Monday, 16 March 2015

Work and wellbeing in the NHS: why staff health matters to patient care

Work and wellbeing in the NHS: why staff health matters to patient care This report shows that staff health and wellbeing in the NHS is often seen as an optional extra - as less than two thirds of trusts have a staff health and wellbeing plan in place. It says that high quality patient care relies on skilled staff who are not only physically and mentally well enough to do their jobs, but also feel valued, supported and engaged. It also states that good staff health, wellbeing and engagement can reap significant benefits for patient safety including reduced MRSA infection rates and lower patient mortality rates. The Royal College of Physicians

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Access to hospital care: is the NHS on target?

Access to hospital care: is the NHS on target? This briefing examines how hospital trusts in England are performing against six national targets. The paper argues against the notion that dips in performance can be attributed to a handful of poorly performing hospital trusts, and finds there has been deterioration across the board in some measures. The Nuffield Trust

Mental health 'to get funding boost'

Mental health 'to get funding boost' Mental health services in England will receive extra funding in next week's Budget, Liberal Democrat Treasury Secretary Danny Alexander says. BBC News

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A&E target missed whole of winter

A&E target missed whole of winter The NHS has missed its A&E waiting time target for every week of winter, figures show. BBC News

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RCN launches toolkit to help prevent suicide in LGBT youth

RCN launches toolkit to help prevent suicide in LGBT youth The RCN, in collaboration with Public Health England (PHE), has launched a toolkit to guide nurses and other health professionals in the prevention of suicide in lesbian, gay, bisexual and trans-gender (LGBT) young people. Royal College of Nursing

Do people with depression perceive time differently?

Do people with depression perceive time differently?"How depression affects our sense of time: Hours drag on and even stand still," is the somewhat over-hyped headline from the Mail Online.

As the old saying goes – Time flies when you’re having fun. So does the reverse also ring true? Does feeling depressed slow down your perception of time? Two German researchers tried to find out.

They pooled the results of previous studies, which lead to 433 depressed people being compared with 485 non-depressed people. The results tentatively suggest that some people with depression may perceive time as going more slowly than those without.

No difference was found in their ability to estimate actual time durations in tests (for example, trying to judge when a minute had passed).

The study has a number of limitations, meaning we should be cautious in assuming that the findings are reliable. Their statistical methods, for example, made it more likely to find a statistically significant result by chance and they noted that using other methods would have wiped out any differences between the groups.

GPs could be asked to vaccinate 3.3m teenagers against meningitis strain

GPs could be asked to vaccinate 3.3m teenagers against meningitis strain GPs could be asked to vaccinate all 14- 18-year-olds in England against a strain of meningococcal disease, under a programme announced by Public Health England (PHE). GP Online

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How patients can help we GPs make the NHS run better

How patients can help we GPs make the NHS run better If the health service is going to thrive, patients must use the system more efficiently by keeping their scheduled appointments. Continue reading... The Guardian

Over a quarter of board members on new bodies commissioning NHS care have links to the private health sector

Over a quarter of board members on new bodies commissioning NHS care have links to the private health sector More than a quarter of board members on the new bodies charged with commissioning care for the NHS have links to the private health sector, new analysis shows. The Independent

PM steps in after NHS whistleblower is pursued for £100,000 in costs after losing her case on legal technicality

PM steps in after NHS whistleblower is pursued for £100,000 in costs after losing her case on legal technicality David Cameron has asked Jeremy Hunt, the Secretary of State for Health, to investigate why a whistleblower at one of the country’s largest mental health trusts is being pursued for almost £100,000 in costs after losing her case on a legal technicality. The Independent

Friday, 13 March 2015

More than 1,300 Northamptonshire women smoke while pregnant each year, latest statistics show

More than 1,300 Northamptonshire women smoke while pregnant each year, latest statistics show The proportion of women in Northamptonshire who still hadn't given up smoking when they gave birth is 16 per cent, according to latest figures. Northampton Chronicle and Echo

The great health debate – is there more consensus between the left and right than we’d assume?

The great health debate – is there more consensus between the left and right than we’d assume? At a pre-election debate on health care featuring panellists from across the political spectrum, was the amount of consensus on some issues surprising, asks Emma Spencelayh. The Health Foundation

New Agenda for Change pay circulars published

New Agenda for Change pay circulars published Download the new Agenda for Change pay circulars following the trade unions' acceptance of the Government pay offer. NHS Employers

Raising the bar: The Shape of Care review report

Raising the bar: The Shape of Care review report This report makes 34 recommendations for the future education and training of registered nurses and care assistants. It covers themes such as enhancing co-production and the voice of the patient, assuring flexibility in nursing and funding and commissioning levers. Health Education England

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NHS governance review 2015: unchartered waters

NHS governance review 2015: unchartered waters This review considers current governance-related challenges and opportunities facing the NHS, especially in the context of the recently published ‘NHS Five Year Forward View’ report. It concludes that as the NHS enters uncharted waters, its governance and risk management arrangements need to be more agile. Grant Thornton

Whole in one: achieving equality of status, access and resources for people with depression

Whole in one: achieving equality of status, access and resources for people with depression This report focuses on depression in adults, with particular emphasis on access to NHS services and treatment, the funding of services, depression in the workplace, and the role of the National Institute for Health and Care Excellence. 2020Health

Best hospitals 'now struggling'

Best hospitals 'now struggling' Pressures in the NHS are so great that even the best hospitals in England are seeing patients wait longer for key services, an analysis shows. BBC News

The NHS - a powerhouse for new medicines?

The NHS - a powerhouse for new medicines? Could the NHS pioneer digital healthcare? BBC News

Ultrasound 'breakthrough' in treating Alzheimer's - in mice

Ultrasound 'breakthrough' in treating Alzheimer's - in mice "Alzheimer's breakthrough as ultrasound successfully treats disease in mice," The Guardian reports.

New research found high-energy sound waves helped remove abnormal clumps of proteins from the brains of mice, and also improved their memory.

The mice used in this study were genetically engineered to produce amyloid plaques – abnormal clumps of protein fragment amyloid-β typically found in the brains of people with Alzheimer's disease.

There was a 50% reduction in plaques in mice whose brains were exposed to ultrasound once a week for five to seven weeks.

Memory also improved to the extent that the mice were able to negotiate a maze as well as healthy mice after the treatment. They were also better able to avoid a section of a spinning wheel that would give them an electric shock.

While the treated mice appeared to be unharmed, with no obvious tissue damage, human brains are much more complex. Ultrasound could damage brain function in ways that we cannot predict.

Prescription charge to rise to £8.20

Prescription charge to rise to £8.20 New NHS charges to help with doubled spend on medicines since 2000. OnMedica

Melanoma drug is first to be fast tracked under NHS early access scheme

Melanoma drug is first to be fast tracked under NHS early access scheme Previously unlicensed drug would only have been available to patients in clinical trials. OnMedica

'Chronic underfunding' of social care increases burden on NHS, say GPs

'Chronic underfunding' of social care increases burden on NHS, say GPs A new poll of 830 doctors in England suggests service reduction sends desperate patients to A&E or keeps them in hospital longer than necessary

Nine out of 10 GPs believe deep cuts to social care under the coalition have added to the growing overcrowding at both their own surgeries and hospital A&E units.

In a poll of 830 family doctors in England, 92% did not think that enough social care is available to stop patients ending up in emergency departments or to avoid them having to stay in hospital despite being medically fit to leave. Continue reading... The Guardian

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Ebola: Infected British military health worker arrives in London

Ebola: Infected British military health worker arrives in London A British military healthcare worker who contracted Ebola in Sierra Leone has been admitted to the Royal Free Hospital in London, after being evacuated from the country by RAF jet. The Independent

Thursday, 12 March 2015

Northampton man launches petition to rescue funding for life-saving cancer medication

Northampton man launches petition to rescue funding for life-saving cancer medication A Northampton man who began a petition to stop his life-saving cancer medication being cut from the NHS is more than halfway to having the issue potentially debated heard in Parliament. Northampton Chronicle and Echo

Progress in improving cancer services and outcomes in England report

Progress in improving cancer services and outcomes in England report The Department and NHS England have allowed a loss of momentum in the drive to improve cancer services according to the Public Accounts Committee's report

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Major bid to prevent illness with launch of national diabetes prevention drive

Major bid to prevent illness with launch of national diabetes prevention drive The NHS and Public Health in England will today (Thursday) start a major national initiative to prevent illness by unveiling the first ever at-scale National NHS Diabetes Prevention Programme.

Simon Stevens, NHS England’s Chief Executive, will announce the move in a major speech at the Diabetes UK conference in London.

The programme, which is a joint initiative between NHS England, Public Health England (PHE) and Diabetes UK, aims to significantly reduce the four million people in England otherwise expected to have Type 2 diabetes by 2025.

It is estimated that a big proportion of Type 2 diabetes could be prevented, and England will be the first country to implement a national evidence-based diabetes prevention programme at scale, delivering on the commitment set out in the NHS Forward View and PHE’s Evidence into Action last year.

Well-designed randomised controlled trials in Finland, the USA, Japan, China and India show 30-60 per cent reductions in Type 2 diabetes incidence over three years in adults at high risk through intensive lifestyle change programme interventions.

If the national programme could replicate this success, it could save tens of thousands of lives in the future and millions of pounds for the NHS. NHS England

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Guidance: NHS foundation trust governors: representing the interests of members and the public

Guidance: NHS foundation trust governors: representing the interests of members and the public To get public engagement right, governors need to understand their role well. With understanding comes the confidence to engage with local communities, helping to improve our NHS for patients and staff.

This guide:
  • gives the context for governors’ work
  • gives examples of what governors could do to promote communication between foundation trusts, their members and the public
  • includes case studies of the practical experiences of foundation trusts and governors
People who are involved in helping governors to fulfil their duties may find this guide useful. Chairs and other members of foundation trust boards, membership managers and trust secretaries may wish to refer to it.

Who produced the guide?

This guide has been developed jointly by Monitor and GovernWell in association with our partners the Care Quality Commission, the Department of Health, NHS Providers and the Independent Panel for Advising Governors.

Further information for governors

Monitor has published several further guidance documents for governors and members. TheGovernWell website also includes a resource library for governors.

Why not introduce more NHS charges?

Why not introduce more NHS charges? Why not introduce more NHS charges, asks BBC's Nick Triggle

VIDEO: Lucas questions NHS spending priorities

VIDEO: Lucas questions NHS spending priorities Caroline Lucas says NHS market structures cost more than £10bn a year and this could be better spent on patient care. BBC News

Nursing tech fund 2 awards announced

Nursing tech fund 2 awards announced Electronic observations and mobile access projects are the big winners from the second round of NHS England's Nursing Technology Fund, with 62 organisations splitting £35 million in funding. E-Health Insider

New GMC report highlights factors that affect progression of doctors in training

New GMC report highlights factors that affect progression of doctors in training New data reports for the first time on examination results and recruitment outcomes for different groups of doctors across the UK. The General Medical Council

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Exclusive: Health check target to be missed as uptake drops

Exclusive: Health check target to be missed as uptake drops Public Health England (PHE) is set to miss its target to increase uptake of the NHS health check to 66% this financial year, GP can reveal, as official figures show uptake may instead drop. GP Online

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MPs vote to introduce standardised cigarette packs

Number of NHS patients waiting too long for crucial medical tests hits RECORD high

Number of NHS patients waiting too long for crucial medical tests hits RECORD high Some 18,740 patients had to wait longer than six weeks to take cancer and other tests in January – more than five times higher than in May 2010 when the Coalition took over. The Daily Mail

NHS agrees largest-ever privatisation deal to tackle backlog

NHS agrees largest-ever privatisation deal to tackle backlog Plan by NHS Supply Chain to deal with backlog of patients waiting for surgery and tests will see 11 companies paid £780m to diagnose and treat patients

The NHS has agreed the biggest-ever privatisation of its services in a deal worth up to £780m intended to help hospitals tackle the growing backlogs of patients waiting for surgery and tests.

The deal will see 11 private firms paid by the NHS to carry out heart, joint and other types of operations and perform scans, X-rays and other diagnostic tests on patients. Continue reading... The Guardian

'Homeopathy is no more effective than placebo for almost every illness,' says health council

'Homeopathy is no more effective than placebo for almost every illness,' says health council Homeopathic remedies are “no more effective than placebo” in treating health problems, new research shows. The Independent

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Wednesday, 11 March 2015

Plans submitted to turn St Edmund’s hospital site into a multi-million pound elderly care facility

Plans submitted to turn St Edmund’s hospital site into a multi-million pound elderly care facility Multi-million pound plans to convert the eyesore former St Edmund’s Hospital into a specialised care facility for the elderly have been unveiled – only hours after a fire at the site. Northampton Chronicle and Echo

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Five million patients to benefit from new era of patient care

Five million patients to benefit from new era of patient care The NHS has chosen the first 29 ‘vanguard’ geographies that will take the national lead on transforming care for patients in towns, cities and counties across England.

269 groups of nurses, doctors and other health and social care staff from across the country put forward their ideas for how they want to redesign care in their areas, and then helped choose thefirst 29 of the most innovative plans.

Drawing on a new £200 million transformation fund and tailored national support, from April the vanguards will develop local health and care services to keep people well, and bring home care, mental health and community nursing, GP services and hospitals together for the first time since 1948.

For patients, this will lead to a significant improvement in their experience of health services. It is estimated more than five million patients will benefit, just from this first wave. For example, this could mean: fewer trips to hospitals as cancer and dementia specialists and GPs work in new teams; a single point of access for family doctors, community nurses, social and mental health services; and access to tests, dialysis or chemotherapy much closer to home.

Public mental health leadership and workforce development framework

Public mental health leadership and workforce development framework The purpose of this framework is to help develop public health leadership and workforce capability in mental health.

It identifies six key ambitions, as well as some core principles for the workforce. Each ambition outlines current priorities and suggests key competencies that we need to expand and grow if mental health is to genuinely be addressed with the same energy and given the same priority as physical health, recognising that it underpins our quality of life. Public Health England

Cigarette plain packaging vote due

Cigarette plain packaging vote due MPs are expected to approve the introduction of standardised packaging for cigarettes later. BBC News

The cost of the cuts: the impact on local government and poorer communities

The cost of the cuts: the impact on local government and poorer communities How are austerity measures affecting local government and communities?

Cuts to local authority budgets are having a profound effect on the services people receive. The poorest communities and residents are being hardest hit and those least able to cope with service withdrawal are bearing the brunt. Joseph Rowntree Foundation

HRT review finds increased risk of blood clots and stroke

HRT review finds increased risk of blood clots and stroke "Women on HRT pills should be aware that there is a small chance of an increased risk of blood clots and possibly stroke," BBC News reports.

This story is based on an update of a review on the effects of hormone replacement therapy (HRT) on the risk of heart and blood vessel diseases (cardiovascular diseases).

The updated results supported their previous findings that HRT did not reduce the risk of deaths from any cause or from cardiovascular causes during follow-up. However, it did increase the risk of stroke and blood clots (for example deep vein thrombosis – DVT).

Researchers estimated that for every 1,000 women taking HRT, an extra six would experience stroke and an extra eight would experience a blood clot.

The review is robust and the trials of good quality. Still, there are some important points to note. The trials did include different doses and types of oral HRT given over different time periods, but results may not be representative of each of these individually. Also, the women were, on average, about 60 years old at the start of the trials, so results may not be representative of women who start taking HRT at a younger age.

20 NHS bosses award themselves higher salary than PM

20 NHS bosses award themselves higher salary than PM Some 70 executives of new regional bodies earn more than the £125,000 maximum recommended by the NHS, with one boss taking home £280,000 - double the Prime Minister. The Daily Mail

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NHS Change Day: the 10 best campaigns

NHS Change Day: the 10 best campaigns Raising awareness of sepsis and helping women through the menopause are just two of the grassroots projects championed on NHS Change Day. Continue reading... The Guardian

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Tuesday, 10 March 2015

Parity in progress? The All Party Parliamentary Group on Mental Health’s inquiry into parity of esteem for mental health

Parity in progress? The All Party Parliamentary Group on Mental Health’s inquiry into parity of esteem for mental health This report calls for an end to the ‘institutional bias’ against mental health in the NHS. The APPG Mental Health report also asks that the next government accelerates its efforts to bring mental health services up to the standard of physical health services. All Party Parliamentary Group on Mental Health

Survey of in-patient admissions for children and young people with mental health problems: Young people stuck in the gap between community and in-patient care

Survey of in-patient admissions for children and young people with mental health problems: Young people stuck in the gap between community and in-patient care Delays accessing beds have put mentally unwell children at risk, with some attempting to take their own lives while they waited for hospital care. Royal College of Psychiatrists

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True integration must bridge the divide between services and the people they serve – Luke O’Shea

True integration must bridge the divide between services and the people they serve – Luke O’Shea Today marks the start of a radical integration programme, the first of its kind in the world, called Integrated Personal Commissioning (IPC).

The most radical part of IPC isn’t the integration of health and social care, or the entirely new financial incentives, or the central role of the voluntary sector. These elements of the programme are vital, but are being tried at scale in programmes around the world. The really radical part, the controversial part, the uncomfortable part, is to hand real power over to people and, if they choose to take it, to allow them spend their own budgets according to their needs and priorities – ‘what matters most’.

Huge relief as pay agreement ends NHS strike threat

Huge relief as pay agreement ends NHS strike threat There was huge relief today as unions decided to call off NHS industrial action in England and agree to the Government’s pay proposal made in January. NHS Employers

NHS £75m privatisation plan halted

NHS £75m privatisation plan halted A plan to privatise about £75m of NHS services in Cornwall is abandoned after bosses decided it would not deliver the right results. BBC News

New care models explained: How the NHS can successfully integrate care

New care models explained: How the NHS can successfully integrate care New models at the heart of the NHS Five Year Forward View. Health Service Journal

Is education the best form of teen contraception?

Is education the best form of teen contraception? "Getting a good education could be the best form of contraception for teenagers," The Independent reports after a study of recent data from England found an association between improved GCSE results and lower rates of teenage pregnancy.

Researchers looked at data from England on teenage pregnancy rates between 2004 and 2012. They were particularly interested in whether the increasing use of long-acting reversible contraceptive (LARCs), such as implants or injections, was associated with reduced teen pregnancy rates. It didn't.

What they did find is a link between educational achievement – specifically, more teenagers getting at least five GCSEs and reduced rates of teenage pregnancy. The reason for the link between higher educational attainment and reduced pregnancies was not specifically assessed.

How the system is failing to care for the mentally ill

How the system is failing to care for the mentally ill Police called in to deal with mentally ill people due to "lack of appropriate mental health provision", says police watchdog. The Daily Telegraph

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What the healthcare sector wants from the next government

What the healthcare sector wants from the next government After the Health and Social Care Act was labelled ‘a huge waste of money’, priorities must now be public health and integration

The Health and Social Care Act, which came into force two years ago, probably represents the biggest shake-up of the NHS since its inception. The debate sparked by the act has led to the future of the NHS becoming one of the most hotly-discussed topics in the run-up to this year’s election. Continue reading... The Guardian

NHS embraces wearable health devices such as the Apple Watch to improve care

NHS embraces wearable health devices such as the Apple Watch to improve care Monitoring activity could help patients take better care of their health and allow doctors and nurses to keep abreast of changes without several appointments.

Wearable devices to monitor our health and vital signs are being enthusiastically embraced by the top brass of the NHS. There is not a trace of old-fashioned fustiness or scepticism in their attitude to new gadgetry. NHS England’s chief executive Simon Stevens and its medical director Sir Bruce Keogh are both keen to explore what technology can do for us and for those who take care of us when we are sick. No surprise there – the truth is the NHS needs all the help it can get.

What will help most is if patients take better care of their own health and avoid getting ill in the first place. That’s where the Apple Watch comes in. Like a number of other devices on the market, it monitors a user’s activity levels, counts calorie expenditure, and registers heart rate – a personal trainer strapped to your wrist. The built-in incentives and the shame factor of knowing you have hardly moved from your chair all day will undoubtedly work for some, but it is those most motivated to be fit and healthy who are likely to be the ones who will buy it. If you don’t really want to take more exercise, it’s fairly unlikely you will fork out the cash. Continue reading... The Guardian

NHS calculator which can predict when you might suffer heart attack launched

NHS calculator which can predict when you might suffer heart attack launched The NHS has launched a new online app that predicts your chances of a heart attack. The Independent

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Monday, 9 March 2015

A fork in the road: the Enhanced Tariff Option

A fork in the road: the Enhanced Tariff Option It’s been an important couple of weeks for the finance departments of all providers of NHS services. After the proposed tariff for next year was delayed, providers had until 4 March to decide whether to accept NHS England and Monitor's Enhanced Tariff Option. Adam Roberts looks at what this means for those who accepted. The Health Foundation

The state of care in counties: the integration imperative

The state of care in counties: the integration imperative This report from the County All Party Parliamentary Group is the result of an inquiry into integrated care and the future of adult social care. It concludes that the success of the health and social care integration is at risk in counties from overly centralised NHS structures entrenching barriers between services. It argues that there was a critical need for health and social care deals to enable counties and their partners in health to negotiate devolved deals suited to their local challenges.

Ignoring the prescription?

Ignoring the prescription? This paper reports the findings of a survey of 142 clinical leaders in emergency medicine across the UK. The survey was carried out in response to the unprecedented pressures over the 2014/15 winter period and reveals just how much needs to be done to address the profound challenges facing A&E services. The Royal College of Emergency Medicine

Lack of social care causing devastating consequences for 100 000s of cancer patients

Lack of social care causing devastating consequences for 100 000s of cancer patients Hundreds of thousands of people with cancer are left housebound, unable to wash or dress themselves and are even at risk of soiling themselves in their own home due to a lack of social care support, according to a new report published today by Macmillan Cancer Support.

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More children showing early signs of serious diabetes complications, reveals new report

More children showing early signs of serious diabetes complications, reveals new report 1,000 more children in England and Wales with diabetes were reported last year (2013/14) – and despite the quality of care improving, there remains significant variation across regions and between units, according to the latest National Paediatric Diabetes Audit report.

The audit also reveals that there are a ‘worryingly high’ number of young people aged 12 and over showing early signs of potentially serious complications. Royal College of Paediatrics and Child Health

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NHS 'whistleblower' demands new job

NHS 'whistleblower' demands new job A former NHS boss who says he was sacked for raising patient safety concerns has called for an apology and a "comparable" job. BBC News

Number of smokers getting NHS help to quit has halved

Number of smokers getting NHS help to quit has halved A new report warns that the number of smokers given help from the NHS to give up appears to have halved in three years, with increasing numbers turning to e-cigarettes. The Daily Telegraph

Four in five NHS trusts are restricting surgery for obese patients - and one has banned ALL routine ops for those deemed too fat

Four in five NHS trusts are restricting surgery for obese patients - and one has banned ALL routine ops for those deemed too fat Senior doctors have blasted the 'blatant rationing' as 'immoral and unfair' as new figures show two thirds of NHS trusts also deny some procedures to smokers. The Daily Mail

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Jeremy Hunt accused of covering up critical NHS report

Jeremy Hunt accused of covering up critical NHS report Health secretary has withheld damning management study by former M&S boss Stuart Rose for political reasons, claims Tory MP Sarah Wollaston.

Health secretary Jeremy Hunt faces allegations of a politically motivated cover-up after the Tory head of the health select committee said his department’s refusal to publish a damning report on NHS management before the general election was not acceptable.

Sarah Wollaston, a former GP who took over the chairmanship of the committee last year, said it was not reasonable or right that a report by former Marks & Spencer boss and Tory peer Stuart Rose, which was commissioned by Hunt a year ago and completed in December, was being kept from the public. Continue reading... The Guardian

Does medicines regulator Nice face a post-election overhaul?

Does medicines regulator Nice face a post-election overhaul? The different political parties each have plans for the National Institute for Health and Care Excellence.

It is 16 years since the then Labour government launched Nice (the National Institute for Health and Care Excellence) with the aim of ending the “postcode lottery” by providing definitive expert-based national guidance on the drugs and treatments that should be provided by the NHS. In the runup to the general election it seems that Labour alone of the three main political parties wants to see significant changes that it says would strengthen Nice and guard against signs that the lottery is re-emerging. Continue reading... The Guardian

Dr Hilary Cass: Britain doesn't need to have the worst child mortality rate in western Europe

Dr Hilary Cass: Britain doesn't need to have the worst child mortality rate in western Europe Britain needs to overhaul the way that healthcare is delivered to children, one of the country’s leading paediatricians has warned in an interview with The Independent on Sunday.

Friday, 6 March 2015

Nearly 500 men in Northamptonshire diagnosed with prostate cancer every year, says charity

Nearly 500 men in Northamptonshire diagnosed with prostate cancer every year, says charity More than 450 men in Northamptonshire are diagnosed with prostate cancer every year, according to new figures published by Macmillan Cancer Support. Northampton Chronicle and Echo

Ruling on Northampton woman’s ‘exaggerated’ care fees could benefit ‘large numbers of people’ in the county

Ruling on Northampton woman’s ‘exaggerated’ care fees could benefit ‘large numbers of people’ in the county Care fees paid by a Northampton woman were illegally high, a High Court judge has ruled, in a judgement that could affect many fee payers in the county. Northampton Chronicle and Echo

Northampton woman, 39, committed suicide after ‘constant battle’ to receive disability benefit

Northampton woman, 39, committed suicide after ‘constant battle’ to receive disability benefit A 39-year-old Northampton woman who was unable to work due to chronic back pain killed herself after the Department of Work and Pensions (DWP) threatened to cut off her disability benefits, an inquest heard. Northampton Chronicle and Echo

What's behind the A&E 'crisis'?

What's behind the A&E 'crisis'? The third policy briefing in the run up to the General Election 2015 examines the real reasons behind England’s A&E ‘crisis’, and warns that the emphasis on the four-hour waiting time target has become disproportionate. It also makes some recommendations to policy makers on how performance management should be approached in the future. Nuffield Trust

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Guidance: Health services that should be commissioned as specialised services

Guidance: Health services that should be commissioned as specialised services PSSAG provides recommendations to ministers on which health services should be considered to be specialised and be nationally commissioned by NHS England, rather than locally commissioned by clinical commissioning groups.

This report sets out the proposals considered by PSSAG at its May and September 2014 meetings, and outlines the Group’s recommendations for each of these proposals. Department of Health

Pivotal new report highlights circumstances where bullying and undermining of doctors in training most likely

Pivotal new report highlights circumstances where bullying and undermining of doctors in training most likely Doctors in training have highlighted circumstances where they believe bullying and undermining is more likely to occur in a pivotal new report published today by the General Medical Council (GMC).

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New mental health and learning disabilities rights proposed

New mental health and learning disabilities rights proposed Proposals to give more rights to people with learning disabilities, autism and mental health conditions are unveiled by the government. BBC News

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Prisoner wins smoking ban ruling

Prisoner wins smoking ban ruling Communal areas of state prisons in England and Wales are subject to smoking ban laws, a judge rules. BBC News

BSI to publish apps standards

BSI to publish apps standards The British Standards Institution is set to publish guidelines on the development of healthcare apps in April this year. E-Health Insider

People with gout have lower risk of Alzheimer’s disease

People with gout have lower risk of Alzheimer’s disease "Gout could help prevent Alzheimer's, research shows," The Independent reports. Researchers think that uric acid, which causes gout, may have a protective effect against Alzheimer's disease.

Uric acid is a waste product that is normally passed out of the body. In cases of gout, the acid builds up around one or more joints, forming tiny crystals. This can then trigger the symptoms of gout, which are typically a sudden severe pain and swelling around the affected joint(s).

Previous research has found that uric acid is also an antioxidant (which helps to protect against cell damage), so researchers wanted to see if uric acid protected against Alzheimer’s.

The researchers used information from a UK database of more than 3.7 million patients. They matched people aged over 40 who developed gout with controls who did not, and followed them, on average, for five years to see how many were diagnosed with Alzheimer’s disease. They took multiple factors into account when analysing the results, such as medication use and age.

They found that 309 out of the 59,224 people with gout (0.5%) developed Alzheimer’s disease, compared to 1,942 out of 238,805 people without gout (0.8%), which translates into a 24% reduction in risk.

The study does not prove that gout is protective against Alzheimer’s, as there could be unmeasured factors that affected the results.

Lancet condemns NHS for creating 'culture of fear' in wake of scandals

Lancet condemns NHS for creating 'culture of fear' in wake of scandals The highly respected Lancet journal has written a highly critical editorial condemning the NHS' response to recent scandals including the disclosures at the mid Staffordshire trust and the crimes of Dr Harold Shipman. The Daily Telegraph

Thursday, 5 March 2015

Passing the people test: improving integration of care

Passing the people test: improving integration of care With lots of talk about integration of care on the political agenda, whether care actually becomes more integrated – like whether any aspect of quality improves – rests on those people delivering it, says Richard Taunt. The Health Foundation

Working longer further reading library launched

Working longer further reading library launched The Working Longer Group has launched a library of research, publications and websites to help employers and employees further understand the implications of working to a raised retirement age. NHS Employers

New Health Education England strategies for development of the NHS support workforce

New Health Education England strategies for development of the NHS support workforce HEE has launched its new strategies, Talent for Care and Widening Participation, which recognise Employers as being key to their delivery. Find out more about the frameworks, and how you can support them by further investing in your bands one to four support workforce. Health Education England

Is another NHS scandal brewing?

Is another NHS scandal brewing? Lethal. Shocking. Unacceptable. Dysfunctional. Failures at every level. So said the report into maternity care at Cumbria's Furness General Hospital.

But as was pointed out repeatedly as the inquiry published its findingson Tuesday, the parallels with Stafford Hospital are chillingly similar. In fact, Health Secretary Jeremy Hunt went as far as calling it a "second" Stafford Hospital - albeit it on a smaller scale. BBC News

The number of old people in the UK killing themselves has fallen. Why?

The number of old people in the UK killing themselves has fallen. Why? Once elderly people in the UK were the most likely group to take their own lives, but now they are at lower risk than the middle-aged. Why? BBC News

Tech fund 2 money may return - Hunt

Tech fund 2 money may return - Hunt Nearly £200 million slashed from NHS England's technology fund may be reinstated in future as part of a "staged roll-out", health secretary Jeremy Hunt says. E-Health Insider

QOF does not save lives, researchers claim

QOF does not save lives, researchers claim QOF targets should be 'reconsidered and better aligned with evidence', according to UK research that found there was no link between practice scores and patient mortality. GP Online

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Poor diabetes education leading to health complications

Poor diabetes education leading to health complications Diabetes education a ‘postcode lottery’ claim MPs. OnMedica

Getting lost in hospitals costs the NHS and patients

Getting lost in hospitals costs the NHS and patients Doctors attribute a significant fraction of the 6.9m missed hospital appointments to navigation problems in hospitals.

Hospitals are difficult to find your way around, with kilometres of near-identical corridors leading to door after door of similarly-named wards and treatment rooms. Strict hygiene requirements mean decor must be kept to a minimum, and evolving needs mean rooms often change purpose at short notice. All of this leads to a navigation nightmare, making hospitals intimidating places for many patients. As hospitals grow and change, it will only get worse.

This is a major problem for both visitors and the patients – data from 2013 suggests that around 6.9m outpatient hospital appointments, each costing an average of £108, are missed each year in the UK. Doctors we've spoken to attribute a significant fraction of these to navigation problems, especially at large hospitals. Continue reading... The Guardian

NHS England spent £100m since 2003 resolving legal claims related to cancer

NHS England spent £100m since 2003 resolving legal claims related to cancer Figures obtained by Macmillan Cancer Support highlight claims due to delays, errors or inadequate care.

The NHS in England has spent at least £100m resolving legal claims due to delays, errors or inadequate care related to cancer over the past 11 years, according to figures obtained byMacmillan Cancer Support.

Two-thirds of successful claims were from people who faced issues in getting diagnosed or starting treatment and as a result suffered physical and/or psychological consequences, leading the charity to urge improved early diagnosis. Continue reading... The Guardian

Ministers pledge an end to 15-minute elderly care visits

Ministers pledge an end to 15-minute elderly care visits Ministers promise to eradicate 'flying care visits' within a year as new guidance says short visits should only be used to fulfil basic checks, and not to carry out personal care, such as washing or dressing. The Daily Telegraph

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Wednesday, 4 March 2015

KGH nurse who doctored sicknote is struck off

KGH nurse who doctored sicknote is struck off A nurse who altered a doctor’s sicknote and forged signatures on her timesheets while working at Kettering General Hospital has been struck off. Northamptonshire Telegraph

Guidance: Helping school nurses to tackle child sexual exploitation

Guidance: Helping school nurses to tackle child sexual exploitationThe child sexual exploitation pathway document from the Department of Health aims to consolidate best practice by:

  • helping practitioners to recognise child sexual exploitation and to understand its effects on health and wellbeing
  • summarising the evidence base, including the types of child sexual exploitation, its prevalence and consequences
  • identifying the school nurse role at different levels of service and outlining a core offer from the school nursing service

Improving postgraduate medical training through the adoption of Better Training Better Care

Improving postgraduate medical training through the adoption of Better Training Better Care This briefing aims to demonstrate to board members how using innovative solutions in medical education can help to improve quality of care and patient safety and can also make cost savings. Employers, educational supervisors and trainees will want to look at the successes of the pilots and consider which of the pilots might be suitable for local adoption, or whether other innovative solutions in education and training could lead to similar successes. NHS Employers

Unison votes to accept NHS pay deal

Unison votes to accept NHS pay deal NHS staff have voted to accept a government pay offer, Unison has announced. BBC News

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Hospital investigation cost £19.5m

Hospital investigation cost £19.5m The costs of sending special administrators into the troubled Mid Staffordshire NHS trust rose to almost £19.5m, a health watchdog reveals. BBC News

Care.data on hold until election

Care.data on hold until election Lingering questions dogging NHS England's controversial care.data programme will hold up progress on its pilot phase until after the May general election, Tim Kelsey has confirmed for the first time. E-Health Insider

Is long-term paracetamol use not as safe as we thought?

Is long-term paracetamol use not as safe as we thought? "Daily paracetamol could raise the risk of heart attacks, stroke and early death," the Mail Online reports.

A new review of previous observational studies found that long-term use of paracetamol was linked with a small increased risk of adverse events such as heart attacks, gastrointestinal bleeds (bleeding inside the digestive system) and impaired kidney function.

It is important to be aware that, as these are observational studies, there is the potential for various sources of bias. The studies were highly variable in their study populations. For example, four studies included female nurses, one male doctor, one person with kidney disease, and other adults prescribed paracetamol (i.e. they weren’t taking it over the counter). They also examined highly variable paracetamol exposures (e.g. days of use per month, grams intake in a lifetime, or number of prescriptions). Overall, this gives quite a mixed group of study designs and results, which may be influenced by many things, including inaccurate estimations of intake and significant health differences between users and non-users of paracetamol.

Nevertheless, the findings that paracetamol could potentially have adverse longer-term effects, particularly when used at higher doses, is important, especially as the drug is used by millions. Therefore, further investigation is needed.

NHS savings plan led to cuts of some ‘low-value’ treatments

NHS savings plan led to cuts of some ‘low-value’ treatments But cuts were inconsistent varying between trusts. OnMedica

Speed up efforts to improve poor mental heath care in NHS, say MPs

Speed up efforts to improve poor mental heath care in NHS, say MPs A report by the all-party parliamentary group on mental health says there is little evidence of progress towards parity with physical health.

Progress in ending “institutional bias” against mental health patients in the NHS is unacceptably slow and must be accelerated in the next parliament, a cross-party group of MPs and peers has said.

Despite pledges to achieve parity of esteem with physical health, a report by the all-party parliamentary group (APPG) on mental health says that people with mental health problems receive substandard care that would not be tolerated elsewhere in the NHS. Continue reading... The Guardian

Emergency care fund failing to reach A&E departments, research shows

Emergency care fund failing to reach A&E departments, research shows Report suggests only 1% of £700m fund allocated to improving emergency services ended up directly in A&Es, with some of it used to pay off trust debts

Less than 1% of the £700m allocated by the government for emergency care in England this winter ended up directly in A&E departments, according to a survey of senior clinicians working on the NHS frontline.

The Royal College of Emergency Medicine, which commissioned the research, published on Wednesday, said the results suggested the cash was not spent in a way that would improve emergency services, with some of it even being used to pay off trust debts. Continue reading... The Guardian

Report prompts NHS to launch a review into maternity care across England

Report prompts NHS to launch a review into maternity care across England The NHS is to launch a review of maternity services in England in the wake of a damning report that said a “lethal mix” of incompetence and cover-up led to the preventable deaths of 11 babies and one mother at a rural hospital in Cumbria. The Independent

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500% increase in GP practises seeking advice on closure

500% increase in GP practises seeking advice on closure There has been a 500 per cent rise in the number of GP surgeries approaching senior NHS manager for advice about shutting their doors or merging with nearby practises. The Independent