Data shows NHS performance continuing to struggle Responding to the latest performance data published by NHS England, Richard Murray, Director of Policy at The King’s Fund, said: ‘These performance statistics for February offer the latest evidence of NHS performance continuing to struggle. Although February saw some improvements as winter pressures began to ease, the NHS is still failing to meet key targets such as A&E and cancer waiting times.
‘NHS England’s recent delivery plan promises a renewed focus on addressing these delays in A&E and cancer treatment, but getting back on track will be a momentous challenge. Hospitals are clearly under severe pressure and improving key services within the current budget is a highly ambitious goal. The King's Fund
Tuesday, 18 April 2017
Thousands left to cope alone after leaving mental health hospital
Thousands left to cope alone after leaving mental health hospital Figures released by Mind show that one in ten people discharged from mental health hospital after being admitted in crisis are not getting follow-up within a week of leaving – which is at least 11,000 people every year.
Mind sent Freedom of Information (FoI) requests to all 56 mental health trusts in England (54 trusts responded) asking for information about how quickly people are followed up after being discharged from hospital.
Mind sent Freedom of Information (FoI) requests to all 56 mental health trusts in England (54 trusts responded) asking for information about how quickly people are followed up after being discharged from hospital.
Hundreds sue NHS over 'barbaric' vaginal mesh implants
Hundreds sue NHS over 'barbaric' vaginal mesh implants More than 800 UK women are taking legal action against the NHS and the makers of vaginal mesh implants, the Victoria Derbyshire programme has learned.
The implants are used to treat pelvic organ prolapse and incontinence after childbirth, but some can cut into the vagina - causing severe discomfort.
Some women have been left in permanent pain, unable to walk, work or have sex. One called the implants "barbaric".
The UK regulatory body MHRA said it "sympathises" with the women affected. BBC News
The implants are used to treat pelvic organ prolapse and incontinence after childbirth, but some can cut into the vagina - causing severe discomfort.
Some women have been left in permanent pain, unable to walk, work or have sex. One called the implants "barbaric".
The UK regulatory body MHRA said it "sympathises" with the women affected. BBC News
'Politics is destroying British heart surgery'
'Politics is destroying British heart surgery' In this Viewsnight, surgeon Stephen Westaby condemns what he calls a culture of blame in the NHS. BBC News
Why can't we admit to ourselves that the NHS is one of the most overrated, inefficient systems in the world?
Why can't we admit to ourselves that the NHS is one of the most overrated, inefficient systems in the world? What exactly is exceptional about the NHS? All healthcare systems in the developed world provide universal healthcare except the US. Plenty are free at the point of use. And compared to them, we’re hardly innovative, compassionate or groundbreaking. The Independent
Electroconvulsive therapy on the rise again in England
Electroconvulsive therapy on the rise again in England ECT stages comeback after years of decline, with thousands treated on NHS despite lack of scientific explanation for effects
The use of electroconvulsive therapy to treat serious mental health problems, a procedure long thought to be in steep decline, is on the rise again in England, a Guardian analysis indicates.
Exclusive data covering four-fifths of NHS mental health trusts in England shows that more than 22,600 individual ECT treatments were carried out in 2015-16, a rise of 11% from four years ago, when about 20,400 were carried out. Continue reading... The Guardian
See also:
The use of electroconvulsive therapy to treat serious mental health problems, a procedure long thought to be in steep decline, is on the rise again in England, a Guardian analysis indicates.
Exclusive data covering four-fifths of NHS mental health trusts in England shows that more than 22,600 individual ECT treatments were carried out in 2015-16, a rise of 11% from four years ago, when about 20,400 were carried out. Continue reading... The Guardian
See also:
- 'Electric shock' therapy is on the rise in England The Daily Mail
- What is ECT and how does it work? The Guardian
- 'It can't be much worse than licking a battery.' What it's like to have ECT The Guardian
- Tea, biscuits and classical music: inside an ECT clinic The Guardian
Number of NHS managers still growing as GP posts fall again
Number of NHS managers still growing as GP posts fall again Doctors say ministers’ ‘bureaucracy busting’ shakeup has failed to switch resources and manpower to the front line
The number of NHS managers has grown by almost 18% in the four years since the government introduced a “bureaucracy-busting” shakeup of the health service, according to the latest official data.
The rise of about 4,650 in total management posts since April 2013, when the controversial Health and Social Care Act came into force, contrasts with an alarming fall in the number of GPs over recent months at a time of unprecedented demand for health care. The figures have drawn criticism from the British Medical Association (BMA), who say ministers are failing in their central objective of shifting more resources and manpower from back-office posts to the front line. Continue reading... The Guardian
The number of NHS managers has grown by almost 18% in the four years since the government introduced a “bureaucracy-busting” shakeup of the health service, according to the latest official data.
The rise of about 4,650 in total management posts since April 2013, when the controversial Health and Social Care Act came into force, contrasts with an alarming fall in the number of GPs over recent months at a time of unprecedented demand for health care. The figures have drawn criticism from the British Medical Association (BMA), who say ministers are failing in their central objective of shifting more resources and manpower from back-office posts to the front line. Continue reading... The Guardian
'Night cover is almost always short-staffed. It’s terrifying': doctors on rota gaps
'Night cover is almost always short-staffed. It’s terrifying': doctors on rota gaps NHS staff reveal the impact of the struggle to recruit doctors to cover shifts, which is putting patients at risk
The Guardian has discovered that dozens of hospitals are struggling to recruit doctors to fill gaps in their rota. They are sending out urgent emails and text messages, often hours before a shift needs covering, asking for medics to come in. They are also offering increased hourly rates – of up to £95 an hour – in an attempt to encourage staff to cover.
It’s terrifying: you’re the most junior doctor in the hospital and you’re responsible for so many people
You become desensitised to gaps in the rota, which is a scary thing to say
On several occasions some of the wards have no juniors at all, which then requires senior staff to act down. Continue reading... The Guardian
See also:
The Guardian has discovered that dozens of hospitals are struggling to recruit doctors to fill gaps in their rota. They are sending out urgent emails and text messages, often hours before a shift needs covering, asking for medics to come in. They are also offering increased hourly rates – of up to £95 an hour – in an attempt to encourage staff to cover.
It’s terrifying: you’re the most junior doctor in the hospital and you’re responsible for so many people
You become desensitised to gaps in the rota, which is a scary thing to say
On several occasions some of the wards have no juniors at all, which then requires senior staff to act down. Continue reading... The Guardian
See also:
Hospital recruits refugees to combat doctor shortage
Hospital recruits refugees to combat doctor shortage A hospital trust in Middlesbrough which is struggling to recruit British doctors has turned to refugees from Iraq and Syria to help combat staff shortages. The Daily Mail
Elderly's free drug delivers face the axe
Elderly's free drug delivers face the axe Britons on long-term medication and unable to collect prescriptions could be charged hundreds of pounds a year for preparing drugs and home delivery as funding cuts begin to bite. The Daily Mail
Revealed: the areas where NHS cuts could hit hardest
Revealed: the areas where NHS cuts could hit hardest The areas of the country where NHS cuts are likely to hit hardest because services are nearing their “overdraft” limits have been revealed, in a new analysis.
Following the worst financial crisis in the history of the NHS, every part of the service has been set stringent “control totals” which limit the amount of deficit that can be authorised.
Research by Health Service Journal shows Staffordshire, Bristol, North Somerset and Gloucestershire are the areas likely to fall furthest short of their targets, with warnings that services will now have to “confront difficult choices”.
NHS authorities are already drawing up plans for dramatic changes to services, with the closure of Accident & Emergency departments and maternity units under discussion across swathes of the country. The Daily Telegraph
Following the worst financial crisis in the history of the NHS, every part of the service has been set stringent “control totals” which limit the amount of deficit that can be authorised.
Research by Health Service Journal shows Staffordshire, Bristol, North Somerset and Gloucestershire are the areas likely to fall furthest short of their targets, with warnings that services will now have to “confront difficult choices”.
NHS authorities are already drawing up plans for dramatic changes to services, with the closure of Accident & Emergency departments and maternity units under discussion across swathes of the country. The Daily Telegraph
Police squad deployed to protect NHS staff from attacks
Police squad deployed to protect NHS staff from attacks A dedicated police squad has been set up to protect hospital staff from violent patients amid rising Accident & Emergency chaos.
The new three officer team will cover workers at four major hospitals in London, with police saying staff would no longer have to put up with attacks and threats.
Police will protect nurses from assault, remove patients that refuse to be discharged, while attending community events as part of “neighbourhood policing” officers said. The Daily Telegraph
The new three officer team will cover workers at four major hospitals in London, with police saying staff would no longer have to put up with attacks and threats.
Police will protect nurses from assault, remove patients that refuse to be discharged, while attending community events as part of “neighbourhood policing” officers said. The Daily Telegraph
Prince Harry: I sought counselling after death of mother led to two years of 'total chaos' in my twenties - exclusive Telegraph interview
Prince Harry: I sought counselling after death of mother led to two years of 'total chaos' in my twenties - exclusive Telegraph interview Prince Harry has disclosed that he sought counselling after enduring two years of “total chaos” while still struggling in his late twenties to come to terms with the death of his mother.
The Prince says in an interview with The Telegraph that he “shut down all his emotions” for almost two decades after losing his mother, Diana, Princess of Wales, despite his brother, Prince William, trying to persuade him to seek help. The Daily Telegraph
See also:
The Prince says in an interview with The Telegraph that he “shut down all his emotions” for almost two decades after losing his mother, Diana, Princess of Wales, despite his brother, Prince William, trying to persuade him to seek help. The Daily Telegraph
See also:
- Prince William says keeping a stiff upper lip can damage health BBC News
- Prince William: Mental health attitudes are changing thanks to high-profile people speaking out The Daily Telegraph
- 'Bold and brave': Celebrities and well-wishers around the world praise Prince Harry for opening up about his mental health The Daily Telegraph
- Prince Harry grief revelations draw praise from mental health experts The Guardian
- Why Prince Harry's mental health message to men is so important, according to experts The Independent
Thursday, 13 April 2017
REVEALED: Corby has the highest smoking rate in the UK
REVEALED: Corby has the highest smoking rate in the UK Corby has the country’s highest smoking rate, with one in three adults living there enjoying a regular cigarette, according to the latest Office for National Statistics figures. Northamptonshire Telegraph
The power of digital health: what can we learn from one million posts?
The power of digital health: what can we learn from one million posts? Digital health is sexy. Last year our take on the eight technologies that will change health and care was the most popular piece on our website and we continue to support the NHS to engage through our Digital Health and Care Congress and other means.
But there is far more to digital health than how it is used in the NHS. For example, early last year Public Health England’s ‘Sugar Smart’ app was leading app download charts and had been downloaded more than one million times. The King's Fund
But there is far more to digital health than how it is used in the NHS. For example, early last year Public Health England’s ‘Sugar Smart’ app was leading app download charts and had been downloaded more than one million times. The King's Fund
Stroke patients in England set to receive revolutionary new treatment
Stroke patients in England set to receive revolutionary new treatment An estimated 8,000 stroke patients a year are set to benefit from an advanced emergency treatment which can significantly decrease the risk of long-term disability and also save millions of pounds in long term health and social care costs. NHS England
2017 local government elections: dos and don'ts for the NHS
2017 local government elections: dos and don'ts for the NHS Find out what the local government elections mean for your communications activities over the pre-election period. NHS Employers
Nurses consider whether to strike over low pay
Nurses consider whether to strike over low pay The Royal College of Nursing is assessing the mood for strike action in protest over pay.
The largest nursing union is asking 270,000 members across the UK whether they want to strike before deciding whether to issue a formal ballot.
It says a combination of pay freezes and caps on pay rises since 2010 have effectively led to a 14% pay cut due to the rising cost of living.
The Department of Health said "affordable" pay was protecting jobs.
There was a campaign of strike action over NHS pay in 2014. But while some nurses took part, the Royal College of Nursing did not.
Now the union says unprecedented pressure in the NHS means nurses have never worked harder, and for so little.
The latest review of public sector pay announced a 1% rise. BBC News
The largest nursing union is asking 270,000 members across the UK whether they want to strike before deciding whether to issue a formal ballot.
It says a combination of pay freezes and caps on pay rises since 2010 have effectively led to a 14% pay cut due to the rising cost of living.
The Department of Health said "affordable" pay was protecting jobs.
There was a campaign of strike action over NHS pay in 2014. But while some nurses took part, the Royal College of Nursing did not.
Now the union says unprecedented pressure in the NHS means nurses have never worked harder, and for so little.
The latest review of public sector pay announced a 1% rise. BBC News
Jeremy Hunt orders investigation into baby death cluster
Jeremy Hunt orders investigation into baby death cluster A cluster of baby deaths at the same NHS trust will be investigated, Health Secretary Jeremy Hunt has said.
BBC News has learned of at least seven deaths later deemed as avoidable in less than two years at the Shrewsbury and Telford Hospital NHS Trust.
A failure to properly monitor the baby's heart rate was a contributory factor in five of the deaths.
The trust said improvements have been made - and that their mortality rates were in line with the national average.
Mr Hunt has asked NHS England and NHS Improvement to review a series of deaths and other incidents at the trust, to ensure they were properly investigated.
He has also asked the trust to contact each family affected. BBC News
See also:
BBC News has learned of at least seven deaths later deemed as avoidable in less than two years at the Shrewsbury and Telford Hospital NHS Trust.
A failure to properly monitor the baby's heart rate was a contributory factor in five of the deaths.
The trust said improvements have been made - and that their mortality rates were in line with the national average.
Mr Hunt has asked NHS England and NHS Improvement to review a series of deaths and other incidents at the trust, to ensure they were properly investigated.
He has also asked the trust to contact each family affected. BBC News
See also:
- Investigation launched into NHS trust after seven babies die in two years The Daily Telegraph
- Jeremy Hunt orders investigation into baby deaths at NHS trust The Guardian
- Series of 'avoidable' baby deaths at NHS trust being investigated ITV News
6m more patients to have access to clinical pharmacists in GP practices
6m more patients to have access to clinical pharmacists in GP practices Over 700 more practices, covering up to 6m patients, are to have access to a clinical pharmacist through an NHS England initiative to expand the role in general practice. GPonline
See also:
See also:
- Pharmacists playing increasingly vital role within GP-led practice teams Royal College of General Practitioners
Seven trusts to drive digital mental health services with £35m investment
Seven trusts to drive digital mental health services with £35m investment Seven trusts will become Global Digital Exemplars for Mental Health and receive a share of £35m to develop and roll-out innovtive technology for patient treatment, NHS England have confirmed
The investment will also be matched by the trusts in the scheme to go towards digital schemes for self-care and other treatments for those suffering from mental health problems.
The money will go towards a variety of schemes, including for the first time creating a real-time system that will allow all healthcare professionals involved in treatment to access their patient’s record from triage and initial assessment to transfer between services and follow up care. National Health Executive
The investment will also be matched by the trusts in the scheme to go towards digital schemes for self-care and other treatments for those suffering from mental health problems.
The money will go towards a variety of schemes, including for the first time creating a real-time system that will allow all healthcare professionals involved in treatment to access their patient’s record from triage and initial assessment to transfer between services and follow up care. National Health Executive
Lack of post-hospital care 'leaving mental health patients at risk'
Lack of post-hospital care 'leaving mental health patients at risk' NHS teams not checking up on thousands of patients after discharge, increasing suicide risks, Mind survey finds
Thousands of vulnerable people are being left at increased risk of suicide because NHS mental health teams in England and Wales are not checking up on them within a week of their discharge from hospital.
At least 11,000 people a year who have recently been in mental health inpatient care are not followed up within a week of coming home, despite guidelines requiring the NHS to contact them. Continue reading... The Guardian
Thousands of vulnerable people are being left at increased risk of suicide because NHS mental health teams in England and Wales are not checking up on them within a week of their discharge from hospital.
At least 11,000 people a year who have recently been in mental health inpatient care are not followed up within a week of coming home, despite guidelines requiring the NHS to contact them. Continue reading... The Guardian
Soaring numbers spending 12 hours in A&E, with 100,000 cases in three months
Soaring numbers spending 12 hours in A&E, with 100,000 cases in three months MORE than 100,000 patients have been left in Accident & Emergency departments for more than 12 hours in recent months, amid a five-fold increase in delays, NHS data reveals.
The disclosures triggered warnings of a “serious degradation in patient safety” as the NHS is braced for a surge in A&E pressures over the long Easter weekend.
The Royal College of Emergency Medicine said waiting times were “going through the roof” with warnings that “the elastic is close to snapping” in some parts of the health service. The Daily Telegraph
The disclosures triggered warnings of a “serious degradation in patient safety” as the NHS is braced for a surge in A&E pressures over the long Easter weekend.
The Royal College of Emergency Medicine said waiting times were “going through the roof” with warnings that “the elastic is close to snapping” in some parts of the health service. The Daily Telegraph
As medical decisions grow ever more complex, hope and trust must remain central to every doctor's toolkit
As medical decisions grow ever more complex, hope and trust must remain central to every doctor's toolkit Whether it’s resuscitation after a cardiac arrest in a railway station or chemotherapy for a patient with widespread cancer, knowing when to stop is the most difficult decision a doctor has to make. The terribly sad case of baby Charlie Gard highlights how modern technology brings new ethical and moral problems. But the High Court brings victory to no one.
My experience as a cancer specialist has taught me that managing expectations from the very beginning is an imperative component of care. The Daily Telegraph
My experience as a cancer specialist has taught me that managing expectations from the very beginning is an imperative component of care. The Daily Telegraph
Terminally ill man given permission to challenge law on assisted dying after Court of Appeal win
Terminally ill man given permission to challenge law on assisted dying after Court of Appeal win A man who is terminally ill with motor neurone disease has been given permission to challenge the law on assisted dying.
Retired college lecturer Noel Conway took his case to the Court of Appeal after he was refused permission to bring a judicial review over the blanket ban on providing a person with assistance to die.
Last month a panel of High Court judges rejected his bid to change the law, saying it would be "institutionally inappropriate" for the court to challenge the decision of Parliament. The Daily Telegraph
Retired college lecturer Noel Conway took his case to the Court of Appeal after he was refused permission to bring a judicial review over the blanket ban on providing a person with assistance to die.
Last month a panel of High Court judges rejected his bid to change the law, saying it would be "institutionally inappropriate" for the court to challenge the decision of Parliament. The Daily Telegraph
Wednesday, 12 April 2017
KGH placed into special measures
KGH placed into special measures Kettering General Hospital has been placed into special measures after being rated as ‘inadequate’ by health regulators.
The hospital has come under heavy criticism from the Care Quality Commission in a new report.
Two out of five areas rated – safe and well-led – were given the lowest score possible following the inspection in October last year, meaning the hospital is rated overall as ‘inadequate’. Northamptonshire Telegraph
See also:
The hospital has come under heavy criticism from the Care Quality Commission in a new report.
Two out of five areas rated – safe and well-led – were given the lowest score possible following the inspection in October last year, meaning the hospital is rated overall as ‘inadequate’. Northamptonshire Telegraph
See also:
- Kettering General Hospital Care Quality Commission
(Elective) hips don’t lie: data reveals pressures on hip replacement services
(Elective) hips don’t lie: data reveals pressures on hip replacement services Our recent report illustrated how financial pressures in the health system are having a very different impact in four different service areas. Whereas genito-urinary medicine and district nursing services have seen an impact on access to, and quality of, their services, neonatal and elective hip replacement services were not affected to the same extent by the same pressures. However, for elective hip replacement services, despite having much to celebrate it appears the impact of financial pressures is beginning to show.
National data shows that the number of elective hip replacements increased by 90 per cent between 2000/1 and 2015/16. While some of this growth can be attributed to population increase, the growth in the rate of elective hip procedures is far higher than the rate of population growth in the elderly, who are the main recipients of such surgery. There have also been dramatic improvements in elective waiting times (for all patients), with average waits reducing by about nine weeks since 2007. All of which suggests an expanding service treating more patients. The King's Fund
National data shows that the number of elective hip replacements increased by 90 per cent between 2000/1 and 2015/16. While some of this growth can be attributed to population increase, the growth in the rate of elective hip procedures is far higher than the rate of population growth in the elderly, who are the main recipients of such surgery. There have also been dramatic improvements in elective waiting times (for all patients), with average waits reducing by about nine weeks since 2007. All of which suggests an expanding service treating more patients. The King's Fund
Referral-to-treatment waiting times and forecasts
Referral-to-treatment waiting times and forecasts This report estimates that the number of people waiting longer than 18 weeks for planned operations could exceed 800,000 by 2020. The analysis finds that demand for elective operations is rising, with the number of people waiting for treatment forecast to hit 5 million in 2020. The report recommends that patients be made aware of their right to choose where they receive NHS treatment in order to help patients access care as quickly as possible. NHS Confederation
Quality Principles for NHS Apprenticeships
Quality Principles for NHS Apprenticeships A set of principles to help employers in health care organisations deliver quality apprenticeships have been developed by National Skills Academy for Health and Health Education England.
NHS complaints procedures in England
NHS complaints procedures in England This briefing paper provides information on the standard NHS complaints procedures and also the other options available to patients. House of Commons Library
Charlie Gard case: Doctors can withdraw baby's life support
Charlie Gard case: Doctors can withdraw baby's life support Doctors can withdraw life support from a sick baby with a rare genetic condition against his parents' wishes, a High Court judge has ruled.
Specialists at Great Ormond Street Hospital said eight-month-old Charlie Gard has irreversible brain damage and should be moved to palliative care.
His parents Connie Yates and Chris Gard, from London, had wanted to take him to the US for a treatment trial.
They said they were "devastated" by the decision but intended to appeal. BBC News
Specialists at Great Ormond Street Hospital said eight-month-old Charlie Gard has irreversible brain damage and should be moved to palliative care.
His parents Connie Yates and Chris Gard, from London, had wanted to take him to the US for a treatment trial.
They said they were "devastated" by the decision but intended to appeal. BBC News
Tainted blood
Tainted blood Families of people infected with HIV and hepatitis by NHS treatments still seek a public inquiry. BBC News
Two in five GPs set to quit in next five years, study finds
Two in five GPs set to quit in next five years, study finds GP leaders have warned of an 'enormous crisis' after 40% of GPs in south west England said they would quit in the next five years. GPonline
See also:
See also:
- RCGP calls for urgent action to stop GPs leaving the profession Royal College of General Practitioners
- Two in five NHS GPs ready to quit within five years The Daily Mail
- Two in five GPs could quit soon with money 'not worth' the workload The Daily Telegraph
- Two in five GPs in south-west of England plan to quit, survey finds The Guardian
- Almost half of GPs plan to quit NHS due to 'perilously' low morale, survey suggests The Independent
Why axeing 18-week surgery target won't create more capacity in A&E
Why axeing 18-week surgery target won't create more capacity in A&E Reducing elective surgery seriously hits trusts’ financial performance and is no substitute for extra emergency care
Press coverage of the recent Next steps on the NHS Five Year Forward View [pdf] concentrated heavily on the argument that a lower 18-week elective surgery target in 2017/18 will make it easier to recover performance against the four-hour accident and emergency target. But false linkages between the two targets are hiding the real risk for the NHS.
While the lower elective surgery target is a welcome, but painful, acceptance of reality, the linkage between the two targets is neither direct nor strong. And overemphasising that linkage underplays the serious risks the NHS faces next winter. Continue reading... The Guardian
Press coverage of the recent Next steps on the NHS Five Year Forward View [pdf] concentrated heavily on the argument that a lower 18-week elective surgery target in 2017/18 will make it easier to recover performance against the four-hour accident and emergency target. But false linkages between the two targets are hiding the real risk for the NHS.
While the lower elective surgery target is a welcome, but painful, acceptance of reality, the linkage between the two targets is neither direct nor strong. And overemphasising that linkage underplays the serious risks the NHS faces next winter. Continue reading... The Guardian
What we need is a national social care service
What we need is a national social care service A centralised, free-at-the-point-of-use NHS and council-run, means-tested social care aren’t working together – and patients are paying the price
Neil Kinnock was on the radio at the weekend, talking about his hero Aneurin Bevan with the journalist Matthew Parris and one of Bevan’s biographers, John Campbell. Any conversation about Bevan’s life is mostly about the NHS and so it was this time, too. But it was a useful reminder of how, among all the battles fought over its creation, among the fiercest was the question of replacing a patchwork of local provision with a single centralised structure that tried to guarantee that everyone got the same level of care wherever they lived. At that the point the radical, big-government approach petered out. Social care was left where it always had been, with local councils.
Councils argue that keeping older people well is about much more than care homes and clearing hospital beds Continue reading... The Guardian
Neil Kinnock was on the radio at the weekend, talking about his hero Aneurin Bevan with the journalist Matthew Parris and one of Bevan’s biographers, John Campbell. Any conversation about Bevan’s life is mostly about the NHS and so it was this time, too. But it was a useful reminder of how, among all the battles fought over its creation, among the fiercest was the question of replacing a patchwork of local provision with a single centralised structure that tried to guarantee that everyone got the same level of care wherever they lived. At that the point the radical, big-government approach petered out. Social care was left where it always had been, with local councils.
Councils argue that keeping older people well is about much more than care homes and clearing hospital beds Continue reading... The Guardian
NHS to offer tracking apps to those at risk of suicide and self-harm
NHS to offer tracking apps to those at risk of suicide and self-harm People at risk of suicide or self-harm will be offered tracking apps allowing the NHS to monitor their texts and alert doctors to changes in their moods.
NHS England is to announce a £35m investment in digital technology aimed at slashing sucide rates and boosting mental health.
The plans include trials of an app which will monitor the content of texts, and the regularity of phone calls, to alert services to potential risks.
The prototype, developed with Stanford University, means that software would detect the use of “key words” associated with heightened risk, as well as highlighting changes in behaviour - such as an increase in late night phone calls. The Daily Telegraph
NHS England is to announce a £35m investment in digital technology aimed at slashing sucide rates and boosting mental health.
The plans include trials of an app which will monitor the content of texts, and the regularity of phone calls, to alert services to potential risks.
The prototype, developed with Stanford University, means that software would detect the use of “key words” associated with heightened risk, as well as highlighting changes in behaviour - such as an increase in late night phone calls. The Daily Telegraph
Hip implant maker was alerted to safety fears, as surgeon told them: ‘It borders on unethical to market’
Hip implant maker was alerted to safety fears, as surgeon told them: ‘It borders on unethical to market’ British patients were fitted with controversial hip implants despite the company behind them being warned by experts that the type of device was unsafe, secret documents reveal.
A senior engineer working for DePuy reported in 1995 that metal-on-metal constructions were “unpredictable” and parts prone to “catastrophic breakdown” five years before DePuy’s hips began to be implanted in Britons.
More than 20,000 patients were later fitted with the implants, which experts say can deposit toxic ions into the bloodstream as they wear. Thousands were left in agony and had to have costly operations to have them replaced with safer alternatives. The Daily Telegraph
A senior engineer working for DePuy reported in 1995 that metal-on-metal constructions were “unpredictable” and parts prone to “catastrophic breakdown” five years before DePuy’s hips began to be implanted in Britons.
More than 20,000 patients were later fitted with the implants, which experts say can deposit toxic ions into the bloodstream as they wear. Thousands were left in agony and had to have costly operations to have them replaced with safer alternatives. The Daily Telegraph
Tuesday, 11 April 2017
The progress and outcomes of black and minority ethnic (BME) nurses and midwives through the Nursing and Midwifery Council's fitness to practise process
The progress and outcomes of black and minority ethnic (BME) nurses and midwives through the Nursing and Midwifery Council's fitness to practise process This research, carried out by the University of Greenwich, explores the progress and outcomes of BME nurses and midwives going through the NMC's fitness to practise process. The findings highlight that BME staff are more likely to be referred to the NMC than their white counterparts but that BME staff are less likely to be struck off or suspended. Nursing and Midwifery Council
Care worker suicides in England are on the rise, says ONS
Care worker suicides in England are on the rise, says ONS The number of care worker suicides in England is on the rise according to ONS research seen by BBC Breakfast.
It shows the rate has been steadily increasing for the last 15 years and that more female care workers take their own life than any other occupation.
The Department for Health in England says it has increased funding to support groups who are at higher risk of suicide. BBC News
It shows the rate has been steadily increasing for the last 15 years and that more female care workers take their own life than any other occupation.
The Department for Health in England says it has increased funding to support groups who are at higher risk of suicide. BBC News
'I could have been paralysed'
'I could have been paralysed' An emergency treatment for strokes is being rolled out in England which could decrease the risk of long-term disability.
Margaret Kirkland says she could have been paralysed if it wasn't for the thrombectomy doctors carried out on her. BBC News
Margaret Kirkland says she could have been paralysed if it wasn't for the thrombectomy doctors carried out on her. BBC News
Rise in hospital cyber attack reports
Rise in hospital cyber attack reports NHS hospital trusts in England reported 55 cyber attacks in 2016, according to data obtained by the BBC.
The figures come from NHS Digital, which oversees cyber security, and show an increase on 16 attacks in 2015.
NHS Digital said the figures showed a "rise in reporting, not necessarily a rise in cyber attacks".
But Oliver Farnan, from the Oxford Cyber Security Centre, said ransomware attacks had become more common. BBC News
The figures come from NHS Digital, which oversees cyber security, and show an increase on 16 attacks in 2015.
NHS Digital said the figures showed a "rise in reporting, not necessarily a rise in cyber attacks".
But Oliver Farnan, from the Oxford Cyber Security Centre, said ransomware attacks had become more common. BBC News
928 carers in England quit a day as social care system 'starts to collapse'
928 carers in England quit a day as social care system 'starts to collapse' Figures analysed by the BBC come as homecare providers write letter to prime minister warning of crisis facing sector
More than 900 adult social care workers a day quit their job in England last year, figures reveal, as homecare providers warn the adult social care system has begun to collapse.
Analysis by the BBC of data released by a charity, Skills for Care, shows that in 2015-16 about 338,520 adult social care workers left their roles, equal to 928 people leaving their job every day. There were more than 1.3 million people employed in the adult social care sector in England in the period. Continue reading... The Guardian
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More than 900 adult social care workers a day quit their job in England last year, figures reveal, as homecare providers warn the adult social care system has begun to collapse.
Analysis by the BBC of data released by a charity, Skills for Care, shows that in 2015-16 about 338,520 adult social care workers left their roles, equal to 928 people leaving their job every day. There were more than 1.3 million people employed in the adult social care sector in England in the period. Continue reading... The Guardian
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Let’s put our NHS worries in perspective – and celebrate what we have
Let’s put our NHS worries in perspective – and celebrate what we have Yes, some GP surgeries have closed, but it’s unfair to paint an apocalyptic picture. The reality is that everyone who needs a doctor will get to see one
The latest GP story to scare us witless says that a “record number of GP practices closed last year, forcing thousands of patients to find a new surgery”. Pulse, the GP website, highlighted NHS England data that shows nearly 100 practices closed in 2016 – a 114% increase on 2014 – and that more than a quarter of a million people have had to change practice. Cue claims that GPs aren’t coping with increased demand, the NHS needs more cash and staff – and that the whole system is teetering on the brink of collapse. Continue reading... The Guardian
The latest GP story to scare us witless says that a “record number of GP practices closed last year, forcing thousands of patients to find a new surgery”. Pulse, the GP website, highlighted NHS England data that shows nearly 100 practices closed in 2016 – a 114% increase on 2014 – and that more than a quarter of a million people have had to change practice. Cue claims that GPs aren’t coping with increased demand, the NHS needs more cash and staff – and that the whole system is teetering on the brink of collapse. Continue reading... The Guardian
People at risk of HIV in Scotland to be given PrEP drug on NHS
People at risk of HIV in Scotland to be given PrEP drug on NHS Aids campaigners say move puts pressure on England to end delays in providing the medication despite two court rulings
People at risk of HIV in Scotland are to be given drugs on the NHS that will protect them from infection, it has been announced, in a move that Aids campaigners say will put pressure on the authorities in England to end delays in providing the same medication despite two major court rulings.
In a major victory for campaigners, the Scottish Medicines Consortium (SMC) said pre-exposure prophylaxis (PrEP) would be free on the NHS to those who need it because they are at risk – for instance, if they have a partner with HIV. Access to the drugs could begin within weeks. Continue reading... The Guardian
People at risk of HIV in Scotland are to be given drugs on the NHS that will protect them from infection, it has been announced, in a move that Aids campaigners say will put pressure on the authorities in England to end delays in providing the same medication despite two major court rulings.
In a major victory for campaigners, the Scottish Medicines Consortium (SMC) said pre-exposure prophylaxis (PrEP) would be free on the NHS to those who need it because they are at risk – for instance, if they have a partner with HIV. Access to the drugs could begin within weeks. Continue reading... The Guardian
How the NHS won't give mother life extending cancer drug
How the NHS won't give mother life extending cancer drug Bonnie Fox was diagnosed with incurable cancer four months after giving birth but the NHS has says she cannot have Kadcyla because the price is 'too high. The Daily Mail
See also:
See also:
- Breast cancer drug approved for use in NHS in Scotland The Daily Mail
The NHS is set to borrow £10 billion from hedge funds
The NHS is set to borrow £10 billion from hedge funds Jim Mackey, chief executive of the financial regulator NHS Improvement, is due to meet with treasury officials today in a bid to finalise a hedge fund agreement. The Daily Mail
Monday, 10 April 2017
Dementia best practice now online
Dementia best practice now online NHS England has developed a “best practice repository” as part of its online Learning Environment for examples of good dementia care. The examples cover the five domains of the “well” pathway for dementia (preventing, diagnosing, supporting, living and dying well). NHS Networks
NMC make changes to OSCE test sittings
NMC make changes to OSCE test sittings The Nursing and Midwifery Council (NMC) has made a change to the number of objective structured clinical examination (OSCE) test attempts an overseas trained (non-EU/EEA) nurse or midwife can take as part of their application for registration.
From 6 April 2017, an applicant who fails their first attempt at OSCE can re-sit it after ten days. If they fail it a second time, they will have the opportunity to sit for a third time, waiting three months to allow for further preparation. NHS Employers
From 6 April 2017, an applicant who fails their first attempt at OSCE can re-sit it after ten days. If they fail it a second time, they will have the opportunity to sit for a third time, waiting three months to allow for further preparation. NHS Employers
NHS England funding and resource 2017-19: supporting Next Steps for the NHS Five Year Forward View
NHS England funding and resource 2017-19: supporting Next Steps for the NHS Five Year Forward View This document forms an annex to Next Steps on the NHS Five Year Forward View and contains important information about NHS England’s funding in 2017/18. It sets out how NHS England will, through the distribution of funding and its people, support Next Steps on the NHS Five Year Forward View to transform local health and care systems.
Guidance
NHS England publications
King's Fund
Guidance
NHS England publications
King's Fund
Hundreds of 'restraint injuries' at special schools
Hundreds of 'restraint injuries' at special schools Hundreds of children have been injured while being physically restrained in special schools, according to figures obtained by 5 live Investigates. Some youngsters were pinned face-down on the floor, while others were strapped into chairs. The figures revealed at least 731 injuries in the past three years.
The Department of Education says it plans to publish draft guidelines on reducing the need for restraint in special schools shortly. BBC News
The Department of Education says it plans to publish draft guidelines on reducing the need for restraint in special schools shortly. BBC News
Patients with learning disabilities missing out on health checks
Patients with learning disabilities missing out on health checks Patients in England with learning disabilities are missing out on vital health checks, NHS data shows. These include cancer screening, blood pressure checks and mental health assessments. Only about half of women with learning disabilities in England received breast cancer screening last year, compared with about 70% of eligible women overall.
NHS England said the number having an annual health check was on the rise. Fewer than half of patients received the recommended annual health check. This meant they were not accessing support including checks for epilepsy and chronic conditions such as asthma. The NHS recommends that people with learning disabilities and other complex health needs receive a general physical examination and review of any medicines they have been prescribed every year. BBC Health News
NHS England said the number having an annual health check was on the rise. Fewer than half of patients received the recommended annual health check. This meant they were not accessing support including checks for epilepsy and chronic conditions such as asthma. The NHS recommends that people with learning disabilities and other complex health needs receive a general physical examination and review of any medicines they have been prescribed every year. BBC Health News
Passport checks for patients is an abandonment of NHS principles | Zoe Stewart
Passport checks for patients is an abandonment of NHS principles | Zoe Stewart It is a founding tenet of the NHS that everybody has a right to healthcare. It’s simply not true that ‘health tourists’ are to blame for the cash crisis. Rather than use World Health Day to draw attention to global health priorities, this year, healthcare providers are being asked to implement racist government policies and compromise our professional values. Earlier this year, health minister Jeremy Hunt announced that, from April 2017, NHS trusts would be legally obliged to check patients’ eligibility for NHS services upfront, and to demand payment before providing care.
These checks lead to racial profiling and will prevent those most in need of care from getting the treatment they need. This is already evident with pregnant women delaying or avoiding seeking necessary medical advice or treatment because of fears they will be unable to pay or will be reported to the Home Office. The amount of money [lost to 'health tourism'] is a drop in the ocean for the NHS. The Guardian
These checks lead to racial profiling and will prevent those most in need of care from getting the treatment they need. This is already evident with pregnant women delaying or avoiding seeking necessary medical advice or treatment because of fears they will be unable to pay or will be reported to the Home Office. The amount of money [lost to 'health tourism'] is a drop in the ocean for the NHS. The Guardian
Number waiting more than 18 weeks for NHS surgery 'set to double'
Number waiting more than 18 weeks for NHS surgery 'set to double' The number of patients waiting longer than 18 weeks for surgery is set to double in the next three years, the health service has been warned. The new analysis, based on official NHS figures suggests the total number waiting for operations will reach almost 5 million in 2020 - an increase of almost 2 million since 2015.
On current trends, that will include more than 800,000 patients waiting more than 18 weeks for treatment - a rise from 360,000 today, the research shows. The analysis was carried out by the NHS Partners Network - which represents independent providers of NHS care, which urged patients to be more “sharp elbowed” about getting the treatment needed. Telegraph
On current trends, that will include more than 800,000 patients waiting more than 18 weeks for treatment - a rise from 360,000 today, the research shows. The analysis was carried out by the NHS Partners Network - which represents independent providers of NHS care, which urged patients to be more “sharp elbowed” about getting the treatment needed. Telegraph
Locum doctors could be struck off for trying to hold NHS to ransom
Locum doctors could be struck off for trying to hold NHS to ransom Locum doctors have been warned that they could be struck off if they cancel shifts in an attempt to extort more money from the NHS.
The General Medical Council (GMC) has issued guidance after agency medics were accused of an “organised campaign” to hold the NHS to ransom as pressures mount. The crisis stems from new rules - introduced last week - which attempt to clamp down on tax avoidance.
NHS trusts are now supposed to subtract tax and national insurance from pay packets at source from workers supplied to them via agencies or personal service companies. Some doctors say the changes will mean a drop in income of up to 30 per cent. But others say earnings will only be reduced if workers were paying too little tax in the first place. Telegraph
The General Medical Council (GMC) has issued guidance after agency medics were accused of an “organised campaign” to hold the NHS to ransom as pressures mount. The crisis stems from new rules - introduced last week - which attempt to clamp down on tax avoidance.
NHS trusts are now supposed to subtract tax and national insurance from pay packets at source from workers supplied to them via agencies or personal service companies. Some doctors say the changes will mean a drop in income of up to 30 per cent. But others say earnings will only be reduced if workers were paying too little tax in the first place. Telegraph
Friday, 7 April 2017
Former World Boxing Championship contender's mental health message to Northampton's young people
Former World Boxing Championship contender's mental health message to Northampton's young people A world-class boxer and former Northampton mental health hospital patient says young people should open up about their emotional baggage before it gets on top of them. Northampton Chronicle and Echo
Sharp rise in A&Es turning away ambulances
Sharp rise in A&Es turning away ambulances Paramedics warn the issue is causing delays getting to the most seriously ill and injured patients. BBC News Health
Too many practices being forced to close due to workload and GP shortages, says RCGP
Too many practices being forced to close due to workload and GP shortages, says RCGP Professor Helen Stokes-Lampard, Chair of the Royal College of GPs, has responded to figures on GP practice closures and the subsequent impact this is having on patients' access to their local family doctor.She said: “GP practices are the lifeblood of our local communities so the complete closure of any practice will always be a last resort when all other options have proved unworkable. Royal College of General Practitioners
- GP practices close in record numbers BBC News Health
- 250,000 patients switch GPs after surgeries close Daily Mail
- Record number of GP closures force 265,000 to find new doctors The Guardian
Kettering surgery continues to be good in all areas
Kettering surgery continues to be good in all areas A Kettering surgery continues to be rated as good in all areas. Headlands Surgery in Kettering was inspected by the Care Quality Commission (CQC) in February and its overall rating has been given as good in a report published this week. Northamptonshire Telegraph
Hospital patients at risk of clamping thanks to out-dated machines
Hospital patients at risk of clamping thanks to out-dated machines Hospital patients and visitors are being left at risk of being clamped because of outdated parking systems, figures suggest.
Four in 10 NHS trusts will only take payments using loose change, an investigation has found, while one third refuse to allow drivers to pay on exit.
The RAC collected data under the Freedom of Information Act (FOI) from 164 out of 206 hospital trusts in England, of whom 125 charged for parking. The Telegraph
Four in 10 NHS trusts will only take payments using loose change, an investigation has found, while one third refuse to allow drivers to pay on exit.
The RAC collected data under the Freedom of Information Act (FOI) from 164 out of 206 hospital trusts in England, of whom 125 charged for parking. The Telegraph
- Hospital parking 'unreasonably stressful', says RAC BBC News- Health
- Third of hospital trusts flout parking fee guidelines Daily Mail
NHS Wales chief says no trade-off over waiting times - BBC News - BBC News
NHS Wales chief says no trade-off over waiting times NHS Wales' boss has rejected the idea that planned surgery waiting times could be allowed to grow as a "trade off" for quicker A&E and cancer care.
Dr Andrew Goodall said the health service in Wales would instead look to keep making "steady and sustained improvements across the board". BBC News
Dr Andrew Goodall said the health service in Wales would instead look to keep making "steady and sustained improvements across the board". BBC News
Falls by elderly are now the most common serious injury
Falls by elderly are now the most common serious injury A third of all cases of life-threatening trauma in England and Wales are among over-60s who have fallen from a standing or sitting height, according to a new report. Daily Mail
Rules of memory 'beautifully' rewritten
Rules of memory 'beautifully' rewritten What really happens when we make and store memories has been unravelled in a discovery that surprised even the scientists who made it.
The US and Japanese team found that the brain "doubles up" by simultaneously making two memories of events. BBC News - Health
The US and Japanese team found that the brain "doubles up" by simultaneously making two memories of events. BBC News - Health
Thursday, 6 April 2017
Restraint incidents on Northampton adolescent mental health wards revealed in new inspection
Restraint incidents on Northampton adolescent mental health wards revealed in new inspection St Andrew's Hospital, in Billing Road, Northampton, was criticised for its use of secluding and restraining patients in an episode of Channel Four's Dispatches in March.
Particularly, they were widely condemned for use of the high-risk 'prone' - or face-down - restraint, of which 600 incidents were recorded between 2015 and 2016 across the facility's child and adolescent wards.
Particularly, they were widely condemned for use of the high-risk 'prone' - or face-down - restraint, of which 600 incidents were recorded between 2015 and 2016 across the facility's child and adolescent wards.
Now, an inspection carried out at St Andrew's new child & adolescent mental health facility, Fitzroy House, by the Care Quality Commission in February has given a breakdown of the ward's use of restraints in the past year. Northampton Chronicle and Echo
Clinic opens in Northampton town centre offering abortions to pregnant women
Clinic opens in Northampton town centre offering abortions to pregnant women The British Pregnancy Advisory Service (BPAS) has opened a new clinic in central Northampton.
It will open five days a week, offering pregnancy options, counselling and abortion care for women experiencing unwanted pregnancies or pregnancies they feel unable to continue, as well as STI testing and a range of contraception options including long-acting reversible methods such as the contraceptive implant. Northampton Chronicle and Echo
It will open five days a week, offering pregnancy options, counselling and abortion care for women experiencing unwanted pregnancies or pregnancies they feel unable to continue, as well as STI testing and a range of contraception options including long-acting reversible methods such as the contraceptive implant. Northampton Chronicle and Echo
KGH apologises for traffic problems at hospital
KGH apologises for traffic problems at hospital Kettering General Hospital has apologised for the traffic issues on its site as work continues to create more parking spaces. Northamptonshire Telegraph
Allocating social care funds: difficult decisions ahead
Allocating social care funds: difficult decisions ahead Talented but troubled footballer George Best once reminisced, ‘I spent a lot of money on booze, birds, and fast cars. The rest I just squandered.’ The choices facing local councils in how to use the extra £2 billion for adult social care announced in the Spring Budget are somewhat starker.
The £1 billion available next year would, said the Chancellor, ‘enable councils to take immediate action to fund care packages for more people, support social care providers and relieve pressure on the NHS locally’. NHS leaders, having altruistically championed the case for any new money to go to social care and not into their own coffers, were quick to stake their claim. A key component of the Next steps on the NHS five year forward view delivery plan is that part of the money will be used to free up 2,000–3,000 hospital beds. So it was inevitable that there would be strings attached to the new grant, fuelled by suspicions that with councils facing monumental pressures from other services – from potholes to parks – it might not end up in adult social care. The King's Fund
The £1 billion available next year would, said the Chancellor, ‘enable councils to take immediate action to fund care packages for more people, support social care providers and relieve pressure on the NHS locally’. NHS leaders, having altruistically championed the case for any new money to go to social care and not into their own coffers, were quick to stake their claim. A key component of the Next steps on the NHS five year forward view delivery plan is that part of the money will be used to free up 2,000–3,000 hospital beds. So it was inevitable that there would be strings attached to the new grant, fuelled by suspicions that with councils facing monumental pressures from other services – from potholes to parks – it might not end up in adult social care. The King's Fund
National standards, local risks: the geography of local authority funded social care, 2009-10 to 2015-16
National standards, local risks: the geography of local authority funded social care, 2009-10 to 2015-16 This report finds that council spending on social care across England fell by eleven per cent in real-terms between 2009-10 and 2015-16. The analysis of local authority spending identified the greatest cuts falling in the north of England and in urban areas. It also found that cuts were larger, on average, in areas that spend more on adult social care, had high assessed spending needs, and were more dependent on government grants. Institute for Fiscal Studies
Ketamine depression treatment 'should be rolled out'
Ketamine depression treatment 'should be rolled out' Doctors trialling the use of ketamine to treat depression are calling for the treatment to be rolled out.
Ketamine is licensed to be used as an anaesthetic but has a reputation as an illegal party drug.
Writing in The Lancet Psychiatry, Dr Rupert McShane, who has led a trial in Oxford, since 2011 says ketamine can work on patients with depression "where nothing has helped before".
However, he is calling for a national registry to monitor its use. BBC News
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Ketamine is licensed to be used as an anaesthetic but has a reputation as an illegal party drug.
Writing in The Lancet Psychiatry, Dr Rupert McShane, who has led a trial in Oxford, since 2011 says ketamine can work on patients with depression "where nothing has helped before".
However, he is calling for a national registry to monitor its use. BBC News
See also:
- 'I've been taking ketamine for my depression' BBC News
- Ketamine to treat depression The Daily Mail
Web pharmacy gave 17-second prescription
Web pharmacy gave 17-second prescription Websites selling prescription medicines have been reprimanded by inspectors for compromising patient safety.
The Care Quality Commission highlighted lax standards at four online services in its latest batch of inspections.
It included one case where a patient's application was assessed in only 17 seconds by a GP.
Another service was criticised for prescribing a "high volume" of opioid-based medicines without properly checking patient histories.
Other issues identified by inspectors included insufficient checks on patients' identity, poor recording of medical histories, inappropriate medicines being prescribed and lack of communication with the patient's GP. BBC News
See also:
The Care Quality Commission highlighted lax standards at four online services in its latest batch of inspections.
It included one case where a patient's application was assessed in only 17 seconds by a GP.
Another service was criticised for prescribing a "high volume" of opioid-based medicines without properly checking patient histories.
Other issues identified by inspectors included insufficient checks on patients' identity, poor recording of medical histories, inappropriate medicines being prescribed and lack of communication with the patient's GP. BBC News
See also:
- Protecting people who use online healthcare services Care Quality Commission
- We cannot tolerate laissez faire attitude towards dispensing of prescription medication, says RCGP Royal College of General Practitioners
Smoking causes one in ten deaths globally, major new study reveals
Smoking causes one in ten deaths globally, major new study reveals Efforts to control tobacco have paid off, says study, but warns tobacco epidemic is far from over, with 6.4m deaths attributed to smoking in 2015 alone
One in 10 deaths around the world is caused by smoking, according to a major new study that shows the tobacco epidemic is far from over and that the threat to lives is spreading across the globe.
There were nearly one billion smokers in 2015, in spite of tobacco control policies having been adopted by many countries. That number is expected to rise as the world’s population expands. One in every four men is a smoker and one in 20 women. Their lives are likely to be cut short – smoking is the second biggest risk factor for early death and disability after high blood pressure. Continue reading... The Guardian
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One in 10 deaths around the world is caused by smoking, according to a major new study that shows the tobacco epidemic is far from over and that the threat to lives is spreading across the globe.
There were nearly one billion smokers in 2015, in spite of tobacco control policies having been adopted by many countries. That number is expected to rise as the world’s population expands. One in every four men is a smoker and one in 20 women. Their lives are likely to be cut short – smoking is the second biggest risk factor for early death and disability after high blood pressure. Continue reading... The Guardian
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NHS risking people's health by rationing test strips, Diabetes UK says
NHS risking people's health by rationing test strips, Diabetes UK says Diabetes charity finds patients face restrictions on test strips prescribed, which they need to monitor blood glucose
The NHS is putting diabetic patients at risk of serious illness by rationing test strips that monitor blood glucose levels in an attempt to save money, a charity claims. A survey carried out by Diabetes UK found that one in four complained of restrictions placed on the number of test strips they were prescribed by GP practices.
People with diabetes need to test their blood glucose regularly to monitor the condition. If not managed properly, diabetes can lead to health complications such as heart disease, strokes, blindness and amputations.
It makes no sense to undermine good preventive care in this way Continue reading... The Guardian
The NHS is putting diabetic patients at risk of serious illness by rationing test strips that monitor blood glucose levels in an attempt to save money, a charity claims. A survey carried out by Diabetes UK found that one in four complained of restrictions placed on the number of test strips they were prescribed by GP practices.
People with diabetes need to test their blood glucose regularly to monitor the condition. If not managed properly, diabetes can lead to health complications such as heart disease, strokes, blindness and amputations.
It makes no sense to undermine good preventive care in this way Continue reading... The Guardian
Dating apps such as Tinder and Grindr should advertise condoms to prevent STIs, NHS advise
Dating apps such as Tinder and Grindr should advertise condoms to prevent STIs, NHS advise Dating apps such as Tinder and Grindr should advertise handouts of free condoms to prevent a surge in sexually transmitted infections, under new NHS advice.
The National Institute of Health and Care Excellence (Nice) says schemes which hand out free or cost-price condoms should target websites used “to find local sexual partners” in a bid to cut thespread of diseases.
The schemes, funded by local authorities, should also advertise on social media, pointing those most at risk of sexually transmitted infections (STIs) to contraception being handed out by GPs, pharmacies, universities and youth groups. The Daily Telegraph
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The National Institute of Health and Care Excellence (Nice) says schemes which hand out free or cost-price condoms should target websites used “to find local sexual partners” in a bid to cut thespread of diseases.
The schemes, funded by local authorities, should also advertise on social media, pointing those most at risk of sexually transmitted infections (STIs) to contraception being handed out by GPs, pharmacies, universities and youth groups. The Daily Telegraph
See also:
- Sexually transmitted infections: condom distribution schemes (guideline) National Institute of Health and Care Excellence
Locum doctors accused of 'organised campaign' to hold NHS to ransom
Locum doctors accused of 'organised campaign' to hold NHS to ransom Locum doctors have been accused of running an “organised campaign” to hold the NHS to ransom after dozens demanded pay boosts of up to 50 per cent.
NHS watchdogs said medics employed via agencies are refusing to work at the last minute, leaving dangerous gaps in medical cover, as pressures on hospitals mount.
Jim Mackey, chief executive of NHS Improvement, accused doctors of colluding to try to get pay boosts in ways which could see some struck off.
He spoke out as it emerged that a string of hospitals have been pushed to the brink of crisis, by agency doctors withdrawing from shifts, after their pay demands were resisted. The Daily Telegraph
NHS watchdogs said medics employed via agencies are refusing to work at the last minute, leaving dangerous gaps in medical cover, as pressures on hospitals mount.
Jim Mackey, chief executive of NHS Improvement, accused doctors of colluding to try to get pay boosts in ways which could see some struck off.
He spoke out as it emerged that a string of hospitals have been pushed to the brink of crisis, by agency doctors withdrawing from shifts, after their pay demands were resisted. The Daily Telegraph
Wednesday, 5 April 2017
Long-term sustainability of NHS and Adult Social Care under threat
Long-term sustainability of NHS and Adult Social Care under threat The Select Committee on the Long-term Sustainability of the NHS has slammed the 'short sightedness' of successive governments for failing to plan effectively for the long-term future of the health service and adult social care.
The Department of Health at both the political and official level is failing to think beyond the next few years. There is a shocking lack of long-term strategic planning in the NHS. This short sightedness stems from the political importance of the NHS and the temptation for politicians to reach for short-term fixes not long-term solutions.
"To solve this we need a new body that is independent of government and is able to identify clearly the healthcare needs of a changing and ageing population and the staffing and funding the NHS will require to meet those needs. This new Office for Health and Care Sustainability should be a trusted, independent voice as the Office for Budget Responsibility has become on economic forecasting and on public finance matters. It will need to look ahead and plan for 15-20 years into the future.
The Department of Health at both the political and official level is failing to think beyond the next few years. There is a shocking lack of long-term strategic planning in the NHS. This short sightedness stems from the political importance of the NHS and the temptation for politicians to reach for short-term fixes not long-term solutions.
"To solve this we need a new body that is independent of government and is able to identify clearly the healthcare needs of a changing and ageing population and the staffing and funding the NHS will require to meet those needs. This new Office for Health and Care Sustainability should be a trusted, independent voice as the Office for Budget Responsibility has become on economic forecasting and on public finance matters. It will need to look ahead and plan for 15-20 years into the future.
See also:
- House of Lords NHS report should be a ‘wake-up’ call to politicians The King's Fund
- Existing GP model 'no longer fit for purpose', says Lords report GPonline
- Public health cuts will lead to more sick people, report warns The Guardian
- Peers warn NHS faces collapse over reliance on foreigners The Daily Mail
- Reliance on overseas workers could threaten future of NHS, peers warn The Daily Telegraph
Updated revalidation standards and guidance
Updated revalidation standards and guidance The Nursing and Midwifery Council has published updated standards and guidance for revalidation. Learn about the key changes. NHS Employers
Fair care for trans patients
Fair care for trans patients The RCN recognises that trans people frequently experience prejudice and discrimination. The nursing community can, through its professional actions and interests, work to eliminate this at both an individual and a societal level in partnership with a range of organisations, including those who represent the needs of trans people.
This resource is designed to help you respond to the needs of patients and clients who identify as transgender. Initially created in response to an RCN Congress resolution, this guidance has been updated following further research from other organisations. Royal College of Nursing
This resource is designed to help you respond to the needs of patients and clients who identify as transgender. Initially created in response to an RCN Congress resolution, this guidance has been updated following further research from other organisations. Royal College of Nursing
Integration 2020: scoping research
Integration 2020: scoping research This research was commissioned by the Department of Health to inform the development of the integration standard and the next phase of plans to integrated health and social care. The integration standard would enable the collection of qualitative and quantitative data to measure the progress and performance within local areas. This report presents the findings of scoping research and engagement to better understand what integrated health should look like by 2020; testing out the integration standard and how feedback and support should be used to develop the standard. Social Care Institute for Excellence
See also:
See also:
- Integration and Better Care Fund policy framework 2017 to 2019 Department of Health
Should exercise be compulsory at work?
Should exercise be compulsory at work? The news this week that more than 20 million people in the UK are physically inactive has led to a lot of discussion over how to tackle the problem. But with no easy solution and rates of obesity rising fast has it come to the point that exercise should become part of our working day? BBC News
Half of A&Es to have specialist mental health teams by 2019
Half of A&Es to have specialist mental health teams by 2019 Plans to implement 24-hour specialist mental health teams in almost half of A&Es across the country have been revealed by NHS England, who hope for the scheme to cover five times more A&Es than now by March 2019.
The service is currently operating in only 10% of emergency departments, but NHS England say they hope to instate it into nearly half in two years.
The news was announced in NHS England’s update to the Five Year Forward View, which outlined a number of new aims and initiatives to tackle chronic problems within mental health care nationally. National Health Executive
The service is currently operating in only 10% of emergency departments, but NHS England say they hope to instate it into nearly half in two years.
The news was announced in NHS England’s update to the Five Year Forward View, which outlined a number of new aims and initiatives to tackle chronic problems within mental health care nationally. National Health Executive
What can the UK learn from Finland's approach to mental health?
What can the UK learn from Finland's approach to mental health? An online therapy service for depression, anxiety and substance misuse is cheap and effective and could provide inspiration for the NHS.
While online therapy is viewed with some scepticism in the UK, in Finland the service, Mental Health Hub, is used by every hospital district in the country. It was first set up 10 years ago by Prof Grigori Joffe and Dr Matti Holi at Helsinki University Central hospital in response to fragmented mental health services and because it is hard for patients in rural areas of the sparsely-populated country to get help. Continue reading... The Guardian
While online therapy is viewed with some scepticism in the UK, in Finland the service, Mental Health Hub, is used by every hospital district in the country. It was first set up 10 years ago by Prof Grigori Joffe and Dr Matti Holi at Helsinki University Central hospital in response to fragmented mental health services and because it is hard for patients in rural areas of the sparsely-populated country to get help. Continue reading... The Guardian
Are hospital chaplains a waste of NHS money?
Are hospital chaplains a waste of NHS money? Religious leaders support staff and patients but some people question their role at a time when budgets are squeezed
Kole Morgan was on holiday in Plymouth when she was involved in a serious car accident. The 47-year-old gardener from Bristol sustained extensive injuries including multiple fractures to her back, which kept her in intensive care for 48 hours and in hospital for a fortnight. The other driver, who was found to have caused the accident, died.
Away from her family, in pain and feeling alone, she struggled to process all that had happened. When a nurse suggested she ask the chaplain to visit, Morgan agreed, despite not having any religious affiliations of her own. Continue reading... The Guardian
Kole Morgan was on holiday in Plymouth when she was involved in a serious car accident. The 47-year-old gardener from Bristol sustained extensive injuries including multiple fractures to her back, which kept her in intensive care for 48 hours and in hospital for a fortnight. The other driver, who was found to have caused the accident, died.
Away from her family, in pain and feeling alone, she struggled to process all that had happened. When a nurse suggested she ask the chaplain to visit, Morgan agreed, despite not having any religious affiliations of her own. Continue reading... The Guardian
Thousands of British children exposed to illegal levels of air pollution
Thousands of British children exposed to illegal levels of air pollution More than 2,000 schools and nurseries close to roads with damaging levels of diesel fumes, joint investigation by Guardian and Greenpeace reveals.
Hundreds of thousands of children are being exposed to illegal levels of damaging air pollution from diesel vehicles at schools and nurseries across England and Wales, a joint investigation by the Guardian and Greenpeace’s investigations unit has revealed. Continue reading... The Guardian
See also:
Hundreds of thousands of children are being exposed to illegal levels of damaging air pollution from diesel vehicles at schools and nurseries across England and Wales, a joint investigation by the Guardian and Greenpeace’s investigations unit has revealed. Continue reading... The Guardian
See also:
- Check whether your child's school is exposed to illegal levels of air pollution The Guardian
- The car is ingrained into people here': West Midlands faces air pollution crisis The Guardian
- Pollution responsible for quarter of deaths of young children, says WHO The Guardian
- Use buggy covers to combat air pollution danger, parents warned The Guardian
Tuesday, 4 April 2017
What do cuts in sexual health services mean for patients?
What do cuts in sexual health services mean for patients? Our report Understanding NHS financial pressures looks at how the slowdown in funding growth since 2010/11 has affected four very different parts of the health system. We chose one local authority-funded public health service to look at in depth: genito-urinary medicine (GUM) services that provide sexually transmitted infection (STI) testing and treatment in hospitals and local clinics.
Despite many examples of innovation in this part of the health system, we saw financial and other pressures having a real impact on patient care.
There is no doubt that GUM services are under pressure financially. The public health grant to local authorities was reduced by 6.7 per cent during 2015/16 with further reductions planned until 2020/21. Across England, spending on STI testing and treatment decreased by almost 4 per cent between 2013/14 and 2015/16, as local authorities implemented these cuts. The situation varies at a local level: around one in seven local authorities actually increased their spending by more than 20 per cent over that two-year period, while around one in four cut their spending by this amount. However, data on future spending plans shows cuts are set to deepen. The King's Fund
Despite many examples of innovation in this part of the health system, we saw financial and other pressures having a real impact on patient care.
There is no doubt that GUM services are under pressure financially. The public health grant to local authorities was reduced by 6.7 per cent during 2015/16 with further reductions planned until 2020/21. Across England, spending on STI testing and treatment decreased by almost 4 per cent between 2013/14 and 2015/16, as local authorities implemented these cuts. The situation varies at a local level: around one in seven local authorities actually increased their spending by more than 20 per cent over that two-year period, while around one in four cut their spending by this amount. However, data on future spending plans shows cuts are set to deepen. The King's Fund
Guidance: Antimicrobial Resistance: resource handbook
Guidance: Antimicrobial Resistance: resource handbook This updated version of the handbook identifies current national policy, guidance and supporting materials in relation to the infection prevention and control of healthcare associated infections (HCAI) and antimicrobial stewardship in order to aid in the reduction of antimicrobial resistance. It is designed to assist local health and social care professionals in quickly retrieving relevant information provided by Public Health England, the Department of Health and a wide variety of key stakeholders.
GMC unveils blueprint for better medical training
GMC unveils blueprint for better medical training Rigid training that adapts too slowly needs radical overhaul to provide trainees with more flexibility and patients with doctors who can care for multiple health conditions, the GMC’s plan for training tells health leaders. General Medical Council
GP funding 'billions of pounds' short despite Forward View investment, warns GPC
GP funding 'billions of pounds' short despite Forward View investment, warns GPC General practice funding remains billions of pounds short despite an 8% real-terms rise over the past three years, the GPC has warned. GPonline
Talking about death is a part of my work – I worry I say the wrong thing
Talking about death is a part of my work – I worry I say the wrong thing It’s so important, as a doctor, to choose my words carefully as they can linger in the family’s memory
I am a NHS hospital consultant and work in a healthcare team that specialises in the care of adults with cystic fibrosis (CF). This is a genetic condition that affects various organs, but primarily the lungs. It results in recurrent and severe chest infections that ultimately cause the lungs to fail. There have been considerable advancements in new therapies that we are hopeful will change the natural history of the disease. Nevertheless, it remains a life-shortening illness and coping with the death of young adults brings many challenges to the team that I work in.
Patients move to our CF centre when they are 18 years old. The doctor-patient relationship is a dichotomous and delicate balance of professional distance and empathy. But it does not fully guard against emotion when we see those we look after approach death. Over the years we develop bonds with our patients and their families and witness many life events. We share in their laughter and tears. Occasionally I am the focus, a patient recently said to me: “You’ve lost weight ... you need to look after yourself better.” That made me chuckle. Continue reading... The Guardian
I am a NHS hospital consultant and work in a healthcare team that specialises in the care of adults with cystic fibrosis (CF). This is a genetic condition that affects various organs, but primarily the lungs. It results in recurrent and severe chest infections that ultimately cause the lungs to fail. There have been considerable advancements in new therapies that we are hopeful will change the natural history of the disease. Nevertheless, it remains a life-shortening illness and coping with the death of young adults brings many challenges to the team that I work in.
Patients move to our CF centre when they are 18 years old. The doctor-patient relationship is a dichotomous and delicate balance of professional distance and empathy. But it does not fully guard against emotion when we see those we look after approach death. Over the years we develop bonds with our patients and their families and witness many life events. We share in their laughter and tears. Occasionally I am the focus, a patient recently said to me: “You’ve lost weight ... you need to look after yourself better.” That made me chuckle. Continue reading... The Guardian
Talking about mental illness is no substitute for offering real help
Talking about mental illness is no substitute for offering real help The latest high-profile campaign is welcome and stigma is declining but the NHS must provide better treatment
Last week, the Duke and Duchess of Cambridge and Prince Harry joined other notable names, including the rapper Professor Green and the former Labour spin doctor Alastair Campbell, to record short films about modern approaches to mental illness. They all stressed that it was good to talk, or, in the terminology beloved of the mental health world, to “start the conversation”.
I agree – and salute their efforts. Talking and being listened to are therapeutic and are known to be what doctors call a “protective factor” when it comes to good mental health. They make us better able to deal with stress; talking also helps reduce stigma, which otherwise leads to discrimination and social isolation. Continue reading... The Guardian
Last week, the Duke and Duchess of Cambridge and Prince Harry joined other notable names, including the rapper Professor Green and the former Labour spin doctor Alastair Campbell, to record short films about modern approaches to mental illness. They all stressed that it was good to talk, or, in the terminology beloved of the mental health world, to “start the conversation”.
I agree – and salute their efforts. Talking and being listened to are therapeutic and are known to be what doctors call a “protective factor” when it comes to good mental health. They make us better able to deal with stress; talking also helps reduce stigma, which otherwise leads to discrimination and social isolation. Continue reading... The Guardian
How the NHS wastes £7.6bn a year
How the NHS wastes £7.6bn a year REVEALED: How the NHS wastes a staggering £7.6bn a year on overpriced loo rolls, lost crutches and wheelchairs and management consultants... and that's just the tip of the iceberg. The Daily Mail
NHS boss says prescribing homeopathy for pain is 'absurd'
NHS boss says prescribing homeopathy for pain is 'absurd' Simon Stevens, chief executive of NHS England, made the remark after announcing a series of cost-cutting measures designed to save the health service £1 billion over the next two years. BBC News
Junior doctor who spoke of pressures of A&E work found dead
Junior doctor who spoke of pressures of A&E work found dead A "talented" junior doctor who had spoken about the pressures of working in an A&E department has been found dead at her home.
Rebecca Ovenden, 32, who worked for Devon Air Ambulance and Derriford Hospital in Plymouth, was found by her husband Paul after concern was raised for her welfare. Police are not treating her death as suspicious.
Dr Ovenden is the third female junior doctor to have gone missing or been found dead in Devon in little over a year. The Daily Telegraph
Rebecca Ovenden, 32, who worked for Devon Air Ambulance and Derriford Hospital in Plymouth, was found by her husband Paul after concern was raised for her welfare. Police are not treating her death as suspicious.
Dr Ovenden is the third female junior doctor to have gone missing or been found dead in Devon in little over a year. The Daily Telegraph
Terminally ill boy denied 'potentially life-saving' treatment by NHS 'would be given it in any US hospital'
Terminally ill boy denied 'potentially life-saving' treatment by NHS 'would be given it in any US hospital' An eight month old boy being denied “potentially life-saving” treatment at Great Ormond Street would be given it at any hospital in America, a court has heard.
The parents of terminally ill Charlie Gard broke down in tears as they listened to medical evidence relating to his rare genetic condition and what his doctors say is a “vanishingly small” chance of his survival.
But an American doctor who has agreed to attempt a pioneering treatment for his mitochondrial disorder, said that it was “reasonable” to attempt to save his life and if he were in a hospital in the USA his parents would have the option. The Daily Telegraph
The parents of terminally ill Charlie Gard broke down in tears as they listened to medical evidence relating to his rare genetic condition and what his doctors say is a “vanishingly small” chance of his survival.
But an American doctor who has agreed to attempt a pioneering treatment for his mitochondrial disorder, said that it was “reasonable” to attempt to save his life and if he were in a hospital in the USA his parents would have the option. The Daily Telegraph
Monday, 3 April 2017
On-going strain on Northampton A&E forces hospital to station nurses in its corridors 24/7 after 'busiest winter on record'
On-going strain on Northampton A&E forces hospital to station nurses in its corridors 24/7 after 'busiest winter on record' A Northampton hospital is preparing to permanently station nurses in its corridors just to deal with spillover patients from A&E. Northampton Chronicle and Echo
Prescription abuse in the UK a growing concern
Prescription abuse in the UK a growing concern The problem of prescription opioid abuse is usually highlighted as a problem exclusive to the United States, given that the country consumes the largest percentage of these medications in the world. Northamptonshire Telegraph
Independent report: NHS property and estates: Naylor review
Independent report: NHS property and estates: Naylor review The report examines how the NHS can make the best use of its estate to support NHS England’s Five Year Forward View.
It highlights the opportunities available to support sustainability and transformation plans (STPs) and optimise the use of NHS land and buildings.
The government is already acting on some of the recommendations by:
The government welcomes the review and will consider the recommendations carefully and respond in due course. Department of Health
It highlights the opportunities available to support sustainability and transformation plans (STPs) and optimise the use of NHS land and buildings.
The government is already acting on some of the recommendations by:
- creating a new NHS property board
- making a £325 million capital investment over the next 3 years to develop local STPs - as announced in this year’s Budget
- developing an incentive scheme to guarantee that proceeds of sales are available for reinvestment
The government welcomes the review and will consider the recommendations carefully and respond in due course. Department of Health
Consultation launched on prescribing of gluten-free foods
Consultation launched on prescribing of gluten-free foods The consultation follows NHS England’s announcement this week of new guidance on the prescription of low value items such as travel vaccines, painkillers, and gluten-free (GF) foods.
It will consider ending the prescription of all gluten-free foods in primary care, with estimates suggesting this could save £25.7 million a year for the health service. An additional £10 million could be saved through patients no longer needing to attend GP appointments in order to get their gluten-free prescriptions. Department of Health
It will consider ending the prescription of all gluten-free foods in primary care, with estimates suggesting this could save £25.7 million a year for the health service. An additional £10 million could be saved through patients no longer needing to attend GP appointments in order to get their gluten-free prescriptions. Department of Health
More than 20 million Britons 'physically inactive'
More than 20 million Britons 'physically inactive' More than 20 million people in the UK are physically inactive, according to a report by the British Heart Foundation.
The charity warns that inactivity increases the risk of heart disease and costs the NHS around £1.2bn each year. BBC News
See also:
The charity warns that inactivity increases the risk of heart disease and costs the NHS around £1.2bn each year. BBC News
See also:
- New report assesses impact of physical inactivity on UK heart health and economy British Heart Foundation
- How Britons spend two-and-a-half months a year sitting The Daily Mail
Investigation launched into claims NHS 111 helpline 'put suicidal callers on hold until they hung up'
Investigation launched into claims NHS 111 helpline 'put suicidal callers on hold until they hung up' The NHS has launched an “urgent” investigation into allegations that suicidal patients calling 111 are being left on hold until they hang up.
Staff at the health service’s non-emergency hotline were allegedly found asleep on duty, claimed a reporter for The Sun who went undercover at the NHS 111 call centre at St Charles Hospital in Ladbroke Grove, west London.
The newspaper reported an alleged conversation with one of the call handlers about how they dealt with suicidal patients.
According to The Sun, a handler told the undercover reporter: “After a while you can’t talk to them no more, it just gets awkward.”
“She was crying and I was asking her stuff like, 'do you not really want to talk', she was like, 'no'... I put her on mute,” the reporter was allegedly told. The Independent
See also:
Staff at the health service’s non-emergency hotline were allegedly found asleep on duty, claimed a reporter for The Sun who went undercover at the NHS 111 call centre at St Charles Hospital in Ladbroke Grove, west London.
The newspaper reported an alleged conversation with one of the call handlers about how they dealt with suicidal patients.
According to The Sun, a handler told the undercover reporter: “After a while you can’t talk to them no more, it just gets awkward.”
“She was crying and I was asking her stuff like, 'do you not really want to talk', she was like, 'no'... I put her on mute,” the reporter was allegedly told. The Independent
See also:
- NHS 111 'put suicidal callers on hold until they hung up' The Daily Telegraph
NHS to fast-track UK nurses to combat record departures of EU staff
NHS to fast-track UK nurses to combat record departures of EU staff Chief executive of NHS England announces new training programme to ‘grow the workforce from within this country’
NHS England is to launch a new nursing training programme to help plug the gap created by the record number of Europeans leaving the health service since the Brexit vote.
Simon Stevens, the chief executive of NHS England, acknowledged that the service relies on international staff, including the more than 12,000 nurses who are EU nationals out of the 315,000 nurses on the NHS’s payroll. Continue reading... The Guardian
See also:
NHS England is to launch a new nursing training programme to help plug the gap created by the record number of Europeans leaving the health service since the Brexit vote.
Simon Stevens, the chief executive of NHS England, acknowledged that the service relies on international staff, including the more than 12,000 nurses who are EU nationals out of the 315,000 nurses on the NHS’s payroll. Continue reading... The Guardian
See also:
Simon Stevens' NHS gamble is probably the right choice - but price could be high
Simon Stevens' NHS gamble is probably the right choice - but price could be high Will politicians and the public stomach longer waits for routine surgery if performance is improved in other areas?
The NHS plan for the next two years represents a perceptible contraction of the health service’s offer to the public.
The proposals in Next steps on the NHS Five Year Forward View, published on Friday, are shaped by shortages of money and staff. Continue reading... The Guardian
See also:
The NHS plan for the next two years represents a perceptible contraction of the health service’s offer to the public.
The proposals in Next steps on the NHS Five Year Forward View, published on Friday, are shaped by shortages of money and staff. Continue reading... The Guardian
See also:
- NHS boss: More will be done but constrained circumstances BBC News
- Cut NHS waste by banning IVF and recycling crutches The Daily Mail
- Let’s applaud Simon Stevens: the NHS boss with a plan The Guardian
- Will NHS transformation plans kill or cure the health service? The Guardian
- Drive to bring health and social care together is a well-intentioned mess The Guardian
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