Thursday, 30 August 2018

How to start mental health conversations with your employees - People Management Magazine

How to start mental health conversations with your employees With one in six people experiencing a common mental health problem in any given week, creating an open and supportive work culture has never been more important. Starting a conversation on mental health may seem daunting, but it doesn’t have to be difficult.
From regularly checking in with your team to encouraging them to open up, you can support them in a few, simple steps ... People Management

Children forced to travel hundreds of miles for NHS mental health treatment

Children forced to travel hundreds of miles for NHS mental health treatment NHS England figures reveal some under-18s sent as far as 285 miles for inpatient services. Children and young people with serious mental health problems are receiving treatment as far as 285 miles away from their homes, despite a pledge to end such practice, because bed shortages in some areas are so severe.
Experts say sending highly troubled under-18s to units far from their family and friends can be frightening for them, reduces their chances of recovery and increases their risk of self-harm. Guardian

Wednesday, 29 August 2018

Teenagers who smoke and drink suffer ill effects by age of 17

Teenagers who smoke and drink suffer ill effects by age of 17 Teenagers who smoke and drink alcohol are causing visible damage to their arteries by the age of 17, a study has revealed. Tests showed stiffening of the arteries had begun by this relatively young age.

These physical changes have been linked with an increased risk of heart and blood vessel problems, such as stroke and heart attack, in later life.

But the study also found that the arteries of teenagers who stopped smoking or drinking returned to normal. BBC News - Health

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Quarter of 14-year-old girls in UK 'self-harmed in last year'

Quarter of 14-year-old girls in UK 'self-harmed in last year' Nearly a quarter of 14-year-old girls in the UK said they had self-harmed, a report suggests.

A survey of 11,000 children found 22% of the girls and 9% of the boys said they had hurt themselves on purpose in the year prior to the questionnaire.

Rates of self-harm were worst (46%) among those who were attracted to people of the same or both genders.

The Children's Society report said gender stereotypes and worries about looks were contributing to unhappiness. BBC News - Health

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Northampton brain injury charity fear end is in sight without formal funding in face of cuts

Northampton brain injury charity fear end is in sight without formal funding in face of cuts A Northampton charity supporting adults with brain injuries fear they "won't be here in two years" without funding.

Headway Northampton run a large day centre in Kings Heath where they help people who have sustained brain damage learn to live with their injuries.

But after losing out on grants and bearing the brunt of the county council's financial crisis, they now fear they will fold in as little as two years - and think other healthcare charities will follow. Northampton Chronicle and Echo

The end is nigh for paper prescriptions

The end is nigh for paper prescriptions Paper prescriptions will as good as disappear under a shakeup to allow more electronic authorising of medicines, the health and social care secretary has announced.

Regulations that prevent GPs sending prescriptions to pharmacies digitally in some circumstances will be dropped with the aim of saving the NHS £300m by 2021. The changes will also benefit patients, the Department for Health and Social Care says: it will mean they have to spend less time waiting in pharmacies and GP practices, repeat prescriptions will be able to be collected from the pharmacy instead of having to visit the GP first, and they will not have to worry about losing paper prescriptions. OnMedica

No-deal Brexit: Plan to maintain medicine supplies 'could cost £2bn'

No-deal Brexit: Plan to maintain medicine supplies 'could cost £2bn'  Campaign group Best for Britain warns of cost to health secretary’s stockpiling strategy

The health secretary’s plan to set aside six weeks’ worth of vital medicines to avoid supply disruptions in the event of a no-deal Brexit could cost up to £2bn, campaign group Best for Britain warns today.

Matt Hancock wrote to healthcare providers last week, saying the government would set in motion plans to “ensure the UK has an additional six weeks’ supply of medicines in case imports from the EU through certain routes are affected”. The Guardian

Judge overturns south London hospital's ban on heart surgeon

Judge overturns south London hospital's ban on heart surgeon Marjan Jahangiri was excluded from St George’s pending disciplinary investigation

A heart surgeon excluded from working at a hospital pending disciplinary proceedings has said she is delighted to win the latest stage of a high court fight.

Prof Marjan Jahangiri had been excluded by bosses at St George’s in Tooting, south London, pending a disciplinary investigation into allegations made against her. The Guardian

Tuesday, 28 August 2018

Dr Hadiza Bawa-Garba: GMC boss told position is 'untenable'

Dr Hadiza Bawa-Garba: GMC boss told position is 'untenable'  Medics have called for the head of the General Medical Council (GMC) to stand down over his handling of the case of a doctor who was struck off.

Dr Hadiza Bawa-Garba has won her bid to be reinstated over the death of six-year-old Jack Adcock in 2011.

Hospital doctors have said GMC chief executive Charlie Massey's position was "untenable". BBC News

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The mental health chatbot

The mental health chatbot Chatbots are being taught to assist people in dealing with mental health issues such as anxiety and depression. The bots do not treat or diagnose - but human therapists have some reservations about the tech. BBC News

Abortion pill will be allowed to taken at home in England, under new plan

Abortion pill will be allowed to taken at home in England, under new plan Women in England will be allowed to take an early abortion pill at home, under a government plan due to take effect by the end of the year.

Currently, women ending a pregnancy in its first 10 weeks must take two pills at a clinic, 24 to 48 hours apart.

Under the new plans, which will bring England into line with Scotland and Wales, the second pill can be taken at home.

This avoids the risk of women miscarrying while on the journey home. BBC News

Health Secretary pledges to overhaul NHS IT system

Health Secretary pledges to overhaul NHS IT system Health and Social Care Secretary Matt Hancock has vowed to overhaul the NHS IT network, saying it would be unacceptable in any other 21st-century organisation.

The “bleary eyed” minister, who replaced Jeremy Hunt in July, said he saw first hand how staff were hindered by poor technology as he shadowed front-line staff during an overnight shift. ITV News

NHS boss: 'Run failing hospitals like Tesco to improve them' - iNews

NHS boss: 'Run failing hospitals like Tesco to improve them' Failing hospitals should be run like supermarket chains if they are to improve, the boss of one of the country’s best-rated trusts has said.

Sir David Dalton, chief executive at Salford Royal NHS Foundation Trust, said groups of hospitals should work together to implement best practice – much like a chain of Sainsbury’s or Tesco stores.

He argued that the 135 separate acute non-specialist trusts in England, all with “different ways of doing things”, were “a key reason why standards in care vary so dramatically in what is meant to be a national health service”. iNews

Syphilis diagnoses are booming - it's clear sexual health needs an overhaul

Syphilis diagnoses are booming - it's clear sexual health needs an overhaul | Richard Vize Responsibility for services is shared by NHS and councils and there is little evidence of a united effort on prevention

The health and social care select committee has launched an inquiry into sexual health. The move comes as serious infections are rising and funding is falling, hitting services of vital importance to young people and many others.

There is a widespread feeling among public health staff that the NHS no longer sees public health as its problem Continue reading... The Guardian

NHS maternity units were forced to close 287 times last year

NHS maternity units were forced to close 287 times last year Labour says turning away expectant mothers is ‘disgrace’ and blames Tories for midwife shortage

Almost half of maternity units at hospitals in England were closed to expectant mothers at least once during 2017, research by Labour has found, with the party blaming staff shortages and other resourcing problems.

Freedom of information (FoI) requests by Labour identified almost 300 occasions when maternity units were closed and expectant mothers Continue reading... The Guardian

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More than four in five MPs want extra funding to be found for social care

More than four in five MPs want extra funding to be found for social care More than four in five MPs want extra funding to be found for social care, polling reveals.

The survey by the Local Government Association (LGA) comes ahead of a green paper this autumn, which will examine how best to fund care of the elderly and disabled.

Earlier this year Theresa May announced a £20bn boost for the NHS. But plans about how best to fund long-term care of the elderly were pushed back, having last year proved politically toxic. The Daily Telegraph

Trailblazing female heart surgeon 'forced out' from unit by colleagues 'envious of her success'

Trailblazing female heart surgeon 'forced out' from unit by colleagues 'envious of her success' A leading cardiac surgeon claims she was suspended from a heart unit criticised for soaring death rates because colleagues were envious of her success.

Professor Marjan Jahangiri, the first female professor of cardiac surgery in Europe, claims she was subjected to a "campaign of bullying and harassment", and in one instance was anonymously sent a dead animal and a decapitated doll in the post.

She has asked the High Court to issue an order lifting her exclusion from St George's Hospital in south west London with immediate effect. The Daily Telegraph

Every GP surgery in England should hire a mental health expert to tackle depression, experts say

Every GP surgery in England should hire a mental health expert to tackle depression, experts say Every doctor's surgery in England is being encouraged to employ mental health therapists.

The therapists will focus on common mental health problems such as anxiety and depression, particularly in people with long-term physical illnesses like diabetes and heart conditions.

NHS England is encouraging GPs to bring mental and physical health services under one roof after a survey found two in five patient appointments are now for mental health. The Daily Mail

Scandal of the 3.6million NHS 'ghost patients': Huge numbers still registered at practices have either died or moved away... but GPs receive £151 for each one despite a crackdown pledge

Scandal of the 3.6million NHS 'ghost patients': Huge numbers still registered at practices have either died or moved away... but GPs receive £151 for each one despite a crackdown pledge A staggering 3.6 million patients who do not exist are registered with GPs' surgeries, a Mail on Sunday investigation reveals today.

Despite a crackdown launched three years ago on so-called 'ghost patients', the numbers have risen at a rate of almost 6,000 a week.

Doctors in England receive an average of £151 a year for each patient on their books, whether they see them or not. The Daily Mail

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Friday, 24 August 2018

Reducing emergency admissions: unlocking the potential of people to better manage their long-term conditions

Reducing emergency admissions: unlocking the potential of people to better manage their long-term conditions This briefing summarises research that explores the link between how well patients feel able to manage their long-term conditions such as asthma, diabetes and depression and their use of health care.

The findings show the NHS could reduce avoidable health care use and improve people's quality of life, if they were better supported to manage their long-term conditions.

It also points to solutions and calls for national policy makers and the local NHS to take action now, including by prioritising support for self-management in the NHS long-term plan. The Health Foundation

Information for the health and care sector about planning for a potential no-deal Brexit

Information for the health and care sector about planning for a potential no-deal Brexit This collection of resources brings together guidance, correspondence and news for people involved in the health and care sector. Service providers should consider this guidance in the context of their existing business continuity plans. The latest guidance published covers regulation, testing and labelling if the UK leaves the EU in March 2019 with 'no deal'. Department of Health and Social Care

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Mental health problems among GPs 'deeply concerning' but not surprising given workload pressures, says College

Mental health problems among GPs 'deeply concerning' but not surprising given workload pressures, says College She said: "GPs, indeed most healthcare professionals, are renowned for putting their patients' health before their own – and given the intense pressures currently facing general practice, this very high proportion of GPs living with mental health problems is deeply concerning, but not a total surprise.

"GPs work incredibly hard, often putting in 12-hour days in clinic, making upwards of 60 patient contacts a day, and dealing with huge amounts of administrative work. This relentless workload will inevitably take its toll on both doctors' physical and mental health and wellbeing, however resilient they may be. Royal College of General Practitioners

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Anti-vaccine myths are being promoted by social media bots and Russian trolls, study finds

Anti-vaccine myths are being promoted by social media bots and Russian trolls, study finds Online arguments trying to trick people into believing vaccines are spreading across the internet, according to a new study.

Social media bots and trolls are sewing division by promoting "anti-vaxx" conspiracy theories and other myths, the new research has found.

Experts suggest that the arguments are being used to divide the country as well as to trick them into clicking on malicious links and other attacks. The Independent

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Cornish hospital says sorry after 'neglect' of woman who died

Cornish hospital says sorry after 'neglect' of woman who died Katy Lowry, a 30-year-old with disabilities, died after failure to carry out basic checks

A hospital has apologised to the family of a woman with disabilities who died after staff failed to carry out basic checks when she was admitted suffering from a bout of vomiting.

Katy Lowry, 30, who had physical and learning disabilities, collapsed and died shortly after arriving at the Royal Cornwall hospital. Continue reading... The Guardian

I’ve been told to wait three years for a wheelchair that ‘can go outside’

I’ve been told to wait three years for a wheelchair that ‘can go outside’ | Frances Ryan It is surely a societal failure when 5,000 children wait months for an NHS chair, while others receive no help to cover costs

One of my abiding childhood memories was being given my first wheelchair. Until I was six, I had to resort to a large buggy, a mass of translucent plastic frames and ugly grey wheels. It was through the charity Whizz-Kidz that I finally got my first wheelchair, a streamlined seat in midnight purple. I remember taking my newfound freedom to my local Morrisons, home of the shiniest floor in town. I had gone from being trapped in plastic to sitting in a rocket ship, throwing myself down the crisps and snacks aisle.

A decade later, I had outgrown the chair and my family were back to working out how we would pay for a new one – this time a pricier, electric wheelchair that cost at least £5,000. My mum wrote to the board of local charities, we saved what we could, and Whizz-Kidz again filled in the rest.

Turning to charity feels particularly disconcerting if you’re disabled​​. It’s reminiscent of the pre-welfare state era Continue reading... The Guardian

Patient diagnosed with deadly MERS virus in Leeds as fellow passengers on flight from Middle East sought

Patient diagnosed with deadly MERS virus in Leeds as fellow passengers on flight from Middle East sought A man has been diagnosed with the deadly Middle East Respiratory Syndrome in England - the first such diagnosis in this country since 2013.

Health officials said the case involves a patient who was initially admitted to a hospital in Leeds before being transferred to Royal Liverpool Hospital, which treats respiratory infectious diseases.

The man is believed to have fallen ill after flying to Britain from the Middle East, where he lives. The Daily Telegraph

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British women now among top drinkers in the world 

British women now among top drinkers in the world British women are now among the world's biggest drinkers - matching men drink for drink, a major global study published in The Lancet reveals.

The figures, which track 195 countries across the globe, show that the UK is almost unique in having no difference in the amount of alcohol men and women consume.

Experts described the trends as “alarming”, warning of growing rates of liver disease among middle-aged women who had continued the “ladette” drinking habits of their youth. The Daily Telegraph

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Two thirds of NHS hospital trusts have unsafe bed occupancy levels

Two thirds of NHS hospital trusts have unsafe bed occupancy levels Two thirds of hospital trusts had unsafe bed occupancy levels between the start of April and end of June, NHS figures have revealed.

Damning statistics published today show 131 trusts - which run hospitals - were at least 85 per cent full, the safe limit set by health chiefs.

Two even reported 100 per cent occupancy rates during the busy three-month period - Oxford Health Foundation Trust and Bedford Hospital Trust. The Daily Mail

Thursday, 23 August 2018

Councils' care spending spirals as other services cut

Councils' care spending spirals as other services cut The plight of Northamptonshire County Council has highlighted the perilous financial state of local authorities.

One of the key pressures they face is the cost of looking after children and vulnerable adults - which has been spiralling as services elsewhere are cut back.

Ahead of latest official figures that are expected to show more overspending, the BBC has been looking at how it is playing out on the ground. BBC Northampton

Consultation on new strategy to support people with autism in Northants

Consultation on new strategy to support people with autism in Northants A new strategy about how people with autism in Northamptonshire are supported has been drawn up.

The county council is currently consulting on the strategy which is a redesign of the current service and people have until October 5 to have their say on the proposals.

The strategy is a joint initiative between the county council, the Corby and Nene clinical commissioning groups and the Northamptonshire Healthcare NHS Foundation TrustNorthamptonshire Telegraph

Northamptonshire family 'will keep fighting' for drug to treat toddler's rare illness after it was rejected for NHS use

Northamptonshire family 'will keep fighting' for drug to treat toddler's rare illness after it was rejected for NHS use The parents of a Northamptonshire two-year-old say they are 'devastated' after a health body has decided not to recommend a treatment for use on the NHS. Northampton Chronicle and Echo

Comprehensive geriatric assessment: needs assessment tool

Comprehensive geriatric assessment: needs assessment tool The Nuffield Trust, in collaboration with clinical investigators at the Universities of Leicester, Southampton and Newcastle, is part of a National Institute for Health Research (NIHR)-funded project to research acute hospital care for frail older people. The aim of the work is to inform NHS managers, clinicians, patients and the public about how best to organise hospital services for frail older people.

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Personal Health Records adoption toolkit

NHS Digital tool supports personal health record development NHS Digital has produced a new toolkit to support local NHS organisations to develop personal health records (PHRs).

PHRs give patients secure access to information about their health, care and wellbeing. The new toolkit is based on research we carried out across the country. It contains guidance, standards, user research findings and gives advice and best practice on building or delivering a PHR.

Patient waited 62 hours for ambulance

Patient waited 62 hours for ambulance A patient waited 62 hours for an ambulance, while four trusts took more than 24 hours to respond to 999 calls, new figures have shown.

The longest delays in the UK were recorded by Welsh Ambulance Service, which kept four patients waiting for more than 50 hours.

A spokesman said the figures were "not typical" and "represent the extreme end of the waiting time spectrum".

The Patients Association said they were "extremely concerning". BBC News

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Rise in diabetes 'to cause surge in heart disease and strokes'

Rise in diabetes 'to cause surge in heart disease and strokes' Heart attacks and strokes in England are set to surge in the next 20 years as diabetes cases linked to lifestyle increase, a charity has warned.

The number of diabetics is projected to rise by one million by 2035, largely driven by more cases of type 2 diabetes and increasing rates of obesity.

This could lead to a 29% rise in heart attacks and strokes linked to diabetes, the British Heart Foundation said.

The charity said "bold action" was needed to tackle the obesity epidemic. BBC News

Radiologist shortage 'affecting cancer care' in the UK

Radiologist shortage 'affecting cancer care' in the UK A shortage of senior radiologists around the UK is causing delays for patients, and affecting cancer and other medical care.

Radiologists' leaders say the situation is unacceptable and must be tackled by ministers.

Figures suggest their workload of reading and interpreting scans has increased by 30% between 2012 and 2017.

But the number of consultant radiologists in England has gone up by just 15% in that time.

The figures, given to the BBC by the Royal College of Radiologists, also suggest the number of these senior posts in Scotland, Wales and Northern Ireland has remained static over that period. BBC News

Steam treatment for big prostates approved on NHS

Steam treatment for big prostates approved on NHS The NHS can start offering a new steam treatment for benign prostate enlargement, says the regulator, the National Institute for Health and Care Excellence.

The procedure is minimally invasive and can be done under local anaesthetic without an overnight hospital stay.

It involves passing a small probe up the urethra to inject a puff of steam into the troublesome area.

The steam kills off some of the enlarged tissue to ease symptoms. BBC News

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Two in five GPs have experienced mental health problems, finds survey

Two in five GPs have experienced mental health problems, finds survey Two in five GPs have suffered from a mental health condition, according to a survey of over 1,000 GPs.

The survey, carried out by mental health charity Mind, revealed that 40% had experienced mental health problems, including conditions like depression, anxiety, bipolar disorder and post-traumatic stress disorder.

It also found that GPs are more likely to turn to friends and family for support than their own doctor.

The BMA GP Committee has urged for more action on tackling the 'unmanageable' and 'unsafe' workloads which are damaging GP mental health. Pulse

STI that causes flesh-eating ulcers found in UK for first time

STI that causes flesh-eating ulcers found in UK for first time A sexually transmitted disease which causes flesh-eating ulcers to erupt on the genitals has been diagnosed in the UK for the first time.

The rare STI donovanosis is typically only found in tropical countries and up until now, there had been no recorded breakouts in UK.

However, a Freedom of Information request from online pharmacy chemist-4-u.com found a woman, aged between 15 and 25, was diagnosed with the STI in Southport in the last 12 months. The Independent

Woman gives birth in coastguard helicopter over Cornwall

Woman gives birth in coastguard helicopter over Cornwall Torran MacDonald was born 426 metres above Penzance on the Cornish coast

A woman has thanked medical staff and aircrew who helped in the birth of her son, who was born inside a helicopter almost half a kilometre above the Cornish coast.

Torran MacDonald was born in a coastguard helicopter over Penzance on Saturday night, weighing 3.4kg (7lb 8oz), after his mother, Alicia MacDonald, went into labour while visiting the Isles of Scilly. Continue reading... The Guardian

NHS to offer tracking tests for women at high risk of ovarian cancer

NHS to offer tracking tests for women at high risk of ovarian cancer Women with the “Jolie” gene will be offered NHS surveillance so they can attempt to preserve their fertility while protecting themselves from cancer.

Under the pilot scheme, women who carry a faulty BRCA gene but do not want to have their ovaries removed will undergo regular blood tests so they can be alerted if the threat of cancer rises.

It means those women can avoid such surgery – which pushes them into menopause – or delay it until they have completed a family. The Daily Telegraph

Patients with a cough are told to reach for HONEY instead of calling their GP for antibiotics

Patients with a cough are told to reach for HONEY instead of calling their GP for antibiotics People suffering from a cough should drink honey and lemon rather than take antibiotics, official new health advice has declared.

It insists that drugs should not be the first line of treatment for coughs.

The advice, published today by NHS watchdog Nice and Public Health England, has been drawn up as part of the battle against superbugs. The Daily Mail

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Wednesday, 22 August 2018

Getting the right leadership in place

Getting the right leadership in place ‘Your most important job will be replacing me’ said my chief executive when I started as Chair at University Hospitals Birmingham NHS Foundation Trust four and a half years ago. There have been a few other challenges along the way, but fundamentally she’s right. Getting the right leadership team in place for the trust and keeping them there is the single biggest contributor to our success and the wellbeing of our patients and staff. It’s a job that is becoming more and more difficult as The King’s Fund and NHS Providers’ research into NHS leadership demonstrates.

NHS data security: protecting patient records

NHS data security: protecting patient records Using Freedom of Information legislation, sixty-eight NHS trusts were asked for information on patient records which were reported 'missing' over the 2017-2018 financial year. This revealed that nearly 10,000 patient records were lost over this period. Parliament Street

Maternal request caesarean research highlights postcode lottery

Maternal request caesarean research highlights postcode lottery Results of a nationwide Freedom of Information Act request show that the majority of Trusts in the UK make the process of requesting a caesarean lengthy, difficult or inconsistent adding anxiety and distress to women at a vulnerable time. And lawyers acting for the charity are concerned that at least one Trust may be acting unlawfully. Birthrights

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100,000 carers missing: how ending free movement could spell disaster for elderly and disabled people

100,000 carers missing: how ending free movement could spell disaster for elderly and disabled people Ending freedom of movement after Brexit could mean more than 100,000 fewer adult social care workers by 2026, and a 26% increase in the ratio of over-75s to care workers.

The findings come from a new analysis by think tank Global Future, which is making the case for continuing free movement after Brexit for low-skilled social care workers from the European Union to protect the adult social care sector and the millions of elderly and disabled people who rely on it.

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Children 'getting sight problems because of eye test delays'

Children 'getting sight problems because of eye test delays' Children are developing permanent problems with their vision because they are not being given eye tests early enough, optometrists have warned.

An Association of Optometrists survey of 1,200 people indicated a quarter of school-age children had not been taken for a sight test by their parents.

Of parents surveyed, 52% thought tests would be given in primary school.

While some schools do offer screening, the tests are less comprehensive than those provided free on the NHS. BBC News

Superdrug hack: Data thieves claim to have information on 20,000 customers

Superdrug hack: Data thieves claim to have information on 20,000 customers Superdrug has been targeted by hackers claiming they had access to tens of thousands of customers' personal details including dates of birth and phone numbers.

The high street chain it had been contacted by someone who claimed that they had obtained the details of approximately 20,000 customers.

The company confirmed that 386 of the accounts had been compromised and said was it was working to establish the exact number. The Independent

NHS unprepared for no-deal Brexit, leaked letter warns

NHS unprepared for no-deal Brexit, leaked letter warns Letter highlights risk of drug shortages and spread of disease

Hospitals face running out of drugs in a chaotic no-deal Brexit, the group that represents NHS hospital and ambulance service has privately warned.

Poor co-ordination by ministers and health service bosses means there has been a failure to prepare for the UK to be left without a Brexit deal, a leaked letter from NHS Providers said. Continue reading... The Guardian

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Anti-vaxxers are still spreading false claims as people die of measles

Anti-vaxxers are still spreading false claims as people die of measles | Helen Stokes-Lampard We still don’t have a full uptake of the MMR vaccine. As a GP I know how vital it is to regulate online misinformation and reassure parents

In the early 2000s, after the link between the MMR vaccine and autism was thoroughly debunked, healthcare professionals, including GPs and our teams, worked hard to re-establish public confidence in vaccinations. It took years to restore, but uptake rates in children receiving the MMR vaccine began to improve and there was a time, not so long ago, when we thought we had eradicated measles entirely.

That is why recent data about the surge in measles cases across Europe will come as distressing news – even to us here in the UK. However, it backs up concerns that were published last month in the British Journal of General Practice. The World Health Organization has reported that a total of 41,000 people in the European region were infected in the first six months of 2018 – up from 23,927 cases in 2017 and 5,273 in 2016. Of the cases reported so far this year, 37 deaths have been recorded.

Getting the public invested in the benefits of vaccination is key to its success Continue reading... The Guardian

Country's top nurse resigns in the wake of misleading NHS pay blunder

Country's top nurse resigns in the wake of misleading NHS pay blunder Janet Davies, chief executive of the Royal College of Nursing, announced she will step down from her role at the end of August. The college said they parted ways by 'mutual agreement'. The Daily Mail

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Outbreak of West Nile virus kills 22 in Europe

Outbreak of West Nile virus kills 22 in Europe Health officials have warned there has been a spike in mosquito-borne West Nile virus this year, with 401 recorded human cases across Europe, with most in Serbia, Italy and Greece. The Daily Mail

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Tuesday, 21 August 2018

Facilitating complex systems research for public health

Facilitating complex systems research for public health How do we turn the tide on seemingly intractable conditions such as diabetes and heart disease when their causes are so entwined with the environments we live in?

Public health researchers and policy makers have long understood that the causes of ill health are complex. Yet the biomedical research model, with its focus on linear associations between cause and effect, remains at the forefront of research and practice. In recent years, the case has been made for a change of direction and the need for a ‘complex systems model of evidence for public health’.  The Health Foundation

Measles cases hit record high in Europe

Measles cases hit record high in Europe Cases of measles in Europe have hit a record high, according to the World Health Organization (WHO).

More than 41,000 people have been infected in the first six months of 2018, leading to 37 deaths.

Last year there were 23,927 cases and the year before 5,273. Experts blame this surge in infections on a drop in the number of people being vaccinated.

In England, there have been 807 cases so far this year. The WHO is calling on European countries to take action.

Public Health England say the outbreaks in England are largely due to people who have travelled to areas of mainland Europe that have had outbreaks. BBC News

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Unexplained baby deaths rise for first time in three years

Unexplained baby deaths rise for first time in three years The number of babies dying from unexplained causes in England and Wales has risen for the first time in three years, data shows.

Figures from the Office for National Statistics (ONS) show there were 219 deaths caused by sudden infant death syndrome (Sids) or without a known cause in 2016. This was up from 195 the previous year and the highest number since 2013, when there were 252 deaths.

The numbers have been described as deeply concerning by the Lullaby Trust charity, which raises awareness of Sids. The Guardian

The only way is ethics: a new approach to outsourcing social care

The only way is ethics: a new approach to outsourcing social care e Outsourcing public services, especially to the private sector, has been the model of choice in the UK for around 30 years. Nowhere has this been more the case than in adult social care, where private companies account for the vast majority of provision in both the care home and homecare market. The Guardian

16 nurses from same Arizona intensive care unit pregnant at same time

16 nurses from same Arizona intensive care unit pregnant at same time A group of 16 nurses working in the intensive care unit (ICU) of Banner Desert Medical Centre in Mesa, Arizona have astounded co-workers by all becoming pregnant at the same time.

The nurses only discovered how many of them were simultaneously expecting children when they all happened to join a Facebook group chat for pregnant workers at the hospital. The Independent

Midwives under fire after newborn baby choked to death when his 'dog tired' mother fell asleep while breastfeeding

Midwives under fire after newborn baby choked to death when his 'dog tired' mother fell asleep while breastfeeding A coroner has criticised hospital midwives after a newborn baby died when his “dog tired” mother fell asleep as she was breastfeeding him.

Louie Bradley choked to death after his mother, Ann, had been taught a feeding technique that went against national advice, an inquest heard.

Bolton assistant coroner John Pollard said it was “extraordinary” that the new mother was left alone in bed with her baby when she was “dog tired” after a long labour. The Independent

The NHS needs to cash in its data

The NHS needs to cash in its data As the NHS celebrates its 70th birthday, there has been a period of reflection, and an outpouring of nostalgia, about the contribution the service has made to the country since its foundation in 1948. And quite right too.

But as the UK embarks on its journey outside the European Union, and the NHS faces up to the cost pressures created by the nation’s ageing population, there is a need now to focus on what the service will look like over the next 70 years. Key to this will be ensuring that the UK makes the most of some incredible advances in medical technology and artificial intelligence. The Daily Telegraph

Growing number of women over 50 are turning to IVF

Growing number of women over 50 are turning to IVF According to the Human Fertilisation and Embryology Authority, which regulates IVF in the UK, 223 babies were born to women in their 50s over the past 10 years, with 42 cases in 2016 alone. The Daily Mail

Cocaine deaths quadruple in seven years

Cocaine deaths quadruple in seven years There were 432 deaths related to the drug in England and Wales in 2017, compared with 371 the previous year and 112 in 2011, figures from the Office for National Statistics reveal. The Daily Mail

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Monday, 20 August 2018

Struggling Northampton A&E's new unit nears completion

Struggling Northampton A&E's new unit nears completion Hospital beds and equipment have begun to arrive at a struggling emergency department's new assessment centre.

It is hoped the 60-bed unit at Northampton General will help staff to work out the appropriate treatment for each patient and reduce waiting times.

A hospital manager blamed "dangerous overcrowding" in A&E for the death of an 85-year-old man in March.

The Nye Bevan building, named after the health minister who set up the NHS in 1948, is on track to open in October. BBC Northampton

Unitary bid for Northamptonshire revealed

Unitary bid for Northamptonshire revealed Northamptonshire councils will submit a bid to central government for two unitary authorities - however, the authorities say the new councils will not deliver a cost saving.

Details have been released on Friday about the plan to reorganise local governance in Northamptonshire and scrap its current two tier system and replace it with a unitary system.

All eight Northants councils had been told by the secretary of state for local government James Brokenshire in May to work together on a bid following the financial failing of Northamptonshire County Council. Northamptonshire Telegraph

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Northampton GP placed in special measures as CEO says inadequate inspection result 'was anticipated'

Northampton GP placed in special measures as CEO says inadequate inspection result 'was anticipated' The chief executive of a Northampton GP practice has admitted a recent inadequate rating of a surgery "was anticipated".

The Care Quality Commission inspected Kings Heath Practice in May and published their report this week.

It was rated 'good' in the caring category, requires improvement in the responsive category, and inadequate in the safe, effective, well-led categories as well as overall. Northampton Chronicle and Echo

Sustainability and transformation partnerships

Sustainability and transformation partnerships This briefing, aimed at STPs, focuses on the improvements in quality of care that pharmacists and their teams bring to care home residents, care home providers and the NHS. It highlights how pharmacists in care homes can improve medicines safety, reduce admissions to hospital and support end of life care. Royal Pharmaceutical Society

'I broke every bone in my face - and survived'

'I broke every bone in my face - and survived' NHS reorganisations are not very popular - but Tom Locke probably owes his life to one.

The 41-year-old was inspecting pigeon nests on his roof at home in Hythe on the Kent coast last October when disaster struck.

He fell from his ladder on his balcony plummeting three storeys on to his patio below, breaking his leg, arm, wrist, shoulder and every bone in his face.

But rather than being taken to a local hospital he was ferried by air ambulance to London's King's College Hospital more than 60 miles away.

According to doctors who treated him, the decision saved his life. BBC News

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Rise in type 2 diabetes in young people in England and Wales

Rise in type 2 diabetes in young people in England and Wales The number of children and young people being treated for type 2 diabetes in England and Wales has gone up from 507 to 715 in four years, new figures show.

More than three-quarters were also obese, according to the NHS data.

Child health experts said the rise was "alarming" and the childhood obesity epidemic was "starting to bite".

Councils said more needed to be done to tackle the obesity crisis in children, particularly among minority ethnic groups, who were most affected. BBC News

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GPs to consult patients using new Government NHS app from 2019

GPs to consult patients using new Government NHS app from 2019 The new NHS app could support GP video consultations from next year, according to NHS Digital.

A freedom of information request from technology magazine Gizmodo to NHS Digital, revealed that an update to the app in 2019 could enable GPs to hold video consultations with their patients.

However, the information also revealed that only patients at certain practices will be able to use all the features of the app when it first launches to the public in December. Pulse

NHS kept using 'danger syringes' in bid to save money, investigation claims

NHS kept using 'danger syringes' in bid to save money, investigation claims At least nine people died because the NHS used syringe pumps that did not meet internationally approved safety standards in a bid to save cash, it has been claimed.

Thousands of lives were put at risk as Britain’s health service continued to use equipment other countries had banned, an investigation by The Sunday Times reports.

Experts say the number of fatalities linked to the pumps may actually be many times higher – but no record was ever made because of “institutional indifference” to elderly patients in their final days. The Independent

Government's ‘care Isa’ plans will only work for minority of wealthy people, Tory MP warns

Government's ‘care Isa’ plans will only work for minority of wealthy people, Tory MP warns A senior Tory MP has condemned plans for a new “care Isa” to fund end of life treatment, arguing that it would only work for a “small minority of wealthy people” who can afford to invest.

The Isa - which would be exempt from inheritance tax - is reportedly being considered by the government in an effort to solve the country’s social care crisis.

But Sarah Wollaston, the chair of Commons Health and Social Care Committee, has said the plans were a “colossal mistake” and she claims that they would not solve the crisis “at all”. The Independent

US multinational buys into UK rehab centres as demand grows

US multinational buys into UK rehab centres as demand grows Eli Global invests in private clinics amid fears of shortage of publicly funded facilities

The UK private rehab market is set to grow exponentially, one of the largest addiction firms in the country has said after receiving US investment.

Addiction treatment centres have reported increases in the number of people seeking help, and concerns have been raised that cuts to drug and alcohol services mean some addicts are being cut adrift. Continue reading... The Guardian

Hospital patients to be told to get up and dressed to avoid 'pyjama paralysis'

Hospital patients to be told to get up and dressed to avoid 'pyjama paralysis' Hospital patients across the country will be told to get up and dressed in the daytime in a bid to end “pyjama paralysis” which can cause premature frailty.

Britain’s chief nursing officer will today launch a national campaign to get patients moving after pilot schemes found that getting patients out of bed boosted their health and got them home earlier.

Earlier this year, Prof Jane Cummings asked wards to try a 70 day “challenge” to get patients up, dressed, and moving wherever possible. The Daily Telegraph

End of rip-off hospital phone charges under Ofcom crackdown

End of rip-off hospital phone charges under Ofcom crackdown "Rip off" phone bills for worried friends and family calling relatives recovering in hospital are set to become a thing of the past under an Ofcom crackdown.

The telecoms regulator will for the first time start to regulate the cost of 070 numbers, which currently hit consumers making 2.6 million calls a year with charges of around 50p a minute.

Draft Ofcom plans show it is planning to cap the amount providers of 070 numbers can charge your phone company - for example BT, Vodafone or EE - when you call them, to bring them in line with standard mobile tariffs. The Daily Telegraph

Hospitals make £260k from vending machines with high-calorie snacks

Hospitals make £260k from vending machines with high-calorie snacks Leeds Teaching Hospitals NHS Trust generated £260,000 between 2013 and 2018. If the UK's other 134 trusts did the same, it would've created £34 million from the sale of crisps, drinks and sweets. The Daily Mail

Friday, 17 August 2018

Northamptonshire's NHS shows 'notable examples of outstanding practice' finds glowing watchdog report

Northamptonshire's NHS shows 'notable examples of outstanding practice' finds glowing watchdog report A Northamptonshire health trust has improved its Care Quality Commission (CQC) rating after inspectors found outstanding practice in all areas during a visit earlier this summer.

Northamptonshire Healthcare NHS Foundation Trust, headed by Angela Hillery, provides a range of services across the county to 733,000 people including mental health, learning disability, community health and prison health services.

The trust was rated as good following an inspection in January 2017 but on CQC’s return inspectors found a number of improvements had been made resulting in it receiving the top 'outstanding' rating. Northampton Chronicle and Echo

Through the eyes of GP trainees: workforce of the future

Through the eyes of GP trainees: workforce of the future There is a workforce crisis in general practice with the GP workforce declining while workload increases. The NHS’s struggle to retain GPs is highlighted by a 2.2 per cent decline in the number of full-time equivalent (FTE) GPs to 33,062 in September 2017 compared to September 2016. A recent GP survey found that 39 per cent of respondents (and 62 per cent of respondents aged 50+) planned to leave ‘direct patient care’ by 2022. The King's Fund

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Government missing opportunity with e-cigarettes

Government missing opportunity with e-cigarettes The Science and Technology Committee publishes its Report, E-cigarettes. The Report reviews the current evidence base on the harmfulness of e-cigarettes compared to conventional cigarettes and looks at the current policies on e-cigarettes, including in NHS mental health units and in prisons. The Committee concludes that e-cigarettes should not be treated in the same way as conventional cigarettes.
E-cigarettes, estimated as 95% less harmful than conventional cigarettes, are too often being overlooked as a stop smoking tool by the NHS. Regulations should be relaxed relating to e-cigarettes’ licensing, prescribing and advertising of their health benefits. Their level of taxation and use in public places must be reconsidered.

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Ordinary residence guide: determining local authority responsibilities under the Care Act and the Mental Health Act

Ordinary residence guide: determining local authority responsibilities under the Care Act and the Mental Health Act This guide has been created to support the ambitions of the Transforming Care programme to improve services and support for children, young people and adults with a learning disability, autism or both a learning disability and autism who may display behaviour that challenges, and significantly reduce the number of people in inpatient settings. Local Government Association

The 'So what, what next?' project: supporting people with a learning disability, autism or both to use their skills and interests to play a part in the community

The 'So what, what next?' project: supporting people with a learning disability, autism or both to use their skills and interests to play a part in the community The So what, what next? project was designed by the Transforming Care empowerment steering group to look at ways of supporting people with a learning disability or autism who have recently been discharged from hospital to explore their skills and passions and to find ways to contribute these to their local communities. This report outlines how the findings and learning from the project. Local Government Association

A 'whole council' approach to gambling

A 'whole council' approach to gambling Gambling is often described as a “hidden addiction” and it is now recognised as a complex public health issue that impacts individuals, families, and communities. This guidance outlines the areas in which public health can add value and support local gambling policies. London Councils

During “Senior Week,” 144,000 Elderly Swedish Adults Received Free Medication Review

During “Senior Week,” 144,000 Elderly Swedish Adults Received Free Medication Review The Swedish Pharmaceutical Association's annual "Senior Week" (Seniorveckan) in April aimed to raise awareness of safe medication use among elderly patients taking multiple medications. This year, Electronic Expert Support (EES) checks were offered free to all patients age 75 and older, with more than 144,000 patients at 1,400 pharmacies across the country receiving them. The Commonwealth Fund

I managed to become a doctor, despite my devastating A-level results

I managed to become a doctor, despite my devastating A-level results After missing the grades I needed for medical school, I found another way to realise my dream

It was August 2007; I stood in the classroom, surrounded by my school friends, clutching the large brown envelope that contained my A-level results. I wanted to become a doctor and had the next five years of my life all planned out. I opened the envelope to find three As and two Bs staring back at me. My heart sank. Continue reading... The Guardian

Patients are discussing their conditions online instead of seeking professional help, experts warn 

Patients are discussing their conditions online instead of seeking professional help, experts warn Experts say web giants such as Facebook and Instagram had a 'moral duty' to help the 'cash strapped' NHS reach troubled young people in the UK. The Daily Mail

NHS misses its two-week cancer referral target for first time ever

NHS misses its two-week cancer referral target for first time ever NHS figures also reveal the number of suspected cancer patients who start treatment within 62 days of GP referral dropped from 82.3 per cent at the beginning of the year to 80.8 per cent. The Daily Mail

Thursday, 16 August 2018

NHFT rated outstanding by Care Quality Commission

NHFT rated outstanding by Care Quality Commission Northamptonshire Healthcare NHS Foundation Trust (NHFT) the county’s integrated provider of community care and mental health has been rated Outstanding overall following its recent CQC routine inspection in June this year.

NHFT also received its first well-led inspection from the CQC, examining the quality of the leadership and management of the Trust, and has been rated Outstanding in this area too.

The CQC conducted the routine inspection and well-led inspection through their new procedural and investigative processes which were introduced nationwide at the beginning of the year. The new process still continues to use the five areas of inspection: Care, Responsive, Safe, Effective and Well-led. The Trust has been rated Good for Safe, Responsive and Effective and Outstanding for Care and Well-led.

Corby MP wants ‘complete reassurance’ urgent care centre will retain all its services

Corby MP wants ‘complete reassurance’ urgent care centre will retain all its services The organisation that pays for Corby Urgent Care Centre has ‘serious questions to answer’ according to the town’s MP. After a judicial review ruled in favour of local campaigners who said that Corby Clinical Commissioning Group should have had a proper consultation into changes at the urgent care centre, MP Tom Pursglove met with CCG directors yesterday (Wednesday). Northamptonshire Telegraph

Women in crisis: how women and girls are being failed by the Mental Health Act

Women in crisis: how women and girls are being failed by the Mental Health Act This report sets out growing evidence that being detained under the Mental Health Act 1983 can be detrimental to women and girls' wellbeing, with little attention paid to their particular needs, including their experiences of trauma. This can have devastating consequences for women and girls, as shown by previously unpublished figures on self-inflicted deaths outlined in this report. Agenda

The impact of new medicines in the NHS: 70 years of innovation

The impact of new medicines in the NHS: 70 years of innovation This report demonstrates the contribution and impact of medicines to the health economy in the UK throughout the 70-year history of the NHS. Through interviews with experts it identifies a shortlist of the most important medicines to have been brought to market, and from a review of the literature and evidence base attempts to quantify the benefits of these key medicines in terms of health and economic outcomes. Office of Health Economics

Sick babies at risk from lack of breathing tube monitoring

Sick babies at risk from lack of breathing tube monitoring Some intensive care units are putting sick babies at risk by not monitoring breathing tubes correctly, according to a study which interviewed staff at hospitals across the country.

This could lead to death or serious harm to babies from lack of oxygen, the researchers said.

Doctors needed to be better prepared and have the best equipment to place breathing tubes safely, they said.

The charity Bliss urged hospitals to act on the recommendations. BBC News

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The refugee doctors helping to fill NHS staff shortages

The refugee doctors helping to fill NHS staff shortages Refugee doctors who arrive in the UK are helping to fill NHS staff shortages in hard to recruit areas thanks to a pioneering scheme.

The programme, which initially began with an aim to serve a "humanitarian purpose", now enables junior doctors to "fill gaps in the rota" in a cost efficient way. ITV News

Virtual reality, smart beds and digital programmes could transform future of NHS, finds new report

Virtual reality, smart beds and digital programmes could transform future of NHS, finds new report “Social prescriptions”, smart beds and digital programmes for diabetes are among the futuristic innovations which could transform the NHS in the near future, it has emerged.

According to a new report, patients will soon be connected to social networks of people living in similar situations to learn to manage their own conditions from others who have gone through the same illness.

Virtual reality could also become commonly used to help paralysed patients to walk by training with brain-controlled robotic systems. The Independent

No-deal Brexit will be 'catastrophe' for NHS and increase risk from deadly pandemics, BMA warns

No-deal Brexit will be 'catastrophe' for NHS and increase risk from deadly pandemics, BMA warns A no-deal Brexit could increase the risk of a Europe-wide pandemic, according to the British Medical Association.

The doctors union warned in a new briefing paper shared with The Independent on Thursday that crashing out of the EU without a deal will leave the UK more vulnerable to outbreaks of deadly infectious diseases.

It says that the UK’s ability to coordinate responses to emerging threats, such as the current outbreak of measles or seasonal flu, will be seriously undermined, making it harder to stop infections spreading across borders.

Thousands of patients to get personalised NHS budgets

Thousands of patients to get personalised NHS budgets Hundreds of thousands of people with mental health conditions and physical disabilities could be given the option of a personalised NHS budget for their own care needs under government proposals.

People with learning difficulties and dementia are among around 350,000 who could have the right to select and pay for treatments that improve their health and wellbeing through a bespoke care plan agreed with medical professionals. For children and people unable to manage the money, parents or carers will be able to manage the budget. Continue reading... The Guardian

Opt-out organ register unlikely to increase donations – study

Opt-out organ register unlikely to increase donations – study Next of kin more likely to veto family member’s presumed consent, researchers say

An opt-out register is unlikely to increase the number of organ donations because family members would be more likely to veto a presumed consent, researchers have said.

The results of a study by Queen Mary University of London suggest that next of kin are more likely to quash a donation if their deceased relative has not given explicit consent. Continue reading... The Guardian

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Is THIS what the NHS app will look like? Images reveal how the app will work

Is THIS what the NHS app will look like? Images reveal how the app will work  Screenshots show the NHS app will allow users to make GP appointments at the click of a button by putting in their preferred time, date and location, according to freedom of information reports. The Daily Mail

Is the term 'junior doctor' patronising? Job title could be scrapped to avoid offending young medics

Is the term 'junior doctor' patronising? Job title could be scrapped to avoid offending young medics Health Education England have commissioned a study into the expression and its perceived effects on a person's professional 'value'. The changes could be implemented before end of the year. The Daily Mail

Wednesday, 15 August 2018

MHRA issues further information on valproate use by women and girls

MHRA issues further information on valproate use by women and girls The Medicines and Healthcare products Regulatory Agency (MHRA) has issued a video to help healthcare professionals in implementing the new 2018 regulatory measures, including the pregnancy prevention programme and regular reviews. This was produced by the MHRA in conjunction with the Royal Pharmaceutical Society and the Royal College of General Practitioners.

The future of mental health provision

The future of mental health provision The British Association for Counselling and Psychotherapy and the New Statesman gathered experts to discuss how to better treat mental health problems in the UK.

Learning disability care could return to 'Victorian era' because of nurse training cuts, experts warn

Learning disability care could return to 'Victorian era' because of nurse training cuts, experts warn The NHS is facing a return to the “Victorian era” when it comes to learning disability care because of a critical shortage of specialist nurses made worse by Tory cuts to student bursaries, experts have said.

Without sufficient staff, patients needing extra support will need to be removed from their friends and families to be cared for at specialist centres, the Royal College of Nursing (RCN) warned.

Since May 2010 there has been a 40 per cent drop in numbers of learning disability nurses in England, official figures from NHS Digital show – falling from 5,368 in May 2010 to 3,247 in April 2018. The Independent

Blaming Dr Hadiza Bawa-Garba won't protect other patients

Blaming Dr Hadiza Bawa-Garba won't protect other patients | Dolin Bhagawati As a neurosurgeon, I too have made errors. We need to learn from mistakes not point fingers

The return to court this week of an emotive case involving the death of a child in hospital has caused me to reflect on my own experience as an NHS neurosurgeon, and on the fact that individuals will make mistakes but systemic issues that fail to prevent such mistakes must be addressed. Continue reading... The Guardian

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