Wednesday, 13 September 2017

Pharmacists and care staff will be trained to spot sepsis

Pharmacists and care staff will be trained to spot sepsis Pharmacists and care home staff will be trained to spot sepsis under updated guidelines from Health Secretary Jeremy Hunt.

They will be taught to look for symptoms of rapid breathing, a fast heart rate, raised temperature or a rash.

The Health Secretary wants to massively boost the awareness of sepsis, which kills 37,000 in England a year.

He is also publishing guidelines on the internet for parents telling them how to recognise the warning signs in children. The Daily Mail

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Leading large scale change: a practical guide

Leading large scale change: a practical guide NHS England - This guide aims to support all those seeking to achieve transformational change in complex health and care environments. The guide has been informed by the learning and lived experience of system leaders who have strived for sustainable transformational change. King's Fund - news

Patients' illnesses could soon be diagnosed by AI, NHS leaders say

Patients' illnesses could soon be diagnosed by AI, NHS leaders say Computers could start diagnosing patients’ illnesses within the next few years as artificial intelligence increasingly ousts doctors from their traditional roles, NHS leaders believe.

Machines may soon be able to read X-rays and analyse samples of diseased tissue, such as lumps that can indicate the presence of breast cancer, the NHS’s top doctor said.

NHS England plans to invest more of its £120bn budget in AI to speed up its application to medicine and the health service, especially the task of analysing “huge swaths” of the information collected from patients about their symptoms. The Guardian

NHS boss puts service on high alert in case of heavy winter flu burden

NHS boss puts service on high alert in case of heavy winter flu burden Simon Stevens says major winter outbreaks in Australia and New Zealand suggests NHS could struggle to cope with cases

Britain could face a significant increase in flu cases this winter, which would make it hard for hospitals, GP surgeries and care homes to cope, the chief executive of NHS England said on Tuesday.

Simon Stevens said Australia and New Zealand had just experienced a heavy burden of winter flu cases, raising concerns that Britain may experience the same in the next few months. The Guardian

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Improving work health for a healthy economy

Improving work health for a healthy economy A healthy population is the engine of a healthy economy, says Public Health England’s (PHE) Chief Executive.

Speaking at the opening of PHE’s annual conference, Duncan Selbie said we must look further than the NHS if we are to ensure everyone has a fair chance of good health.

PHE believes that health and wealth are 2 sides of the same coin. Having a job is the key to a long, happy and healthy life.

Illness among working age people costs the UK economy £100 billion a year. About 330,000 every year become unemployed because of health-related issues. Public Health England

Northampton charity celebrates supporting 650 new mums with baby 'starter packs'

Northampton charity celebrates supporting 650 new mums with baby 'starter packs'
A Northampton-based charity, who have supported mums-to-be for over four years, is marking their success after giving away 650 Moses baskets to mostly vulnerable parents.

Working alongside agencies, including health visitors, midwives and children's centres, Baby Basics of Grange Park often supports mums who have been affected by domestic violence. Northampton Chronicle and Echo

Tuesday, 12 September 2017

New care models: harnessing technology

New care models: harnessing technology This report from the NHS Clinical Commissioners explores how digital tools can help to address rising demand, constrained funding and workforce challenges, and it demonstrates how technology has the potential to revolutionise the way health and care is delivered. It focuses on how five vanguards are implementing innovative digital technology solutions at the heart of a new approach to care.
Report
Press release
King's Fund

Under pressure? NHS maternity services in England

Under pressure? NHS maternity services in England This briefing finds that NHS maternity units are more likely to close towards the end of the week and during holiday periods due to low staffing levels. It reviews the evidence on the long-run pressures faced by maternity units from changes in the number of maternity admissions and the case mix. While the number of maternity cases has remained largely constant since 2010, the case mix continues to change, with women giving birth later in life and with more complex health conditions. There are implications for maternity units if this evolving case mix of mothers requires more care in terms of staffing or other resources. IFS publications  King's Fund

Patients to book GP appointments and access records through NHS app

Patients to book GP appointments and access records through NHS app Patients should be able to access GP services from a new integrated app from next year, Jeremy Hunt has announced. Speaking at the NHS Innovation Expo in Manchester the health secretary said every patient in England would be able to book appointments, order repeat prescriptions, see their medical records, contact 111 and access long-term conditions support from an app by the end of next year. GP Online

Developing a model of care to improve mental health crisis response - Nursing Times

Developing a model of care to improve mental health crisis response - Nursing Times Collaboration between police and mental health services can improve the care of people with mental health problems who often use emergency services. This initiative won the HRH The Prince of Wales Award for Integrated Approaches to Care in the 2016 Nursing Times Awards.
The partnership began in October 2012 on the Isle of Wight, with a street triage team (a joint response team of police and mental health services). However, the focus soon widened to include phone call management. By 2013, mental health nurses were working in the police control room and speaking to people who were calling in crisis. Nursing Times

Public sector employers 'preparing to hire at fastest pace since 2015'

Public sector employers 'preparing to hire at fastest pace since 2015' NHS staff shortages and rejection of austerity at election encouraging managers to recruit more workers, says survey.
Public sector employers are preparing to hire at the fastest pace since 2015, as NHS staff shortages and the rejection of austerity at the election encourages managers to recruit more workers, according to a survey.
There are about 5.1 million public sector workers in the UK excluding banks rescued in the financial crisis, of whom 1.6 million work for the NHS and 1.5 million work in education. Guardian

NHS plan could see blood pressure checks on supermarket tills 

NHS plan could see blood pressure checks on supermarket tills Shoppers could have their blood pressure checked at supermarket tills under radical NHS plans aimed at preventing almost 25,000 heart attacks and strokes.
Firefighters, teachers and office workers will also be trained to carry out tests, in a bid to identify thousands of people are risk of the major killers.
Under the NHS proposals, local planners will be encouraged to find "creative ways" to carry out checks on those in middle age - instead of relying on them to turn up at GPs’. Telegraph

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New approach to preventing heart attacks and strokes Public Health England


Monday, 11 September 2017

Jeremy Hunt to unveil plans for digital-led NHS treatment by 2018

Jeremy Hunt to unveil plans for digital-led NHS treatment by 2018 Access to medical records, booking GP appointments and ordering repeat prescriptions could all be done via an app by the end of next year

Jeremy Hunt is to pledge that every patient in England should be able to access their medical records and book an appointment with a GP via an app by the end of 2018.

The health secretary will use his speech at an NHS conference on Tuesday to promise the national rollout of an integrated app, which patients will also be able to use for ordering repeat prescriptions and accessing NHS 111 – the non-emergency medical helpline. The Guardian

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'Medical opinions ignored' by NHS payment assessor, workers say

'Medical opinions ignored' by NHS payment assessor, workers say Three health workers said an assessor organisation discounted medical views so some patients were denied NHS care.

Norman Lamb MP said England-wide data obtained by the BBC showed a "regional disparity" and was "an injustice". However the assessor organisation, Arden and Greater East Midlands CSU, says it follows national guidelines to decide on payments. Under national criteria, the NHS pays for long-term support and care if a patient's condition is severe enough.

However, BBC Inside Out East has found a wide difference among clinical commissioning groups (CCGs) in England in the percentage of patients rejected following assessment for continuing health care (CHC). BBC News

Psychiatric care is postcode lottery, say medical experts

Psychiatric care is postcode lottery, say medical experts There are not enough NHS psychiatrists in some parts of the UK and more should be recruited to improve care, says the Royal College of Psychiatrists.

In Scotland, there are 10 consultant psychiatrists per 100,000 people - but only eight for the same number in England and Northern Ireland, and just six in Wales. London's tally is more than double that of the east of England. English health ministers said thousands of new posts were already planned.

The government in England recently announced there would be 570 extra consultant psychiatrists by 2020-21.  And the Welsh government said it was committed to improving mental health services in Wales.  B

But the Royal College of Psychiatrists said there were too few medical students specialising in psychiatry and not enough psychiatrists becoming consultants. BBC News - Health

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NASA meets Hollywood as new technology helps tackle NHS fraility in older people

NASA meets Hollywood as new technology helps tackle NHS fraility in older people The NHS is trialling new wearable sensors, based on technology used by NASA and the CGI film industry, to help identify older patients at risk of falls as part of a new drive to tackle frailty.

The technology will help make one small step a lot easier for the over-65s (although giant leaps may still prove a challenge). NHS England

Service specification for integrated urgent care

Service specification for integrated urgent care NHS England has published a national service specification for integrated urgent care services. It outlines the steps that commissioners must take to deliver this important transformation and to move from an ‘assess and refer’ to a new ‘consult and complete’ model of service delivery. NHS Networks

Friday, 8 September 2017

'Unrelenting pressure' on NHS staff spells trouble for cancer care

'Unrelenting pressure' on NHS staff spells trouble for cancer care Bigger workloads, increasingly complex patient needs, and vacancies in key roles are creating ‘unrelenting pressure’ on cancer care workforce, new report warns.

Current workforce pressures are affecting the level of care being delivered to cancer patients, according to a new report From the Frontline by Macmillan Cancer Support.

A survey undertaken by nfpSynergy for Macmillan of over 250 GPs and nurses working in primary care across the UK, found that over half (52%) are not confident the NHS workforce is able to provide adequate care to cancer patients, given the current pressures it faces

As winter looms, NHS debate warms up

As winter looms, NHS debate warms up Cooler weather and the first sniff of autumn in the air have been accompanied by the familiar opening salvo of warnings about a difficult winter ahead for the NHS.

The body representing hospitals and other trusts in England, NHS Providers, has said that without an emergency cash bailout the service will face unprecedented pressure.

At the same time the issue of longer waits for routine surgery has jumped up the political agenda.

The government was defeated in the Lords over the failure to meet the 18-week waiting time target in England. BBC News

Girl's donated organs help a record eight people

Girl's donated organs help a record eight people A 13-year-old girl who died from a brain aneurysm has helped a record eight different people, including five children, through organ donation.

Jemima Layzell, from Somerset, who died in 2012, donated her heart, pancreas, lungs, kidneys, small bowel and liver.

Jemima's parents said she was clever, compassionate and creative - and would have been "very proud of her legacy".

NHS Blood and Transplant said no other donor had helped as many people. BBC News

The Brexit leak shows a government on collision course with the NHS

The Brexit leak shows a government on collision course with the NHS The scheme to cut immigration is at odds with the need to fill 176,000 health and care vacancies. For the sector to survive, its workers must be given special status

The leaked 82-page government Brexit-immigration report should ring alarm bells for the NHS as it tackles the greatest workforce crisis in the health service’s history. The Home Office proposes measures to reduce the number of lower-skilled EU migrants by offering them residency for a maximum of only two years, whereas those in “high-skilled occupations” would be granted permits to work three to five years.

The report says: “Put plainly, this means that, to be considered valuable to the country, immigration should benefit not just the migrants themselves but also make existing residents better off.” Continue reading... The Guardian

Ministers drop 'misguided' plans to privatise NHS Professionals

Ministers drop 'misguided' plans to privatise NHS Professionals The government has abandoned plans to privatise an NHS employment agency it owns that supplies doctors and nurses to hospitals to ease their understaffing.

Labour welcomed what it called “a major U-turn on a misguided policy from a government with no solution to the workforce crisis in the NHS”. Continue reading.. The Guardian

Thinking of suing the NHS? Here’s why you should think again

Thinking of suing the NHS? Here’s why you should think again With medical negligence cases sharply up, citizens need to ask if they really want services drained to compensate a few claimants who can prove their case

Not a week goes by without another sign of extreme stress in the NHS. Winter is coming, as the warning goes, with 40,000 nurse vacancies unfilled, debts mounting and for the first time ever the NHS next year takes a real cut in per-capita income. Continue reading... The Guardian

GP who created fake patient 'M Mouse' escapes suspension

GP who created fake patient 'M Mouse' escapes suspension A GP who listed "M Mouse" among hundreds of bogus patients has escaped suspension after a tribunal decided it was his way of coping with his workload.

Dr Andrew Thomson fiddled appointments over a five-year period but avoided sanction after a medical tribunal highlighted his "propensity for overwork".

He was warned that the "exceptional course" adopted in the misconduct hearing by the medical practitioners' tribunal in Manchester did not reduce the seriousness of his conduct at the Academy Health Centre, in Forfar, Tayside. The Daily Telegraph

Suicide rate for young women highest for 20 years as experts warn of mental health crisis

Suicide rate for young women highest for 20 years as experts warn of mental health crisis Suicide among women in their early twenties is at its highest level in two decades, ONS figures show, as experts warn of a mental health crisis among young women who struggle with the pressures of modern life and social media.

While the overall figures for Great Britain show rates are at a seven-year low, women aged between 20 and 24 are increasingly likely to die by suicide. The Daily Telegraph

Thursday, 7 September 2017

KGH showing signs of improvement, inspection finds

KGH showing signs of improvement, inspection finds An inspection at Kettering General Hospital has found it has made significant improvements to patient safety and care.

The hospital was issued a warning notice by the Care Quality Commission in October 2016 after being placed into special measures. A subsequent inspection in June found the hospital has met the requirements of the notice, but it will still be in special measures until a full inspection takes place this autumn when it could be regraded.

Interim chief executive Fiona Wise said: “We have worked hard and comprehensively to address the issues raised by the CQC and I think the report reflects that. Northamptonshire Telegraph

Partnerships for improvement: ingredients for success

Partnerships for improvement: ingredients for success The idea of partnerships and collaboration across organisational boundaries is at the heart of NHS reforms in England. Although we have helped to develop the evidence base for how networks of people can improve quality of care, less is known about what makes for successful partnerships between providers at an organisational level.

For this reason, we commissioned the Health Services Management Centre at the University of Birmingham to look at a range of current organisational partnerships. This report focuses on five different partnering arrangements, as well as interviews with national leaders, and draws learning to help inform and guide policymakers and providers. The Health Foundation

Tobacco, drugs and obesity: taking stock of recent policy

Tobacco, drugs and obesity: taking stock of recent policy The current government has now produced two plans and a strategy in important areas of public health and behaviour. So it’s a good time to take stock of what the tobacco control plan, the childhood obesity plan and the drug strategy together tell us about the government’s approach to these issues. The King's Fund

Managing the costs of clinical negligence in trusts

Managing the costs of clinical negligence in trusts The cost of clinical negligence in trusts is significant and rising fast, placing increasing financial pressure on an already stretched system. NHS Resolution and the Department are proposing measures to tackle this, but the expected savings are small compared with the predicted rise in overall costs. At £60 billion, up from £51 billion last year, the provision for clinical negligence in trusts is one of the biggest liabilities in the government accounts, and one of the fastest growing. Fundamentally changing the biggest drivers of increasing cost will require significant activity in policy and legislation. National Audit Office

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Not by degrees: improving student mental health in the UK's universities

Not by degrees: improving student mental health in the UK's universities This report finds that levels of mental illness, mental distress and low wellbeing among students in higher education in the UK are increasing, and are high relative to other sections of the population. It calls for universities to make mental health a strategic priority and adopt a whole-university approach to prevention, promotion and support. Institute for Public Policy Research

Public 'tricked' into buying unhealthy food

Public 'tricked' into buying unhealthy food The UK's obesity crisis is being fuelled by businesses pushing unhealthy food and larger portions on shoppers, according to health experts.

The Royal Society for Public Health warned consumers were being tricked by a marketing ploy known as upselling.

The tactic involves shops, cafes and restaurants encouraging customers to upgrade to larger meals and drinks or adding high-calorie toppings and sides.

A poll suggested eight in 10 people experienced it every week. BBC News

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Tackling health anxiety could save NHS over £400m a year, study finds

Tackling health anxiety could save NHS over £400m a year, study finds Researchers find people who have had a serious illness fear it will happen again and symptoms persist when nothing is wrong

The NHS could save more than £420m a year by offering treatment for health anxiety and “cyberchondria”, a psychological ailment caused by people obsessively looking up their symptoms online, a study has estimated.

The study, funded and published by the National Institute for Health Research, said the savings could be made just on the costs of care in hospital outpatient departments, with research showing health anxiety fades and stays away after a course of therapy. Continue reading... The Guardian

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'Enough is enough': nurses protest against pay cap outside Westminster

'Enough is enough': nurses protest against pay cap outside Westminster Around 2,000 nurses gather to warn government strike action is possible over policy that has led to 14% cut in real-terms of wages

Nurses have expressed their anger over the public sector pay cap in a protest outside parliament, warning the government they are prepared to take industrial action.

Around 2,000 nurses from all over the country congregated in Westminster on Wednesday at a Royal College of Nursing (RCN) protest against the policy that has led to a 14% cut in real-terms of wages for staff in England over the past seven years. Continue reading... The Guardian

What’s stopping pharmacies doing more to reduce pressure on GPs?

What’s stopping pharmacies doing more to reduce pressure on GPs? Chemists can already provide vital services, such as the morning-after pill – but a new study shows they are being chronically underused

When a woman recently walked into Thorrun Govind’s high-street pharmacy in Bolton seeking help for a common infection, Govind quickly knew what to prescribe. But because the woman said she had not had the medication before, Govind had to check with her GP practice. They insisted the woman go in. Continue reading... The Guardian

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Another CCG scraps free IVF on the NHS

Another CCG scraps free IVF on the NHS Health chiefs in the Cambridgeshire and Peterborough area have stopped giving infertile women the service with immediate effect. Some exceptions will apply to the new plans. The Daily Mail

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Unqualified NHS staff are labelled as nurses

Unqualified NHS staff are labelled as nurses Unqualified care assistants are practising in the NHS with job titles that describe them as nurses with advanced skills, experts have revealed.

A new study found that thousands of nursing jobs across the health service have titles that have little or no link to a nurse's education or level of experience.

Researchers said people are also working with these titles without being registered with the regulator, the Nursing and Midwifery Council (NMC).

In many cases, NHS trusts or staff themselves create their own job titles. The Daily Mail

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Wednesday, 6 September 2017

Mental health at work: the business costs ten years on

Mental health at work: the business costs ten years on This report finds that mental health problems in the UK workforce cost employers almost £35 billion last year. The largest part of this business cost is in the form of reduced productivity among people who are at work but unwell: or ‘presenteeism’. This costs businesses twice as much as sickness absence relating to poor mental health. Centre for Mental Health

Shock survey reveals half of UK GPs are ‘drastically’ unaware of black men’s increased risk

Shock survey reveals half of UK GPs are ‘drastically’ unaware of black men’s increased risk Black men in the UK have double the risk of developing prostate cancer compared to other men, yet only 51% of GPs in the UK are aware of their heightened risk – according to new research released today by Prostate Cancer UK. Even more worryingly, almost a third of those doctors were located in regions with large black populations.

Our national survey of over 400 GPs revealed only 7% said that they always initiated conversations about prostate cancer with black men. They were also more likely to instigate such discussions with men with a known family history of the disease, despite race being an equally dangerous risk factor. Prostate Cancer UK

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'We couldn't see an NHS dentist so we pulled out our own teeth'

'We couldn't see an NHS dentist so we pulled out our own teeth' A couple in need of dental care say they had to pull out their own teeth because no NHS dentist will treat them.

A BBC News analysis of 2,500 dental practices on the NHS Choices website found half were not accepting new adult NHS patients, while two-fifths were not accepting new child NHS patients.

The British Dental Association (BDA) said the figures reflected an "emerging crisis" in dental care in England.

NHS England said 95% of people seeking an appointment could get one. BBC News

Families left devastated by false claims of FGM in girls

Families left devastated by false claims of FGM in girls Some children in the UK have spent months on child protection plans - or in foster care - on the false suspicion they are victims of female genital mutilation, a BBC report has found.

The BBC understands that it can take months for children to be examined in cases where FGM is suspected.

Children can be separated from their parents while inquiries take place.

Experts say that in the majority of cases, when examined by a specialist, it turns out the child has not had FGM. BBC News

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Learning the lingo

Learning the lingo Doctors who have travelled to Scotland as refugees are being given the chance to start working for the NHS through a training scheme. The BBC's Victoria Derbyshire programme has been to meet those involved.

"When people say, 'I had a couple of beers', they don't mean two," jokes instructor Dr Patrick Grant, a retired A&E doctor training refugees to work for NHS Scotland - including in how to overcome cultural barriers.

One of his students is Fatema, who previously worked as a surgeon in the Middle East until she was forced to flee.

Having treated anti-government protesters in her home country, she herself had become a government target.

"I wish one day this country will be proud of me," she says. BBC News

The Government Has Quietly Shelved NHS 18-Week Waiting Time Target

The Government Has Quietly Shelved NHS 18-Week Waiting Time Target The government has quietly shelved 18-week NHS waiting times for elective surgery, according to a Labour peer.

Lord Philip Hunt of Kings Heath said he believes ministers may have acted unlawfully by removing the target from the NHS Regulations for 2017, without making a public statement or informing Parliament.

One of three key targets, along with A&E waiting times and cancer treatment referrals, the NHS was previously required to ensure 92% of patients waiting for non-urgent surgery were treated within 18 weeks. The service has repeatedly missed all three key targets in recent years. Huffington Post UK

Longest-serving health secretary Jeremy Hunt completes five years in post

Longest-serving health secretary Jeremy Hunt completes five years in post Jeremy Hunt this week completed five years as health secretary. GPonline looks back at half a decade that has seen MPIG scrapped, the start of revalidation and CQC inspections, junior doctor strikes and the emergence of a full-blown GP crisis.

One in twelve NHS patient prescriptions contain an error

One in twelve NHS patient prescriptions contain an error More than 80million prescriptions given to patients are wrong, Jeremy Hunt has warned.

Patients routinely receive the incorrect medication or dosage because of errors by doctors, nurses and pharmacists.

The Health Secretary will launch a major review of prescribing mistakes in the next few months. The Daily Mail

Tuesday, 5 September 2017

KGH doctor who had heart transplant urges people to join organ donation register

KGH doctor who had heart transplant urges people to join organ donation register A doctor at Kettering General Hospital who has had a heart transplant is promoting greater awareness of organ donation during national Organ Donation Week. Northamptonshire Telegraph

Shortage of organ donations led to 457 deaths last year, says NHS

Shortage of organ donations led to 457 deaths last year, says NHS Reluctance to talk about transplants leaves families unsure of potential donors’ wishes and a reluctance to donate

A reluctance to talk about transplants is contributing to a deadly shortage of organs donation, the NHS has said after figures revealed more than 450 patients waiting for a new organ died last year because families, unsure of their deceased relatives’ wishes, declined to donate.

NHS Blood and Transplant said an average of three families a week in the UK decided not to allow organ donation because they were unsure, or did not know whether their relatives would have wanted to donate an organ or not. Continue reading... The Guardian

National Engagement Service infographic

National Engagement Service infographic This infographic outlines the work of the National Engagement Service which supports leaders on workforce issues in the NHS. NHS Employers

Funding for healthcare in England in support of the United Kingdom's resettlement programmes 2017/18

Funding for healthcare in England in support of the United Kingdom's resettlement programmes 2017/18 This suite of guidance provides information on funding reimbursement on UK resettlement programmes for refugees from Syria and the Middle East and North Africa region. The government is making funding available to allow local authorities, health care providers and third party sponsors to support refugees for the duration of the programme. UK Visas and Immigration

'Sharp rise' in student mental illness tests universities

'Sharp rise' in student mental illness tests universities Almost five times as many students as 10 years ago have disclosed a mental health condition to their university, say researchers.

In 2015-16, more than 15,000 UK-based first-year students disclosed mental health issues, Institute of Public Policy Research analysis suggests.

The 2006 figure was about 3,000 and the rise risks overwhelming university services, the IPPR says.

Universities UK said student mental health was "a strategic priority". BBC News

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GP leaders 'alarmed' by Capita role in £2.7m accountable care deal

GP leaders 'alarmed' by Capita role in £2.7m accountable care deal GP leaders have raised concerns with NHS bosses over the involvement of outsourcing firm Capita in the development of an accountable care system. GPonline

Letter to my junior doctor self: 'There will be moments of terror and pride'

Letter to my junior doctor self: 'There will be moments of terror and pride' A GP trainee reveals the crippling self-doubt and sense of responsibility she felt when she began her junior doctor training

Dear Nish,

You’re a month in. I know what you’re thinking, even though you daren’t say it. It’s a bit of an anti-climax, isn’t it?

Don’t wallow in your failure to meet your distorted ​definition of a good clinician Continue reading... The Guardian

Theresa May 'set to lift 1% public sector pay cap'

Theresa May 'set to lift 1% public sector pay cap'  Theresa May will lift the public sector pay cap later this month as the Tories seek to respond to concerns that the public are “tired with austerity”, according to reports.

Pay increases in the public sector have been frozen and then capped at 1% for seven years.

But the Prime Minister is apparently planning to announce the end of the cap with pay to increase in line with the rate of inflation or above. The Daily Telegraph

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Monday, 4 September 2017

Almost 100 people in Northants have died in past decade while waiting for an organ transplant

Almost 100 people in Northants have died in past decade while waiting for an organ transplant New figures show 89 people in Northamptonshire have died on the waiting list for an organ transplant over the past 10 years.

NHS Blood and Transplant revealed the tragic number of deaths to mark Organ Donation Week (September 4 to 10) and is now urging people to tell their families they want to become donors. Northampton Chronicle and Echo

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CCG reveals options for future of Corby’s Urgent Care Centre

CCG reveals options for future of Corby’s Urgent Care Centre Corby CCG has revealed the options for the future of the town’s urgent care centre, which it will decide upon next week.

An extraordinary meeting has been called for Tuesday (August 8) where health officials will make a decision on provision at the site in Cottingham Road beyond September 30. The current contract with operators Lakeside+ ends then, with Lakeside declining to take on a new contract because it says the CCG is not offering enough money and no other bidders coming forward.

Now the options for October 1 onwards have been revealed. Northamptonshire Telegraph

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Getting serious about public mental health

Getting serious about public mental health Ten years ago, as a student of public health, I remember feeling surprised that mental health didn’t feature more prominently on the syllabus. It struck me then, as it does now, that many of the big issues in public health can be seen to some extent as visible symptoms of deeper causes related to psychological wellbeing. Obesity, smoking, and alcohol and substance abuse are all strongly associated with poor mental health. And yet public mental health appeared to be considered a niche interest. The King's Fund

Patient safety will be risked this winter without immediate funding and capacity boost for the NHS

Patient safety will be risked this winter without immediate funding and capacity boost for the NHS Time is running out for local health services to be given the extra funding and capacity to fully protect patients this winter.

As the NHS faces up to another tough winter, NHS Providers, the organisation that represents 97% of hospital, mental health, community and ambulance service trusts in England, is calling for an immediate emergency cash injection of between £200 and £350 million to enable the NHS to manage patient safety risk this winter.

Failure to make this investment will lead to lengthening waiting times for patients in A&E and other services and will also put the safety of patients at risk as local trusts have insufficient capacity to meet extra expected demand. The extra funding is needed to complement other work currently being undertaken to improve the NHS’ state of readiness for this winter. NHS Providers

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Press release: 1 in 10 men aged 50 have a heart age 10 years older than they are

Press release: 1 in 10 men aged 50 have a heart age 10 years older than they are Heart Age Test is the only known way of measuring our heart age, which shows how many years we can expect to live healthily without a heart attack or stroke. The higher our heart age, the higher our risk.

Analysis of 1.2 million tesr results shows the majority of people (64%) with a heart 10 years older than their actual age are male.

Every month, 7,400 people die from heart disease or stroke. A quarter of deaths are of people under 75 and most of these can be prevented.

Public Health England’s campaign is leading the way in addressing how people think about their heart health, encouraging them to be as familiar with their heart age as they are with their weight or height.

Market shaping in adult social care

Market shaping in adult social care The last five years have seen a reduction in the number of residential and nursing homes operating in England resulting in 1,400 fewer homes. The long-term trend of increasing numbers of nursing home beds and decreasing numbers of residential home beds has come to a halt. This analysis highlights the fragility of the care home market, although the home care market is equally under pressure. It argues that local authorities must be prepared to be bolder and do things differently in order to shape the market. Institute of Public Care

Organ donors should let family know of intensions, says NHS

Organ donors should let family know of intensions, says NHS More than 450 relatives of organ donors declined permission to donate as they were unsure of their relatives' wishes in 2016, figures have shown.

NHS Blood and Transplant (NHSBT) says families are reluctant to give their loved one's organs to patients.

Last year, 457 people died while on the active transplant waiting list, and currently there are 6,414 patients waiting for organs.

NHSBT says donors should ensure they have told relatives of their wishes. BBC News

Is it any wonder the NHS is struggling to recruit homegrown GPs when their job has been reduced to little more than delivering bad news?

Is it any wonder the NHS is struggling to recruit homegrown GPs when their job has been reduced to little more than delivering bad news? As the NHS launches a £100m drive to recruit foreign GPs, it’s hard to know what to think. Perhaps we should feel hopeful that a seemingly positive step has been taken to help with the current GP crisis in the UK. Maybe it will instil some hope in the smiling Jeremy Hunt who has appeared, of late, to be far busier arguing with one of the world’s most respected scientific minds than doing what we are desperate for him to do – fix the NHS.

Or perhaps, conversely, the latest step by the NHS to try to plug one of its many gaps serves to remind us of exactly how dire the situation is. So dire that it’s becoming increasingly difficult to recruit GPs to the thankless, underfunded task they face. The Independent

Let's fight the stigma around ageing and frailtyman

Let's fight the stigma around ageing and frailty Focusing on the physical deficits of old age means we are not paying enough attention to other aspects of health and wellbeing

There needs to be a radical shift in how frailty is presented as a health and social care issue. Last year, a senior NHS clinician wrote the following on the importance of diagnosing frailty:

Frailty remains an easy condition to recognise. Today, however, there are far greater numbers of older people than ever before, and while frailty can develop throughout adult life the numbers of older people living with the condition has increased substantially. With a highly developed healthcare system supporting us to later life, we should not be surprised when frailty declares itself as a health or social care crisis.

By pursuing an over-medicalised approach to frailty, we are in danger of ignoring other aspects of a person’s wellbeing. Continue reading... The Guardian

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Antidepressants work, so why do we shame people for taking them?

Antidepressants work, so why do we shame people for taking them? A new mega-analysis has found in favour of SSRIs. Time to give people who take them a break

British society just cannot get comfortable with the reality of medication for depression. Despite widespread use, they still attract disapproval. New research appears to strike a decisive blow against widely publicised claims that antidepressant medications such as Prozac, a selective serotonin reuptake inhibitor (SSRI) are no better than sugar pills for people with depression.

Elias Eriksson, professor of pharmacology at the University of Gothenburg and one of the authors of the new paper, said: “I think, once and for all, we’ve answered the SSRI question. SSRIs work. They may not work for every patient, but they work for most patients. And it’s a pity if their use is discouraged because of newspaper reports.”

We are invested in the idea of a grand conspiracy … an industry dampening human responses to reality for profit Continue reading... The Guardian

Expert demands urgent probe into 'avoidable' fatalities

Expert demands urgent probe into 'avoidable' fatalities The NHS has covered up thousands of ‘suspect’ deaths in hospitals across England, sparking calls for an urgent inquiry, The Mail on Sunday can reveal.

According to the expert who helped to expose the Mid-Staffordshire hospitals scandal – where hundreds died due to poor care – health chiefs have systematically excluded up to 19,000 ‘unexpected’ deaths from official statistics over the past five years.

Professor Sir Brian Jarman says his shocking findings mean there are dozens of ‘potentially unsafe’ hospitals that should be investigated over high death rates, but which are being overlooked.

Last night, Liberal Democrat Health spokesman Norman Lamb demanded that Health Secretary Jeremy Hunt look into the claims as a matter of urgency. The Daily Mail

Friday, 1 September 2017

Mental health and behavioural conditions account for nearly one-in-three known fit notes

Mental health and behavioural conditions account for nearly one-in-three known fit notes  Mental health and behavioural conditions have accounted for 31% of all fit notes, where the diagnosis was known, written in England between December 2014 and March 2017.

This was the most common known reason for issuing a fit note, new experimental figures from NHS Digital have revealed.

Anonymised information covering GP practices has been collected for the first time. These practices are responsible for around two-thirds of working age patients registered with a GP in England.

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Flu vaccine 'very effective' in children

Flu vaccine 'very effective' in children Last winter's vaccine reduced the risk of flu by 66% in children, according to Public Health England, up 8% on last year.

It's the best result since 2013, when children first received flu vaccinations.

In adults aged 18-64 years, the vaccine reduced the risk of flu by about 40%.

The UK plans to offer the flu vaccine to all children aged two-11 years. This can have widespread benefits, as children "spread flu more than others".

The vaccine, however, did not work in those aged over 65. BBC News

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Labour calls on Jeremy Hunt to take 'urgent' action over NHS cyber security after alarming leaked report

Labour calls on Jeremy Hunt to take 'urgent' action over NHS cyber security after alarming leaked report Jeremy Hunt, the Health Secretary, has been told to take “urgent” action to prevent another devastating cyber attack on the NHSafter a leaked internal report revealed a string of digital security failings in the health service.

The report, by NHS Digital’s head of security operations, Chris Flynn, said there was a “false sense of security” among staff over cyber threats and highlighted a range of security failings, including weak passwords and poorly protected patient data.

Mr Flynn said many NHS trusts, GP practices and clinical commissioning groups had good security policies but that they were not being properly implemented. The Independent

As a GP, I’ve seen how vetting hospital referrals can help patients

As a GP, I’ve seen how vetting hospital referrals can help patients The NHS is rolling out a scheme that makes non-urgent hospital referrals subject to approval. With safeguards, it can make for a fairer, more efficient system

The latest scare story about the NHS suggests that GP referrals to hospital will be increasingly vetted by a panel of other doctors who will have the power to refuse or allow patients access to specialist services. The NHS is rolling out a scheme that requires all family doctors in England to seek approval from a medical panel for all non-urgent hospital referrals, including hip and knee surgery, cataract removals, X-rays and scans. The “peer review” scheme is being expanded nationwide from next week following a pilot in two regions in the north-east.

The referral management system represents an excellent way to ensure efficient and equitable use of specialist resources Continue reading... The Guardian

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NHS to spend £100m bringing in up to 3,000 GPs from abroad

NHS to spend £100m bringing in up to 3,000 GPs from abroad Recruiters will earn about £20,000 for each new GP as part of the NHS England initiative to alleviate cripping shortages

The NHS plans to spend £100m bringing in up to 3,000 GPs from abroad to help alleviate serious shortages that have left surgeries struggling to run properly.

Recruitment agencies will earn about £20,000 for each GP they succeed in placing in a family doctor practice in England as part of the NHS England initiative. Continue reading... Recruiters will earn about £20,000 for each new GP as part of the NHS England initiative to alleviate cripping shortages

The NHS plans to spend £100m bringing in up to 3,000 GPs from abroad to help alleviate serious shortages that have left surgeries struggling to run properly.

Recruitment agencies will earn about £20,000 for each GP they succeed in placing in a family doctor practice in England as part of the NHS England initiative. Continue reading... The Guardian

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UN panel criticises UK failure to uphold disabled people's rights

UN panel criticises UK failure to uphold disabled people's rights Charities say report is grim reality check and Labour says it highlights how disabled people are bearing brunt of austerity

The UK government is failing to uphold disabled people’s rights across a range of areas from education, work and housing to health, transport and social security, a UN inquiry has found.

The UN committee on the Rights of Persons with Disabilities examined the government’s progress in fulfilling its commitments to the UN convention on disabled people’s rights, to which the UK has been a signatory since 2007. Continue reading... The Guardian

NHS rationing bodies refuse to fund treatment which stalls breast cancer

NHS rationing bodies refuse to fund treatment which stalls breast cancer A breast cancer drug which stalls disease by three months has been rejected by NHS rationing bodies.

The National Institute of Health and Care Excellence said there was a lack of evidence to prove that the drug called fulvestrant extended lives.

Some trials have suggested it could extend survival by more than five months, for women whose cancer has spread.

But Nice said there were weaknesses in such research. While trials showed the drug stalls the cancer’s growth by around three months, there was a lack of good evidence that this extended survival, they said.

The drug costs £500 a month, compared to costs of just pennies for anastrozole, and letrozole, which are currently prescribed for such cases. The Daily Telegraph

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NHS no longer uses post-it notes for heart transplants

NHS no longer uses post-it notes for heart transplants The NHS no longer uses post-it notes and whiteboards to arrange life-saving heart transplants for patients, it has emerged.

Instead of relying on the traditional methods, it has adopted new digital technology which can match donors and recipients in just six seconds.

The pioneering system is 300 times faster, experts claim, and has removed around 40 lengthy steps from the matching process.

Experts have hailed the 'groundbreaking' technology used by the NHS Blood and Transplant (NHSBT) and said it will 'ultimately save more lives'.

The world first system has already helped at least one patient get a new heart. It is expected to be rolled out across the board in the coming years. The Daily Mail

Thursday, 31 August 2017

NHS hospitals deeper in the red than reported, new analysis shows

NHS hospitals deeper in the red than reported, new analysis shows NHS trusts ended last year with an underlying overspend almost £3 billion more than was reported in their official accounts, according to new analysis by the Nuffield Trust think tank. Without more funding for the NHS, hospitals are unlikely to recover any time soon from a mismatch between the money they receive and the cost of providing patient care, the research shows.

The briefing, is based on analysing the accounts and financial data published by NHS regulators. By stripping out temporary funding boosts and one-off savings, it finds that NHS trusts ended last year (2016/17) with an underlying overspend of £3.7 billion. This was far higher than the £791 million reported by NHS regulators.

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Clinical artificial intelligence: on the brink of a digital revolution?

Clinical artificial intelligence: on the brink of a digital revolution? Ahead of The King’s Fund’s festival of ideas to inspire and challenge the future of health care, Hugh Harvey, Clinical Artificial Intelligence and Predictive Analysis Researcher at King's College London, imagines a world in which artificial intelligence has transformed frontline care.

Only 1 in 10 MPs in England believe the social care system is fit for purpose for the UK’s ageing population

Only 1 in 10 MPs in England believe the social care system is fit for purpose for the UK’s ageing population Only 1 in 10 MPs in England (10%) believe that the current social care system is suitable for the UK’s ageing population. And 86% of MPs in England believe a cross-party consensus is needed for a lasting settlement on health and social care. That’s according to a new poll of 101 MPs of all parties representing constituencies in England commissioned by Independent Age, the older people’s charity.

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Guidance: Prevention concordat for better mental health: planning resource

Guidance: Prevention concordat for better mental health: planning resource The Prevention Concordat for Better Mental Health is underpinned by an understanding that taking a prevention-focused approach to improving the public’s mental health is shown to make a valuable contribution to achieving a fairer and more equitable society.

This resource has been developed to help local areas put in place effective arrangements to promote good mental health and prevent mental health problems. It does so by offering a 5-part framework of focus for effective planning for better mental health.

It also highlights a range of actions and interventions that local areas can take to improve mental health and tailor their approach. This includes illustration through practice examples and links to further supporting resources. Public Health England

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Acid attacks: NHS offers public advice on how to respond

Acid attacks: NHS offers public advice on how to respond The NHS and burns specialists are giving official advice to the public on how to provide first aid after an acid attack.

While still rare, the number of attacks using corrosive substances is rising.

The health service said the assaults were medical emergencies and people should call 999 immediately.

Contaminated clothing should be carefully removed and affected skin rinsed in running water until help arrives. BBC News

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Serious ambulance incidents include rape allegation and 'lost keys' death

Serious ambulance incidents include rape allegation and 'lost keys' death "Serious incidents" involving ambulances - including an alleged rape and a patient dying after vehicle keys were "lost" - have risen by 16% in five years.

The number of such events rose in seven of England's 10 ambulance areas.

Unison said the rise reflected "intolerable pressures" facing ambulance workers.

The Association of Ambulance Chief Executives said the incidents amounted to a "tiny" number of patient journeys.

"Serious incidents" (SIs) are defined by the NHS as "adverse events" needing a "heightened level of response". BBC News

US approves breakthrough leukaemia treatment that 'weaponises' blood cells to attack cancer

US approves breakthrough leukaemia treatment that 'weaponises' blood cells to attack cancer Opening a new era in cancer care, US health officials have approved a breakthrough treatment that genetically engineers patients' own blood cells into an army of assassins to seek and destroy childhood leukaemia.

The Food and Drug Administration called the approval historic, the first gene therapy to hit the US market. Made from scratch for every patient, it's one of a wave of “living drugs” under development to fight additional blood cancers and other tumours, too.

Novartis Pharmaceuticals set the price for its one-time infusion of so-called “CAR-T cells” at $475,000, but said there would be no charge for patients who didn't show a response within a month. The Independent

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We need action to address the mental health crisis, not more empty words

We need action to address the mental health crisis, not more empty words Theresa May and her ministers now talk the talk. But government policies helped to fuel a problem they can no longer ignore

Front page articles on mental health have become a regular occurrence. This week we learned that Britain’s biggest police force received a phone call relating to mental health every five minutes last year. And James Munby, head of the high court’s family division, hit the headlines this month referring to the case of girl X – a suicidal teenager for whom no secure bed was available. Munby wrote: “If this is the best we can do for X, and others in similar crisis, what right do we, what right do the system, our society and indeed the state itself, have to call ourselves civilised?”

We cannot afford to ignore the well-established link between social inequality and mental ill health Continue reading... The Guardian

UK needs to act urgently to secure NHS data for British public, report warns

UK needs to act urgently to secure NHS data for British public, report warns Algorithms based on NHS records could seed an ‘entirely new industry’ in AI-based diagnostics and mint billions for tech companies, strategic review reveals

The government must act urgently to ensure that patients and UK taxpayers – not tech companies – gain most from new commercial applications of NHS data, an independent review of the UK life sciences industry has said.

Sir John Bell, a professor of medicine at Oxford university who led the government-commissioned review, said that NHS patient records are uniquely suited for driving the development of powerful algorithms that could transform healthcare and seed an “entirely new industry” in AI-based diagnostics. Continue reading... The Guardian

Life-saving flu vaccines at heart of 160 million boost for life sciences

Life-saving flu vaccines at heart of 160 million boost for life sciences A new national centre to investigate cures for influenza will be at the heart of a £160 million Government boost for the UK’s research sector, ministers will announced.

The facility is also expected to manufacture large-scale vaccines to tackle polio and a host of other illnesses.

The announcement coincides with the publication of a review recommending the future strategy for Britain’s £64 billion life sciences industry as the UK prepares to leave the EU. The Daily Telegraph

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New national database for all child deaths planned

New national database for all child deaths planned A ll child deaths will be recorded onto a new national database in a bid to share information aimed at saving young lives, officials are reportedly planning.

The shake-up is being designed to overhaul the current system of local review panels which critics say squander the opportunity to learn lessons.

According to documents seen by the Health Service Journal, the Department for Education, which oversees the current system, will be stripped of its role and a new national database established by the Department of Health. The Daily Telegraph

Wednesday, 30 August 2017

Guidance: Health matters: making cervical screening more accessible

Guidance: Health matters: making cervical screening more accessible Attendance for cervical screening has been falling year on year. This professional resource aims to address this decline in attendance by presenting recommendations that can help increase access to screening and awareness of cervical cancer. Public Health England

P.F.I. - Profiting From Infirmaries

P.F.I. - Profiting From Infirmaries This report looks at the significant profits made by PFI companies from NHS contracts over the last 6 years. Centre for Health and the Public Interest

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Divided by choice? Private providers, patient choice and hospital sorting in the English National Health service

Divided by choice? Private providers, patient choice and hospital sorting in the English National Health service This study examines the impact of the NHS reforms of the 2000s which enabled privately-owned hospitals to enter the NHS market. It finds that post-reform, poor and ethnic minority patients were much less likely to choose private hospitals; and that the key factors in choice related to the geographic distribution of hospitals and health-based criteria for treatment from private providers. Institute for Fiscal Studies

Two thirds of GPs say revalidation has not benefited their clinical practice

Two thirds of GPs say revalidation has not benefited their clinical practice Two in three GPs do not believe that revalidation has had a positive impact on their clinical practice, a GPonline poll has found.

Mental health patients should have more rights to refuse treatment, senior judge suggests

Mental health patients should have more rights to refuse treatment, senior judge suggests Mentally ill people should have more power to decide whether or not they want to receive treatment, one of Britain's most senior judges has said.

Judge Mark Hinchliffe, who oversees England's mental health tribunals, said patients should have the "right to self-determination, even if their decisions seem unwise".

He suggested that those who had the capacity should be able to refuse treatment, even if they have been diagnosed with mental health problems which currently mean they can be treated without their agreement. The Daily Telegraph

Metal sterilisation implant leaves women in 'suicidal' pain and some requiring hysterectomies

Metal sterilisation implant leaves women in 'suicidal' pain and some requiring hysterectomies Hospitals have been warned to stop using a metal implant to sterilise women after patients were left in agony and required hysterectomies to remove the devices.

Recipients of the Essure implant have reported “suicidal” desperation and significant hair loss, as it emerged the product’s manufacturer has asked doctors to suspend its use.

UK regulators have also faced criticism for failing to ban the device and refusing to reveal how many women have reported problems. The Daily Telegraph

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Tuesday, 29 August 2017

Corby Mind opens ‘crisis cafe’ for those with mental health conditions

Corby Mind opens ‘crisis cafe’ for those with mental health conditions A new project aiming to support people with mental health conditions has opened in Corby.

The Sanctuary @ Corby Mind has opened The Sanctuary Crisis Cafe, at 18 Argyle Street, Corby, which will be open for three evenings a week (Thursdays 6pm to 10pm, Fridays and Saturdays 7pm to 11pm) and a Sunday late afternoon (3pm to 7pm).

During these hours residents are free to drop in and sit and chat with the Mind team over a hot drink. Northamptonshire Telegraph

Learning from human guinea pigs: creating open, supportive organisational cultures

Learning from human guinea pigs: creating open, supportive organisational cultures As well as being the 50th anniversary of Sgt Pepper’s Lonely Hearts Club Band, the legalisation of abortion and the partial de-criminalisation of homosexuality, 2017 marks 50 years since the publication of Human guinea pigs: experimentation on man, which lifted the lid on unethical medical research. The King's Fund

Measuring quality of health care in the NHS: Giving a voice to the patients

Measuring quality of health care in the NHS: Giving a voice to the patients The high profile role that the NHS played in Brexit and recent general election campaigns demonstrates that the health care system remains foremost in the minds of all political parties when considering how to present their policies.

These campaigns put a spotlight on the sustainability of the health care system, but may have also fuelled a fear over deteriorating health system performance. The Health Foundation

Guidance: NHS funds held on trust

Guidance: NHS funds held on trust This guidance gives an introduction to the general principles determining the financial responsibilities of trustees of NHS charities. It outlines how funds held on trust are handled and managed, including the processes for transferring funds to other bodies. Department of Health

A toolkit for school nurses

A toolkit for school nurses This toolkit provides school nurses with information, examples of good practice, templates and useful websites to support and develop professional practice. It considers varying policy and practice which applies across the UK and the range of settings in which school nurses work. Royal College of Nursing

Virtual reality game takes on dementia

Virtual reality game takes on dementia Scientists have developed a virtual reality computer game as part of the world's biggest dementia research experiment.

It is designed to test one of the first things to go with dementia - the ability to navigate.

The original smartphone app had 3 million players, but the move to virtual reality should allow scientists to investigate in greater detail.

Alzheimer's Research UK says the goal is a new way of diagnosing the disease. BBC News

Operations cancelled as cyber attack hits NHS Lanarkshire hospitals and GPs

Operations cancelled as cyber attack hits NHS Lanarkshire hospitals and GPs Operations have been cancelled after hospitals and GP practices run by NHS Lanarkshire were hit by a cyber-attack.

The health board confirmed malicious software had been detected in IT systems, causing appointments and procedures to be postponed.

It said it "took immediate action" to put a solution in place and minimise disruption. Patients are asked not to attend hospital unless it is essential.

It is unclear whether the health board was deliberately targeted. BBC News

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Police dealing with record level of phone calls on mental health

Police dealing with record level of phone calls on mental health Forces left to pick up pieces, with senior officer saying cuts and rising demand mean NHS is struggling to cope

Britain’s biggest police force received a phone call relating to mental health every five minutes last year, an escalating level of demand caused by NHS services struggling to cope.

The number of calls handled by the Metropolitan police in which someone was concerned about a person’s mental health hit a record 115,000 in the last year: on average 315 a day, or about 13 an hour.

A woman on crutches walked a mile to smash a shop window in Hereford, then called the police herself, believing that was the best way to get access to mental health services. Continue reading... The Guardian

Jeremy Hunt continues war of words with Stephen Hawking over NHS

Jeremy Hunt continues war of words with Stephen Hawking over NHS Health secretary says scientist is ‘once again wrong in his characterisation of policy’ after Hawking’s latest criticism

The battle of words between the scientist Stephen Hawking and the health secretary, Jeremy Hunt, over the health of the NHS has continued with Hunt writing that Hawking “is once again wrong in his characterisation of government policy towards the NHS”.

On Saturday, after a week of angry exchanges, Hawking wrote in the Guardian: “Hunt’s statement that funding and the number of doctors and nurses are at an all-time high is a distraction. Record funding is not the same thing as adequate funding. There is overwhelming evidence that NHS funding and the numbers of doctors and nurses are inadequate, and it is getting worse.” Continue reading... The Guardian

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Online pharmacy targets patients with 'confusing' marketing blitz

Online pharmacy targets patients with 'confusing' marketing blitz Britain’s largest online pharmacy has been accused of “blitzing” people with unsolicited marketing material which some patients may confuse for official NHS correspondence.

Patients have reported mistakenly signing up to Pharmacy2U’s repeat prescription service thinking they have been contacted by their local GP surgery or high street chemist, meaning longstanding prescription arrangements are automatically cancelled.

The Sunday Telegraph understands that in some cases, people have received up to four letters in a matter of weeks, making them believe they must act urgently to avoid losing access to medication.

Hospital to screen all newborns for genetic diseases

Hospital to screen all newborns for genetic diseases A major project at Liverpool Women's NHS Foundation Trust will screen the newborns for inherited conditions or illnesses and provide early treatment. The Daily Mail