Thursday, 6 October 2016

UK Ebola nurse taken to hospital under police escort

UK Ebola nurse taken to hospital under police escort A Scots nurse who was treated for Ebola is in a stable condition after being taken to hospital under police escort.

Pauline Cafferkey, 40, was admitted to Glasgow's Queen Elizabeth University Hospital after being taken from her home in South Lanarkshire at 09:30.

She is undergoing routine monitoring by the Infectious Diseases Team and remains in a stable condition. BBC News

Wasted money?

Wasted money? The NHS says there's "no good-quality evidence" that homeopathy is effective as a treatment for any health condition, yet it funds it. Why and to what extent?

Homeopathy is an extremely controversial issue - so it's no surprise it came top of our poll of readers when we asked what they would like us to investigate. BBC News

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PM ‘disconnected from reality’ when it comes to NHS

PM ‘disconnected from reality’ when it comes to NHS The chair of the British Medical Council has accused the Prime Minister of being out of touch when it comes to the health service.

Responding to comments on the NHS made by Prime Minister, Theresa May at the Conservative party conference, Dr Mark Porter, chair of BMA council, said:

“There is a real disconnect between the rhetoric of Theresa May’s speech, and the reality facing the NHS. Nothing in today’s speech will address the concerns of patients, the public and frontline NHS staff on how the NHS will rise to the enormous challenges facing it.” OnMedica

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Junior doctors' contract should be scrapped, says senior doctor

Junior doctors' contract should be scrapped, says senior doctor The junior doctors’ contract “should be scrapped, a leading doctor argues today in a top medical journal.

In an editorial * for The BMJ today, Neena Modi, Professor of neonatal medicine and president of the UK Royal College of Paediatrics and Child Health, says the junior doctors contract “should be discarded and replaced with one drawn on a clean sheet.”

Professor Modi says the total breakdown of trust between government and junior doctors “represents a catastrophic failure of senior leadership at all levels.” OnMedica

Number of killings by mental health patients falls

Number of killings by mental health patients falls Study suggests that improved NHS care could be behind fall in number of homicides but suicide increases

The number of killings by patients being treated for mental health problems is falling, probably as a result of improved NHS care, a major new report reveals today.

But the number of suicides has increased across the UK since the financial crash in 2008 – except in Scotland – with middle-aged men the most likely group to take their own life. There are concerns that every year dozens of patients may be killing themselves after they have been wrongly released from hospital because mental health units have too few bedsContinue reading... The Guardian

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Alcohol continues to be sold at 'pocket money prices', report finds

Alcohol continues to be sold at 'pocket money prices', report finds Study from Alcohol Health Alliance finds cider on sale at 16p a unit, way below the 50p minimum recommended unit price

Alcohol continues to be sold at “pocket money” prices across the UK, with white cider on offer for pennies, according to a report.

The study from the Alcohol Health Alliance (AHA) concluded that little has changed in recent years when it comes to people being able to buy cheap booze from supermarkets and off-licences. Continue reading... The Guardian

Fear patients are being put at risk because vital money is not being invested in GPs

Fear patients are being put at risk because vital money is not being invested in GPs Dr Maureen Baker, chair of the Royal College of GPs, will say that up to £800million earmarked for practices is instead being used to bail out debt-ridden hospitals. The Daily Mail

Why Alzheimer's in women is being missed: Their better memory of words means early signs of the disease go undetected

Why Alzheimer's in women is being missed: Their better memory of words means early signs of the disease go undetected Females have an inbuilt buffer against the early symptoms of Alzheimer’s – meaning it is not spotted until later, researchers from the Albert Einstein College of Medicine in New York found. The Daily Mail

Wednesday, 5 October 2016

Delays to the creation of a new children’s services trust in Northamptonshire could cost up to £7.3m

Delays to the creation of a new children’s services trust in Northamptonshire could cost up to £7.3m Plans to move the department that looks after vulnerable children at Northamptonshire County Council over to a limited company will not now happen until at least December 2017, meaning most of the savings it promised to bring will not be achieved in this year’s budget. Northampton Chronicle and Echo

World alzheimer report 2016: Improving healthcare for people living with dementia - coverage, quality and costs now and in the future

World alzheimer report 2016: Improving healthcare for people living with dementia - coverage, quality and costs now and in the future This report reviews research evidence on the elements of healthcare for people with dementia, and, using economic modelling, suggests how it should be improved and made more efficient. It argues that current dementia healthcare services are over-specialised, and that a rebalancing is required with a more prominent role for primary and community care which could increase capacity, limit the increased costs associated with scaling up coverage of care, and, coupled with the introduction of care pathways and case management, improve the coordination and integration of care. Alzheimer's Disease International

Cohort study of 2006 medical graduates: tenth report

Cohort study of 2006 medical graduates: tenth report The BMA Cohort Doctor report is a ten year study of 430 doctors who, nine years post-graduation, are mostly progressing through specialty training or are working as qualified GPs. This report provides insights into career choice and working environments in terms of workplace morale, work related stress and work-life balance. It finds that almost half of doctors are looking to move overseas as their current experience of being a doctor is worse than they expected when they graduated. British Medical Association

Most areas 'struggling' on cancer care

Most areas 'struggling' on cancer care More than eight in 10 areas need to improve if England is going to meet its ambitious target of developing "world class" cancer care by 2020, according to an analysis by NHS bosses. BBC News

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NICE approves first new drug for Cancer Drugs Fund

NICE approves first new drug for Cancer Drugs Fund Lung cancer drug osimertinib has become the first new treatment made available by NICE under the Cancer Drugs Fund since it began an overhaul of the scheme earlier this year. GP Online

NHS England chief faces his biggest challenge

NHS England chief faces his biggest challenge The changing face of government will test Simon Stevens’s delicate balancing act, keeping both the ‘NHS family’ and his new political masters happy

Simon Stevens’s long honeymoon is finally coming to an end. NHS England’s chief executive has in his two and a half years in the job skilfully kept his own side, “the NHS family”, believing in both his vision for the future as the only answer to what some see as the service’s potentially existential problems and, crucially, his ability to deliver. At the same time he has enjoyed strong relationships in government, including in No 10 and the Treasury. Persuading a dubious George Osborne, the former chancellor, last autumn to frontload £3.8bn into this year’s NHS budget of the extra £8bn promised by 2020, to cover deficits and kickstart the belated implementation of 2014’s Five Year Forward View, was Stevens at his influential best. Continue reading... The Guardian

Jeremy Hunt accused of devaluing contribution of foreign doctors to UK

Jeremy Hunt accused of devaluing contribution of foreign doctors to UK Health secretary’s plan to produce more homegrown doctors by increasing places at medical schools has drawn criticism

Jeremy Hunt has been criticised over plans to train more homegrown physicians to make the NHS “self-sufficient” in doctors after Britain leaves the EU.

The health secretary will tell the Conservative party conference on Tuesday that UK medical schools will be allowed to offer up to 1,500 extra places a year to reduce reliance on foreign-trained medics.

Theresa May just brough back her racist #GoHomeVans - for our NHS doctors. Dangerous and disgraceful.

The arrogance of this from UKG is breathtaking...like they're somehow doing these doctors a favour by 'allowing' them to save lives here. https://t.co/oUnOiEkRfG

My dad is a senior doctor with nearly 30 years service to this once great country. Is he supposed to pack up and go back to Iraq?

My parents coming here has added 1 doctor, 2 dentists, and a psychologist to the country but hey, whatever, back to Iraq it is Continue reading... The Guardian

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Student nurse 'on the brink of giving up' reveals what her job is really like

Student nurse 'on the brink of giving up' reveals what her job is really like The anonymous submission from a single mother in Ireland reveals her struggles from looking after 20 patients to having so little money she worries she can't pay the bills. It already has 10,000 likes. The Daily Mail

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The NHS by numbers

The NHS by numbers Here is a look at the numbers behind the National Health Service as Jeremy Hunt is expected use his Conservative Party conference speech to announce plans to train up to 1,500 more doctors a year in England. The Daily Telegraph

Tuesday, 4 October 2016

Crime & disabled people: Measures of disability-related harassment – 2016 update

Crime & disabled people: Measures of disability-related harassment – 2016 update This report from the Equality and Human Rights Commission provides the latest data for England, Wales and Scotland against the following Manifesto for Change measures, with analysis of change over time:

  • number of victims of hate crimes
  • proportion of disability-related crime incidents reported to the police
  • satisfaction with police handling of crime incidents
  • experience of any crime in the previous 12 months
  • worry about being a victim of crime

Cosmetic surgery check-list for patients

Cosmetic surgery check-list for patients The Royal College of Surgeons is offering patients seeking cosmetic surgery practical advice about how to pick the right hospital and doctor. BBC News

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Seven in 10 nurses say young people's mental healthcare is inadequate

Seven in 10 nurses say young people's mental healthcare is inadequate Poll of specialist workers finds that 20% believe services are seriously lacking, with potentially dangerous consequences

Seven out of 10 specialist nurses caring for the growing number of young people struggling with mental health problems believe that NHS services are insufficient.

Half of all mental health nurses working with troubled young people say child and adolescent mental health services (Camhs) are inadequate and another 20% say they are highly inadequate, according to a poll undertaken by the Royal College of Nursing (RCN) for the Guardian. Only 13% believe they are good or very good, while the rest say they are adequate. Continue reading...

Jeremy Hunt promises to end NHS reliance on overseas doctors after Brexit

Jeremy Hunt promises to end NHS reliance on overseas doctors after Brexit Health secretary to outline plans in Tory conference speech for up to 1,500 additional training places every year in UK medical schools

Jeremy Hunt is to pledge that the NHS in England will be “self sufficient” in doctors after Britain leaves the European Union as he sets out a package of measures aimed at reducing its reliance on foreign-trained medics.

The health secretary will use his speech to the Conservative party conference on Tuesday to promise that medical schools in the UK will be allowed to offer up to 1,500 extra training places a year, and released figures that said that one in four NHS doctors have been trained abroad. Continue reading... The Guardian

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Children's mental health in crisis – readers share their stories

Children's mental health in crisis – readers share their stories Despite the collective efforts of schools, social workers and hospitals, children and parents speak of reduced services unable to help patients until their condition becomes critical. Here, 20 readers talk about their experiences

New figures show in June that nearly a quarter of a million children and young people were in contact with mental health services for problems such as anxiety, depression and eating disorders.

The NHS data highlights the scale of the growing crisis in young people’s mental health. But what help is there for those who need it? Research shows 28% of children referred for support in England – including some who had attempted suicide – received no help in 2015.

Whether we like it or not, teachers will be in the frontline on the critical issue of children’s mental health. Continue reading... The Guardian

Can a digital revolution save the NHS?

Can a digital revolution save the NHS? Embracing advances in technology could be the answer to the health service’s financial crisis but things won’t magically change overnight

As the NHS sinks ever deeper into financial crisis, and the search for efficiencies intensifies, it is unsurprising that the idea of harnessing the digital revolution to the way healthcare is delivered is gathering policy steam. Notwithstanding the spectacular top-down failure of the NHS National Programme for IT and the disappointing results of the national Whole System Demonstrator programme, it is entirely reasonable to revisit the ways in which advances in technology might offer smart solutions.

Currently the policy landscape is littered with strategies, reports and evolving structures. The health secretary, Jeremy Hunt, says the NHS must “go paperless” – by 2020 according to the Five Year Forward View; a national information board has been set up to deliver on this commitment; the air is thick with centrally-driven frameworks like the digital maturity index and local digital roadmaps; and a new digital delivery board has been set up by NHS England. Meanwhile, the influential Wachter Review along with weighty reports from the Nuffield Trust and the King’s Fund are all ratcheting up the pressure for change. Continue reading... The Guardian

Consultants sign letter expressing 'deep concerns' over Jeremy Hunt's plans

Consultants sign letter expressing 'deep concerns' over Jeremy Hunt's plans In the letter, organised by the Junior Doctors' Alliance, consultants said they were concerned by plans to create a 'truly seven-day NHS' - a phrase used by Health Secretary Jeremy Hunt. The Daily Mail

Billions of farming subsidies could be diverted to NHS after Brexit, says Theresa May adviser

Billions of farming subsidies could be diverted to NHS after Brexit, says Theresa May adviser Some of the billions of pounds handed to farmers every year could be diverted to cash-strapped hospitals after Britain leaves the European Union, Theresa May’s top policy adviser has said.

George Freeman MP, who chairs the Prime Minister’s policy board, said once people realised how much cash was spent on farming subsidies they would want it to be diverted to hospitals, unless ministers made a strong case for how the money was spent. The Daily Telegraph

Cancer care 'inadequate' at eight in 10 NHS groups, inspections to show 

Cancer care 'inadequate' at eight in 10 NHS groups, inspections to show More than eight in 10 NHS bodies are letting down cancer patients through late diagnosis, poor survival rates and delayed treatment, official figures will reveal this week.

The first Ofsted-style ratings show that the vast majority of areas are providing substandard services, with just 14 per cent of areas receiving a positive report.

Jeremy Hunt, the Health Secretary, ordered the inspections last year in an attempt to improve the country’s record on cancer, following figures showing that the UK has the worst cancer survival rate in western Europe. The Daily Telegraph

Monday, 3 October 2016

Top bosses at charity hospital in Northampton paid £1.9m

Top bosses at charity hospital in Northampton paid £1.9m Seven executives at a charitable hospital in Northampton were each paid more than £200,000 last year, latest accounts show. Northampton Chronicle and Echo

Health experts launch campaign to get people in Northamptonshire to get the flu jab

Health experts launch campaign to get people in Northamptonshire to get the flu jab Thousands of people in Northampton whose lives could be at risk from flu are being urged by health leaders at NHS Nene Clinical Commissioning Group (CCG) to protect themselves as early as possible with a free flu jab. Northampton Chronicle and Echo

No easy solutions for workforce development

No easy solutions for workforce development Our latest quarterly monitoring report underlined how much pressure the NHS is under. Responses to this pressure are developing at extraordinary pace. Earlier this year, the ‘footprints’ for sustainability and transformation plans (STPs) were agreed in a matter of weeks, the draft plans just a few weeks later, and we expect plans to be finalised in October. The mechanism by which Sustainability and Transformation Fund money can be ‘switched off’ if trusts miss their quarterly financial targets maintains a sense of urgent pace. The King's Fund

Guidance: OAPs in mental health services for adults in acute inpatient care

Guidance: OAPs in mental health services for adults in acute inpatient care The government has set a national ambition to eliminate inappropriate out of area placements (OAPs) in mental health services for adults in acute inpatient care by 2020 to 2021.

This definition of OAPs has been developed following significant stakeholder engagement to enable progress against the ambition to be monitored. It is aimed at providers, commissioners and users of local adult inpatient acute mental health services in England.

It is intended to support providers and commissioners in accurately monitoring and reducing their use of OAPs and to help providers submit accurate information on OAPs to national data collections. It will also be of interest to individuals using mental health services and who may be placed out of area for their care. Department of Health

Knowing you’re not alone: understanding peer support for stroke survivors

Knowing you’re not alone: understanding peer support for stroke survivors Stroke Association Voluntary Groups (SAVGs) are volunteer-led, peer support groups based in local communities across the UK. Through the support they offer, SAVGs aim to improve outcomes for stroke survivors and the people who care for them. The Nuffield Trust was commissioned by the Stroke Association to independently evaluate the impact of the groups.

Inequalities in mental health, cognitive impairement and dementia among older people

Inequalities in mental health, cognitive impairement and dementia among older people This report focuses on inequalities in the experience and prevalence of poor mental health, cognitive impairment and dementia and the impact of social isolation, lack of mental stimulation and physical activity, before and after retirement, and in later old age. If finds that these issues can exacerbate the risks of poor mental health, cognitive impairment and dementia in later life and are experienced disproportionately by people in lower socio economic groups. It also provides a brief summary of life course social determinants that increase the risk of poor mental health, early onset of cognitive decline and the symptoms of dementia. UCL Institute of Health Equity

Mental health campaign Time To Change gets £20m boost

Mental health campaign Time To Change gets £20m boost A campaign that aims to tackle the stigma around mental health is given £20m in funding from the Department of Health, Comic Relief and Big Lottery Fund. BBC News

Employment and Support Allowance: Re-tests axed for chronically ill claimants

Employment and Support Allowance: Re-tests axed for chronically ill claimants Tens of thousands of people claiming the main benefit for long-term sickness will no longer face repeated medical assessments to keep their payments. BBC News

Animal TB threatens human health say vets and doctors

Animal TB threatens human health say vets and doctors Animal tuberculosis, which is spread through contaminated food, is a greater threat to human health than previously realised, leading doctors and vets warn. BBC News

Adult Psychiatric Morbidity Survey Paints A Bleak Picture Of The Mental Health Of The Nation - Huffington Post UK

Adult Psychiatric Morbidity Survey Paints A Bleak Picture Of The Mental Health Of The Nation NHS Digital released the findings for the Adult Psychiatric Morbidity Survey, which paints a picture of the mental health of people living in England.


This survey is of the utmost importance. It gives the most comprehensive picture possible of the state of the country’s mental health.

The seven years since the last Adult Psychiatric Morbidity Survey has seen the start of a major change in the way our society views mental health. A notable shift in public attitudes towards mental health is underway, and mental health issues are now widely recognised. Huffington Post UK

Quarter of a million children receiving mental health care in England

Quarter of a million children receiving mental health care in England Data covering 60% of mental health trusts shows 11,849 boys and girls aged five and under among those getting help

Almost a quarter of a million children and young people are receiving help from NHS mental health services for problems such as anxiety, depression and eating disorders, figures show.

The scale of the growing crisis in young people’s mental wellbeing is laid bare with the disclosure that 235,189 people aged 18 and under get specialist care, according to data covering 60% of mental health trusts in England. Continue reading... The Guardian

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The doctor will see you now… on your smartphone

The doctor will see you now… on your smartphone Apps can give you a GP consultation in minutes, but at what cost to the health service?

One Friday afternoon, I decided to check out a pea-sized lump on my neck that was causing me consternation. I started by calling my GP’s surgery in south London. A recorded message informed me there were no appointments that day; after a few minutes, a receptionist came on the line and said that I could have an appointment on Monday. Not too bad, I thought, until I realised she was not talking about the Monday three days hence, but the one 10 days away. Not so good. I could also try for a walk-in slot or a phone consultation from 8am to 10am on weekday mornings.

At this point, I downloaded the app from Babylon Health, one of the leaders in online doctor consultations, on to my smartphone. The homepage was purple and teal, the writing welcomingly blobby. I tapped on “check a symptom” and after half-a-dozen questions, it suggested that I “book a consultation”. I was offered a choice between a GP, a specialist or a therapist. The appointment could be on the phone or a video call.

We are going to put an affordable health service into the hands of every person on Earth Continue reading... The Guardian

Scientists searching for HIV cure are close to breakthrough

Scientists searching for HIV cure are close to breakthrough Scientists from five of Britain's top universities have collaborated with the NHS to launch the pioneering treatment described as 'one of the first serious attempts at a full cure for HIV'. The Daily Mail

Investigation finds online pharmacies 'freely' prescribing antibiotics

Investigation finds online pharmacies 'freely' prescribing antibiotics An investigation has been launched after online pharmacies were accused of over prescribing antibiotics to undercover reporters.

The General Medical Council (GMC) launched the probe based on evidence collected by BBC Radio 5 live, and said that "the overprescribing of antibiotics risks the health of us all".

The investigation looked at 17 UK-based pharmacies selling antibiotics online and in one case a reporter posing as a patient was issued with three prescriptions in the space of just 24 hours. The Daily Telegraph

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Zika outbreak: Where is the virus spreading?

Zika outbreak: Where is the virus spreading? Zika has shocked the world with its rapid growth, as well as its suspected link with microcephaly, a disease that can cause brain damage in babies.

The mosquito-borne virus, that arrived in Brazil last May, has found its way into 40 other countries in the Americas - now including Florida in the USA.

The World Health Organisation has now issued a warning that it could spread to Europe in the summer months. The Daily Telegraph

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Friday, 30 September 2016

New signs make it easier for KGH patients

New signs make it easier for KGH patients Kettering General Hospital is replacing all of its internal directional signs to make it easier for patients and visitors to find their way around. Northamptonshire Telegraph

Increase in the number of people dying with dementia

Increase in the number of people dying with dementia A new range of products which examine the deaths of people recorded with dementia between 2012 and 2014 has been launched.

Figures show the number of deaths with a mention of dementia was:

  • 6.6% of all deaths in 2001
  • 15.8% of deaths in 2014
This is most likely due to an increase in awareness and recording of dementia.

The new reports were produced by the Dementia Intelligence Network (DIN) in collaboration with the National End of Life Care Intelligence Network (NEoLCIN) and draw on national data to see if there have been changes in dementia deaths over time, who the people dying with dementia are, where they die and the cause of their death.

The findings suggest that people who live in more deprived areas die with dementia at a younger age than those who live in more affluent areas.

There are also considerable differences between the place of death for people who have dementia and the general population. People with dementia are considerably more likely to die in hospitals and care homes and less likely to die at home or in end of life care settings such as hospices. Public Health England

Creating supportive environments: tackling behaviours that undermine a culture of safety

Creating supportive environments: tackling behaviours that undermine a culture of safety This report explores bullying and undermining within the medical workforce in the UK. It looks at current efforts to tackle problems and what further work is required. Academy of Medical Royal Colleges

"Brexit means Brexit" but how will it impact the NHS?

"Brexit means Brexit" but how will it impact the NHS? This infographic from the NHS European Office explains some of the possible implications of Brexit on the NHS. It looks briefly at six possible areas of impact, including finance, workforce and research, and asks what should be the NHS' main priorities as the UK prepares to leave the European Union. NHS European Office

The new test

The new test Campaigners are concerned that a highly accurate test that can identify babies with Down's syndrome during pregnancy will lead to more terminations. BBC News

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One in six young people 'eat fast food twice a day'

One in six young people 'eat fast food twice a day' One in six young people eat fast food twice a day, according to a survey of the nation's eating habits. BBC News

Carers' A&E visits can be preventable, says report

Carers' A&E visits can be preventable, says report One in 10 unpaid carers who called 999 or took their loved one to A&E did so because they did not know where else to go, a report by Carers UK suggests. BBC News

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Young women 'high mental health risk'

Young women 'high mental health risk' Young women have emerged as a high risk group for mental health problems, according to new data released by NHS Digital. BBC News

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The NHS: How bad will it get?

The NHS: How bad will it get? Look at almost any measure of performance, and the NHS in England is getting worse.

Waiting times for cancer care, accident and emergency units, ambulances and routine operations are all rising, and targets are being missed left, right and centre.

But just how bad is it? And how much worse will it get? Answering the first is relatively easy, the second not. BBC News

My clients assumed I had a new job – I couldn't say I had cancer

My clients assumed I had a new job – I couldn't say I had cancer As a therapist, personal boundaries are essential but when my own counsellor died of the disease I wished I’d been more open

Some years ago I found a lump in my right breast. In the week between tests and diagnosis I prepared a contingency plan, not for me but for my clients. My intuition told me this was cancer and, if so, I would need to stop working with immediate effect.

The day after the diagnosis I agreed with my then employer a hand-over plan, and what I would tell clients. Therapists are encouraged not to disclose information about themselves to clients. Personal boundaries are essential to avoid anything that might distort and take away from the story of the other, who is seeking support. Continue reading... The Guardian

Charity warns cervical cancer patients 'not getting the care and support they need'

Charity warns cervical cancer patients 'not getting the care and support they need' EXCLUSIVE: Almost a third of cervical cancer patients feel there is a lack of help available. Kate Bolton, 44, from London, reveals how she was left in the dark about the side effects of treatment. The Daily Mail

Anti-GP 'banter' hindering recruitment into general practice, top doctor warns

Anti-GP 'banter' hindering recruitment into general practice, top doctor warns Medical students are being put off becoming GPs by a culture of “banter” that stigmatises general practice as “soft” and “unglamorous”, the head of the profession has warned.

Maureen Baker, Chair of the Royal College of GPs, said the “systematic denigration” of family doctors was having a noticeable impact on the number medics choosing to pursue the vocation as a career.

The situation is being compounded, she said, by specialist hospital doctors, responsible for mentoring trainee medics, who too often “bad mouth” general practice. The Daily Telegraph

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Thursday, 29 September 2016

East Northants and Corby people among the unhappiest in UK, according to study

East Northants and Corby people among the unhappiest in UK, according to study People in East Northamptonshire and Corby are among the unhappiest in the UK, according to data released by the Office for National Statistics. Northampton Chronicle and Echo

Policies could be costing lives claims former Northampton MP - as air pollution around North Gate bus station breaks legal limit

Policies could be costing lives claims former Northampton MP - as air pollution around North Gate bus station breaks legal limit A controversial series of policies could be seriously damaging the health of people in Northampton, a former MP claims after pollution figures revealed the area around the town’s bus station to be 25 per cent higher than legal limits. Northampton Chronicle and Echo

What if people had to pay £10 to see a GP?

What if people had to pay £10 to see a GP? The NHS if is a collection of essays that explores hypothetical scenarios and their impact on the future of health and care. Our aim is to encourage new thinking and debate about possible future scenarios that could fundamentally change health and care. This essay, by Professor John Appleby, explores the idea and implications of charging for GP appointments as a way of raising money to fund the NHS. The King's Fund

Plan to reduce health and care red tape burden

Plan to reduce health and care red tape burden Minister for Health Lord Prior is setting up the Burden Reduction Challenge Panel in partnership with NHS Providers, NHS Confederation and Care England.

The panel will look at evidence of both the burdens and benefits of current NHS and social care regulatory activity and will then challenge their use and necessity. Regulatory activity judged to be unnecessary by the panel and relevant officials will be amended or removed.

The organisations will engage health professionals to provide evidence that will feed into the panel. The panel’s first session will focus on data and information requests, at both national and local level. Department of Health

Making difficult decisions: commissioning healthcare in changing times

Making difficult decisions: commissioning healthcare in changing times This report aims to support CCGs in making difficult decisions about prioritisation of resources and changes to local services. It sets out factors that can enable CCGs to successfully command the confidence of the public, patients, local politicians and other key stakeholders when making changes. It draws on both academic research and practical insight from commissioners, patient groups and NHS England. NHS Clinical Comissioners

Improving efficiency and resource allocation in future cancer care

Improving efficiency and resource allocation in future cancer care This report, written in partnership with the Institute for Health Economics in Sweden, evaluates the current burden of cancer and identifies opportunities for increased efficiency in cancer care. The evidence focuses specifically on the health and cancer care landscape in nine European countries, including the UK. The report found that significant opportunity for improved efficiency exists in prevention activities and early diagnosis, for example targeting unhealthy behaviours such as high alcohol consumption and smoking, and the implementation of quality screening programmes. The report also highlights the potential to achieve greater efficiencies in the way new treatments are evaluated and how to enhance their uptake. Office of Health Economics

NHS negligence claims hit £1.4bn

NHS negligence claims hit £1.4bn NHS trusts in England paid out more than £1.4bn in medical negligence claims last year compared to £583m in 2008, analysis shows.

The NHS Litigation Authority (NHSLA), which handles claims on behalf of trusts, said it was trying to reduce the costs.

It blamed big rises in claims and legal costs from claimants.

Lawyers said the costs would not exist if the NHS had not been negligent and accused it of delaying claims. BBC News

Nursing homes 'closing each week'

Nursing homes 'closing each week' Nursing homes are closing at the rate of at least one per week in England, due mainly to a shortage of nurses, official figures suggest.

It means the number of nursing homes and nursing beds has fallen for the first time in five years.

A total of 73 homes cancelled their registration in the first six months of 2016, the Care Quality Commission said, partly due to recruiting problems. BBC News

'Shameful' pace of STP rollout risks financial meltdown, warns former NHS commissioning chief

'Shameful' pace of STP rollout risks financial meltdown, warns former NHS commissioning chief The timescale imposed by NHS England for developing sustainability and transformation plans (STPs) has been condemned as 'ridiculous' and 'shameful' by the former head of its commissioning policy unit. GP Online

Fifth of emergency bowel cancer cases had red flag symptoms

Fifth of emergency bowel cancer cases had red flag symptoms GPs are doing a good overall job of appropriately referring people suspected of having cancer but they need better access to tools to support timely diagnosis, warned GP leaders as UK research revealed that about a fifth of bowel cancer patients diagnosed as emergencies had had ‘red flag’ symptoms.

The study, published in the British Journal of Cancer and funded by Cancer Research UK, found that – as might be expected – ‘red flag’ symptoms were much more common in patients who were diagnosed via non-emergency routes, and that patients diagnosed as an emergency often did not display these symptoms strongly associated with bowel cancer. OnMedica

BMA calls on health secretary to join public debate on healthcare delivery

BMA calls on health secretary to join public debate on healthcare delivery The BMA has invited the health secretary Jeremy Hunt to take part in a public debate on the quality and consistency of healthcare delivery across the week.

Healthcare leaders, practitioners, and representatives from patient organisations and professional bodies are all expected to attend the symposium, which the BMA is hoping to stage before the end of this year, ideally in November. OnMedica

Junior doctors fail in high court challenge of new contract's legality

Junior doctors fail in high court challenge of new contract's legality Judgement rejects argument that Jeremy Hunt, the health secretary, exceeded powers over controversial contract

Junior doctors have lost a judicial review challenging the legality of a controversial new contract, which is now set to be introduced by Jeremy Hunt next week.

In a judgement published on Wednesday, Mr Justice Green rejected arguments presented at the high court by five junior doctors that the health secretary had exceeded his powers. Continue reading... The Guardian

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Half of weekend 111 calls abandoned at scandal-hit ambulance trust 

Half of weekend 111 calls abandoned at scandal-hit ambulance trust Nearly half of 111 calls have been abandoned at weekends at a scandal-hit ambulance trust which is to be put into special measures.

NHS watchdogs found patients across Sussex, Kent, Surrey and north-east Hampshire were put “at risk of harm” because there were not enough staff to respond to their calls, resulting in long delays and patients simply giving up on the service.

The investigation highlights a litany of failings at South East Coast Ambulance Service trust (Secamb), which has been rated inadequate. The Daily Telegraph

Wednesday, 28 September 2016

Extra £25m for NHS organisations in England to improve mental health services for children and young people

Extra £25m for NHS organisations in England to improve mental health services for children and young people An extra £25m has been allocated to Clinical Commissioning Groups (CCGs) across the country to accelerate plans for improving mental health services for children and young people, helping to cut waiting times for treatment, reduce waiting list backlogs and minimise the length of stay for those in inpatient care. NHS England

Political maladministration to blame for unsafe hospital discharges, says Committee

Political maladministration to blame for unsafe hospital discharges, says Committee The incidence of unsafe discharge from NHS hospitals is unacceptably high as a result of political maladministration, says the Public Administration and Constitutional Affairs Committee report.

The PACAC inquiry found that the discharge failures identified by the PHSO report are not isolated incidents but rather examples of problems that patients, relatives and carers are experiencing more widely. Despite increased attention to the issue, it remains a persistent problem. There is a need for more data to be gathered on the scale and impact of these discharge failures.

Whilst excellent guidance on best discharge practice is available, the extent to which good practice is implemented varies across the country. Barriers to the implementation of best practice are prevalent both within hospitals and at the interface between health and social care. Pressures on resources and capacity within hospitals are leading to worrying and unsafe discharge practices. The Committee calls upon health and social care leaders to endure that staff are operating in a culture where person-centred care is the undisputed priority.

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Growing older in the UK

Growing older in the UK This report argues that the UK's ageing population and its families are being failed by a fragmented health and social support system. It highlights how the health and life changes of older people are being negatively affected by the holes in the safety net of health, social and other welfare services. British Medical Association

Still not ready for ageing

Still not ready for ageing This paper assesses the government's response to the UK's ageing society and argues that action on tackling the challenges and maximising the opportunities of ageing has stalled. The Alliance calls for an urgent focus on social care in particular with the aim of achieving a sustainable long-term financial settlement. Ready for Ageing Alliance

Junior doctors await court decision over contract

Junior doctors await court decision over contract Junior doctors are waiting to hear whether England's High Court will agree to stop the government imposing a new contract.

The group Justice for Health says it mounted the legal challenge because the contract is "unsafe and unsustainable".

The Department of Health says the case is without merit. BBC News

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Hunt for three million 'ghost' patients

Hunt for three million 'ghost' patients As many as three million "ghost" patients registered with GP practices in England should be removed from doctors' lists, latest figures suggest. BBC News

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GP recruitment 'woefully inadequate', warns BMA

GP recruitment 'woefully inadequate', warns BMA The government is 'simply not on course' to meet its target of recruiting an extra 5,000 GPs by 2020, the BMA has warned after official data showed a slow rise in GP numbers over the past six months. GP Online

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Workforce data reveal 40% difference in GPs per patient between English regions

Workforce data reveal 40% difference in GPs per patient between English regions Across England as a whole there are 1,364 patients per GP, according to experimental statistics published by NHS DIgital.

But variation between regions is marked. In North Central and East London (NCEL) - which has the most GPs per patient - each primary care doctor looks after 1,122 patients on average, while in the East Midlands there are 1,572 patients per GP - 40% more than the NCEL total. GP Online

ME sufferers highlight lack of support and funding

ME sufferers highlight lack of support and funding People in 24 cities around the world, including six in the UK, are today protesting at the lack of support for people with myalgic encephalomyelitis (ME – ‘chronic fatigue syndrome’) in their school, work, family and social lives. They are demanding increased funding for both research into ME, and for better medical education about the disease, as well as trying to raise general awareness. OnMedica

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What would happen if gonorrhea became an untreatable 'super STI'?

What would happen if gonorrhea became an untreatable 'super STI'?If the most commonly used antibiotics could no longer treat gonorrhoea it could cause a spike in hospitalisation, infertility, HIV, and sepsis in the worst case scenario, a sexual health expert has told The Independent.

The World Health Organisation has recently warned that gonorrhoea, also known as "the clap", has developed widespread, high levels of resistance, and may become untreatable with an entire class of antibiotics.

Linda turned up at A&E twice a day. A dedicated team now stops that

Linda turned up at A&E twice a day. A dedicated team now stops that In Sunderland, where 6% of the population accounts for half the health spend, a new partnership is cutting hospital admissions

In a desperate effort to get relief for excruciating pain caused by osteoarthritis, curvature of the spine, and abdominal discomfort following surgery, Linda Douglas went to A&E twice a day.

The chronically ill 48-year-old, who lives near Sunderland, was “at the end of [her] rope” because of the constant pain and frequent hospital visits, and felt life “was not worth living”. That was until a new team of health and social care professionals took over her case and improved her quality of life from “six to 99%” in early 2016. Continue reading... The Guardian

Concern over bowel cancer patients with symptoms year before diagnosis

Concern over bowel cancer patients with symptoms year before diagnosis Researchers found a fifth of those who received an emergency diagnosis had symptoms that might have seen disease caught earlier

A fifth of bowel cancer patients who received an emergency diagnosis in one year in England had characteristic symptoms the year before, suggesting their disease could have been caught earlier, researchers say.

With the majority of patients having seen a doctor in the 12 months before their diagnosis, whether emergency or non-emergency, the authors of the new study say multiple factors could be behind the finding. Continue reading... The Guardian

The NHS needs 20 MORE hospitals: Experts warn 'tsunami' of patients means A&Es can't cope

The NHS needs 20 MORE hospitals: Experts warn 'tsunami' of patients means A&Es can't cope The Royal College of Emergency Medicine said the rising demographic caused by the growing levels of elderly, immigration and high birth rates are heaping pressure on A&Es. The Daily Mail

Carers in the 'sandwich generation' forced to act as nurses

Carers in the 'sandwich generation' forced to act as nurses More than 40,000 people caring for a cancer sufferer are now having to fulfil core nursing tasks such as administering medicine and changing dressings, new data reveals.

The cohort of people performing these roles has expanded by over quarter in the last five years, according to Macmillan Cancer Support.

They charity estimates they now form part of a 110,000-strong “sandwich generation” of carers who are faced with looking after both a parent with cancer and their own children, almost nine in ten of whom are also juggling a job. The Daily Telegraph

Tuesday, 27 September 2016

King’s Fund reviews plans for digital NHS

King’s Fund reviews plans for digital NHS

In recent years, the digital agenda in health care has been the subject of an array of promises and plans, ranging from the secretary of state’s challenge to the NHS to “go paperless” to the commitment set out in the NHS’s Five Year Forward View to “harness the information revolution”.
NHS Networks

Three new units for mothers with mental ill health

Three new units for mothers with mental ill health

NHS England is preparing to invest in three new inpatient units for mothers with serious mental ill health to help them to stay with their babies.
NHS Networks

Guidance: Care Act Statutory guidance

Guidance: Care Act Statutory guidance

The edition published on 10 March 2016 supersedes the version issued in October 2014. It takes account of regulatory changes, feedback from stakeholders and the care sector, and developments following the postponement of social care funding reforms to 2020.
Department of Health

News story: Launch of the Children’s Oral Health Improvement Programme Board

News story: Launch of the Children’s Oral Health Improvement Programme Board


Today (26 September 2016) marks the official launch of the Children’s Oral Health Improvement Programme Board (COHIPB).

Chaired and led by Dr Jenny Godson who leads on oral health improvement at Public Health England (PHE), the COHIPB brings together stakeholder organisations that all have key leadership roles for children and young people, including NHS England, the LGA, the British Dental Association, and the Institute of Health Visiting.

The Board’s ambition is that “every child grows up free from tooth decay as part of every child having the best start in life”. The group’s oral health action plan and 5 high level objectives have been developed and agreed by partners working together following a PHE Best Start in Life oral health roundtable held in July 2015.

The Board’s objectives are to ensure:
child oral health is on everyone’s agenda
the early years and dental workforce have access to evidence based oral health improvement training
oral health data and information is used to the best effect by all key stakeholders
all stakeholders use the best evidence for oral health improvement
child oral health improvement information is communicated effectively

Although oral health is improving in England, almost a quarter (24.7%) of 5 year olds have tooth decay, and oral health accounts for a huge cost to health services. The NHS in England spends £3.4 billion per year on primary and secondary dental care (2014) (with an estimated additional £2.3 billion on private dental care). Tooth decay was the most common reason for hospital admission in children aged 5 to 9 in 2014/15 with over 26,000 children admissions for an almost entirely preventable disease.
Public Health England

Multimorbidity: clinical assessment and management

Multimorbidity: clinical assessment and management

This clinical guideline calls for a tailored approach to planning care when treating someone who has two or more long-term health conditions. It sets out ways to put patients with complex health issues at the heart of decisions about their care, including how to decide between different medicines and treatments. A database which summarises the benefits and adverse side effects of a number of common treatments has been created alongside the new guideline. It will help healthcare professionals work together with their patients to make joint decisions about their care.
National Institute for Health and Clinical Excellence (NICE)
Guideline
Database
Press release

Rising cost of drugs for diabetes approaches £1 billion per year

Rising cost of drugs for diabetes approaches £1 billion per year

The net ingredient cost (NIC)(2) of drugs for diabetes has increased by £88.0 million in 2015/16, bringing the annual primary care prescribing spend on this drug classification to £956.7 million - around £2.6 million per day, figures published today show.
ICQOF

First ever annual statistical publication for FGM shows 5,700 newly recorded cases during 2015-16

First ever annual statistical publication for FGM shows 5,700 newly recorded cases during 2015-16

21 July 2016: There were 5,700 (2) newly recorded (3) cases of Female Genital Mutilation (FGM) reported in England during 2015-16, according to the first ever publication of annual statistics.
ICQOF

Rest: Are we getting enough of it in our lives?

Rest: Are we getting enough of it in our lives?

The results of the world's largest ever survey on rest show that two-thirds of us would like more of it.
BBC News

NHS planning guidance 2017-19: steps in the right direction?

NHS planning guidance 2017-19: steps in the right direction?


Once upon a time we looked to election manifestos, White Papers and the Queen’s Speech to set out the path for NHS reform. These days it is statements from NHS England and NHS Improvement we must look to, and perhaps front of the queue comes the annual excitement ofNHS planning guidance. Last year’s guidance gave us sustainability and transformation plans(STPs) among other things, and this year’s has followed in its footsteps by giving us another round of changes.

Many of these changes are welcome. First, though the NHS has reverted back somewhat to organisational plans rather than the whole health economy – or place-based approach – aimed at by STPs, the guidance does make clear that these plans should nonetheless be consistent with STP plans. While this will no doubt raise lots of operational complexities, it does look to embed the cross-system working STPs were supposed to help enable.

Second, the guidance seems to reflect a greater degree of common oversight from NHS England and NHS Improvement (perhaps with their own national STP?) – trying to ensure the two organisations speak together with one voice. This is consistent with NHS Improvement’s single oversight framework which also looks to align the national bodies more closely amongst other things.

Third, the STPs themselves are evolving. This includes introducing STP-level control totals for finance, opening the door for local areas to re-balance the financial targets across their constituent members. There are also signs that the centre will accept some re-drawing of STP boundaries, at least over money. While again there will no doubt be major operational and governance issues in making use of these freedoms, evolution is likely to be better than another revolution as the NHS increasing (but not instantly) moves towards place-based systems of care. However, while the guidance is clear that ’what makes most sense for patients, communities and the taxpayer should always trump the narrower interests of individual organisations’, it sits increasingly awkwardly with a world of supposedly independent NHS organisations and their boards; not to mention an oversight system still reliant on the accountability of individual commissioners to NHS England, and individual providers to NHS Improvement. With STPs apparently here to stay, sooner or later the increasingly uneasy tension between the rapidly evolving place-based system and the organisation-based statutory framework will have to be addressed.

Fourth, the national bodies are trying to break out of the annual planning treadmill and have issued a two-year planning round backed by two-year contracts, a two-year tariff, Commissioning for Quality and Innovation (CQUIN) and Clinical Commissioning Group (CCG) quality premiums. Particularly when trying to bring about transformational change, providing greater certainty is essential and something many have been asking for. This is all the more impressive given that the occasional reference to the Department of Health and HM Treasury suggests there must have been a lot of behind-the-scenes negotiation to get this out.

Finally, for as long as I can remember the regular launch of the guidance in the run-up to Christmas (22 December last year, with some major building blocks coming out even later than this) has widely been recognised as too late. So bringing the launch forward by three months to 22 September has bought everyone valuable extra time.

So are there any downsides? Well, getting out the guidance early was arguably necessary for the NHS to have any chance of planning its way out of the current financial and operational malaise. However, it is certainly not sufficient. What is asked of the NHS remains breathtaking: to maintain (or recover) performance, to manage its finances, and to push forward on transformation. And all of this without any real growth in its budget (as 2016/17 was the good year for growth), and with demand continuing to rise relentlessly.

The guidance also carried on some arguably less than helpful behaviours; most obviously it is a very long document indeed once the annexes are included – only serving to increase the demand on those tasked with seeing it through. More significantly, it also maintains and reinforces the central grip that has become so noticeable. So the Sustainability and Transformation Fund is here to stay, and remains primarily tasked with deficit support rather than transformation – given out retrospectively only if trusts meet their finance and performance targets. The centre also remains very keen on plans, detailed monthly trajectories, controls and sanctions, and will be issuing a new set of metrics to cover STP performance as well. On top of this, various pots of money are held back or ring-fenced to encourage local areas to do as they are instructed; whether on mental health, general practice, diabetes or delivery of the digital agenda.

The reliance on central control is noticeable in other areas too. Though the nine national ‘must-dos’ have been carried forward in name from last year, the detail underpinning them has in some cases become longer and potentially more difficult to tackle. So while many might argue that elements of the mental health, general practice, cancer and maternity strategies were right to add as ’must-dos’, in the current climate just adding these to a long list of other things the NHS must already do (which includes seven-day services, by the way) represents wishful thinking. Short of a miracle, the NHS cannot do everything.

However substantial NHS planning guidance has become these days, it is hardly the place to kick off the increasingly necessary debate about what the NHS can afford within its current financial settlement. But is it a debate that is becoming increasingly hard to avoid.

Monday, 26 September 2016

New whistleblowing protection for doctors in training

New whistleblowing protection for doctors in training Health Education England has released details of the enhanced whistleblowing protection agreement for doctors in training. NHS Employers

Illnesses associated with lifestyle cost the NHS £11bn

Illnesses associated with lifestyle cost the NHS £11bn Health problems related to poor diet, drinking and smoking are costing the NHS in England more than £11bn each year, officials say.

Public Health England (PHE) says that unless they are tackled more effectively the NHS will become unaffordable.

It warns conditions such as diabetes and smoking-related bronchitis are a new and untreatable epidemic. BBC News

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Women's mental health needs 'not considered adequately'

Women's mental health needs 'not considered adequately' Women's mental health needs are "not being considered" despite rising rates of suicide, campaigners warn. BBC News

Junior doctors' strike action called off

Junior doctors' strike action called off Junior doctors in England suspend a series of five-day strikes over the next three months, the British Medical Association announces, following concerns over patient safety. BBC News

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Andrew Lansley fails to recognise that his NHS reforms just don't work

Andrew Lansley fails to recognise that his NHS reforms just don't work Each discrete part of the Health and Social Care Act may have had virtues, but it led to massive cost and disruption

One of Andrew Lansley’s failings as health secretary was his apparent belief that the only reason he was under attack from all sides for his NHS reforms was because people had not grasped what he was trying to do. The solution was not to listen to their concerns, but for him to explain it all one more time.

Four years later he is still explaining, and still not listening. Delivering the NHS Providers’ annual lecture this week Lansley failed to demonstrate any understanding that the Health and Social Care Act he drove through created huge disruption and enduring difficulties. Continue reading... The Guardian

I've worked as a GP receptionist under a year and I'm already burnt out

I've worked as a GP receptionist under a year and I'm already burnt out I came into the job to help patients but there are just so many. Neither I nor the NHS can keep this up

It’s only 8.15am and the appointments for the day are already fully booked despite our appointment booking line opening at 8am. Less than a year ago this was an anomaly, now it’s the norm, as are queues out the door when we open. I spend the rest of the morning bearing the brunt of patient irritation, which is mostly aimed at our lack of appointments. I share their frustration because the service is substandard and it only seems to be getting worse.

The calls keep flooding in, the phone rings all day and I often finish work with a headache from the sound. The calls can be incredibly stressful one moment – talking to someone who is struggling to breathe – to mundane the next with patients who are convinced that their three-day cough constitutes an emergency. Patient anger often unfortunately comes back on to the receptionists, I wish they could see the wider picture and direct their anger at the government that is responsible for cutting their services. Continue reading... The Guardian

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Hospitals and care homes fail food safety inspections

Hospitals and care homes fail food safety inspections Data shows more than 500 places caring for vulnerable people, including nurseries and playgroups, require improvement

More than 500 care providers in the UK, including 19 hospitals and other NHS facilities, have failed hygiene and food safety inspections, Guardian analysis reveals.

Food Standards Agency (FSA) data shows that care homes fail to meet food hygiene standards more than any other type of care provider, with more than 200 residential, nursing and care homes receiving low grades at their latest food safety inspections. Continue reading... The Guardian

Boris Johnson says NHS will get substantial extra funds after Brexit

Boris Johnson says NHS will get substantial extra funds after Brexit Foreign secretary tells Andrew Marr he agrees with former health secretary’s figure of at least £5bn being available by 2020

Boris Johnson has said the NHS will get substantial extra funding after Brexit, despite Theresa May’s refusal to endorse the leave campaign’s promise of an additional £100m a week.

The foreign secretary strayed from his brief during BBC1’s Andrew Marr show to sign up the prime minister to a cash injection for health services during this parliament. Continue reading... The Guardian

NHS is wasting millions on drugs for the male menopause claims new research

NHS is wasting millions on drugs for the male menopause claims new research Testosterone prescriptions have shot up 20 per cent since 2012 – costing the NHS £20 million a year. Researchers claim doctors are being increasingly influenced by drug companies. The Daily Mail

Revealed: 8,000 hospital consultants paid more than the Prime Minister

Revealed: 8,000 hospital consultants paid more than the Prime Minister Eight thousand hospital consultants earn more than the Prime Minister from the National Health Service, a health minister has admitted.

The figures are thought to be the first time that the Government has estimated how many consultants earn than the Prime Minister.

They are set to ignite a row about whether consultants should be allowed to continue lucrative private practices while taking home such large sums from the NHS. The Daily Telegraph

Just four in ten children have seen an NHS dentist in last years 

Just four in ten children have seen an NHS dentist in last years More than four in 10 children have not visited an NHS dentist in the last year, according to new figures which reveal stark differences across the country.

Experts said the official statistics were “alarming” with tooth decay now the most common reason for young children to be admitted to hospital.

The official statistics reveal for the first time the areas where children are most and least likely to be have seen an NHS dentist in the last year. The Daily Telegraph

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