Thursday, 21 September 2017

Access and waiting times in children and young people's mental health services

Access and waiting times in children and young people's mental health services This report examines new data on access to specialist treatment for children and young people with mental health problems, and the waiting times they face. It finds that children with mental health problems face barriers when seeking access to mental health services. It also finds that, over the last year, overall waiting times (including both assessment and treatment) have fallen – yet there remains substantial variation across England. This data was obtained by EPI through a Freedom of Information request. Education Policy Institute

Quit smoking campaign Stoptober backs e-cigs for first time

Quit smoking campaign Stoptober backs e-cigs for first time The annual Stoptober campaign in England is embracing e-cigarettes for the first time - in a sign vaping is being seen as the key to getting people to quit.

Health experts have tended to shy away from explicitly promoting e-cigarettes.

But the government campaign during October will feature vaping in its TV adverts for the first time.

It comes after e-cigarettes proved the most popular tool for quitting during last year's campaign.

Some 53% of people used them, helping push the numbers of people taking part in Stoptober since its launch in 2012 to over 1.5 million. BBC News

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Court ruling not needed to withdraw care, judge says

Court ruling not needed to withdraw care, judge says Legal permission will no longer be required to end care for patients in a permanent vegetative state, a judge has ruled.

Until now, even if medics and relatives agree to withdraw nutrition from a patient, a judge must also consent.

But a landmark decision by Mr Justice Jackson means those cases will no longer have to come to court.

The official solicitor, appointed by the state to act for such patients, is likely to appeal against the ruling. BBC News

MMR vaccine first-dose target met in England

MMR vaccine first-dose target met in England The percentage of children getting their first dose of the measles, mumps and rubella vaccine (MMR) by their fifth birthday has reached 95% for the first time, NHS data shows.

This meets a World Health Organization target. Coverage has been increasing in England for the past 10 years.

The NHS says children should have two doses of the vaccine before starting school.

But only 87.6% had received both doses by their fifth birthday. BBC News

The Government Has Failed On Mental Health For The Fourth Year In A Row

The Government Has Failed On Mental Health For The Fourth Year In A Row Where’s the money to make a reality of the Prime Minister’s oft-stated, but yet to be delivered, claim of parity for mental health?

New figures I have gathered through Freedom of Information requests to Clinical Commissioning Groups (CCGs) across England reveal that, for the fourth year in a row, the government has failed to deliver on its promise to increase the money reaching the mental health frontline. In fact, for the second year in a row, over half of CCGs across England report that they plan to reduce the proportion of their budget they spend on mental health. It is wonderful that after years of embarrassed silence, more and more people are able to talk about mental health. Huffington Post UK

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One in seven GP practices in England failing on safety

One in seven GP practices in England failing on safety London has highest rate of practices needing to improve, but ‘super surgeries’ fare better, says Care Quality Commission

About 7 million people are being treated at GP surgeries in England that have severe safety problems, according to the first performance review of its kind by the Care Quality Commission (CQC).

One in seven GP practices are failing on safety, even after CQC inspectors have told them to improve, the report found, with smaller practices more likely to be rated “inadequate” or “requiring improvement”. Continue reading... The Guardian

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App set to transform the lives of dementia patients

App set to transform the lives of dementia patients A 'revolutionary' smartphone app could transform the lives of dementia patients at just the click of a button by telling them how to change their homes.

Iridis gives sufferers feedback within 20 minutes on how to slash their risk of injuries and confusion in the comfort of their own home.

Hailed as 'exciting', it highlights possible dangers, such as wall colour clashing with that of grab rails in the bathroom or the need of better lighting.

Simple suggestions such as changing the colour of the toilet bowl to help patients find the loo easier are also offered - reducing the risk of an accident.

Recommendations to extend their curtain rods to allow more light into rooms and reducing reflective glares can also be made to boost their quality of life. The Daily Mail

Wednesday, 20 September 2017

Streamlining the organisation of the NHS without a top-down reorganisation

Streamlining the organisation of the NHS without a top-down reorganisation Two facts about today’s NHS are incontrovertible. The first is that providers in England are in the fifth year of running an aggregate deficit with financial balance or surplus an unlikely prospect. The second is that the organisation of the NHS is complex and fragmented and consumes a substantial amount of management time and cost. The King's Fund

The future of the mental health workforce

The future of the mental health workforce This report calls for reform of mental health services in order to develop a workforce that is able to meet people's needs in the future. The report describes commissioning of mental health services as in crisis with a diminishing workforce, growing expectations and increasing demand putting pressure on staff across the country. It recommends that all GPs should have significant and wide-ranging mental health training, and that mental health professionals should be given the time and training to consult with GPs and other public service staff to help them to respond to more people’s mental health needs. Centre for Mental Health

Quarter of 14-year-old girls 'have signs of depression'

Quarter of 14-year-old girls 'have signs of depression' A quarter of girls and nearly one in 10 boys show signs of depression at the age of 14, say UK researchers.

The findings come from more than 10,000 young people who shared their worries and emotions.

Surveys with their parents, however, suggested many were not attuned to the true anxieties of their teenage sons and daughters.

Parents often underestimated daughters' stress and had concerns about sons that the boys themselves did not voice.

Lead investigator Dr Praveetha Patalay, from Liverpool University, said teenagers, and particularly girls, were facing more mental health difficulties than previous generations. BBC News

Life-extending lung cancer drug approved

Life-extending lung cancer drug approved A life-extending lung cancer drug will be made immediately available to NHS patients in England, say advisers.

Campaigners, including the late Sunday Times restaurant critic AA Gill, have repeatedly called for access to the pioneering immunotherapy, which can add months to life.

Scotland already offers nivolumab to people with advanced disease who have also tried chemotherapy.

England's drugs watchdog had originally said nivolumab was too expensive. BBC News

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

Patients' illnesses could soon be diagnosed by AI, NHS leaders say Doctors could be replaced by computers in analysing X-rays and samples of diseased tissue amid plans for further investment

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. Continue reading... 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. Continue reading... The Guardian

Adult social care is in crisis mode. We need a clear long-term plan

Adult social care is in crisis mode. We need a clear long-term plan Every family is affected by the challenges of our ageing society. The government must act now to build health and care provision fit for all

This party conference season, all political parties will use their platforms to set out a post-election vision. Adult social care was one of the big general election issues, and the government has indicated that an adult social care green paper is likely next year. The next few months are critical for capturing the views of the public, the health and care sectors and charities working to support older people.

At Future Care Capital, we have launched a new policy report about the challenges facing our ageing society and the implications for every generation. Addressing three key themes – intergenerational fairness and the economics of ageing, health and care futures, and planning ahead – we invited leaders from the public, private and third sectors to contribute. They considered how policies and spending decisions that impact health and care outcomes could better reflect the challenges and opportunities we can expect in the next five, 10 and 15 years. Continue reading... The Guardian

Record NHS negligence payouts, fuelled by maternity blunders

Record NHS negligence payouts, fuelled by maternity blunders The NHS is facing record negligence bills for brain-damaged babies because midwives fail to carry out the right checks in two in three such cases, a major report shows.

The review of compensation claims shows the costs of catastrophic birth injury have almost doubled in the last five years, reaching almost £2bn.

The study by NHS litigation authorities examined 50 cases which between in depth.

It found that in 64 per cent of cases, devastating harm - leaving children in need of life-long, round-the-clock care - followed failures to monitor babies’ hearts, or to interpret the results of checks. The Daily Telegraph

Mass NHS data sharing plan will not allow 'simple opt out' despite ministers' pledges

Mass NHS data sharing plan will not allow 'simple opt out' despite ministers' pledges A controversial NHS data-sharing plan will not allow patients a “simple opt-out” despite ministers’ pledges, leaked documents suggest.

Last year the Government axed proposals for a national care.data scheme after it was critcised by privacy campaigners for failing to give the public a clear route to opt.

The plans had become mired in scandal after it was found that existing NHS data was already being sold to the insurance industry.

Last year ministers said the scheme would be scrapped. They promised that new plans would allow every patient a “single and simple” way to opt out if they did not want their medical information shared beyond their "direct care".

This had been recommended by a review, led by the NHS national data guardian. The Daily Telegraph

Obese patients and smokers are refused NHS operations

Obese patients and smokers are refused NHS operations Patients who are obese or smoke are being refused NHS operations and sent on a six month boot camp.

They will be referred onto a six month ‘health optimisation programme’ and taught to improve their behaviours before having surgery.

The scheme will be rolled out next month in the East Riding of Yorkshire Clinical Commissioning Group, a health trust in East Yorkshire serving 313,400 patients.

Managers are trying to save £11.5 million this year and claim patients will get more benefit from operations if they are in better health.

Patients awaiting surgery for cancer, the frail elderly or anyone with severe mental health problems will all be exempt from the policy.

But it will apply to all other non-urgent operations including hip and knee replacements or hernia procedures. The Daily Mail

Tuesday, 19 September 2017

The future of NHS commissioning: no map or clear destination

The future of NHS commissioning: no map or clear destination After more than 20 years of repeated reorganisations (culminating in one so big you can see it from outer space), policy-makers have finally navigated the purchaser–provider divide to focus their attention on the structure of health care providers. When the NHS five year forward view (Forward View) was published in 2014 (with its focus on developing new, locally designed integrated models for providing health and care) the broad thrust of English health policy shifted from commissioners and competition to providers and collaboration.

Although any pause in the cycle of top-down reorganisation is welcome, there is now a clear (and perhaps conscious?) gap in the policy landscape. How will clinical commissioning groups (CCGs) be affected as new integrated provider models such as accountable care organisations (ACOs) emerge and sustainability and transformation partnerships (STPs) and accountable care systems (ACSs) (that involve both commissioners and providers) are layered on top of an already complex NHS landscape? The King's Fund

A map for better care: making effective care pathways for people with interstitial lung disease

A map for better care: making effective care pathways for people with interstitial lung disease A new report finds that many people living with idiopathic pulmonary fibrosis (IPF) still aren’t getting the diagnosis, support or care they need.

Idiopathic pulmonary fibrosis (IPF) is currently an incurable lung condition with no known cause. The average life expectancy in the UK after diagnosis is 3 years.

Yet access to services, treatment and support for patients with IPF is fragmented. This urgently needs to change. We need to make health systems work for everyone living with IPF.

Patients can’t afford to waste the precious time they have left going from service to service for help. They need speedy, seamless access to the care they need, when they need it. British Lung Foundaton

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Getting flu jab is best way to protect everyone, says Public Health England

Getting flu jab is best way to protect everyone, says Public Health England Public Health England has stressed the importance of being vaccinated against flu, as NHS leaders are warned to brace themselves for a ‘pressurised’ flu season this winter. NHS Employers

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Southern Health NHS Trust admits guilt over Connor Sparrowhawk's death

Southern Health NHS Trust admits guilt over Connor Sparrowhawk's death An NHS trust has admitted guilt over the death of a teenaged patient who drowned in the bath while in its care.

Southern Health Trust pleaded guilty at Banbury Magistrates' Court earlier to breaching health and safety law in the case of Connor Sparrowhawk, 18, who died at Slade House in Oxford in 2013.

His death led to the discovery the trust only properly investigated 272 unexplained deaths of 722 in its care.

Sentencing is due to take place on 12 October at Oxford Crown Court.

The trust was prosecuted by the Health and Safety Executive (HSE) under Section 3 of the Health and Safety at Work Act 1974 following its investigation into the death of a patient under its care. BBC News

Record numbers of joint replacements carried out

Record numbers of joint replacements carried out A record number of joint replacement procedures have been carried out, new figures show.

In its report, published today, the orthopaedic joint replacement register for England, Wales, Northern Ireland and the Isle of Man highlights a record number of procedures were carried out in the financial year 2016/17, with just fewer than 243,000 cases submitted to the National Joint Registry (NJR). This sees a significant increase of more than 20,000 joint replacement operations recorded in the registry on the previous period.

Today's National Joint Registry 14th Annual Report presents outcome data in relation to hip, knee, shoulder, elbow and ankle replacements. OnMedica

NHS spends £80m on private ambulances a year, data shows

NHS spends £80m on private ambulances a year, data shows Staff shortages and rising demand have forced NHS trusts to hire non-NHS ambulances, leading to fears of lower care standards

The NHS is spending almost £80m a year hiring private ambulances to answer 999 calls and take patients to hospital for appointments, new figures show.

Widespread shortages of paramedics and rising demand forced England’s 10 NHS ambulance trusts to spend £78.4m in 2016-17 on help from non-NHS providers to supplement their own services. That was down on the £79.7m trusts spent in 2015-16, but 22% more than their £64.2m outlay in 2014-15, according to data obtained by the Press Association under freedom of information laws. Continue reading... The Guardian

The NHS should see care homes as partners, not problems

The NHS should see care homes as partners, not problems Care homes provide the majority of long-term healthcare to older people but provision is uneven. Our study shows how services can work together better

Care homes provide the majority of long-term healthcare to older people. They rely on primary care for access to medical support and referral to specialist services, yet studies consistently show that healthcare provision for care home residents across England is unpredictable and uneven.

For the NHS, care homes are a conundrum; they provide care that used to be supplied by the health service, but are often perceived as a poor alternative that generates avoidable demand on hospitals. Continue reading... The Guardian

Sepsis: the truth about this hidden killer

Sepsis: the truth about this hidden killer Sepsis is responsible for more deaths in the UK than bowel, breast and prostate cancer combined. So why is so little known about it?

At the end of May, the World Health Organization adopted a new resolution mandating all of its member states to have national action plans in place to tackle sepsis, a disease being called the “deadliest killer you’ve never heard of”. Even conservative estimates place the annual death toll at 6 million worldwide, a health burden equivalent to that of tobacco. In the UK alone, sepsis is responsible for 44,000 deaths every year, more than bowel, breast and prostate cancer combined. Despite this, a recent survey found that 44% of people in the UK have never heard of sepsis and have little idea that it is a life-threatening emergency.

So, what exactly is sepsis and why does it continue to slip through the net of our collective consciousness? The new international definition of sepsis describes it as a condition that arises when the body’s response to infection causes organ dysfunction. “There’s a range of ways in which this can happen,” says Prof Anthony Gordon, chair in anaesthesia and critical care at Imperial College London, and an National Institute for Health Research professor investigating sepsis. “The body’s immune response can be simply overwhelmed by the infection, or there’s a dysfunctional response producing too much inflammation. The body may already be immunosuppressed due to a trauma or fighting an initial infection, so the immune response is too weak.” Continue reading... The Guardian

NHS chiefs read the riot act over poor A&E performance 

NHS chiefs read the riot act over poor A&E performance NHS hospital chiefs have been hauled in by Jeremy Hunt over poor performance, in a desperate bid to head off an Accident & Emergency crisis.

It follows warnings that the NHS could be facing the worst flu season in its history, and orders to all NHS trusts to empty thousands of beds.

Ministers and health officials fear that one in three hospitals are struggling so badly that safety could be compromised as pressures mount.

Two chief executives have just been forced out, with around 60 more ordered to a mandatory all-day meeting yesterday, where they were warned to make urgent improvements. The Daily Telegraph

Monday, 18 September 2017

What does the public think about the NHS?

What does the public think about the NHS? This report, based on polling data carried out by Ipsos MORI, explores public attitudes towards the health service. It finds that despite the significant challenges it faces, the NHS still holds strong support amongst the majority of the general public with 66 per cent of respondents stating that they would be willing to pay more taxes in order to fund the NHS. The King's Fund

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Getting into shape: delivering a workforce for integrated care

Getting into shape: delivering a workforce for integrated care The Government is rightly committed to a radical reshaping of NHS delivery, based on a shift to new care models and treatment in the community. Its management of the NHS workforce, however, has not delivered with nearly three times more doctors, and four times more nurses in the acute sector than in the community. Since 2009, the number of consultants has risen by nearly a third, whilst the number of GPs has fallen. Freedom of Information requests made for this report found that, across 61 acute trusts, only 6 per cent of consultants work in the community for at least one session per week.

As the Government and the NHS leadership have repeatedly said, the priority for the NHS is to increase its speed of innovation. To do this, the NHS is rightly seeking to devolve decision-making and to deregulate. For the workforce, however, policy remains highly centralised and tightly regulated. This paper shows how to bring the same reform ideas to the workforce as the NHS is applying to other areas. Reform

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Guidance: Health matters: preventing drug misuse deaths

Guidance: Health matters: preventing drug misuse deaths This updated professional resource outlines how providers and commissioners can prevent deaths from drug abuse. Public Health England

Have you got the wrong impression about schizophrenia?

Have you got the wrong impression about schizophrenia? Schizophrenia does not mean you have a split personality or automatically become violent, a mental health charity has warned.

Rethink Mental Illness said a survey of 1,500 people showed that the condition is widely misunderstood.

Schizophrenia commonly causes hallucinations, such as hearing voices, or delusions and can make people lose interest in life.

But it should not be "a dirty word or a term of abuse", the charity said.

The organisation warned such myths are dangerous.

One in 100 people has schizophrenia, but 45% of those surveyed thought the illness was much more common. BBC News

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'Golden goodbyes' for NHS managers now costing £39 million as redundancies soar

'Golden goodbyes' for NHS managers now costing £39 million as redundancies soar Spending on so-called “golden goodbyes” and voluntary redundancy deals has shot up to £39 million a year at the Department of Health (DoH) - an eightfold increase on the previous year - official figures reveal.

A written parliamentary answer shows that more than 500 staff who left the DoH in 2016-17 because of restructuring and cost-cutting programmes received exit packages. In 2015-16, only nine people who were laid off from the department were given such settlements.

The figure of £39 million covers the whole of the department and its agencies and compares with a spend of £5 million for the previous year. The Independent

Unions call for 3.9% pay rise plus £800 for a million NHS staff

Unions call for 3.9% pay rise plus £800 for a million NHS staff Demand is based on inflation and seven years’ back pay, after lifting of prison and police officers’ pay cap

Unions have ramped up the pressure on Theresa May over public sector pay by demanding a 3.9% rise for 1 million NHS staff plus an extra £800 to make up for lost earning power during austerity.

Health service personnel from nurses and midwives to paramedics and therapists across the UK are urging Philip Hammond to ensure they receive a salary boost that would add an extra £3bn to the NHS pay bill. Continue reading... The Guardian

‘I was the first baby delivered by the NHS. It has saved my life eight times’

‘I was the first baby delivered by the NHS. It has saved my life eight times’ Aneira Thomas was named by her mother after the architect of the health service

It was coming up to midnight on Sunday 4 July 1948 and my mother, who had been in labour for 18 hours, was just about ready to give birth to me. She wanted to start pushing. But the doctors and midwives looked up at the clock on the wall and said, “Stop. Hold on, Edna, hold on.” They knew they were moments away from the start of the National Health Service and wanted me to be the first baby born into this new service. So my mother took a deep breath and held on. That’s how I was born at one minute past midnight on Monday 5 July 1948 – the first NHS baby.

That was in a cottage hospital in a little corner of west Wales called Glanamman. It was the staff there who told my mother, “You must call her Aneira,” the female form of Aneurin, after Aneurin Bevan, the architect of the NHS. They knew it was significant that Bevan’s dream of a health service that was free for everyone to use had come to fruition that day.

I never knew any of my grandparents because they died between the ages of 30 and 50. My mother lived until she was 95 Continue reading... The Guardian

‘Cut-price’ medics lured to the NHS from the US with promises of long holidays touring Europe 

‘Cut-price’ medics lured to the NHS from the US with promises of long holidays touring Europe ‘Cut-price’ medics are being lured to the UK from the United States with promises of long holidays touring Europe, in a bid to plug widespread staffing shortages.

The NHS is attempting to train or recruit up to 3,200 “physician associates” who can carry out minor operations and carry out ward rounds, after just two years' training.

Medical leaders have issued new guidance in order to expand the programme, amid shortages of medics.

The new role is not supposed to substitute for a doctor, though the associates can carry out some of the tasks they normally do. The Daily Telegraph

Two junior doctors left to care for 436 patients amid dangerous staff shortages, NHS report warns 

Two junior doctors left to care for 436 patients amid dangerous staff shortages, NHS report warns Just two junior doctors have been left to look after 436 patients amid a staffing crisis in the NHS, a report warns.

Medics said patients had been left at risk during a “very unsafe shift” at Derriford Hospital in Plymouth.

A safety report given to the trust’s board says one of the two doctors was pulled away from a day shift in breast surgery because otherwise there would have been just one medic left to cover the night shift.

Doctors said they were left angry that patients were let down, while one said they were left feeling ill with no breaks, and just “a couple of biscuits from the patient trolley” during a whole weekend. The Daily Telegraph

Friday, 15 September 2017

NICE diabetes guidance backs GP referral to lifestyle programmes

NICE diabetes guidance backs GP referral to lifestyle programmes NICE has updated its 2012 guidance on preventing type 2 diabetes to put greater importance on lifestyle-change programmes to promote healthier diets and exercise in high-risk patients. GP Online

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Childhood vaccines may go into one jab

Childhood vaccines may go into one jab A technology that could eventually see every childhood vaccine delivered in a single injection has been developed by US researchers.

Their one-shot solution stores the vaccine in microscopic capsules that release the initial dose and then boosters at specific times.

The approach has been shown to work in mouse studies, described in the journal Science. BBC News - Health

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Number of written complaints about NHS increases 4.9 per cent

Number of written complaints about NHS increases 4.9 per cent There were 208,400 written complaints received by the NHS during 2016/172 - up 4.9 per cent on the previous year, NHS Digital figures released today show. The figures mean on average 571 written complaints were made every day.

The report, entitled Data on Written Complaints in the NHS, 2016/17, shows numbers of complaints about both primary and secondary care. NHS Digital

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NHS efficiency map

NHS efficiency map Healthcare Financial Management Association -This map promotes best practice in identifying, delivering and monitoring cost improvement programmes in the NHS. It contains links to a range of tools and guidance to help NHS bodies improve their efficiency. The map is split into three sections: enablers for efficiency, provider efficiency and system efficiency. It highlights the successes some NHS providers have had in delivering specific efficiency schemes and provides sign-posts to existing tools and reference materials. It also includes updated definitions for different types of efficiency. King's Fund - Health Management and Policy Alert

Specialised Commissioning: Service development policy and methods

Specialised Commissioning: Service development policy and methods The service development policy which sets out NHS England’s approach for making decisions about which new treatments and interventions to routinely commission, and the approach used for updating existing service specifications, or creating new ones. NHS England

Corby Avon supports baby unit with employee-voted donation

Corby Avon supports baby unit with employee-voted donation Staff based at Corby’s Avon Cosmetics have voted to donate their £5,000 community award to a cause close to their hearts. The Special Care Baby Unit (SCBU) at Kettering General Hospital was nominated by Avon employees at its Corby site through their Associates Choice scheme. SCBU is a neonatal intensive care unit which looks after the welfare of newborn babies, mainly those born premature or who require some form of special high dependency or intensive care nursing. Northamptonshire Telegraph

Policy paper: Health Service Safety Investigations Bill

Policy paper: Health Service Safety Investigations Bill The draft bill proposes setting up the Health Service Safety Investigations Body (HSSIB).

The HSSIB will conduct investigations which focus on learning from patient safety incidents in the NHS, to reduce health care harm and improve patient care.

The draft bill allows the HSSIB to conduct investigations using ‘safe space’. ‘Safe space’ is a set of legal powers that prevent the HSSIB from disclosing the information it gathers in the course of an investigation. Gov.UK

Northampton General Hospital reveals new £7,500 patient dementia garden

Northampton General Hospital reveals new £7,500 patient dementia garden A garden at Northampton General Hospital has undergone a makeover as part of an ongoing Do It For Dementia campaign to make the environment as dementia-friendly as possible. Formerly a grassy bank, the therapy garden now has raised flower beds, which means that patients can touch and smell the plants without having to bend if they have mobility limitations. Northampton Chronicle and Echo

Thursday, 14 September 2017

KGH staff go mad for cancer equipment appeal

KGH staff go mad for cancer equipment appeal The cancer care unit at Kettering General Hospital is raising money for a £21,392 state-of-the-art machine which will help staff place central venous access devices required for the delivery of some chemotherapies. The Centenary Wing’s 25 staff have launched a “12 Months of Madness Appeal” to raise the money for a new PICC machine. Northamptonshire Telegraph

NHS pay data reveal sharp fall in 2015/16 GP income

NHS pay data reveal sharp fall in 2015/16 GP income GP income fell 1.2% on average across the UK in 2015/16 compared with the previous financial year, official data reveal. GP Online

Device that helps obese diabetics lose weight 'should be rolled out across NHS' - The Guardian

Device that helps obese diabetics lose weight 'should be rolled out across NHS' A device that helps obese people with type 2 diabetes shed more than two stone on average should be rolled out across the NHS, experts say.

The Endobarrier is a reversible treatment that provides people with an alternative to drastic gastric bypass surgery.

Patients can be fitted with the thin plastic sleeve via their mouth in less than an hour while under anaesthetic. The Guardian

Making sense of social prescribing

Making sense of social prescribing Social Prescribing Network - This guide, commissioned by NHS England, provides an introduction to social prescribing and outlines different models of social prescribing. It also highlights the key factors for successful social prescribing schemes. Kings Fund - Health Management and Policy Alert

Advanced stem cell therapy to help send cancer patients home sooner comes to Northampton

Advanced stem cell therapy to help send cancer patients home sooner comes to Northampton A specialist stem cell transplant therapy used in the last stages of treating cancer has arrived at Northampton General Hospital.

Patients can now be treated closer to home when before they would have to travel to Leicester to get the advanced form of chemotherapy. Northampton Chronicle and Echo

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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