NHS England accused of hiding hospitals' winter crisis alert figures Opposition MPs accuse government of covering up ‘evidence that the NHS is under unsustainable pressure’
NHS bosses have been accused of unacceptable secrecy after deciding no longer to reveal how many hospitals come under such pressure during winter that they have to declare an alert.
NHS England will not publish this winter’s figures for the number of trusts forced to issue an alert under the operational pressures escalation levels (Opel) framework system. Continue reading... The Guardian
Friday, 8 December 2017
NHS wards becoming 'long stay institutions' amid lack of social care
NHS wards becoming 'long stay institutions' amid lack of social care Hospitals are being turned into long-stay institutions, amid a crisis in social care, with more than 17,000 people now stuck on hospital wards for at least three weeks, official figures show.
The NHS figures show that across the country, bed occupancy levels are already approaching 95 per cent, with 18 hospital trusts reaching 100 per cent capacity last week.
The new data - the first ever analysis of the numbers stuck in hospital for such periods - shows the number of “long stay patients” already rising as winter sets in.
NHS trust chief executives said pensioners admitted to wards with relatively minor health problems were ending up dispatched to care homes, weeks later, because they had lost so much mobility while trapped needlessly. The Daily Telegraph
The NHS figures show that across the country, bed occupancy levels are already approaching 95 per cent, with 18 hospital trusts reaching 100 per cent capacity last week.
The new data - the first ever analysis of the numbers stuck in hospital for such periods - shows the number of “long stay patients” already rising as winter sets in.
NHS trust chief executives said pensioners admitted to wards with relatively minor health problems were ending up dispatched to care homes, weeks later, because they had lost so much mobility while trapped needlessly. The Daily Telegraph
University hospitals train hairdressers to spot melanoma
University hospitals train hairdressers to spot melanoma University hospitals are teaching hairdressers to identify an increasingly common skin cancer that clients often miss on their scalps and necks.
Half of melanomas - a potentially life-threatening form of skin cancer - go undetected by people who try to check themselves for cancerous moles, and many of those are on the head and scalp.
At least one state now recognizes that hairdressers are uniquely positioned to respond to domestic abuse, and legally requires training.
If melanoma detection training is successful, it could one day be required and potentially save lives, particularly in under-served communities where the cancer is deadliest. The Daily Mail
Half of melanomas - a potentially life-threatening form of skin cancer - go undetected by people who try to check themselves for cancerous moles, and many of those are on the head and scalp.
At least one state now recognizes that hairdressers are uniquely positioned to respond to domestic abuse, and legally requires training.
If melanoma detection training is successful, it could one day be required and potentially save lives, particularly in under-served communities where the cancer is deadliest. The Daily Mail
Thursday, 7 December 2017
A conversation with the public: could different be better?
A conversation with the public: could different be better? As part of our work on the NHS and the public, we are publishing a series of blogs providing different perspectives on the relationship between the NHS and the public, and how it has changed over time. Here, Professor Keith Willett, Medical Director for Acute Care, NHS England, considers the conversation around the changing nature of care. The King's Fund
One in three people sent home from hospital too early – with no plan for further mental health care
One in three people sent home from hospital too early – with no plan for further mental health care Research by mental health charity Mind reveals serious problems with the planning around discharging people from mental health hospitals. The survey of over 1,000 people[1] who have been in hospital in mental health crisis, found:
- One in three people (38 per cent) felt they were discharged from hospital sooner than they should have been
- One in five (21 per cent) were given no notice at all that they were going home. This even happens when people have been in hospital for a long time - one in three people (33 per cent) in hospital for more than a month were given less than 48 hours’ notice that they were being discharged or no notice at all
- Two out of five people (37 per cent) said there was no plan for further care and support, contrary to guidelines
- Less than half of people (44 per cent) said managing their mental health or self-care was considered in plans for leaving hospital
- Only half of people (51 per cent) said their accommodation needs were considered in any plans, and less than a third (29 per cent) said that money and benefits were considered
Saving Lives, Improving Mothers’ Care, Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2013–15
Saving Lives, Improving Mothers’ Care, Lessons learned to inform maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2013–15 The fourth annual Saving Lives, Improving Mothers’ Care report issued by the MBRRACE-UK collaboration is published today 7th December 2017.
In this, the latest Confidential Enquiry into Maternal Deaths and Morbidity, the MBRRACE-UK collaboration report on the care of 124 women who died during or after pregnancy in the UK and Ireland between 2013 and 2015, and 46 women who had severe illness in this period. In particular the care for women with severe epilepsy and women who had severe mental illness was examined, as well as the care for women who died.
A key finding was that forward planning of care and optimising medication doses for women with physical and mental health problems could make a major difference to women’s risk of complications during and after pregnancy. In particular pregnant women and those who are planning pregnancy who are on medication should not discontinue their treatment without consulting a specialist. National Perinatal Epidemiology Unit
See also:
In this, the latest Confidential Enquiry into Maternal Deaths and Morbidity, the MBRRACE-UK collaboration report on the care of 124 women who died during or after pregnancy in the UK and Ireland between 2013 and 2015, and 46 women who had severe illness in this period. In particular the care for women with severe epilepsy and women who had severe mental illness was examined, as well as the care for women who died.
A key finding was that forward planning of care and optimising medication doses for women with physical and mental health problems could make a major difference to women’s risk of complications during and after pregnancy. In particular pregnant women and those who are planning pregnancy who are on medication should not discontinue their treatment without consulting a specialist. National Perinatal Epidemiology Unit
See also:
NHS Trusts have prepared for a tough winter but patient risk remains
NHS Trusts have prepared for a tough winter but patient risk remains NHS trusts have done all they can to prepare for extra winter pressures. Local and national planning for winter is more extensive and meticulous than ever before. But the health service may be sorely tested in the coming months as it is already at or close to full stretch. Trusts are working hard to minimise the risks for patients. NHS Providers
See also:
See also:
- Ready and resilient? How NHS trusts have prepared for winter NHS Providers
- The risks remain but the NHS is as ready as it can be for winter NHS Providers
- Hospitals already full to bursting as pressures mount, warn NHS chiefs The Daily Telegraph
- NHS bosses sound alarm over hospitals already running at 99% capacity The Guardian
- NHS chiefs warn of 'severe pressure' going into winter months ITV News
Long A&E waits: 3m a year wait over four hours
Long A&E waits: 3m a year wait over four hours The number of long A&E waits across the UK has more than doubled in the past four years as hospitals struggle to cope with demand, BBC analysis shows.
Northern Ireland has the worst performance, although England has seen the fastest deterioration, the figures show.
Over 3m patients who visited UK A&Es waited over four hours in the past 12 months - up by 120% since 2012-13.
By comparison the number of visits has only risen by just over 7% to 26.9m. BBC News
Northern Ireland has the worst performance, although England has seen the fastest deterioration, the figures show.
Over 3m patients who visited UK A&Es waited over four hours in the past 12 months - up by 120% since 2012-13.
By comparison the number of visits has only risen by just over 7% to 26.9m. BBC News
'Stark' increase in overweight youngsters
'Stark' increase in overweight youngsters There is a "stark" increase between the ages of seven and 11 in the proportion of children in the UK who are overweight or obese, new data suggests.
The study of nearly 12,000 children found 25% were overweight or obese at age seven, rising to 35% at 11.
Between 11 and 14, there was little change, however, which researchers say may be because children of this age are making more of their own food choices.
Campaigners are calling for more action on weight issues in younger children. BBC News
The study of nearly 12,000 children found 25% were overweight or obese at age seven, rising to 35% at 11.
Between 11 and 14, there was little change, however, which researchers say may be because children of this age are making more of their own food choices.
Campaigners are calling for more action on weight issues in younger children. BBC News
New fund to cut delayed hospital discharges
New fund to cut delayed hospital discharges NHS Digital is offering a fund of £1.4 million to NHS bodies and local authorities to encourage them to integrate their systems for a better approach to discharging patients from hospitals to social care.
Delayed discharges were estimated to cost the NHS £820 million in 2016 due to approximately 2.7 million older patients remaining in hospital when they no longer required acute treatment because ongoing social care was not organised or available.
Health think tank The King’s Fund has said previously that the impact on patients can be severe, with the likelihood of readmission and long-term care needs increasing. OnMedica
Delayed discharges were estimated to cost the NHS £820 million in 2016 due to approximately 2.7 million older patients remaining in hospital when they no longer required acute treatment because ongoing social care was not organised or available.
Health think tank The King’s Fund has said previously that the impact on patients can be severe, with the likelihood of readmission and long-term care needs increasing. OnMedica
How an army of volunteers could help win the fight for the NHS | David Brindle
How an army of volunteers could help win the fight for the NHS | David Brindle A pioneering project aims to double the amount of voluntary workers in hospitals and alleviate the stress levels and pressure staff face in the health service
Geoff Mann is about to mark 10 years as a volunteer at North Tyneside general hospital. The retired chartered quantity surveyor does a day a week, sometimes more, driving patients and visitors with mobility needs around the hospital in North Shields in an electric buggy.
“It’s what everybody says – the enormous sense of satisfaction,” says Mann, 77, when asked what he gets out of it. “You meet a lot of people, you help them get around, you put them at ease if they’re worried – and you feel you’re part of one big family.”
Even three years ago, staff at my trust didn’t know what to do with volunteers. But now they are bursting with ideas Continue reading... The Guardian
Geoff Mann is about to mark 10 years as a volunteer at North Tyneside general hospital. The retired chartered quantity surveyor does a day a week, sometimes more, driving patients and visitors with mobility needs around the hospital in North Shields in an electric buggy.
“It’s what everybody says – the enormous sense of satisfaction,” says Mann, 77, when asked what he gets out of it. “You meet a lot of people, you help them get around, you put them at ease if they’re worried – and you feel you’re part of one big family.”
Even three years ago, staff at my trust didn’t know what to do with volunteers. But now they are bursting with ideas Continue reading... The Guardian
Labour demands Commons vote on 'secret' plan for NHS
Labour demands Commons vote on 'secret' plan for NHS Party says ministers are trying to push through changes that could lead to greater privatisation and rationing of care
Labour is demanding that MPs be allowed to debate and vote on “secret” plans for the NHS that they claim could lead to greater rationing of care and privatisation of health services.
The party says ministers are trying to push through the creation of “accountable care organisations” (ACOs) without proper parliamentary scrutiny. Continue reading... The Guardian
Labour is demanding that MPs be allowed to debate and vote on “secret” plans for the NHS that they claim could lead to greater rationing of care and privatisation of health services.
The party says ministers are trying to push through the creation of “accountable care organisations” (ACOs) without proper parliamentary scrutiny. Continue reading... The Guardian
NHS isn’t ready for the winter, concerned doctors warn
NHS isn’t ready for the winter, concerned doctors warn Patients will have to 'sleep, take paracetamol and pray', concerned doctors have warned ahead of the impending winter crisis.
The NHS is expected to face unprecedented pressure in the coming months, as campaigners fear it will be disastrous amid soaring waiting lists in A&E.
Now GPs are echoing the widespread worries, claiming it will become a 'survival of the fittest' as they are already struggling to cope.
A survey of 633 doctors, undertaken by GPOnline, revealed the concerns as the recruitment crisis continues to burn with no signs of slowing. The Daily Mail
The NHS is expected to face unprecedented pressure in the coming months, as campaigners fear it will be disastrous amid soaring waiting lists in A&E.
Now GPs are echoing the widespread worries, claiming it will become a 'survival of the fittest' as they are already struggling to cope.
A survey of 633 doctors, undertaken by GPOnline, revealed the concerns as the recruitment crisis continues to burn with no signs of slowing. The Daily Mail
Wednesday, 6 December 2017
Chance to help shape proposals to improve healthcare in Corby
Chance to help shape proposals to improve healthcare in Corby NHS Corby Clinical Commissioning Group (CCG) is holding a public workshop about the future of healthcare in the town.
The event on Thursday, December 14, at the Best Western Hotel in Corby, will be the last chance for people in Corby to help shape the proposed changes to healthcare services before the consultation in 2018.
Although the event is open to people registered with a Corby GP, they must inform the organisers in advance of the event that they wish to attend. Northamptonshire Telegraph
The event on Thursday, December 14, at the Best Western Hotel in Corby, will be the last chance for people in Corby to help shape the proposed changes to healthcare services before the consultation in 2018.
Although the event is open to people registered with a Corby GP, they must inform the organisers in advance of the event that they wish to attend. Northamptonshire Telegraph
Enhancing health in care homes: system leadership in action
Enhancing health in care homes: system leadership in action "Effective leadership in complex systems is not solely an attribute of top bosses, but is better understood as a shared process of many ‘small’ (and great) leaders working together"
This quote came to mind when we reflected on the outcomes of our first King’s Fund/My Home Life Care homes, health, housing and social care learning network – a network established to improve collaborative working between many of the organisations involved in improving the health of older people living in care homes.
‘System leadership’ was not a topic on the network’s agenda, nor was this phrase mentioned by participants, even though skilled system leadership is required to drive the close co-ordination between care homes and other organisations – in health, social care and housing – needed to enhance the health of care home residents. The King's Fund
This quote came to mind when we reflected on the outcomes of our first King’s Fund/My Home Life Care homes, health, housing and social care learning network – a network established to improve collaborative working between many of the organisations involved in improving the health of older people living in care homes.
‘System leadership’ was not a topic on the network’s agenda, nor was this phrase mentioned by participants, even though skilled system leadership is required to drive the close co-ordination between care homes and other organisations – in health, social care and housing – needed to enhance the health of care home residents. The King's Fund
Older people living with frailty in hospitals
Older people living with frailty in hospitals This review brings together research on what can be done to identify and manage the needs of frail older people living in hospital. It covers four key aspects of caring for this group of people: assessment, identifying and managing symptoms associated with frailty in hospital, discharge planning and caring environments. NHS National Institute for Health Research
State of support: local Healthwatch funding 2017/18
State of support: local Healthwatch funding 2017/18 This report sets out the data on the amount of funding that local Healthwatch organisations have received from local authorities. The analysis indicates that between 2016/17 and 2017/18, overall funding has fallen by 6.9 per cent. The report is accompanied by a letter to the Secretary of State for Health which highlights concerns around resourcing for patient involvement and advocacy.
NHS cancer plan marks first step towards fixing chronic staff shortages
NHS cancer plan marks first step towards fixing chronic staff shortages Cancer rates are increasing, meaning more people than ever are being diagnosed with the disease. And with more people to look after, the NHS is coming under growing strain to meet demand – especially as it strives to meet the priority of diagnosing more cancers earlier.
To deliver the best cancer care in the world, the NHS needs enough trained and employed staff to carry out and interpret tests that diagnose cancer. Right now, that’s not the case.
And if it’s not working now, rising rates will only make this situation worse.
That’s why we’ve been campaigning to tell the Government to stop leaving the NHS short staffed. Cancer Research UK
See also:
To deliver the best cancer care in the world, the NHS needs enough trained and employed staff to carry out and interpret tests that diagnose cancer. Right now, that’s not the case.
And if it’s not working now, rising rates will only make this situation worse.
That’s why we’ve been campaigning to tell the Government to stop leaving the NHS short staffed. Cancer Research UK
See also:
- Full team ahead: understanding the uk non-surgical cancer treatments workforce Cancer Research UK
- More cancer specialists to be employed by the NHS Department of Health
- Cancer workforce plan: phase 1: delivering the cancer strategy to 2021 Health Education England
- NHS cancer specialists 'too busy manning the phones' The Daily Mail
- NHS cancer experts recruited in their hundreds to speed up diagnosis The Daily Telegraph
Payout after woman was kept alive against her will
Payout after woman was kept alive against her will The family of an 81-year-old woman has received a £45,000 payout after she was kept alive against her will.
Brenda Grant made a living will stating she feared degradation and indignity more than death after seeing her mum lose independence through dementia.
But the George Eliot hospital, in Nuneaton, Warwickshire, misplaced the document and she was artificially fed for 22 months.
The trust has apologised for its failure. BBC News
Brenda Grant made a living will stating she feared degradation and indignity more than death after seeing her mum lose independence through dementia.
But the George Eliot hospital, in Nuneaton, Warwickshire, misplaced the document and she was artificially fed for 22 months.
The trust has apologised for its failure. BBC News
How I beat type 2 diabetes with a liquid diet
How I beat type 2 diabetes with a liquid diet Nearly half of patients have reversed type 2 diabetes in a "watershed" trial, say doctors in Newcastle and Glasgow.
People spent up to five months on a low-calorie diet of soups and shakes to trigger massive weight loss.
Isobel Murray, 65, who had weighed 15 stone, lost over four stone (25kg) and no longer needs diabetes pills. She says: "I've got my life back."
The charity Diabetes UK says the trial is a landmark and has the potential to help millions of patients. BBC News
See also:
People spent up to five months on a low-calorie diet of soups and shakes to trigger massive weight loss.
Isobel Murray, 65, who had weighed 15 stone, lost over four stone (25kg) and no longer needs diabetes pills. She says: "I've got my life back."
The charity Diabetes UK says the trial is a landmark and has the potential to help millions of patients. BBC News
See also:
Two thirds of GPs say their practice will struggle to cope this winter
Two thirds of GPs say their practice will struggle to cope this winter More than two out of three GPs say their practice will struggle to cope this winter, amid warnings that seasonal pressure on top of what the BMA has called a 'year-round NHS crisis' will put patients at risk. GPonline
See also:
See also:
Nick Robinson: cancer death statistics 'terrify' patients
Nick Robinson: cancer death statistics 'terrify' patients Doctors need to arm their patients with better information about cancer survival to stop them becoming “terrified” by “Dr Google”, the BBC journalist Nick Robinson has said.
The Today presenter, who was treated for lung cancer in 2015, said oncologists were failing to adapt to the digital revolution leaving patients at the mercy of online statistics they often do not understand.
Mr Robinson said his own research on Google and Wikipedia following his diagnosis had left him “anxious and depressed”, and that online statistics had made him wrongly believe he had just a one per cent chance of survival. The Daily Telegraph
The Today presenter, who was treated for lung cancer in 2015, said oncologists were failing to adapt to the digital revolution leaving patients at the mercy of online statistics they often do not understand.
Mr Robinson said his own research on Google and Wikipedia following his diagnosis had left him “anxious and depressed”, and that online statistics had made him wrongly believe he had just a one per cent chance of survival. The Daily Telegraph
How much have YOU cost the NHS?
How much have YOU cost the NHS? If you've ever sat down and wondered just how much you cost the cash-strapped NHS each year, here's your answer.
A new interactive tool jots up roughly how expensive you've been to the taxpayer-funded health service in terms of keeping healthy.
The handy quiz even compares your final answer to how much you've contributed to the NHS over the past year.
It comes as the NHS is facing its worst financial crisis in a generation as it struggles to meet the needs of the aging population on a very tightly-constrained budget. The Daily Mail
A new interactive tool jots up roughly how expensive you've been to the taxpayer-funded health service in terms of keeping healthy.
The handy quiz even compares your final answer to how much you've contributed to the NHS over the past year.
It comes as the NHS is facing its worst financial crisis in a generation as it struggles to meet the needs of the aging population on a very tightly-constrained budget. The Daily Mail
17,000 elderly at risk as care home teeters on the brink
17,000 elderly at risk as care home teeters on the brink A debt-ridden care home chain with around 17,000 vulnerable residents is on the brink of collapse amid a row between its wealthy backers.
Four Seasons Health Care could be tipped into administration within 10 days if it misses a £26m interest payment due next Friday that it has warned it may not pay.
Its owner, private equity firm Terra Firma which is run by tycoon Guy Hands, and key lender, US hedge fund H/2 Capital Partners, have yet to agree on a rescue deal as the deadline looms. The Daily Mail
Four Seasons Health Care could be tipped into administration within 10 days if it misses a £26m interest payment due next Friday that it has warned it may not pay.
Its owner, private equity firm Terra Firma which is run by tycoon Guy Hands, and key lender, US hedge fund H/2 Capital Partners, have yet to agree on a rescue deal as the deadline looms. The Daily Mail
Tuesday, 5 December 2017
Awards for Northamptonshire health care workers who go the extra mile
Awards for Northamptonshire health care workers who go the extra mile Health workers who go above and beyond their everyday role to make a difference to patients, service users, carers and their families have been put in the spotlight.
Northamptonshire Healthcare NHS Foundation Trust has just held its third quality awards ceremony. Northamptonshire Telegraph
Northamptonshire Healthcare NHS Foundation Trust has just held its third quality awards ceremony. Northamptonshire Telegraph
The future of the NHS must be settled through constructive argument not adversarial disputes
The future of the NHS must be settled through constructive argument not adversarial disputes The Budget has brought some welcome relief for the NHS in the form of £2.8 billion additional revenue funding and £3.5 billion capital investment over the parliament. Funding prospects for the next two years remain very challenging, but the Budget has at least created some breathing space to work through the implications for the NHS and patients. The King's Fund
How NEDs can support transformation
How NEDs can support transformation A report from NHS England and NHS Improvement summarises discussions held at two events earlier this year that brought together more than 200 CCG lay members and trust non-executive directors (NEDs).
One in five patients regularly miss GP appointments
One in five patients regularly miss GP appointments Up to one in five patients are regularly missing GP appointments in Scotland, with younger people the worst offenders, new research has found.
A study of more than 500,000 people in the country, published in the journal The Lancet Public Health, shows young males are most likely to not attend.
There is no centrally collected data on total number of GP appointments or how many of them are missed.
The study found 19% of patients missed more than two in a three-year period.
Younger, male patients aged 16 to 30 were found to be the worst offenders. BBC News
See also:
A study of more than 500,000 people in the country, published in the journal The Lancet Public Health, shows young males are most likely to not attend.
There is no centrally collected data on total number of GP appointments or how many of them are missed.
The study found 19% of patients missed more than two in a three-year period.
Younger, male patients aged 16 to 30 were found to be the worst offenders. BBC News
See also:
- Non-attending patients in general practice (open access) Lancet Public Health
- Deprivation is biggest driver of missed GP appointments, research finds GPonline
A&E four hour performance figures well below 95% target
A&E four hour performance figures well below 95% target Only 82.45% of A&E departments are currently meeting the target of seeing patients within four hours of attending, the Royal College of Emergency Medicine (RCEM) has reported.
The latest figures reveal that in the fourth week of November performance against the four hour target is well under NHS England's 95% standard, and has dropped considerably from 85.23% the previous week.
The underlying picture shows 15 increases and 38 decreases across the whole project group of 50 UK NHS Trust sites. Pulse
The latest figures reveal that in the fourth week of November performance against the four hour target is well under NHS England's 95% standard, and has dropped considerably from 85.23% the previous week.
The underlying picture shows 15 increases and 38 decreases across the whole project group of 50 UK NHS Trust sites. Pulse
More than 700 fewer nurses training in England in first year after NHS bursary scrapped
More than 700 fewer nurses training in England in first year after NHS bursary scrapped Seven hundred fewer nurses started training in England in 2017, the first year since the Government scrapped training bursaries in a bid to allow more nurses to be trained, UCAS figures reveal.
The numbers of people accepted to study nursing in England fell 3 per cent in 2017, while the numbers accepted in Wales and Scotland, where the bursaries were kept, increased 8.4 per cent and 8 per cent respectively.
It comes as the hospital performance watchdog said there were at least 36,000 unfilled nursing vacancies in NHS trusts and foundation trusts at the end of September this year. The Independent
The numbers of people accepted to study nursing in England fell 3 per cent in 2017, while the numbers accepted in Wales and Scotland, where the bursaries were kept, increased 8.4 per cent and 8 per cent respectively.
It comes as the hospital performance watchdog said there were at least 36,000 unfilled nursing vacancies in NHS trusts and foundation trusts at the end of September this year. The Independent
Why wait for an appointment when you can see a GP via phone?
Why wait for an appointment when you can see a GP via phone? People are more comfortable with using tech than critics of the GP at Hand app, which I launched, claim
Last month, I, alongside several colleagues, launched a new digital service that makes NHS GPs available to people – initially in London – 24 hours a day, 7 days a week via their mobile phones.
GP at Hand harnesses technology to cut down the wait for a routine GP appointment from the current average of around two weeks to just a matter of minutes via video consultation. Face-to-face appointments are available on the same day or next if needed. Like any other NHS service, it’s free and means patients can see a GP when and where they want. Continue reading... The Guardian
Last month, I, alongside several colleagues, launched a new digital service that makes NHS GPs available to people – initially in London – 24 hours a day, 7 days a week via their mobile phones.
GP at Hand harnesses technology to cut down the wait for a routine GP appointment from the current average of around two weeks to just a matter of minutes via video consultation. Face-to-face appointments are available on the same day or next if needed. Like any other NHS service, it’s free and means patients can see a GP when and where they want. Continue reading... The Guardian
More than one in four nurses are obese, new study shows
More than one in four nurses are obese, new study shows More than a quarter of NHS nurses are obese, with healthcare professionals more likely to be dangerously fat than those they care for, new research suggests.
Experts said the findings were “deeply worrying” and said patients would find it hard to stomach health advice from those whose weight was not healthy.
The research by London South Bank University and Edinburgh Napier University set out to assess obesity prevalence among healthcare professionals working in England.
It found that 25.1 per cent of nurses were obese, with a Body Mass Index (BMI) score of more than 30, compared with rates of 23.5 per cent in the general population. The Daily Telegraph
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Experts said the findings were “deeply worrying” and said patients would find it hard to stomach health advice from those whose weight was not healthy.
The research by London South Bank University and Edinburgh Napier University set out to assess obesity prevalence among healthcare professionals working in England.
It found that 25.1 per cent of nurses were obese, with a Body Mass Index (BMI) score of more than 30, compared with rates of 23.5 per cent in the general population. The Daily Telegraph
See also:
Doctors push patients to pay £9,000 for non-emergency ops
Doctors push patients to pay £9,000 for non-emergency ops Doctors are recommending NHS patients pay up to £9,000 for non-emergency operations, from earwax removal to hip replacements, to beat waiting times as rationing fears rise.
The controversial move tells doctors to push 'self-pay' options, some of which cost nearly £9,000.
It is said to give GPs 'greater options to discuss with patients' but has sparked criticism from doctors and campaigners who brand the move 'shameless'.
This comes after news last week revealed patients are to be denied cough medicines, migraine pills and heartburn remedies under sweeping NHS rationing plans. The Daily Mail
The controversial move tells doctors to push 'self-pay' options, some of which cost nearly £9,000.
It is said to give GPs 'greater options to discuss with patients' but has sparked criticism from doctors and campaigners who brand the move 'shameless'.
This comes after news last week revealed patients are to be denied cough medicines, migraine pills and heartburn remedies under sweeping NHS rationing plans. The Daily Mail
Monday, 4 December 2017
Five practical ways for housing services to address health needs
Five practical ways for housing services to address health needs Shelter helps millions of people every year struggling with bad housing or homelessness through our advice, support and legal services. We campaign to make sure that, one day, no one will have to turn to us for help. However, we estimate that 65,000 families will be homeless this Christmas.
Bad housing and overcrowding lead to physical health problems like asthma, respiratory illnesses and heart disease. The stress of bad housing, and the uncertainty and instability within the housing market, lead to mental health problems. Indeed, in research Shelter commissioned earlier this year, we found that one in 20 adults have visited a GP in the last year with a mental health issue related to their housing. GPs said that housing issues were both a primary cause and also an exacerbating factor in their patients’ mental health problems. The Health Foundation
Bad housing and overcrowding lead to physical health problems like asthma, respiratory illnesses and heart disease. The stress of bad housing, and the uncertainty and instability within the housing market, lead to mental health problems. Indeed, in research Shelter commissioned earlier this year, we found that one in 20 adults have visited a GP in the last year with a mental health issue related to their housing. GPs said that housing issues were both a primary cause and also an exacerbating factor in their patients’ mental health problems. The Health Foundation
Policy paper: Government response to report on Brexit and health and social care
Policy paper: Government response to report on Brexit and health and social care This command paper sets out the government’s response to the report on the impact of Brexit on health and social care published by the House of Commons Health Committee in April 2017. Department of Health
The Fifteen Steps Challenge – Quality from a patient’s perspective: A toolkit for clinics and outpatient settings
The Fifteen Steps Challenge – Quality from a patient’s perspective: A toolkit for clinics and outpatient settings NHS England has published a document aimed at improving the experience of patients in clinics and outpatient settings.
The investigation of stillbirth
The investigation of stillbirth This briefing discusses the way that stillbirth is investigated at present and the government announcement about independent investigations in future. House of Commons Library
Meeting the quality challenge: sharing examples of best practice from clinical leaders in emergency departments
Meeting the quality challenge: sharing examples of best practice from clinical leaders in emergency departments This report provides practical examples of positive action that some trusts are taking to help meet the challenges of managing capacity and demand. The examples cover a range of areas including ambulance arrivals, initial patient assessments, staffing, managing deteriorating patients and specialist referrals. Care Quality Commission
Pledge to boost mental health support in schools
Pledge to boost mental health support in schools Children and young people in England are to be able to access mental health support at school or college under government plans to improve services.
The proposals include introducing a four-week waiting time for youngsters needing specialist support and new mental health support teams in schools.
It is hoped around one in four schools in England will have this provision in place by 2022.
Campaigners say it was welcome, but overdue and "only a start".
The issue of young people's mental health has long been of concern, with parents, charities and healthcare professionals warning that families are not getting the support they need. BBC News
See also:
The proposals include introducing a four-week waiting time for youngsters needing specialist support and new mental health support teams in schools.
It is hoped around one in four schools in England will have this provision in place by 2022.
Campaigners say it was welcome, but overdue and "only a start".
The issue of young people's mental health has long been of concern, with parents, charities and healthcare professionals warning that families are not getting the support they need. BBC News
See also:
- Mental health: 'I was offered help two years later' BBC News
- Army of therapists to be sent into schools to tackle anxiety epidemic The Daily Telegraph
- £300m mental health initiative for schools is inadequate, says Labour The Guardian
- Mental health support to be offered in schools under radical overhaul of services for children and young people The Independent
- Mental health support to be offered in schools in £300m overhaul of services for young people ITV News
Cost of NHS negligence claims soars as staff fear speaking out on safety | Richard Vize
Cost of NHS negligence claims soars as staff fear speaking out on safety | Richard Vize Health service’s bill for costs has quadrupled in a decade as patients and families turn to court to find out whether mistakes were made
This week I met a man about to launch a legal action for negligence against the hospital where his wife and son almost died during childbirth. Two years later, she is still recovering and waiting for answers as to what went wrong. Exhausted by months of obstruction and denial, they believe going to court is the only way they will get an admission that mistakes were made. They don’t want money, just an apology and assurance that no one else will have to suffer as they did.
This entirely avoidable melodrama is being played out across the NHS. Friday’s report by the public accounts committee into the cost of clinical negligence in hospital trusts reveals that the bill has quadrupled in 10 years to £1.6bn and is expected to double again by 2021. Continue reading... The Guardian
This week I met a man about to launch a legal action for negligence against the hospital where his wife and son almost died during childbirth. Two years later, she is still recovering and waiting for answers as to what went wrong. Exhausted by months of obstruction and denial, they believe going to court is the only way they will get an admission that mistakes were made. They don’t want money, just an apology and assurance that no one else will have to suffer as they did.
This entirely avoidable melodrama is being played out across the NHS. Friday’s report by the public accounts committee into the cost of clinical negligence in hospital trusts reveals that the bill has quadrupled in 10 years to £1.6bn and is expected to double again by 2021. Continue reading... The Guardian
Near-record number of nurses start training despite drop in applicants
Near-record number of nurses start training despite drop in applicants A near-record number of aspiring nurses were accepted onto training courses this year despite falls in applications, suggesting entry requirements have eased, it has emerged.
Figures from the university admissions service Ucas revealed 2017 saw the second highest number of trainees accepted ever - 28,620 - however there was an 18 per cent drop in the applications from 18 and 19-year-olds in England.
The Government promised in October to create an extra 5,000 nursing places, part of a wider drive to cope with soaring patient numbers, however an end to bursaries in favour of student loans have been blamed for deterring people from the profession. The Daily Telegraph
Figures from the university admissions service Ucas revealed 2017 saw the second highest number of trainees accepted ever - 28,620 - however there was an 18 per cent drop in the applications from 18 and 19-year-olds in England.
The Government promised in October to create an extra 5,000 nursing places, part of a wider drive to cope with soaring patient numbers, however an end to bursaries in favour of student loans have been blamed for deterring people from the profession. The Daily Telegraph
Life expectancy has dropped because of antibiotic resistance, says ONS
Life expectancy has dropped because of antibiotic resistance, says ONS Antibiotic resistance has caused a fall in life expectancy for the first time, the Office for National Statistics has said.
Life expectancy in future years has been revised down after the statistics authority said that "less optimistic views" about the future had to be taken into account.
Opinions on "improvements in medical science" had declined, it said, and fears of the "re-emergence of existing diseases and increases in anti-microbial resistance" meant people would not live as long as was previously expected.
The ONS uses predictions about how medicine and science will improve to model how life expectancy will change. The Daily Telegraph
See also:
Life expectancy in future years has been revised down after the statistics authority said that "less optimistic views" about the future had to be taken into account.
Opinions on "improvements in medical science" had declined, it said, and fears of the "re-emergence of existing diseases and increases in anti-microbial resistance" meant people would not live as long as was previously expected.
The ONS uses predictions about how medicine and science will improve to model how life expectancy will change. The Daily Telegraph
See also:
- Life expectancies Office for National Statistics
One in 10 catch an STI from a colleague at Christmas party
One in 10 catch an STI from a colleague at Christmas party The office Christmas party is a chance to let your hair down but there's a danger of waking up with something a lot nastier than a hangover the next day.
One in five say they've had a sexual encounter with a co-worker at the annual bash, according to a new survey.
And one in ten admit they've caught a sexually transmitted infection (STI), such as chlamydia and gonorrhea.
Worryingly, the fun could turn into a nightmare and result in your colleagues filing a complaint with managers or even land you with a law suit, the research also suggests. The Daily Mail
See also:
One in five say they've had a sexual encounter with a co-worker at the annual bash, according to a new survey.
And one in ten admit they've caught a sexually transmitted infection (STI), such as chlamydia and gonorrhea.
Worryingly, the fun could turn into a nightmare and result in your colleagues filing a complaint with managers or even land you with a law suit, the research also suggests. The Daily Mail
See also:
- Sexual Health at Christmas Patient Info
Friday, 1 December 2017
Improving lives: the future of work, health and disability
Improving lives: the future of work, health and disability This publication sets out the government’s strategy on the future of work, health and disability. We will take action across 3 settings – welfare, the workplace and the health system, to transform employment prospects for disabled people and people with long term health conditions. It includes the government’s commitment to see one million more disabled people in work over the next 10 years. Department of Health
Room to improve: the role of home adaptations in improving later life
Room to improve: the role of home adaptations in improving later life This report finds that making small changes to older people’s homes, such as installing handrails, ramps and level-access showers, alongside carrying out simple home repairs, could play a significant role in relieving pressure on the NHS and social care and reduce costs by millions of pounds each year. It also shows that minor home aids and adaptations can greatly improve quality of life for people who are losing mobility. Centre for Ageing Better
Sharing data in line with patients' reasonable expectations
Sharing data in line with patients' reasonable expectations The National Data Guardian have been looking at the circumstances under which health and care data may be shared, and the role that patients’ reasonable expectations play in shaping these circumstances. Part of this work has been examining how implied consent is used within health and care settings to share patient data and support individual care. These reports cover two events examining this, and the importance of understanding patient expectations.
Mental health statistics annual report includes information on children for first time
Mental health statistics annual report includes information on children for first time A breakdown of statistics on young people who have been referred for treatment or assessment with mental health services in England has been published today by NHS Digital.
This is summarised in counts of people who had an open referral at some point in 2016/17 regardless of whether they accessed services in the period.
16-17-year-old females were most likely to have had an open referral with mental health and learning disabilities services out of all young people3, according to figures in the Mental Health Bulletin 2016-17.
11 per cent (69,000) of 16-17-year-old females in England are known to have had an open referral with NHS funded secondary mental health, learning disabilities or autism services during 2016/174. Two per cent (1,300) of this group were admitted to hospital as part of their referral.
During the same period, eight per cent of 16-17-year-old males (52,000) in England are known to have had an open referral with these services.
Users of these statistics should bear in mind that the numbers presented in this year's bulletin do not include information from all providers of services5.
In total, more than 2.6 million people are known have had an open referral with mental health services at some point during the year. 560,000 of these were under 18 years of age.
See also:
This is summarised in counts of people who had an open referral at some point in 2016/17 regardless of whether they accessed services in the period.
16-17-year-old females were most likely to have had an open referral with mental health and learning disabilities services out of all young people3, according to figures in the Mental Health Bulletin 2016-17.
11 per cent (69,000) of 16-17-year-old females in England are known to have had an open referral with NHS funded secondary mental health, learning disabilities or autism services during 2016/174. Two per cent (1,300) of this group were admitted to hospital as part of their referral.
During the same period, eight per cent of 16-17-year-old males (52,000) in England are known to have had an open referral with these services.
Users of these statistics should bear in mind that the numbers presented in this year's bulletin do not include information from all providers of services5.
In total, more than 2.6 million people are known have had an open referral with mental health services at some point during the year. 560,000 of these were under 18 years of age.
See also:
Briefing: Substance misuse services
Briefing: Substance misuse services In 2016, in response to early inspections under our new comprehensive inspection approach, we wrote to all registered independent sector residential drug and alcohol treatment providers to make them aware of our concerns about the safety of care being provided to people undergoing withdrawal from drugs and/or alcohol. We asked providers to take action to address any issues in their own services.
This briefing presents the concerns identified during our inspections. It also gives an example of good practice, and gives a number of actions and recommendations. Care Quality Commission
See also:
This briefing presents the concerns identified during our inspections. It also gives an example of good practice, and gives a number of actions and recommendations. Care Quality Commission
See also:
'Not enough funding to hit waiting time targets'
'Not enough funding to hit waiting time targets' He warned waiting lists would get longer if the Budget did not deliver enough extra cash.
Now Simon Stevens, head of NHS England, has begun to spell out the consequences, as he sees things, of the chancellor's decisions.
Thursday's NHS England board meeting was peppered with phrases such as "difficult decisions" and "tough choices".
In essence, its leaders were saying there was not enough money to hit key waiting-time targets next year (2018-19) and deliver the range of care patients might expect.
Even after the Budget allocation of extra funding, NHS England says its income over and above inflation will rise at a slower rate (1.9%) next year than this year. BBC News
See also:
Now Simon Stevens, head of NHS England, has begun to spell out the consequences, as he sees things, of the chancellor's decisions.
Thursday's NHS England board meeting was peppered with phrases such as "difficult decisions" and "tough choices".
In essence, its leaders were saying there was not enough money to hit key waiting-time targets next year (2018-19) and deliver the range of care patients might expect.
Even after the Budget allocation of extra funding, NHS England says its income over and above inflation will rise at a slower rate (1.9%) next year than this year. BBC News
See also:
- Treatment for dementia, arthritis and blindness could be further rationed, health chiefs signal The Daily Telegraph
- NHS bosses say waiting time targets will have to be abandoned next year The Guardian
- NHS says expect longer patient waiting times after Philip Hammond's budget denies crucial funds The Independent
Portsmouth hospital missed lung cancer cases
Portsmouth hospital missed lung cancer cases A hospital failed to spot cases of lung cancer because it did not check patients' chest X-rays properly, the Care Quality Commission has found.
The health watchdog found that three patients at Queen Alexandra Hospital in Portsmouth suffered "significant harm".
It emerged that junior doctors complained they had been asked to carry out specialist radiology work without the appropriate training.
The CQC has now launched a review of NHS radiology services in England.
All NHS bodies have been instructed to provide details about their backlogs, turnaround times, staffing and arrangements for routine reporting of images. BBC News
The health watchdog found that three patients at Queen Alexandra Hospital in Portsmouth suffered "significant harm".
It emerged that junior doctors complained they had been asked to carry out specialist radiology work without the appropriate training.
The CQC has now launched a review of NHS radiology services in England.
All NHS bodies have been instructed to provide details about their backlogs, turnaround times, staffing and arrangements for routine reporting of images. BBC News
See also:
- The Chief Inspector’s letter to all acute and specialist NHS trusts Care Quality Commission
I was falsely accused by an NHS whistleblower. It destroyed my career
I was falsely accused by an NHS whistleblower. It destroyed my career After months of distress, the trust found there was no case to answer, but I was left living with depression and struggled to pay legal bills.
Until a couple of years ago, I had a good career and an unblemished record as an NHS manager: I had spent decades working my way up to a senior level, and had a responsible job in a hospital trust. Then I came in one morning and was summoned to see the chair, who handed me an envelope and had me escorted off the premises. What happened next was a miscarriage of justice that wrecked my career, did huge damage to my family, and cost the NHS an experienced manager.
The trust had received allegations about me and several other executives from a number of whistleblowers: I was accused of lacking integrity, being dishonest and negligent, bullying and misusing funds. I was sent home while an exhaustive investigation was launched, and entered a process of slow torture. Continue reading... The Guardian
Until a couple of years ago, I had a good career and an unblemished record as an NHS manager: I had spent decades working my way up to a senior level, and had a responsible job in a hospital trust. Then I came in one morning and was summoned to see the chair, who handed me an envelope and had me escorted off the premises. What happened next was a miscarriage of justice that wrecked my career, did huge damage to my family, and cost the NHS an experienced manager.
The trust had received allegations about me and several other executives from a number of whistleblowers: I was accused of lacking integrity, being dishonest and negligent, bullying and misusing funds. I was sent home while an exhaustive investigation was launched, and entered a process of slow torture. Continue reading... The Guardian
GPs ordered to stop prescribing treatment for dandruff, cold sores and coughs
GPs ordered to stop prescribing treatment for dandruff, cold sores and coughs GPs will be ordered to stop funding thousands of over-the-counter remedies for dandruff, cold sores, and coughs and colds in a bid to clamp down on waste across the health service.
More than 3,000 products currently funded by the NHS will no longer be routinely prescribed, under proposals to reduce the £650m spent annually on drugs which do not require without prescription.
Health officials pledged to bring down the £9billion drugs bill by stopping all prescriptions for some treatments, and widely restricting others.
Under the proposals, GPs will be told to stop routinely funding remedies for 36 conditions - including dandruff, cold sores, verrucas and insect bites - which be bought cheaply over the counter. The Daily Telegraph
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More than 3,000 products currently funded by the NHS will no longer be routinely prescribed, under proposals to reduce the £650m spent annually on drugs which do not require without prescription.
Health officials pledged to bring down the £9billion drugs bill by stopping all prescriptions for some treatments, and widely restricting others.
Under the proposals, GPs will be told to stop routinely funding remedies for 36 conditions - including dandruff, cold sores, verrucas and insect bites - which be bought cheaply over the counter. The Daily Telegraph
See also:
- Prescription curbs to free up hundreds of millions of pounds for frontline care NHS England
- College reassured GPs will retain freedom to prescribe following NHS England board meeting Royal College of General Practitioners
- Patients may not be able to get painkillers on the NHS The Daily Mail
- NHS confirms low value treatment blacklist and plans OTC prescribing limits GPonline
- Thank God the NHS has come to its senses over homeopathy The Independent
- Green light for ban on prescription of ‘low value products’ on NHS OnMedica
Care homes are breaking the law by charging residents after death, says watchdog
Care homes are breaking the law by charging residents after death, says watchdog Care homes are breaking the law by charging wealthier residents fees after they have died, a regulator has said.
People who pay for their own care are also being charged £12,000 year more each than the fees paid by councils, equivalent to a total shortfall of £1bn a year, the Competition and Markets Authority said.
Its study found that wealthier residents were being overcharged by thousands of pounds because councils are failing to provide homes with enough money to cover the places they fund for poorer residents. The Daily Telegraph
See also:
People who pay for their own care are also being charged £12,000 year more each than the fees paid by councils, equivalent to a total shortfall of £1bn a year, the Competition and Markets Authority said.
Its study found that wealthier residents were being overcharged by thousands of pounds because councils are failing to provide homes with enough money to cover the places they fund for poorer residents. The Daily Telegraph
See also:
- Care homes market study: final report Competition and Markets Authority
- Care homes: Self-funders 'pay £1bn of unfair charges and fees' BBC News
Thursday, 30 November 2017
Son concerned at treatment of elderly patients after his mum is readmitted to Northampton General four times in two months
Son concerned at treatment of elderly patients after his mum is readmitted to Northampton General four times in two months A son will lodge an official complaint to Northampton General Hospital after his mother was readmitted four times only a matter of days after being sent home.
Raymond Hughes, 64, who lives with his mother Sheila, 79, in Daventry will also write to his MP Chris Heaton-Harris, health minister Jeremy Hunt and the Care Quality Commission to raise his concerns.
Mr Hughes feels aggrieved that his mother, who has dementia, was discharged due to a shortage of beds despite her ill health.
“I want something done about this,” said Mr Hughes.
“The way they treat old people is despicable. Mum deserves to be treated like anyone else.
“I’m not saying it’s the hospital’s fault because they are under a lot of pressure and have to meet Government targets.” Northampton Chronicle and Echo
Raymond Hughes, 64, who lives with his mother Sheila, 79, in Daventry will also write to his MP Chris Heaton-Harris, health minister Jeremy Hunt and the Care Quality Commission to raise his concerns.
Mr Hughes feels aggrieved that his mother, who has dementia, was discharged due to a shortage of beds despite her ill health.
“I want something done about this,” said Mr Hughes.
“The way they treat old people is despicable. Mum deserves to be treated like anyone else.
“I’m not saying it’s the hospital’s fault because they are under a lot of pressure and have to meet Government targets.” Northampton Chronicle and Echo
Why have improvements in mortality slowed down?
Why have improvements in mortality slowed down? Until recently, mortality rates in England and Wales had been falling steadily. However, since 2011, the rate of improvement has slowed and trends in mortality have become more erratic (Figure 1). Strikingly, a sharp rise in mortality in 2015 meant that life expectancy at birth actually fell, before it recovered in 2016. What is causing these changes in the long-term trend? The King's Fund
Open consultation: Restraint and restrictive intervention: draft guidance
Open consultation: Restraint and restrictive intervention: draft guidance The Department of Health is consulting on draft guidance on reducing the need for restraint and restrictive intervention for children and young people with learning disabilities, autistic spectrum disorder and mental health needs.
The consultation is seeking views on how well this draft guidance helps a range of settings and services to support children recognised as being at higher risk of restraint. The guidance applies to health and care settings and special educational settings.
The Department of Health and the Department for Education commissioned the Council for Disabled Children to draft this guidance.
The consultation is seeking views on how well this draft guidance helps a range of settings and services to support children recognised as being at higher risk of restraint. The guidance applies to health and care settings and special educational settings.
The Department of Health and the Department for Education commissioned the Council for Disabled Children to draft this guidance.
Destination GP: medical students’ experiences and perceptions of general practice
Destination GP: medical students’ experiences and perceptions of general practice The Destination GP project aimed to build the evidence base on medical students' perceptions of general practice, and how and where they are exposed to misconceptions and negative views. Based on these findings, this report sets out a series of recommendations where further work is needed to tackle the spread of misconceptions and negativity surrounding general practice. Royal College of General Practitioners
Significant improvment in NHS stroke care, new study finds
Significant improvment in NHS stroke care, new study finds Patients are receiving significantly improved NHS stroke care, an independent report published today has revealed.
The fourth annual report, commissioned by NHS England, states that patients are getting much quicker access to the vital tests and treatment they need when they have a stroke, greatly improving their chances of recovery.
On the key indicators for stroke care, significant quality improvements have been made including on waiting times and specialist care. NHS England
The fourth annual report, commissioned by NHS England, states that patients are getting much quicker access to the vital tests and treatment they need when they have a stroke, greatly improving their chances of recovery.
On the key indicators for stroke care, significant quality improvements have been made including on waiting times and specialist care. NHS England
Psychosocial pathways and health outcomes
Psychosocial pathways and health outcomes Unequal distribution of the social determinants of health, such as education, housing and employment, drives inequalities in physical and mental health. There is also extensive evidence that ‘psychosocial’ factors, such as work stress, influence health and wellbeing.
This report highlights the current evidence that exists about the relationships between social
determinants, psychosocial factors and health outcomes. It also provides a conceptual
framework that focuses on the psychosocial pathways between factors associated with social,
economic and environmental conditions, psychological and psychobiological processes, health
behaviours and mental and physical health outcomes. Institute for Health Equity
This report highlights the current evidence that exists about the relationships between social
determinants, psychosocial factors and health outcomes. It also provides a conceptual
framework that focuses on the psychosocial pathways between factors associated with social,
economic and environmental conditions, psychological and psychobiological processes, health
behaviours and mental and physical health outcomes. Institute for Health Equity
NHS pay rise: Are there strings attached?
NHS pay rise: Are there strings attached? The headlines following the Budget were clear on NHS pay - nurses were to receive a pay rise after six years of restraint.
The announcement was widely welcomed by not just nurses, but other staff groups on what is known as the Agenda for Change contract. They include everyone from midwives and radiographers to porters and administrative staff.
In total, 1.3 million workers are on that deal, which has been subject to a succession of pay freezes or 1% pay caps since 2010.
It has had a devastating effect, unions argue.
Average nurse pay has fallen by over 14% in real terms, the Royal College of Nursing says, prompting thousands to leave the profession or have to take on second jobs in supermarkets and bars.
But it now looks like the pay rise will come with strings attached. BBC News
The announcement was widely welcomed by not just nurses, but other staff groups on what is known as the Agenda for Change contract. They include everyone from midwives and radiographers to porters and administrative staff.
In total, 1.3 million workers are on that deal, which has been subject to a succession of pay freezes or 1% pay caps since 2010.
It has had a devastating effect, unions argue.
Average nurse pay has fallen by over 14% in real terms, the Royal College of Nursing says, prompting thousands to leave the profession or have to take on second jobs in supermarkets and bars.
But it now looks like the pay rise will come with strings attached. BBC News
NHS plans to ration care access in bid to force through extra funding
NHS plans to ration care access in bid to force through extra funding Board meeting will discuss plan to ration and delay patients’ access to care after receiving less than half the amount called for in this year’s budget
NHS bosses are to meet to discuss plans to ration and delay patients’ access to care, which could set them on a collision course with ministers over health funding.
NHS England’s board will publicly debate what the service will and will not be able to afford to do next year after Philip Hammond gave it less than half the extra money it said it needed. Continue reading... The Guardian
See also:
NHS bosses are to meet to discuss plans to ration and delay patients’ access to care, which could set them on a collision course with ministers over health funding.
NHS England’s board will publicly debate what the service will and will not be able to afford to do next year after Philip Hammond gave it less than half the extra money it said it needed. Continue reading... The Guardian
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The NHS is standing up for itself about underfunding. About time too
The NHS is standing up for itself about underfunding. About time too | Rachel Clarke Perhaps tired of being the government’s whipping boy, the health service head, Simon Stevens, is speaking out. Jeremy Hunt should be worried
When the NHS excels, the government is only too keen to grab a slice of the glory. Manchester, Westminster, London Bridge, Grenfell. This year has been punctuated by acts of terror and disaster to which the NHS has stepped up magnificently – and ministers have flocked for their photo ops, like flies to nectar, full of gushing tributes and praise.
Only a fortnight ago, the prime minister described her “humbling gratitude” for the “incredible people” who staff the NHS when she visited the hospitals who cared for the victims of each of these atrocities. “In every instance,” she wrote in the Daily Mail, “what struck me was not only the medical expertise of the staff, but the compassion with which people were treated and the way the NHS, in an emergency, clicks into action.”
No more is Stevens colluding with Hunt in the fiction that the NHS is performing safely Continue reading... The Guardian
When the NHS excels, the government is only too keen to grab a slice of the glory. Manchester, Westminster, London Bridge, Grenfell. This year has been punctuated by acts of terror and disaster to which the NHS has stepped up magnificently – and ministers have flocked for their photo ops, like flies to nectar, full of gushing tributes and praise.
Only a fortnight ago, the prime minister described her “humbling gratitude” for the “incredible people” who staff the NHS when she visited the hospitals who cared for the victims of each of these atrocities. “In every instance,” she wrote in the Daily Mail, “what struck me was not only the medical expertise of the staff, but the compassion with which people were treated and the way the NHS, in an emergency, clicks into action.”
No more is Stevens colluding with Hunt in the fiction that the NHS is performing safely Continue reading... The Guardian
Health chief hits out at Coca-Cola truck tour of 'tooth decay and obesity hot spots'
Health chief hits out at Coca-Cola truck tour of 'tooth decay and obesity hot spots' Coca-Cola should reflect on whether it should stop its red truck tour as it hampers efforts to tackle childhood obesity, the chief executive of Public Health England has warned.
Duncan Selbie said local authorities which are allowing the signature red truck to stop in their towns and cities should "reflect on whether it's in the best interests of the health of local children and families".
The drinks giant's UK truck tour is now in its seventh year, visiting 42 locations.
It started on November 11 in Glasgow and will end in Lakeside, Essex, on December 17. The Daily Telegraph
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Duncan Selbie said local authorities which are allowing the signature red truck to stop in their towns and cities should "reflect on whether it's in the best interests of the health of local children and families".
The drinks giant's UK truck tour is now in its seventh year, visiting 42 locations.
It started on November 11 in Glasgow and will end in Lakeside, Essex, on December 17. The Daily Telegraph
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NHS trust is fined more than £300,000 for safety breaches
NHS trust is fined more than £300,000 for safety breaches An NHS trust has been fined more than £300,000 after five elderly patients died from falls.
The judge in the case told hospital bosses that had they been a private company the fine would have been at least £1 million.
Shrewsbury and Telford Hospital NHS Trust admitted failing to ensure the safety of the five elderly people following a prosecution brought by the Health and Safety Executive (HSE). The Daily Mail
The judge in the case told hospital bosses that had they been a private company the fine would have been at least £1 million.
Shrewsbury and Telford Hospital NHS Trust admitted failing to ensure the safety of the five elderly people following a prosecution brought by the Health and Safety Executive (HSE). The Daily Mail
Wednesday, 29 November 2017
Patients badly failed by 'staggering' mishandling of sensitive data
Patients badly failed by 'staggering' mishandling of sensitive data The failures in the handling of sensitive clinical data by NHS SBS are staggering. Even as the Committee was looking into problems dating back at least three years, NHS England was uncovering more mishandled correspondence.
We were deeply unimpressed by the lack of grip NHS England still has on the handling of clinical correspondence, and dismayed to be informed of a further backlog of 162,000 items which need to be assessed.
Our evidence session was frustrated by the late provision of additional information by the NHS England Chief Executive. It would have been more helpful if this information had been supplied in time to allow Members to consider it. The Committee will return to this subject once it has further information. Public Accounts Select Committee
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We were deeply unimpressed by the lack of grip NHS England still has on the handling of clinical correspondence, and dismayed to be informed of a further backlog of 162,000 items which need to be assessed.
Our evidence session was frustrated by the late provision of additional information by the NHS England Chief Executive. It would have been more helpful if this information had been supplied in time to allow Members to consider it. The Committee will return to this subject once it has further information. Public Accounts Select Committee
See also:
- Outrage as 900,000 NHS patient letters lost The Daily Mail
Results of the national audit of intermediate care 2017
Results of the national audit of intermediate care 2017 The national audit of intermediate care (NAIC) provides the only comprehensive data on intermediate care services.
Funded by a subscription model between 2012-2015, this year NHS England funded the NAIC so all commissioners and providers of intermediate care services had the opportunity to take part free of charge. The NAIC provides benchmarked information on service models, spend, activity, workforce and outcomes with data sharing arrangements in place so that commissioners’ positions will be shared between areas and with providers. NHS Benchmarking Network
Funded by a subscription model between 2012-2015, this year NHS England funded the NAIC so all commissioners and providers of intermediate care services had the opportunity to take part free of charge. The NAIC provides benchmarked information on service models, spend, activity, workforce and outcomes with data sharing arrangements in place so that commissioners’ positions will be shared between areas and with providers. NHS Benchmarking Network
New rules on blood donation come into force
New rules on blood donation come into force Changes to the rules on blood donation in England come into force on 28 November. The new rules will allow more people to donate blood, without affecting the safety of the blood supply.
The changes were announced in July, on the recommendation of the Advisory Committee on the Safety of Blood, Tissues and Organs (SaBTO). Department of Health
The changes were announced in July, on the recommendation of the Advisory Committee on the Safety of Blood, Tissues and Organs (SaBTO). Department of Health
Cuts, Closures and Contraception
Cuts, Closures and Contraception The Advisory Group on Contraception (AGC) conducted an FOI audit of all 152 upper and unitary tier local authorities over the summer of 2017. The findings of the report show local authority contraception budgets are being cut and that contraceptive care services have closed or are under threat in more than one third of English local councils since 2015, with the pace of closures accelerating.
Viagra can be sold over the counter
Viagra can be sold over the counter Men will no longer require a prescription to obtain the impotence drug Viagra and will instead be able to buy it over the counter at pharmacies.
The decision by the UK Medicines and Healthcare products Regulatory Agency follows a public consultation.
It will be up to pharmacists to judge whether men over the age of 18 can safely be sold the little blue pills.
Manufacturer Pfizer hopes to get stocks of Viagra Connect (sildenafil 50mg) into UK pharmacies by spring 2018.
Experts say making the medication more widely available will help men who might not feel able to visit their GP about impotence.
The MHRA hopes it will stop some men buying unregulated medicines from websites operating illegally. BBC News
The decision by the UK Medicines and Healthcare products Regulatory Agency follows a public consultation.
It will be up to pharmacists to judge whether men over the age of 18 can safely be sold the little blue pills.
Manufacturer Pfizer hopes to get stocks of Viagra Connect (sildenafil 50mg) into UK pharmacies by spring 2018.
Experts say making the medication more widely available will help men who might not feel able to visit their GP about impotence.
The MHRA hopes it will stop some men buying unregulated medicines from websites operating illegally. BBC News
Organ donation: If black lives matter, then this is an opportunity to prove it
Organ donation: If black lives matter, then this is an opportunity to prove it A charity wants more black people to donate their organs after only 17 people from the African Caribbean community donated a kidney last year.
Black patients who need a kidney wait, on average, more than a year longer than white patients, says the African Caribbean Leukaemia Trust (ACLT).
At least 250 African Caribbean patients died last year waiting for a donor. BBC Newsbeat
Black patients who need a kidney wait, on average, more than a year longer than white patients, says the African Caribbean Leukaemia Trust (ACLT).
At least 250 African Caribbean patients died last year waiting for a donor. BBC Newsbeat
The true cost: How the UK outsources death to Dignitas
The true cost: How the UK outsources death to Dignitas In the UK it is currently illegal to assist someone to die. As a result, many people travel to Switzerland to arrange an assisted death. One British person travels to Dignitas to die every 8 days. Using the voices of those most affected, we uncover the real stories behind the statistics. The Independent
‘Bullying and being bullied is everywhere now, at every level in the NHS’
‘Bullying and being bullied is everywhere now, at every level in the NHS’ | Matthew Barbour Domineering behaviour and sexism have dogged the medical profession, especially among surgeons. Now victims are being taught to fight back
“What can be perceived as harmless banter or acceptable behaviour by some people for decades can actually be deeply offensive, or even abusive,” says Judy Evans, consultant plastic surgeon at the private Nuffield hospital in Plymouth. “We’re now at a point where huge numbers of surgical positions aren’t being filled because millennials don’t want a job in which they think they will be bullied.”
Evans lost her job as an NHS consultant in 2000 after standing up for a junior doctor who had been bullied. “The bullying culture in medicine goes back decades,” she says. “Over 30 years ago, I remember turning up for a surgeon’s exam when I was seven months pregnant and being asked bluntly: ‘What are you doing here looking like that?’ Sadly, that kind of behaviour was seen as something women just had to put up with. Continue reading... The Guardian
“What can be perceived as harmless banter or acceptable behaviour by some people for decades can actually be deeply offensive, or even abusive,” says Judy Evans, consultant plastic surgeon at the private Nuffield hospital in Plymouth. “We’re now at a point where huge numbers of surgical positions aren’t being filled because millennials don’t want a job in which they think they will be bullied.”
Evans lost her job as an NHS consultant in 2000 after standing up for a junior doctor who had been bullied. “The bullying culture in medicine goes back decades,” she says. “Over 30 years ago, I remember turning up for a surgeon’s exam when I was seven months pregnant and being asked bluntly: ‘What are you doing here looking like that?’ Sadly, that kind of behaviour was seen as something women just had to put up with. Continue reading... The Guardian
Hunt 'risking repeat of junior doctors' row' with plan to change NHS pay
Hunt 'risking repeat of junior doctors' row' with plan to change NHS pay Unions voice concerns after health secretary says he wants to overhaul money staff receive for working antisocial shifts.
The government has triggered a row with NHS staff by unveiling plans to overhaul their pay, including how much they receive for working antisocial shifts.
Health unions have warned Jeremy Hunt that he is risking a repeat of the acrimonious junior doctors’ dispute by seeking to reduce the extra amounts staff get for weekend and overnight working. Continue reading... The Guardian
The government has triggered a row with NHS staff by unveiling plans to overhaul their pay, including how much they receive for working antisocial shifts.
Health unions have warned Jeremy Hunt that he is risking a repeat of the acrimonious junior doctors’ dispute by seeking to reduce the extra amounts staff get for weekend and overnight working. Continue reading... The Guardian
The NHS is not immune to sexual harassment. It happened to #metoo | Rachel Clarke
The NHS is not immune to sexual harassment. It happened to #metoo | Rachel Clarke It’s the high-profile celebrity cases that get all the attention, but in an organisation as big as the NHS, many women will have experiences like mine
A few weeks before I sat my medical finals, a male surgeon of the old-school variety flashed up the next slide in his revision lecture on breast cancer.
Suddenly – incongruously – there on his powerpoint presentation, amid the bleak statistics about the second biggest cancer killer of women in Britain, was a young blonde woman, sitting coquettishly in front of a mammography machine, her naked breasts prominently displayed. Continue reading... The Guardian
A few weeks before I sat my medical finals, a male surgeon of the old-school variety flashed up the next slide in his revision lecture on breast cancer.
Suddenly – incongruously – there on his powerpoint presentation, amid the bleak statistics about the second biggest cancer killer of women in Britain, was a young blonde woman, sitting coquettishly in front of a mammography machine, her naked breasts prominently displayed. Continue reading... The Guardian
NHS pays out after Virgin threatens to sue after losing out on contract
NHS pays out after Virgin threatens to sue after losing out on contract Virgin Care, part of Sir Richard Branson’s business empire, appears to have been paid a settlement by the NHS after the healthcare group lost its bid to provide children’s services in Surrey.
The three-year, £82m deal covering health visitors, school nurses and speech and occupational therapy for children was awarded to a consortium formed by in-house NHS providers and a social enterprise.
Virgin Care Services started High Court proceedings against NHS England, Surrey County Council and the CCGs in November last year, after its bid failed. The Daily Telegraph
The three-year, £82m deal covering health visitors, school nurses and speech and occupational therapy for children was awarded to a consortium formed by in-house NHS providers and a social enterprise.
Virgin Care Services started High Court proceedings against NHS England, Surrey County Council and the CCGs in November last year, after its bid failed. The Daily Telegraph
NHS hires 5,500 'rolling' nurses from abroad
NHS hires 5,500 'rolling' nurses from abroad The NHS is hiring up to 5,500 'rolling' nurses from India and the Philippines in an attempt to fill understaffed wards.
They will work here for two to three years gaining specialist experience and skills before returning back home.
The 'earn, learn and return' scheme aims to ease the NHS's staffing crisis whilst also training up developed countries' workforce.
Professor Ian Cumming, chief executive of Health Education England, told MPs it was an 'ethically based' project. The Daily Mail
They will work here for two to three years gaining specialist experience and skills before returning back home.
The 'earn, learn and return' scheme aims to ease the NHS's staffing crisis whilst also training up developed countries' workforce.
Professor Ian Cumming, chief executive of Health Education England, told MPs it was an 'ethically based' project. The Daily Mail
Outbreak of potentially deadly measles has spread
Outbreak of potentially deadly measles has spread Two mothers have shared photos online of their measles-stricken babies who were both repeatedly misdiagnosed as a warning to other parents.
One woman revealed doctors missed her nine-month-old son had the highly infectious viral illness even when the tell-tale rash had 'spread like wild fire over his body'.
Both mothers urge families to be vigilant explaining their children's symptoms started off similar to those of a common cold.
This comes just days after officials confirmed to MailOnline that an outbreak of deadly measles has spread from the north west to the Midlands.
Last Friday, Public Health England (PHE) revealed there has been 17 confirmed cases in Leeds and eight in Liverpool, which also has three probable cases.
Manchester has been placed on high alert to be hit next and there are growing concerns it will spread across the UK following an epidemic in Europe. The Daily Mail
One woman revealed doctors missed her nine-month-old son had the highly infectious viral illness even when the tell-tale rash had 'spread like wild fire over his body'.
Both mothers urge families to be vigilant explaining their children's symptoms started off similar to those of a common cold.
This comes just days after officials confirmed to MailOnline that an outbreak of deadly measles has spread from the north west to the Midlands.
Last Friday, Public Health England (PHE) revealed there has been 17 confirmed cases in Leeds and eight in Liverpool, which also has three probable cases.
Manchester has been placed on high alert to be hit next and there are growing concerns it will spread across the UK following an epidemic in Europe. The Daily Mail
Tuesday, 28 November 2017
Some assembly required: implementing new models of care
Some assembly required: implementing new models of care Understanding the lessons learnt from the new care models programme will be vital in helping NHS leaders develop more effective ways of delivering care in the future. This report examines how vanguard sites have made changes and offers crucial insight into the challenges and enablers in developing new care models.
It sets out 10 lessons for those seeking to systematically make changes across services in their area. These are based on first-hand accounts of clinicians and managers from the new care models programme’s vanguard sites. These sites have worked through the complexities of bringing together professions and organisations to develop place-based models of better coordinated care for people with complex health and social care needs. The Health Foundation
It sets out 10 lessons for those seeking to systematically make changes across services in their area. These are based on first-hand accounts of clinicians and managers from the new care models programme’s vanguard sites. These sites have worked through the complexities of bringing together professions and organisations to develop place-based models of better coordinated care for people with complex health and social care needs. The Health Foundation
Online Mental Health Support for Young People
Online Mental Health Support for Young People The report offers insight into the efficacy of online counselling for children and young people. The report focuses exclusively on Kooth online counselling, our user data (April 2016 - April 2017) along with feedback from Kooth users and commissioners.
The report finds Kooth online counselling is popular and effective in increasing access to care and
providing choice. The anonymous nature of the service was found to be a big benefit for children
and young people. Education Policy Institute
See also:
The report finds Kooth online counselling is popular and effective in increasing access to care and
providing choice. The anonymous nature of the service was found to be a big benefit for children
and young people. Education Policy Institute
See also:
We must do better on baby deaths and injuries - Hunt
We must do better on baby deaths and injuries - Hunt The NHS in England must do better at learning from mistakes to cut the number of baby deaths and injuries in childbirth, the health secretary says.
There are an estimated 1,000 cases a year where babies unexpectedly die or are left with severe brain injury.
That is out of nearly 700,000 births, which, Mr Hunt said, showed the NHS provided safe care for most.
But, he added, all unexplained cases of serious harm or death would now be independently investigated.
The Healthcare Safety Investigations Branch, set up earlier this year, will be tasked with reviewing cases. BBC News
See also:
There are an estimated 1,000 cases a year where babies unexpectedly die or are left with severe brain injury.
That is out of nearly 700,000 births, which, Mr Hunt said, showed the NHS provided safe care for most.
But, he added, all unexplained cases of serious harm or death would now be independently investigated.
The Healthcare Safety Investigations Branch, set up earlier this year, will be tasked with reviewing cases. BBC News
See also:
'Third of mothers' experience mental health issues
'Third of mothers' experience mental health issues More than a third of mothers have experienced mental health issues related to parenthood, according to an online survey of 1,800 British parents by the BBC Radio 5 live and YouGov.
The study revealed that, in comparison, 17% of fathers had experienced similar issues.
More than two-thirds of the affected mothers sought professional help - suffering from conditions such as acute stress, severe anxiety and postpartum depression. BBC News
The study revealed that, in comparison, 17% of fathers had experienced similar issues.
More than two-thirds of the affected mothers sought professional help - suffering from conditions such as acute stress, severe anxiety and postpartum depression. BBC News
Scarlet fever cases hit 50-year high in England
Scarlet fever cases hit 50-year high in England Scarlet fever hit its highest level in England for 50 years, with more than 17,000 cases reported in 2016 - research in the Lancet shows.
The disease has been on the rise since 2014, but experts have so far failed to find a reason for the recent increase.
Doctors are urging the public to be aware of symptoms, which include a rosy rash, and seek help from their GP.
Data for 2017 suggests the rate may be falling, but experts remain cautious, saying it is "too early to tell".
The bacterial disease, though highly contagious, is not usually serious and can be treated with antibiotics.
It is most common among children under 10. BBC News
The disease has been on the rise since 2014, but experts have so far failed to find a reason for the recent increase.
Doctors are urging the public to be aware of symptoms, which include a rosy rash, and seek help from their GP.
Data for 2017 suggests the rate may be falling, but experts remain cautious, saying it is "too early to tell".
The bacterial disease, though highly contagious, is not usually serious and can be treated with antibiotics.
It is most common among children under 10. BBC News
Ethical hackers to boost NHS cyber-defences
Ethical hackers to boost NHS cyber-defences The NHS is spending £20m to set up a security operations centre that will oversee the health service's digital defences.
It will employ "ethical hackers" to look for weaknesses in health computer networks, not just react to breaches.
Such hackers use the same tactics seen in cyber-attacks to help organisations spot weak points.
In May, one-third of UK health trusts were hit by the WannaCry worm, which demanded cash to unlock infected PCs. BBC News
It will employ "ethical hackers" to look for weaknesses in health computer networks, not just react to breaches.
Such hackers use the same tactics seen in cyber-attacks to help organisations spot weak points.
In May, one-third of UK health trusts were hit by the WannaCry worm, which demanded cash to unlock infected PCs. BBC News
People with disabilities have the right to good health too | Fiona Ritchie
People with disabilities have the right to good health too | Fiona Ritchie Year-long campaign will focus on disability and health inequalities, challenging providers to improve services
Should being in good health look different for someone who is deaf? How do you know if a person with autism is unwell if they cannot tell you? These are among the questions all social care professionals – from care managers to nurses – should be asking to tackle the significant health inequalities experienced by people with disabilities.
For the 13.3 million people in the UK who live with a disability, being as healthy as possible should be a given, but too often their medical needs are neglected or ignored. Barriers to accessing services, a lack of knowledge and skills among staff, and a failure to prevent problems are among the causes highlighted by the World Health Organisation. Continue reading... The Guardian
Should being in good health look different for someone who is deaf? How do you know if a person with autism is unwell if they cannot tell you? These are among the questions all social care professionals – from care managers to nurses – should be asking to tackle the significant health inequalities experienced by people with disabilities.
For the 13.3 million people in the UK who live with a disability, being as healthy as possible should be a given, but too often their medical needs are neglected or ignored. Barriers to accessing services, a lack of knowledge and skills among staff, and a failure to prevent problems are among the causes highlighted by the World Health Organisation. Continue reading... The Guardian
Britain has highest numbers of overweight people in the EU
Britain has highest numbers of overweight people in the EU Britain has been shamed as the obesity capital of the EU.
This country has the highest rates in the bloc with nearly 30 per cent of women and just under 27 per cent of men overweight.
Other health figures are also worrying, showing we are second worst at exercising and have one of the highest rates of heavy drinkers.
Britons are also near the top of an international table for having dangerously high cholesterol levels.
The statistics follow a warning that it has become normal to be vastly overweight, with this country following the lead of the US, the world’s most obese nation. The Daily Mail
See also:
This country has the highest rates in the bloc with nearly 30 per cent of women and just under 27 per cent of men overweight.
Other health figures are also worrying, showing we are second worst at exercising and have one of the highest rates of heavy drinkers.
Britons are also near the top of an international table for having dangerously high cholesterol levels.
The statistics follow a warning that it has become normal to be vastly overweight, with this country following the lead of the US, the world’s most obese nation. The Daily Mail
See also:
Monday, 27 November 2017
Autumn Budget 2017: a step back from the precipice for the NHS?
Autumn Budget 2017: a step back from the precipice for the NHS? Wednesday’s Budget felt like one of the most eagerly awaited in years. With a government still reeling from a disappointing election result and embroiled in painstaking Brexit negotiations the stakes were high. A good budget might restore some hope and optimism, an unpopular one would heap further pressure on a government in need of a lift.
Judging by the Chancellor’s joke-filled start you could be forgiven for thinking that the outlook was going to be rosy. Sadly, predictions of flatlining productivity and slowing GDP growth started to pervade his speech. The mood changed faster than you could say ‘fit for the future’.
But with such doomsdayish forecasts, what would this all mean for health and social care? The Health Foundation
See also:
Judging by the Chancellor’s joke-filled start you could be forgiven for thinking that the outlook was going to be rosy. Sadly, predictions of flatlining productivity and slowing GDP growth started to pervade his speech. The mood changed faster than you could say ‘fit for the future’.
But with such doomsdayish forecasts, what would this all mean for health and social care? The Health Foundation
See also:
Vaginal mesh operations should be banned, says NICE
Vaginal mesh operations should be banned, says NICE The health watchdog NICE is to recommend that vaginal mesh operations should be banned from treating organ prolapse in England, the BBC's Victoria Derbyshire show has learned.
Draft guidelines from NICE say the implants should only be used for research - and not routine operations.
Some implants can cut into the vagina and women have been left in permanent pain, unable to walk, work or have sex.
One expert said it is highly likely the NHS will take up the recommendation. BBC News
See also:
Draft guidelines from NICE say the implants should only be used for research - and not routine operations.
Some implants can cut into the vagina and women have been left in permanent pain, unable to walk, work or have sex.
One expert said it is highly likely the NHS will take up the recommendation. BBC News
See also:
Home Office review over harassment at abortion clinics
Home Office review over harassment at abortion clinics New laws could be introduced to protect women from harassment outside abortion clinics, the Home Office has said.
An assessment of protests held outside clinics has been ordered by the home secretary, following concerns about the tactics used by some protesters.
Amber Rudd said it was "unacceptable" that anyone should feel intimidated for accessing healthcare.
But anti-abortion campaigners said it was "ludicrous" to suggest new powers, because women were not being harassed.
The Home Office review will hear from police forces, healthcare providers and local authorities to understand the scale and nature of anti-abortion protests. BBC News
An assessment of protests held outside clinics has been ordered by the home secretary, following concerns about the tactics used by some protesters.
Amber Rudd said it was "unacceptable" that anyone should feel intimidated for accessing healthcare.
But anti-abortion campaigners said it was "ludicrous" to suggest new powers, because women were not being harassed.
The Home Office review will hear from police forces, healthcare providers and local authorities to understand the scale and nature of anti-abortion protests. BBC News
Patient safety ‘at risk’ as junior doctors left to run A&E and other departments, GMC warns
Patient safety ‘at risk’ as junior doctors left to run A&E and other departments, GMC warns Junior doctors are being left in charge of hospital A&E departments and other units, putting patient safety at risk, Britain’s medical regulator has warned.
Trainee medics are being “left to fend themselves” by being asked to look after patients they are not qualified to treat, the General Medical Council (GMC) said.
Its chief executive, Charlie Massey, said inexperienced young doctors left without supervision feel worried they might “inadvertently cause harm to patients” and risk losing their licence if they act beyond their competence. The Independent
See also:
Trainee medics are being “left to fend themselves” by being asked to look after patients they are not qualified to treat, the General Medical Council (GMC) said.
Its chief executive, Charlie Massey, said inexperienced young doctors left without supervision feel worried they might “inadvertently cause harm to patients” and risk losing their licence if they act beyond their competence. The Independent
See also:
- Training environments 2017: key findings from the national training surveys General Medical Council
- Medical training too reliant on doctors' goodwill, says GMC General Medical Council
- Patients put at risk by inexperienced doctors left in charge of A&E The Daily Telegraph
- Inexperienced doctors are being left in charge of A&Es, regulator warns The Guardian
NHS could introduce four week waiting target for young mental health patients, shows leaked report
NHS could introduce four week waiting target for young mental health patients, shows leaked report Young people struggling to access mental health support might get a Government-backed promise of treatment within four weeks of referral, but funding pressures mean it won’t be UK-wide until 2021.
Leaked details from the upcoming green paper on Child and Adolescent Mental Health Services (CAMHS) suggest a four week standard waiting standard could be introduced for the first time.
However this is likely to be piloted in a few regions first, with a full roll-out reportedly unlikely before 2021. The Independent
Leaked details from the upcoming green paper on Child and Adolescent Mental Health Services (CAMHS) suggest a four week standard waiting standard could be introduced for the first time.
However this is likely to be piloted in a few regions first, with a full roll-out reportedly unlikely before 2021. The Independent
Two-thirds of children referred for mental healthcare in England not treated - The Guardian
Two-thirds of children referred for mental healthcare in England not treated Sixty per cent of children and young people referred for specialist care by their GP are not receiving treatment, figures reveal.
Data from 32 NHS Trusts in England showed about 60% of under-18s who are referred to child and adolescent mental health services (CAMHS) by their GP are not receiving treatment, according to figures obtained by Spurgeons children’s charity.
The number of under-18s admitted to A&E for self-harm has increased by 50% in five years but outpatient treatment rates are falling, according to the charity. Self-harm admissions to A&E departments for young people have increased for the seventh year running according to figures from 59 A&E departments in England. Continue reading... The Guardian
Data from 32 NHS Trusts in England showed about 60% of under-18s who are referred to child and adolescent mental health services (CAMHS) by their GP are not receiving treatment, according to figures obtained by Spurgeons children’s charity.
The number of under-18s admitted to A&E for self-harm has increased by 50% in five years but outpatient treatment rates are falling, according to the charity. Self-harm admissions to A&E departments for young people have increased for the seventh year running according to figures from 59 A&E departments in England. Continue reading... The Guardian
NHS urges parents to vaccinate flu 'super-spreader' children
NHS urges parents to vaccinate flu 'super-spreader' children Health service encourages take-up of nasal spray for those aged two to nine to stop them passing on illness to older relatives
NHS England is urging parents to vaccinate “super-spreader” children against flu so grandparents and other vulnerable relatives will be less at risk over the Christmas period.
Flu vaccines administered through a nasal spray rather than an injection have been rolled out this autumn for two and three-year-olds, and children in reception class and years one to four in primary school. Continue reading... The Guardian
NHS England is urging parents to vaccinate “super-spreader” children against flu so grandparents and other vulnerable relatives will be less at risk over the Christmas period.
Flu vaccines administered through a nasal spray rather than an injection have been rolled out this autumn for two and three-year-olds, and children in reception class and years one to four in primary school. Continue reading... The Guardian
My prescription for dejected doctors? Stop harking back to a golden age that never was | Clare Gerada
My prescription for dejected doctors? Stop harking back to a golden age that never was | Clare Gerada
Medicine’s a tough career and professionals are demoralised. But the good old days had their dark side too. • Clare Gerada is a former chair of the Royal College of General Practitioners
In the 17th century there was a disease so virulent it was able to wipe out whole armies. Sufferers experienced intense melancholia, anxiety and longing triggered by smell, touch, sight or thought of an object. This disease was nostalgia, described by a medical student and named after nosta for home, and algia for pain. It was prevalent in the Swiss mercenary army, and military physicians postulated it was caused by the unremitting clanging of cowbells in the Alps.
Dormant for centuries, the disease is returning, but this time the afflicted are drawn from a section of the ageing medical establishment. These doctors have developed a delusional system of beliefs that the past was always rosy, that doctors “all knew each other … the firm was a happy band of brothers”, as recalled by Harold Ellis, a surgeon who qualified in 1948. This was a time, they reminisce, where doctors were able to give their patients what they needed: a golden age of medicine, defined by American sociologist Eliot Freidson as the period between 1945 and 1965.
The downside of professional freedom was that only the most incompetent or negligent behaviour led to disciplinary action Continue reading...
Medicine’s a tough career and professionals are demoralised. But the good old days had their dark side too. • Clare Gerada is a former chair of the Royal College of General Practitioners
In the 17th century there was a disease so virulent it was able to wipe out whole armies. Sufferers experienced intense melancholia, anxiety and longing triggered by smell, touch, sight or thought of an object. This disease was nostalgia, described by a medical student and named after nosta for home, and algia for pain. It was prevalent in the Swiss mercenary army, and military physicians postulated it was caused by the unremitting clanging of cowbells in the Alps.
Dormant for centuries, the disease is returning, but this time the afflicted are drawn from a section of the ageing medical establishment. These doctors have developed a delusional system of beliefs that the past was always rosy, that doctors “all knew each other … the firm was a happy band of brothers”, as recalled by Harold Ellis, a surgeon who qualified in 1948. This was a time, they reminisce, where doctors were able to give their patients what they needed: a golden age of medicine, defined by American sociologist Eliot Freidson as the period between 1945 and 1965.
The downside of professional freedom was that only the most incompetent or negligent behaviour led to disciplinary action Continue reading...
NHS pays out record compensation to cancer patients
NHS pays out record compensation to cancer patients The number of cancer patients successfully suing the NHS for missed diagnoses has doubled in the past five years, new figures show.
The health service also paid out a record amount in negligence compensation for cancer misdiagnoses last year, according to the data.
The NHS Litigation Authority (NHSLA) paid damages of £12.6 million to 152 people last year. The figure has risen year-on-year since 2013, when 46 pay-outs were made. In 2012, 59 pay-outs were made.
There was a total of 1,392 successful claims for all misdiagnoses in 2016, worth £152.5 million. The Daily Telegraph
The health service also paid out a record amount in negligence compensation for cancer misdiagnoses last year, according to the data.
The NHS Litigation Authority (NHSLA) paid damages of £12.6 million to 152 people last year. The figure has risen year-on-year since 2013, when 46 pay-outs were made. In 2012, 59 pay-outs were made.
There was a total of 1,392 successful claims for all misdiagnoses in 2016, worth £152.5 million. The Daily Telegraph
'Robot surgery' could save men from prostate cancer
'Robot surgery' could save men from prostate cancer Surgeons have praised the pioneering use of robots in saving a record number of men from one of the UK’s deadliest cancers.
The £1 million machines, known as Da Vinci robots, have performed life-saving surgery at University College London Hospitals on more than 500 men with advanced prostate cancer.
Surgeons credit them with being quicker, safer and the procedures have fewer side effects than existing treatments in a move that has been described as a 'game changer'.
The robot, controlled by a surgeon at a computer console, has six arms with tiny scissors and pliers, which make incisions in the patient's abdomen. The Daily Mail
The £1 million machines, known as Da Vinci robots, have performed life-saving surgery at University College London Hospitals on more than 500 men with advanced prostate cancer.
Surgeons credit them with being quicker, safer and the procedures have fewer side effects than existing treatments in a move that has been described as a 'game changer'.
The robot, controlled by a surgeon at a computer console, has six arms with tiny scissors and pliers, which make incisions in the patient's abdomen. The Daily Mail
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