Monday, 14 March 2016

George Osborne accused of presiding over largest funding squeeze in NHS history

George Osborne accused of presiding over largest funding squeeze in NHS history Given economic forecasts and present spending, it is estimated £20bn less a year will be being spent on health by 2020. The Independent

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Jeremy Hunt urged to act against avoidable deaths from epilepsy

Jeremy Hunt urged to act against avoidable deaths from  Charity warns almost four in 10 of deaths from the condition are preventable as they call for better care and services. The Independent

That’s enough, junior doctors – the NHS has bigger problems

That’s enough, junior doctors – the NHS has bigger problems The NHS faces far more serious problems than the working conditions of one section of its workers. Now it’s up to the BMA to move towards a strike settlement

‘It’s everyone’s fight,” said the stickers that striking junior doctors handed out at picket lines and protest stalls last week. But is it really? The chief medical officer has warned that strikes will lead to patient suffering: tens of thousands of operations and appointments will have been cancelled as a result of strikes so far. The health select committee chair – a doctor herself – called them“extreme” and “appalling”.

Doctors’ union the BMA insists that the government – and the new junior doctor contract it is proposing – are an even bigger threat to patient safety. Its claims merit at least the scrutiny we’d apply to teaching or train driver unions whose strikes lead to school and tube closures.

Let’s call a spade a spade. This is a workplace dispute about terms and conditions, not a campaign to save the NHS Continue reading... The Guardian

Junior doctors' contract to be challenged in courts

Junior doctors' contract to be challenged in courts Group of doctors and patients have asked solicitors to review the potential impact of Jeremy Hunt’s “seven-day NHS” contract on patient safety

The government’s new contract for junior doctors is to be challenged in the courts by a group of doctors and patients on the grounds of patient safety.

The group have instructed Bindman’s LLP solicitors to investigate judicial review proceedings, which will centre on the detrimental impact of the proposed new contract on the safety patients as well as the stability of the NHS as a whole. Continue reading... The Guardian

Scarlet fever cases reach 50 year high: Experts warn parents to look out for red rash, nausea and high temperature

Scarlet fever cases reach 50 year high: Experts warn parents to look out for red rash, nausea and high  Last year there were 17,559 cases of the disease in England. The disease is most common in children under 10 and causes a sore throat, fever a rash and occasionally leads to pneumonia. The Daily Mail

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Friday, 11 March 2016

NHS England launches national programme to combat antibiotic overusage

NHS England launches national programme to combat antibiotic overusage NHS England has today launched the world’s largest healthcare incentive scheme for hospitals, family doctors and other health service providers to prevent the growing problem of antibiotic resistance.

Launched against the backdrop of the International Patient Safety Conference taking place at Lancaster House in London today, funding will be made available to hospitals and other providers that reduce the inappropriate use of antibiotics.

Press release: Major programme launched to help NHS providers boost their finances

Press release: Major programme launched to help NHS providers boost their finances NHS providers will be able to access additional help with improving their finances, under a new financial improvement programme created by two national healthcare bodies.

Developed by Monitor and the NHS Trust Development Authority, the ‘Financial improvement programme’ will enable NHS providers to take advantage of additional improvement advice and expertise.

Providers will bring in external financial and operational support to help them make the required savings, so that patients can receive high quality care which is financially sustainable. Monitor

The one-way mirror: public attitudes to commercial access to health data

The one-way mirror: public attitudes to commercial access to health data This report has revealed that just over 50 per cent of the public are in favour of patient records being used by commercial organisations as long as there is a clear public benefit and appropriate safeguards in place. It also emphasises how unaware many people are about how patient data is already used within in the NHS, let alone by others such as academic researchers, charities and commercial organisations. Ipsos MORI on behalf of the Wellcome Trust

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Ministers 'seek 7-day consultants deal'

Ministers 'seek 7-day consultants deal' Consultants in England could be offered new NHS contracts within weeks, the BBC understands, after what ministers describe as "constructive" negotiations. BBC News

Care home offers a step between hospital and home for patients

Care home offers a step between hospital and home for patients New initiative sees independent care homes working with hospitals to provide a place for people to recuperate and alleviate pressures on acute care

A stroll up to the door of Harrogate Lodge care home in the Leeds suburb Chapel Allerton is leaf-lined and heralded with birdsong. It’s a far cry from the hospital corridor 90-year-old temporary resident Mavis found herself sleeping in a couple of weeks ago, after she had a fall at home.

Mavis has been in Harrogate Lodge for a week while she recovers from a urine infection and is well enough to go back to her home on the other side of the city. “It’s certainly quieter here,” she laughs, “and the food is lovely.” Continue reading... The Guardian

How do you radicalise a calm, dedicated doctor? Ask Jeremy Hunt

How do you radicalise a calm, dedicated doctor? Ask Jeremy Hunt The obduracy of the health secretary is putting untold pressure on the NHS and making enemies of its future leaders. The junior doctors’ strike must be resolved.

On the second day of the third strike, the junior doctors are standing as solid as ever, just over half are on strike, with most of those not striking staying in to cover emergency work. Thousands more non-urgent operations are cancelled, adding to the backlog already growing due to the extreme pressure the NHS was under long before this.

It’s an impasse. The new contract has been imposed and the government has withdrawn from all further talks while these young-ish doctors have been radicalised by the way they have been treated: they look unlikely to buckle any time soon – on the picket lines, they are garnering waves of public support in beeps, claps and whistles. Continue reading... The Guardian

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NHS hospitals now so overwhelmed patients could die, says top doctor

NHS hospitals now so overwhelmed patients could die, says top doctor The warning from doctors in acute care comes after the NHS admits it missed almost all key targets in January – its worst-ever set of figures.

Hospitals are now so overwhelmed patients could die, a doctors’ leader said on Thursday, adding that the NHS is now in an “eternal winter”.

The stark warning from doctors involved in acute care came after figures showed record numbers of sick people are having to wait longer than they should for treatment, with the NHS admitting it has missed almost all its key waiting time targets in the same month for the first time in hospitals in England. Continue reading... The Guardian

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Men with breast cancer being failed as they are 'treated like women'

Men with breast cancer being failed as they are 'treated like women' First major investigation into male breast cancer reveals significant differences in biology of disease, despite same treatments for men and women. The Daily Telegraph

Thursday, 10 March 2016

NHFT in top quarter of NHS trusts for openness and transparency

NHFT in top quarter of NHS trusts for openness and transparency Local healthcare provider Northamptonshire Healthcare NHS Foundation Trust has been ranked 56th out of 230 NHS Trusts in the Department of Health's ‘Learning from Mistakes League'.

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Kettering Hospital’s maternity service named as finalist for national award

Kettering Hospital’s maternity service named as finalist for national award Kettering General Hospital’s maternity service is a finalist for a national award that celebrates the way organisations use feedback from patients and staff to improve healthcare services. Northamptonshire Telegraph

Living with a long-term condition: the importance of psychological support

Living with a long-term condition: the importance of psychological support In a guest blog to coincide with the launch of our report on integrating physical and mental health care, Tessa Jelen writes about the importance of information and support – for both physical and mental wellbeing – for people diagnosed with a long-term condition. Tessa was a member of a focus group we ran as part of our research that explored service user perspectives on what well-co-ordinated, integrated care would look like. The King's Fund

The structure of the NHS in England

The structure of the NHS in England Major reforms to the structure of the health service in England were introduced by the Health and Social Care Act 2012, with a large number of new organisations established on 1 April 2013. This briefing provides an overview of the funding and accountability relationships under the new system, and an introduction to the roles of key organisations. It also highlights some of the key health policy issues for the current Parliament, including patient safety, funding, and the integration of health and social care. House of Commons Library

A&E delays 'reach record levels'

A&E delays 'reach record levels' A&E delays in England have reached record levels, official figures show, as demand soars. BBC News

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Second NHS strike day 'more difficult'

Second NHS strike day 'more difficult' The second day of the 48-hour junior doctors' strike on Thursday is likely to be more difficult for hospitals in England, NHS bosses are warning. BBC News

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Teen pregnancy rate 'continues to fall'

Teen pregnancy rate 'continues to fall' The number of teenage girls getting pregnant in England and Wales is continuing to fall, figures show. BBC News

New report calls for UK to become ‘tobacco-free’ by 2035

New report calls for UK to become ‘tobacco-free’ by 2035 Tobacco-related diseases on track to cost £3.6bn per year. OnMedica

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World Kidney Day: 10-year-old boy with no kidneys waits 9 years for donor organs

World Kidney Day: 10-year-old boy with no kidneys waits 9 years for donor organs There are around 7,000 people on the UK national transplant waiting list. The Independent

Nuffield Health: employee wellbeing is as important as patient health

Nuffield Health: employee wellbeing is as important as patient health Su Waters, head of recruitment, explains what it’s like to work at the not-for-profit healthcare provider, which is taking on staff in a range of roles Continue reading... The Guardian

Number of kidney stone cases increases by 115% in 10 years

Number of kidney stone cases increases by 115% in 10 years An increase in obesity may account for the greater prevalence of the condition, which can be mitigated by drinking enough water

Emergency hospital admissions for kidney stones have risen by 115% in a decade, figures indicate. Continue reading... The Guardian

Time to admit and resolve NHS errors

Time to admit and resolve NHS errors Telegraph View: Jeremy Hunt's laudable approach to clinical errors also shows the BMA how it should end its mistaken industrial action. The Daily Telegraph

British mums sent home sooner after birth than any other developed country

British mums sent home sooner after birth than any other developed country British women are sent home after 36 hours compared with two days in the US and more than four days in France. The Daily Telegraph

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Wednesday, 9 March 2016

Junior doctors’ strike sees Northampton General Hospital cancel 421 appointments

Junior doctors’ strike sees Northampton General Hospital cancel 421 appointments Bosses at NGH have been forced to cancel more than 400 appointments as junior doctors go on strike from 8am this morning (Wednesday). Northampton Chronicle and Echo

Junior doctors set for 48-hour strike

Junior doctors set for 48-hour strike Hospitals in England are braced for the third strike by junior doctors in their contract dispute with the government. BBC News

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NHS to introduce financial incentive to improve staff health

NHS to introduce financial incentive to improve staff health NHS England has announced plans to offer financial incentives to improve the health and wellbeing of NHS staff in England. NHS Employers

Protesters criticise scheme that puts Jobcentre advisors in GP practices

Protesters criticise scheme that puts Jobcentre advisors in GP practices Disability rights and mental health campaigners have slammed a pilot scheme to put Jobcentre employment advisors inside GP practices. GP Online

GP blackspots: Old, rich and white people more likely to get appointment than young and less well-off, report finds

GP blackspots: Old, rich and white people more likely to get appointment than young and less well-off, report finds Young people and the less well-off find it more difficult to get an appointment with a GP than older, whiter, richer people, according to a damning parliamentary report.

A growing shortage of doctors has been blamed on the Department of Health (DoH) and NHS England, which “failed” to ensure GP numbers kept pace with demand. The Independent

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International Women's Day: Top doctor warns of lack of women in surgery, as #WomenInStem celebrates females

International Women's Day: Top doctor warns of lack of women in surgery, as #WomenInStem celebrates females Women make up 13 per cent of the workforce in the fields of science, technology, engineering and maths. The Independent

More than 1,300 new cases of FGM are reported in England in three months

More than 1,300 new cases of FGM are reported in England in three months The latest figures from the Health and Social Care Information Centre show that more than 1,300 women were seen by the NHS in a three-month period after having their genitals mutilated. The Daily Mail

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Unions angered by 'miserly' 1% pay rise for public sector workers

Unions angered by 'miserly' 1% pay rise for public sector workers Award for NHS staff, doctors, dentists and armed services will force many to consider their futures in careers, warn workers’ representatives

Public sector workers including doctors and nurses will receive a 1% pay rise from the government, prompting an angry response from their unions.

More than 1 million employees, including staff in the armed forces, will receive the award from this year. Ministers have claimed the amount was in line with its policy of an average 1% pay increase in 2016-17. Continue reading... The Guardian

Bullying stopped staff reporting heart surgery deaths, says CQC

Bullying stopped staff reporting heart surgery deaths, says CQC Care Quality Commission inspectors find serious problems at heart unit of NHS Queen Elizabeth hospital in Birmingham

One of the NHS’s best hospitals ignored repeated warnings and evidence that too many heart patients were dying as a result of surgery intended to save their lives, the NHS care watchdog has revealed.

A new Care Quality Commission report into cardiac surgery at Queen Elizabeth medical centre in Birmingham is scathing about a litany of mistakes made by both surgeons there and the leadership of the NHS trust which runs the unit. Continue reading... The Guardian

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All hospital deaths to be examined by second doctor

All hospital deaths to be examined by second doctor Health secretary Jeremy Hunt to announce medics will provide a ‘second look’ at events preceding a patient’s death

All deaths in hospital will be examined by a second doctor unconnected to the patient’s treatment, in a move intended to improve care and help bereaved relatives understand why their loved one died.

Jeremy Hunt, the health secretary, told the Guardian he will announce the change – to take effect in England in 2018 – in a speech to a global summit on patient safety in London on Thursday. Continue reading... The Guardian

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E-cigarettes now the most popular form of support to stop smoking

E-cigarettes now the most popular form of support to stop smoking Today is No Smoking Day which has been running annually since 1983. The Daily Telegraph

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Tuesday, 8 March 2016

£11 billion cost of treating physical and mental health separately

£11 billion cost of treating physical and mental health separately A new report  shows that the psychological problems associated with physical health conditions, and vice versa, are costing the NHS more than £11 billion a year and care is less effective than it could be. The report argues that by integrating physical and mental health care the NHS can improve health outcomes and save money.

The £11 billion a year is the collective cost of:
  • high rates of mental health issues among those with long-term conditions such as cancer, diabetes or heart disease
  • limited support for the psychological aspects of physical health, for example during and after pregnancy
  • poor management of ‘medically unexplained symptoms’ such as persistent pain or tiredness.
The separation between physical and mental health has a high human cost: the life expectancy for people with severe mental illness (such as bipolar disorder or schizophrenia) is 15 to 20 years below that of the general population, largely as a result of physical health conditions. The King's Fund

Northamptonshire hospitals urge public to help relieve pressure during 48-hour strike by junior doctors

Northamptonshire hospitals urge public to help relieve pressure during 48-hour strike by junior doctors A 48-hour strike by junior doctors later this week has prompted calls by health authorities in Northamptonshire for people to help reduce pressure on NHS services. Northampton Chronicle and Echo

Pay review bodies recommend 1 per cent uplift for NHS staff

Pay review bodies recommend 1 per cent uplift for NHS staff The government has accepted recommendations from the independent pay review bodies that all NHS staff groups be awarded a 1 per cent consolidated pay increase with effect from April 2016. NHS Employers

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NHS child mental health money 'missing'

NHS child mental health money 'missing' Many mental health trusts in England have seen "no significant investment" in psychiatric services for children despite government plans to overhaul provision, say experts. BBC News

2.5m Brits bust alcohol limit in a day

2.5m Brits bust alcohol limit in a day Around 2.5 million people in Great Britain - 9% of drinkers - consume more than the new weekly recommended limit for alcohol in a single day, latest figures show. BBC News

Outmoded workforce planning poses risk to child health

Outmoded workforce planning poses risk to child health More paediatric trainees needed, says Royal College. OnMedica

Dementia: 'Most people' do not know a healthy lifestyle can prevent the disease

Dementia: 'Most people' do not know a healthy lifestyle can prevent the disease The majority of people do not know that leading a healthy lifestyle can help cut the risk of developing dementia, a new survey has shown.

Charity Alzheimer’s Research UK has conducted a survey to raise awareness of how the disease is not an inevitable part of ageing. The Independent

NHS mistakes cost lives. Here are four ways to improve patient safety

NHS mistakes cost lives. Here are four ways to improve patient safety Former health minister Lord Darzi on novel projects, including ambulance redesign and hospital drug charts

Almost 130 NHS patients are killed or harmed every day in the NHS as a result of errors in their treatment. Latest figures from a report by Imperial College London state: “in the six months from October 2014 to March 2015 there were 622,000 patient safety incidents recorded in general hospitals (acute, non-specialist, NHS trusts) in England and Wales. Of these, more than 23,000 caused moderate or severe harm and there were 716 deaths – four a day.”

To kickstart a global drive to reduce errors, improve care and save lives, ministers from countries across Europe will meet in London for the Patient Safety Global Action Summit 2016. The two-day conference, which begins on Wednesday, will assess the latest innovations in patient safety, the barriers to research, and how we can learn more from our mistakes. Continue reading... The Guardian

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NHS's first 'national guardian' resigns after two months

NHS's first 'national guardian' resigns after two months Dame Eileen Sills, whose remit was to support NHS whistleblowers, said she couldn’t combine role with other job as chief nurse.

A chief nurse who was appointed more than two months ago as the first “national guardian” with a remit to support NHS whistleblowers has resigned from the post.

Dame Eileen Sills said she had to step down due to her commitment to patients and staff at Guy’s and St Thomas’ NHS foundation trust, where she was chief nurse.

Brave decision by Dame Eileen Sills. Surely National Guardian must be a full time position to be effective. https://t.co/m7Zdv6uUUC

Not surprised Eileen Sills quit as national whistleblowers guardian. Chief nurse @ Guys & Thomas' was never going to work as part-time role Continue reading... The Guardian

Health and care integration will not happen unless budgets are pooled

Health and care integration will not happen unless budgets are pooled Siloed funding streams make it harder for services to work together. Despite the obstacles, full integration is the only way forward.

The desire to see integrated heathcare and social care services is broadly shared by care professionals, government bodies and special interest groups. But in England, successful integration is only found in local initiatives that focus on specific areas of care or patient groups. These successes are driven by joint working between local authorities and health trusts, plus third-sector organisations, and are to be commended; not least because they have generally been achieved despite national funding mechanisms working against them. Continue reading... The Guardian

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Patronising the overweight, unhealthy British public won't stop them eating and smoking

Patronising the overweight, unhealthy British public won't stop them eating and smoking Public Health England's decision to spend £3.5 million offering us blindingly obvious health tips won't solve anything. The Daily Telegraph

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Monday, 7 March 2016

Real trust rather than regulated trust should be the foundation on which improvement in the NHS is built

Real trust rather than regulated trust should be the foundation on which improvement in the NHS is built Last week we launched a report setting out the case for the NHS in England to adopt a quality improvement strategy.

This case received strong endorsement from Don Berwick and Maxine Power, looking from different ends of the quality improvement telescope, and from the leaders who attended the launch event. The sense that now is the time to rediscover the importance of quality improvement was palpable with a feeling of urgency about translating the principles in our report into practice. The King's Fund

NHS to introduce new £600m financial incentive to improve staff health

NHS to introduce new £600m financial incentive to improve staff health The NHS in England is step up its efforts to improve the health of its 1.3 million staff by offering financial incentives to support their heath and provide them with healthy food options.

Simon Stevens, the Chief Executive of NHS England, said he hoped that more employers from public and private sectors would follow the health service example.

Management by geographical area or management specialised by disorder? A mixed-methods evaluation of the effects of an organisational intervention on secondary mental health care for common mental disorder

Management by geographical area or management specialised by disorder? A mixed-methods evaluation of the effects of an organisational intervention on secondary mental health care for common mental disorder In 2010, South London and Maudsley NHS Foundation Trust established a programme replacing the borough directorates responsible for adult mental health services with three clinical academic groups (CAGs), each of which took on a subset of adult services straddling all four boroughs. This study aimed to understand the CAG programme by using realistic evaluation and assess whether it has led to changes in activity and health care quality. National Institute for Health Research

VIDEO: New funding to help prevent stillbirths

VIDEO: New funding to help prevent stillbirths Every day in the UK 11 babies are stillborn - and research shows we still lag behind other wealthy countries when it comes to tackling the issue. BBC News

Dementia awareness plan for over-40s

Dementia awareness plan for over-40s People over 40 in England are to be given more information about dementia to help improve early diagnosis of the condition, the health secretary says. BBC News

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Health campaign targets over-40s

Health campaign targets over-40s Unhealthy middle-aged people must improve their lifestyles if they want to enjoy a healthy retirement, a new government campaign is warning. BBC News

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Zika vaccine possible 'within months'

Zika vaccine possible 'within months' A Zika vaccine could be ready for human trials in the summer, according to the man in charge of the US government's research programme. BBC News

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RCGP revalidation overhaul to scrap doubling of CPD points for 'impact'

RCGP revalidation overhaul to scrap doubling of CPD points for 'impact' The RCGP has backed plans to simplify GP revalidation from April by scrapping a mechanism that allows doctors to claim double credits for CPD by demonstrating the impact of their learning. GP Online

NHS denies reports women will be pressurised to have babies so their organs can be harvested

More than a million Britons have been to see GPs over rent worries, says Shelter

More than a million Britons have been to see GPs over rent worries, says Shelter Doctors treat stress and anxiety as more than half the people in England fear losing their homes. The Independent

There's a long list of NHS inquiries, but what have they actually changed?

There's a long list of NHS inquiries, but what have they actually changed? From Mid Staffs to Morecambe Bay, inquiries into poor care are cathartic. But too often they have unintended consequences, or are ignored.

The claim by the chair of the Morecambe Bay inquiry (pdf) that the NHS risks “another avoidable disaster” by failing to implement the recommendations in his report highlights the dangers of using inquiries to drive service improvements.

According to Nursing Times, Dr Bill Kirkup claimed that almost a year after the inquiry into failures in maternity care at Furness general hospital that contributed to the deaths of at least 11 babies and one mother, there has been progress on only 10 of the 26 national recommendations the report made. Kirkup was particularly concerned that his calls for the introduction of investigations by professional regulators, national reviews into isolated rural services and a review of the NHS complaints system have yet to be fully implemented. Continue reading... The Guardian

Migrants on the NHS: 'You're targeted because you have an accent'

Migrants on the NHS: 'You're targeted because you have an accent' Mary was hit with a £5,000 bill after her son got meningitis. Campaigners say NHS staff are put in an impossible position when forced to decide on eligibility.

When Mary’s 17-year-old son, the oldest of her five children, began complaining of pain and taking medication early last year, she put it down to stress. Though her family had a GP, it was some months before she took the teenager to the surgery to find out exactly what was wrong.

What happened next – the scare of a serious illness, the joy of recovery, the shock of a bill for more than £5,000, and the eventual realisation the NHS should not have charged for his treatment in the first place – is, according to some people concerned at ministers’ renewed emphasis on recovering health costs from overseas visitors to the UK, a salutary reminder of the possible consequences. Continue reading... The Guardian

Hospice UK attacks plan to extend NHS charges for non-EU patients

Hospice UK attacks plan to extend NHS charges for non-EU patients Including end-of-life care is ‘inappropriate’, says charity as it joins GPs in opposing proposals to widen charging regime.

The hospice movement has condemned moves by the Department of Health in England to include end-of-life care in its plans to widen charges for treating overseas visitors and migrants using the NHS.

Hospice UK, the charity that champions the work of about 200 organisations, said the suggestion was inappropriate and not in keeping with the principle of “free, unprejudiced care”. Continue reading... The Guardian

Hospital suspends consultant who stopped surgeon operating while wearing headscarf

Hospital suspends consultant who stopped surgeon operating while wearing headscarf Vladislav Rogozov is being investigated by Sheffield Teaching Hospitals' NHS Trust after going public with concerns on blog. The Daily Telegraph

Friday, 4 March 2016

Antibiotic call over hospital care tubes

Antibiotic call over hospital care tubes Fewer children would develop infections in intensive care if the plastic tubes used to deliver drugs straight into their veins were coated in antibiotics, a study in The Lancet suggests. BBC News

Exclusive: NHS officials declare 20% of GP practices 'vulnerable' in parts of England

Exclusive: NHS officials declare 20% of GP practices 'vulnerable' in parts of England More than 20% of GP practices in parts of England have been identified as 'vulnerable' by NHS officials administering an emergency support fund. GP Online

Final-year medical students face delay to job offers

Final-year medical students face delay to job offers Students say UK Foundation Programme Office hold-up is a blow at a time when morale is already low due to junior doctor contracts row

Thousands of final-year medical students have been left with no idea where they will begin work after the body responsible for making job offers took a last-minute decision not to publish the results of their applications on Thursday.

Students due to hear news of where they were starting their first jobs expressed anger and frustration after the examining body admitted it would not be publishing the details on time.
Continue reading... The Guardian

Leading hospital under CQC scrutiny over high heart surgery death rate

Leading hospital under CQC scrutiny over high heart surgery death rate Queen Elizabeth hospital in Birmingham must report surgery results weekly to inspectors, who considered closing unit

One of the country’s best-known hospitals has been told to report weekly to inspectors on the results of its adult heart operations after it was discovered too many of its patients were dying during and after treatment.

The Guardian can reveal that the Care Quality Commission (CQC) visited the Queen Elizabeth hospital, Birmingham before Christmas after it was alerted to the high death rate in open-heart surgery. Calculations by the Guardian suggest that 17 people may have died over the last three years who should have survived. Continue reading... The Guardian

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How much are junior doctors paid, and why are they threatening to strike?

How much are junior doctors paid, and why are they threatening to strike? As the British Medical Association prepares for industrial action, ending in the first 'all out' strike by medics in the history of the NHS, we examine the issues.The Daily Telegraph

Sepsis diagnosis numbers hits 400 a day with over-prescription of antibiotics blamed 

Sepsis diagnosis numbers hits 400 a day with over-prescription of antibiotics blamed  Experts say the rise in Sepsis is down to several reasons, including resistance to antibiotics, the aging population and more patients undergoing surgery and chemotherapy. The Daily Mail

Nigerian nurse worked in UK hospitals for decade before she was detected as illegal immigrant

Nigerian nurse worked in UK hospitals for decade before she was detected as illegal immigrant Medic struck off after being able to avoid detection for ten years without being questioned about immigration status or producing correct documentation. The Daily Telegraph

Thursday, 3 March 2016

‘I will not be getting the care I have now’: Northampton man’s fears over social care cuts

‘I will not be getting the care I have now’: Northampton man’s fears over social care cuts A former youth worker from Northamptonshire who has used a wheelchair all his life believes the £24 million of care cuts approved by the county council could have a drastic affect on lives. Northampton Chronicle and Echo

A perfect storm: an impossible climate for NHS providers’ finances? An analysis of NHS finances and factors associated with financial performance

A perfect storm: an impossible climate for NHS providers’ finances?  An analysis of NHS finances and factors associated with financial performance This report examines the financial performance of the NHS in England. The main focus is on the finances of NHS providers and the financial position of the commissioners of care (NHS England and clinical commissioning groups).

The report examines commissioners’ budgets and how spending has changed by type of provider, as well as the specific issues facing NHS providers. It also includes the findings of a statistical analysis that set out to identify factors that are most strongly associated with an acute or specialist provider’s deficit.

Analysis finds that organisations with a high proportion of their pay bill going on agency staff coupled with more of their income being paid through the PbR tariff rather than negotiated prices are associated with being in deficit. We also find that poor quality ratings either from CQC or the hospital’s own staff are associated with poor finances. This is not causation and our analysis can’t tell us if finances cause quality problems, quality problems cause finance problems or, as is most likely, they are bound together in complex inter-connected ways. The Health Foundation

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Engagement is up according to the NHS Staff Survey, but at what cost? 

Engagement is up according to the NHS Staff Survey, but at what cost?  When the concept of engagement at work was introduced by William Kahn in 1990, he described it as the expression of our ‘preferred self’ in tasks that promote connection with our work and with others. Engagement underlies effort, involvement, flow, mindfulness and intrinsic motivation. The good news then is that levels of engagement, as recorded in the NHS Staff Survey, have increased since last year. So can we all relax?

Far from it. While the survey results can be presented from a ‘glass half full’ perspective, if we see the glass as half empty then the results are disturbing. They suggest that of the 1.4 million people who make up the NHS workforce:

  • 41 per cent would not recommend their trust as a place to work
  • 57 per cent say they are unable to meet the conflicting demands on them at work
  • 13 per cent report being bullied by their managers
  • 15 per cent have been assaulted at work in the previous year
  • only 39 per cent feel they are able to deliver the quality of care they wish to patients
  • 31 per cent did not agree that they would feel happy with the quality of care in their organisations if a friend or relative needed treatment
  • only 42 per cent agreed that their roles actually make a difference to patients.
And the list goes on: only 52 per cent of staff report feeling satisfied with the recognition for their contributions; only 42 per cent feel their work is valued by their organisations; 27 per cent do not have the opportunity to show initiative and 25 per cent do not feel able to make suggestions to improve the work of their team or department; and only 56 per cent say they are able to make improvements happen in their area of work. The King's Fund

A long and winding road: improving communication with patients in the NHS

A long and winding road: improving communication with patients in the NHS This report warns that poor communication in the NHS has a profound impact on patient care, staff burnout and public funds. It argues that inadequacies in communication are damaging medical care and wasting much-needed NHS resources and estimates that the total cost, in England alone, is likely to be in excess of £1 billion a year. It says that better communication between healthcare professionals and patients can save costs, improve health outcomes and enhance the quality of experience of patients and the professionals who support them. Marie Curie

Research and analysis: Interventions to prevent burnout in high risk individuals: evidence review

Research and analysis: Interventions to prevent burnout in high risk individuals: evidence review Although there is existing evidence on what works to treat burnout and work-related stress, there is less on what works to prevent it from occurring in the first place.

This report provides an overview of literature covering how to prevent burnout and work-related stress in individuals and within organisations. Public Health England

Healthcare public health in England: capacity and capability review

Healthcare public health in England: capacity and capability review This report summarises the responses of around 110 directors of public health, training programme directors and specialty registrars who responded to survey and focus-group work exploring their views on the state of the healthcare public health function - particularly that delivered back into the NHS. Responses from Scotland were very positive, but the situation in England was very mixed with some real challenges and concerns. Faculty of Public Health

What is the role of voluntary, community and social enterprise (VCSE) organisations in care and support planning?

What is the role of voluntary, community and social enterprise (VCSE) organisations in care and support planning? This paper suggests that the knowledge, skills, experience and resources of VCSE organisations are crucial to the widespread implementation of care and support planning. It argues that charities have a vital role in supporting people to develop care and support plans, and in working with people with long-term conditions and their clinical teams to put the plans into practice. National Voices

Meningitis B petition rejected

Meningitis B petition rejected Offering the meningitis B vaccine to all children is "not cost effective" and would be a waste of NHS resources, the government says. BBC News

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Health services watchdog gets powers to set fees to cover all its services

Health services watchdog gets powers to set fees to cover all its services CQC will be able to charge for full costs of assessments and inspections from April 1. OnMedica

Jeremy Hunt's confrontation with junior doctors 'derailed the NHS' own work to deliver seven-day service'

Jeremy Hunt's confrontation with junior doctors 'derailed the NHS' own work to deliver seven-day service' British Medical Journal editor Dr Fiona Godlee accused Mr Hunt of 'misusing' evidence of higher weekend mortality in hospitals to 'beat up' doctors. The Independent

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Best-selling blood pressure app is 'so inaccurate it gives false warnings 80% of the time - putting people's health at risk'

Best-selling blood pressure app is 'so inaccurate it gives false warnings 80% of the time - putting people's health at risk' Scientists from Johns Hopkins University revealed the app called Instant Blood Pressure - which has been downloaded more than 100,000 times - gives inaccurate readings. The Daily Mail

Brilliant clinicians need a brilliant support workforce

Brilliant clinicians need a brilliant support workforce Support workers have a vital role to play in the future of the NHS so how can they be given the time and support to develop?

In healthcare, the focus is often on brilliant surgeons, nurses or doctors (who, of course, we applaud). However, nurses and other medical professionals in the UK would not be able to do their job without the dedicated assistance of the support workforce.

The level of responsibility these health and care support workers have is increasing as the financial strain on the NHS makes the case for transferring more activities away from clinical staff. Continue reading... The Guardian

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Almost 300 GP surgeries in England could close due to finances – poll

Almost 300 GP surgeries in England could close due to finances – poll BMA survey of 2,830 GP surgeries – a third of practices in England – finds that 10% believe they are financially ‘unsustainable’

Almost 300 GP surgeries in England face closure because of financial pressures and nearly half have doctors planning to leave the NHS, according to a BMA survey.

The poll, which received responses from about a third of all surgeries, paints a bleak picture of the prospects for general practice with just one in 20 reporting that its finances were in a strong state. Continue reading... The Guardian

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The Guardian view on childhood obesity: fizz with indignation | Editorial

The Guardian view on childhood obesity: fizz with indignation | Editorial The official action plan has been delayed, again. With continuing resistance to a tax on sugary drinks, this is a case of drift, rather than deliberation.

The first thing to know about nutrition is that nobody is certain about very much. Data gets painstakingly collected in diaries which don’t give a full dietary picture: even if people don’t actually fib, they won’t always be sure of everything they've consumed, and may eat more thoughtfully when they know they’re going to be writing it down. The health consequences show up only slowly, which makes it necessary to keep tabs on the same patients for decades, which isn't easy to do. The chemical effect of a particular food may depend on how it is prepared, and even the mix of things it is served with. Continue reading... The Guardian

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Cash paid by European Union migrants to use British hospitals falls despite surge in EU nationals moving to the UK

Cash paid by European Union migrants to use British hospitals falls despite surge in EU nationals moving to the UK Cash clawed back from European Union migrants who use British hospitals has fallen over the past year despite a surge in EU nationals moving to the UK.

Britain paid out £647.4million to EU countries to cover their health costs last year – but received only £49.7million in return from EU countries treating Britons. The Daily Telegraph

Number of 'legal highs' soaring, warns United Nations body

Number of 'legal highs' soaring, warns United Nations body International Narcotics Control Board says more than 600 new psychoactive substances were reported around the world last year, a rise of 55 per cent. The Daily Telegraph

Wednesday, 2 March 2016

Appeal to raise £20,000 for ‘must-have’ equipment for intensive care patients at Kettering Hospital

Appeal to raise £20,000 for ‘must-have’ equipment for intensive care patients at Kettering Hospital An appeal has been launched to raise £20,000 to buy new equipment which could be a lifeline for patients in intensive care. Northamptonshire Telegraph

Recruitment day is being held at Northampton General Hospital

Recruitment day is being held at Northampton General Hospital A recruitment day is being held next Tuesday at Northampton General Hospital. Northampton Chronicle and Echo

Press release: Fewer adults dying from conditions directly caused by alcohol

Press release: Fewer adults dying from conditions directly caused by alcohol New figures show fewer adults are dying from alcohol-specific conditions, such as alcoholic liver disease and alcohol poisonings.

The latest update to the Local Alcohol Profiles for England (LAPE) data tool shows that nationally, alcohol-specific deaths fell by 3% to 17,755 deaths. Alcohol-related deaths have seen a slight increase, year on year, from an estimated 22,330 in 2012 to 22,976 in 2014. Alcohol-related deaths include conditions that are partially related to alcohol, such as heart disease and certain cancers. Public Health England

Zika virus: updated travel advice for pregnant women

Zika virus: updated travel advice for pregnant women Public Health England and the National Travel Health Network and Centre have been carefully monitoring the evolving Zika virus outbreak in South and Central America and the Caribbean and are now issuing updated travel advice for pregnant women and advice on preventing sexual transmission.

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Delivering for patients with rare diseases: Implementing a Strategy

Delivering for patients with rare diseases: Implementing a Strategy The UK Rare Disease Forum (the group charged with monitoring the implementation of the UK Strategy for Rare Diseases) has published its first progress report. The report recognises that there has been significant progress across the UK but much remains to be done to meet the needs of the millions of people affected by rare diseases.

New initiative aims to improve maternity services through patient feedback

New initiative aims to improve maternity services through patient feedback Maternity services have been invited to bid for money from a new Challenge Fund aimed at finding innovative ways to use patient feedback to improve services.

Emails with full details have gone out to chief executives of all trusts inviting them to put in their bids to be among the two to four projects that will get funding for their initiative from the £195,000 available. NHS England

Triple Aim strategies to improve behavioural health care

Triple Aim strategies to improve behavioural health care This guide describes strategies, action steps and examples for hospitals, health systems and community stakeholders working together to develop a well-coordinated, accessible, affordable and accountable system for delivering behavioural health care. The case studies in the guide provide examples of how hospitals and health systems, working with community partners, can improve the quality of and access to behavioural health care, while bending the cost curve and improving community health. Hospitals in Pursuit of Excellence

Rise in hip replacements for under-60s

Rise in hip replacements for under-60s The number of hip replacement operations on people aged under 60 has risen 76% in the last decade, NHS figures for England reveal. BBC News

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Ambulance chief in 111 row 'told to go'

Ambulance chief in 111 row 'told to go' The chairman of the scandal-hit South East Coast Ambulance Service, Tony Thorne, is told to leave his post, the BBC understands. BBC News

Exclusive: Patients consulted in less than half of PMS reviews that could cut services

Exclusive: Patients consulted in less than half of PMS reviews that could cut services Commissioners have consulted patients in less than half of completed PMS reviews that are expected to change GP services, GP Online has learned.

NHS failing to answer patients’ questions, warns Ombudsman

NHS failing to answer patients’ questions, warns Ombudsman The NHS too often fails to answer patients’ questions and forces them to contact the Ombudsman service for answers, according to a report* published today.

The Parliamentary and Health Service Ombudsman's latest snapshot of cases report included many cases where questions about mistakes or oversights by the health service were unanswered by the NHS itself. OnMedica

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Patients who do not use GP for five years 'may be barred from practice'

Patients who do not use GP for five years 'may be barred from practice' The plan being developed in the east of England is intended to find out if people no longer require services, have moved house or have died.

Patients who do not visit their GP for five years could be barred from their doctor’s surgery under plans being developed in the east of England.

Under the move, patients who have not seen their GP for five years will be sent two letters asking them to respond. If they do not get in touch to say they still wish to be registered with their GP, they will be removed from the GP practice list. Continue reading... The Guardian

The five principles behind the world’s most efficient health systems

The five principles behind the world’s most efficient health systems Some nations pay half what others do for healthcare and yet get the same or better outcomes. Here’s why.

One of the greatest conundrums in global health is why so many countries don’t get what they pay for. A relationship between health expenditure and health exists, but is far looser than you might think. Many nations spend a quarter or even a half of what others do for the same or better outcomes.

Lifestyle and cultural factors undoubtedly play a role in this, but after working in more than 60 countries, I have seen how patterns in the way that healthcare is managed, delivered and funded is also crucial. Here are five factors that are often at play: Continue reading... The Guardian

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Life-changing Sickle Cell Disease treatment approved by NHS watchdog

Life-changing Sickle Cell Disease treatment approved by NHS watchdog A new automatic blood transfusion treatment will half the number of visits to hospital for people with Sickle Cell Disease. The Daily Telegraph

Ban contact rugby in schools, say health experts

Ban contact rugby in schools, say health experts Dozens of doctors and health experts have written to the Government calling for a ban on tackling in school rugby games to avoid needless injuries. The Daily Telegraph

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