cigs 'better than patches and gum' as quitting aid
E-cigs 'better than patches and gum' as quitting aid “E-cigarettes more effective than patches to help quit smoking, says study,” The Guardian reports. A UK study has found that people who use the aids are 60% more likely to quit than those who try nicotine replacement therapy (NRT) patches or gum, or willpower alone.
This was a “real world” study that surveyed a representative sample of the English population about their smoking habits.
The results of this study, whilst interesting, should be viewed with caution, as there are numerous limitations. This includes the fact it was not a randomised controlled trial (RCT), which is the best way to assess the effectiveness of treatments.
This was a “real world” study that surveyed a representative sample of the English population about their smoking habits.
The results of this study, whilst interesting, should be viewed with caution, as there are numerous limitations. This includes the fact it was not a randomised controlled trial (RCT), which is the best way to assess the effectiveness of treatments.
Turbo charging volunteering: co-production and public service reform
Turbo charging volunteering: co-production and public service reform This report sets out ways that ‘co-production’ of services can be applied more widely in health, housing, social care and other contexts and finds that there are clear social benefits from producing services in this way. It argues that service users, their friends and families, are able to build a much broader range of activities and gain the respect that goes with being “equal partners”. In addition, the report finds that there are significant savings to be realised through co-production. For example, research has identified that it could cut NHS costs by at least 7% (£4.4 billion) a year and potentially up to a fifth. Centre Forum
Public health experts call for action on dementia
Public health experts call for action on dementia Tackling known risk factors could prevent up to a fifth of new dementia cases. OnMedica
See also:
See also:
Politicians alienating GPs with 'relentless' attacks, senior doctor claims
Politicians alienating GPs with 'relentless' attacks, senior doctor claims Dr Chaand Nagpaul accuses MPs of belittling family doctors, causing some young doctors to shun becoming GPs
Politicians are alienating GPs with "relentless attacks" and use of "political gimmickry" to tackle the unsustainable pressures facing family doctors, a key leader of the profession warns on Thursday.
In a critique of the coalition and Labour opposition, Dr Chaand Nagpaul will accuse them of belittling GPs by bemoaning the difficulty patients have getting appointments and the lack of extended opening times. Continue reading... The Guardian
Politicians are alienating GPs with "relentless attacks" and use of "political gimmickry" to tackle the unsustainable pressures facing family doctors, a key leader of the profession warns on Thursday.
In a critique of the coalition and Labour opposition, Dr Chaand Nagpaul will accuse them of belittling GPs by bemoaning the difficulty patients have getting appointments and the lack of extended opening times. Continue reading... The Guardian
Hospitals criticised for discharging vulnerable patients at night
Hospitals criticised for discharging vulnerable patients at night Growing pressure on NHS hospitals has led to hundreds of thousands of patients being discharged in the middle of the night, despite efforts to cut back on the controversial practice, it has been revealed. The Independent
See also:
See also:
- Rising numbers of hospital patients sent home in the midst of night The Daily Telegraph
- Hospitals break NHS pledge to protect frail and elderly Daily Mail
NHS in the red: Hospitals forced to beg Government for equipment loans and electricity bills
NHS in the red: Hospitals forced to beg Government for equipment loans and electricity bills
The intense financial pressure faced by NHS hospitals has been laid bare in a series of letters, which range from pleas for bailout loans to replace defunct equipment, attempts to fend off legal threats from suppliers and even requests to pay off electricity bills. The Independent
See also:
The intense financial pressure faced by NHS hospitals has been laid bare in a series of letters, which range from pleas for bailout loans to replace defunct equipment, attempts to fend off legal threats from suppliers and even requests to pay off electricity bills. The Independent
See also:
- Hospitals forced to ask Government for emergency bail-out loans The Daily Telegraph
Wednesday, 21 May 2014
Borough bids to bolster domestic abuse services in Northampton
Borough bids to bolster domestic abuse services in Northampton Councillors launched the first stage of a major report aimed at tackling domestic violence in Northampton last night. Northampton Chronicle and Echo
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