Friday, 12 October 2018
NHS funding: clinical commissioning groups
NHS funding: clinical commissioning groups This paper gives details of funding allocations for each CCG in England from 2013/14 to 2020/21. It also describes the process used to allocate the funds. House of Commons Library
Doctors can prescribe medical cannabis from November in UK
Doctors can prescribe medical cannabis from November in UK Doctors will be able to prescribe cannabis products to patients from 1 November, the Home Secretary Sajid Javid says.
The new regulations apply to England, Wales, Scotland and Northern Ireland.
Mr Javid decided to relax the rules on when cannabis products could be given to patients after a review into medicinal cannabis earlier this year. BBC News
The new regulations apply to England, Wales, Scotland and Northern Ireland.
Mr Javid decided to relax the rules on when cannabis products could be given to patients after a review into medicinal cannabis earlier this year. BBC News
NHS waste scandal firm has been 'vilified', boss says
NHS waste scandal firm has been 'vilified', boss says The boss of the firm at the centre of the NHS clinical waste scandal has hit back against claims of mismanagement.
Garry Pettigrew, managing director of Healthcare Environmental Services, told the BBC his company had been "vilified for providing an excellent service".
The firm has been stripped of NHS contracts after hundreds of tonnes of clinical waste piled up at its sites. BBC News
Garry Pettigrew, managing director of Healthcare Environmental Services, told the BBC his company had been "vilified for providing an excellent service".
The firm has been stripped of NHS contracts after hundreds of tonnes of clinical waste piled up at its sites. BBC News
Charge for migrants to use NHS to double to £400, government announces
Charge for migrants to use NHS to double to £400, government announces The surcharge that migrants must pay to use the NHS will be doubled to £400, the government has announced.
Immigration minister Caroline Nokes said the charge, which applies to migrants from outside the the EU, represented “a good deal for those seeking to live in the UK temporarily”.
The higher fee, which will be subject to parliamentary approval, will ensure migrants make a “fair contribution”, she said. The Independent
Immigration minister Caroline Nokes said the charge, which applies to migrants from outside the the EU, represented “a good deal for those seeking to live in the UK temporarily”.
The higher fee, which will be subject to parliamentary approval, will ensure migrants make a “fair contribution”, she said. The Independent
Health department cannot guarantee 'supply of medicines' after Brexit, MPs warn
Health department cannot guarantee 'supply of medicines' after Brexit, MPs warn Vital drug shortages could become more likely when the UK quits the European Union, MPs are warning after health ministers were unable to give guarantees on how they would prevent fallout from a ”no deal” Brexit.
A report by the Public Accounts Committee (PAC) on medicines shortages last year found no evidence that the government was adequately prepared for similar disruption from leaving the EU. The Independent
A report by the Public Accounts Committee (PAC) on medicines shortages last year found no evidence that the government was adequately prepared for similar disruption from leaving the EU. The Independent
Easing of visa rules for doctors is temporary, says Sajid Javid
Easing of visa rules for doctors is temporary, says Sajid Javid NHS groups alarmed at possible U-turn over medical staff’s exemption from migrant cap
The government’s decision to allow many more overseas doctors and nurses to work in the NHS was only temporary, Sajid Javid has said, in a move that has prompted concern that tough restrictions on numbers may be reimposed.
The home secretary hinted at a possible U-turn on the relaxation of strict limits on medical staff allowed to come to Britain in a letter to the government’s advisers on immigration. Instead they could once again be included in the annual cap on the number of highly skilled migrant workers given work visas. The Guardian
The government’s decision to allow many more overseas doctors and nurses to work in the NHS was only temporary, Sajid Javid has said, in a move that has prompted concern that tough restrictions on numbers may be reimposed.
The home secretary hinted at a possible U-turn on the relaxation of strict limits on medical staff allowed to come to Britain in a letter to the government’s advisers on immigration. Instead they could once again be included in the annual cap on the number of highly skilled migrant workers given work visas. The Guardian
Caesareans now used in one in four UK births, major new report reveals
Caesareans now used in one in four UK births, major new report reveals One in four UK babies is now delivered by caesarean section, new figures reveal as experts say women are increasingly scared of natural birth.
A major international study, published in the Lancet, shows rates of C-section delivery have increased from 19.7 per cent in 2000 to 26.2 per cent in 2015, putting Britain among the highest in Western Europe for use of the procedure. The Daily Telegraph
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A major international study, published in the Lancet, shows rates of C-section delivery have increased from 19.7 per cent in 2000 to 26.2 per cent in 2015, putting Britain among the highest in Western Europe for use of the procedure. The Daily Telegraph
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Rates of severe obesity soaring among children, new figures show
Rates of severe obesity soaring among children, new figures show Rates of extreme obesity among children have risen by more than a third in a decade, new figures show.
The official NHS data shows obesity is continuing to rise among children - with more than one in five classed obese by the time they leave primary school.
And rates of severe obesity have reached a record high - with a rise of more than a third in just over a decade.
In total, 4.2 per cent of children leaving primary school are now classed as “severely obese” - compared with 3.2 per cent in 2006/7 - and just 0.4 per cent in 1990. The Daily Telegraph
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The official NHS data shows obesity is continuing to rise among children - with more than one in five classed obese by the time they leave primary school.
And rates of severe obesity have reached a record high - with a rise of more than a third in just over a decade.
In total, 4.2 per cent of children leaving primary school are now classed as “severely obese” - compared with 3.2 per cent in 2006/7 - and just 0.4 per cent in 1990. The Daily Telegraph
See also:
- National Child Measurement Programme, England - 2017/18 School Year NHS Digital
- Record high levels of severe obesity found in year 6 children Public Health England
- Severe obesity four times more likely in poor primaries BBC News
- Severe obesity levels have hit a record high among Year 6 children The Daily Mail
WannaCry cyber attack cost the NHS £92 MILLION
WannaCry cyber attack cost the NHS £92 MILLION The WannaCry computer hacking scandal which crippled the NHS last year cost the health service £92 million, a report revealed today.
Around £72 million was spent on IT support in the wake of the virus, while a further £20 million was added to the bill from 'lost output'.
In response, the Government says all health trusts should make plans to upgrade their cyber security, in a move which could cost up to £1 billion.
But leaked emails seen last week showed NHS chiefs are reluctant to pay for the higher protection, saying it 'would not be value for money'. The Daily Mail
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Around £72 million was spent on IT support in the wake of the virus, while a further £20 million was added to the bill from 'lost output'.
In response, the Government says all health trusts should make plans to upgrade their cyber security, in a move which could cost up to £1 billion.
But leaked emails seen last week showed NHS chiefs are reluctant to pay for the higher protection, saying it 'would not be value for money'. The Daily Mail
See also:
- Securing cyber resilience inhealth and careProgress update October 2018 Department of Health and Social Care
- Cyber-attack cost NHS £92m – DHSC Health Service Journal
NHS waiting list is the longest for 11 years
NHS waiting list is the longest for 11 years The NHS waiting list in England is the longest it has been in 11 years, official figures have revealed today.
A staggering 4,154,559 people – around six per cent of the entire UK population – were waiting to start hospital treatment at the end of August.
This number is the highest it has been since August 2007, and more than 3,000 people have been waiting more than a year for routine treatment.
A&E departments are also getting busier and cancer treatment waiting times have been missed for the 32nd month in a row, NHS data showed. The Daily Mail
A staggering 4,154,559 people – around six per cent of the entire UK population – were waiting to start hospital treatment at the end of August.
This number is the highest it has been since August 2007, and more than 3,000 people have been waiting more than a year for routine treatment.
A&E departments are also getting busier and cancer treatment waiting times have been missed for the 32nd month in a row, NHS data showed. The Daily Mail
Thursday, 11 October 2018
New interactive online data tool provides easier access to mental health statistics
New interactive online data tool provides easier access to mental health statistics National mental health statistics that shed new light on care and treatment for patients are now available at the click of a mouse thanks to the latest interactive data hub created by NHS Digital.
NHS England staff must explain if they refuse to have flu jab
NHS England staff must explain if they refuse to have flu jab Health workers in England who refuse to take up the offer of a free flu jab will be asked to explain why they do not want to be vaccinated.
The measures have been introduced in an effort to cut sickness rates and protect patients over winter.
Members of staff who decline the jab could be moved away from critical areas if they work with vulnerable patients.
Last year saw the worst flu season in a decade but only 64% of staff received the flu vaccine. BBC News
The measures have been introduced in an effort to cut sickness rates and protect patients over winter.
Members of staff who decline the jab could be moved away from critical areas if they work with vulnerable patients.
Last year saw the worst flu season in a decade but only 64% of staff received the flu vaccine. BBC News
NHS watchdog warns good healthcare is becoming more of a postcode lottery
NHS watchdog warns good healthcare is becoming more of a postcode lottery CQC chief blames ‘geographical disparities’ in England for lack of access to quality care
Patients in England are increasingly being subjected to “care injustice” in which they can access either no or poor quality hospital, mental health and social care services, the NHS watchdog has warned.
Access to good care is more and more of a lottery depending on where people live, with some areas providing only services that have been deemed substandard, according to the Care Quality Commission (CQC). The Guardian
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Patients in England are increasingly being subjected to “care injustice” in which they can access either no or poor quality hospital, mental health and social care services, the NHS watchdog has warned.
Access to good care is more and more of a lottery depending on where people live, with some areas providing only services that have been deemed substandard, according to the Care Quality Commission (CQC). The Guardian
See also:
- The state of health care and social care in England 2017/18 Care Quality Commission
- CQC State of Care report worrying but sadly not surprising Nuffield Trust
- Public faces 'care injustice' as NHS struggles BBC News
- Social care crisis is crippling A&E leading to record overcrowding The Daily Mail
- 'Care injustice' means some patients have no access to good quality NHS and social care, watchdog warns The Independent
Mental health services under-resourced, says Matt Hancock
Mental health services under-resourced, says Matt Hancock Health secretary says services are ‘way off ’ what is needed, as suicide prevention minister appointed
The health secretary, Matt Hancock, has conceded that mental health services have been under-resourced and undervalued as he announced the appointment of a minister for suicide prevention.
Jackie Doyle-Price, a health minister, will be given the new brief and tasked with ensuring that every local area has effective plans in place to stop unnecessary deaths, and investigating how technology can help identify those most at risk. The Guardian
The health secretary, Matt Hancock, has conceded that mental health services have been under-resourced and undervalued as he announced the appointment of a minister for suicide prevention.
Jackie Doyle-Price, a health minister, will be given the new brief and tasked with ensuring that every local area has effective plans in place to stop unnecessary deaths, and investigating how technology can help identify those most at risk. The Guardian
More than 300 leading academics warn Public Health England it will risk its reputation
More than 300 leading academics warn Public Health England it will risk its reputation More than 300 academics and experts from Britain have warned the body they will begin to withdraw their help and advice if the body goes ahead with plans to work with the charity Drinkaware. The Daily Mail
District nurses ‘spend 88 days a year on admin’
District nurses ‘spend 88 days a year on admin’ District nurses spend more time on administrative work than with patients, the head of the NHS said yesterday.
The average community health worker now spends just 87 days a year in direct contact with patients compared to 88 days on paperwork, a report found.
Simon Stevens told the NHS Providers conference in Manchester that the ‘hugely frustrating’ situation was one of many issues that needed dealing with in the long-term plan for the health service. He warned that the £20billion-a-year boost for the NHS must not be squandered, saying that it would be ‘looked on with some jealousy’ by teachers or the police. The Daily Mail
The average community health worker now spends just 87 days a year in direct contact with patients compared to 88 days on paperwork, a report found.
Simon Stevens told the NHS Providers conference in Manchester that the ‘hugely frustrating’ situation was one of many issues that needed dealing with in the long-term plan for the health service. He warned that the £20billion-a-year boost for the NHS must not be squandered, saying that it would be ‘looked on with some jealousy’ by teachers or the police. The Daily Mail
Wednesday, 10 October 2018
Northamptonshire County Council: £65m of cuts agreed
Northamptonshire County Council: £65m of cuts agreed A cash-strapped county council which had commissioners appointed after it faced a financial crisis has agreed a £65m package of cuts.
Northamptonshire County Council's cabinet backed a so-called "stabilisation plan".
Planned spending cuts on agency staff and highways services are among the main proposed savings. BBC Northampton
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Northamptonshire County Council's cabinet backed a so-called "stabilisation plan".
Planned spending cuts on agency staff and highways services are among the main proposed savings. BBC Northampton
See also:
- Northamptonshire County Council's stabilisation plan not without 'risks' Northamptonshire Telegraph
New mental health campaign launched across the Midlands
New mental health campaign launched across the Midlands Public Health England’s new Every Mind Matters campaign encourages adults in the Midlands to look after their mental health as they do their physical health.
Improving children and young people’s mental health services
Improving children and young people’s mental health services This report examines whether the government is on track to meet its ambitions for children and young people’s services, taking the policy document, Future in Mind as the starting point. It focuses on how the government decided to implement Future in Mind; whether it is on track to deliver improved mental health services to young people; and accountability for spending and outcomes. National Audit Office
See also:
See also:
- Mental health waiting lists 'stole my youth and teenage years' BBC News
- Child mental health services will not meet demand, NAO warns The Guardian
- Mental health treatment still failing six years after dramatic change promised, health secretary admits The Independent
- Nearly 500,000 children have no-one to talk to when sad, survey finds The Independent
The Lancet Commission on global mental health and sustainable development
The Lancet Commission on global mental health and sustainable development A decade on from the 2007 Lancet Series on global mental health, which sought to transform the way policy makers thought about global health, a Lancet Commission aims to seize the opportunity offered by the Sustainable Development Goals to consider future directions for global mental health. The Commission proposes that the global mental agenda should be expanded from a focus on reducing the treatment gap to improving the mental health of whole populations and reducing the global burden of mental disorders by addressing gaps in prevention and quality of care. The Commission outlines a blueprint for action to promote mental wellbeing, prevent mental health problems, and enable recovery from mental disorders.
See also:
See also:
- Matt Hancock calls for world to unite in responding to the challenge of mental health Department of Health and Social Care
- World in mental health crisis of 'monumental suffering', say experts The Guardian
- UK must double mental health spending as global bill expected to top £12trillion by 2030, landmark report warns The Independent
Prime Minister appoints minister for suicide prevention
Prime Minister appoints minister for suicide prevention A minister for suicide prevention has been appointed in England by the prime minister as the government hosts the first ever global mental health summit.
Theresa May said the appointment of Health Minister Jackie Doyle-Price to the new role will help tackle the stigma surrounding suicide.
While suicide rates are falling, 4,500 people take their own lives every year.
The appointment comes as ministers and officials from more than 50 countries assemble in London for the summit. BBC News
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Theresa May said the appointment of Health Minister Jackie Doyle-Price to the new role will help tackle the stigma surrounding suicide.
While suicide rates are falling, 4,500 people take their own lives every year.
The appointment comes as ministers and officials from more than 50 countries assemble in London for the summit. BBC News
See also:
- PM pledges action on suicide to mark World Mental Health Day Prime Minister's Office
- Theresa May appoints first ever minister for suicide prevention The Independent
The NHS in numbers: What the service does in one day
The NHS in numbers: What the service does in one day The NHS is huge. It's the world's fifth-biggest employer and around 10% of government spending in the UK goes on it, so it's easy to get bogged down by the numbers.
So let's break it down. What does the NHS do in a single day? BBC News
So let's break it down. What does the NHS do in a single day? BBC News
Significant changes to tariff proposed for next year
Significant changes to tariff proposed for next year Regulators have proposed sweeping changes to NHS payment tariff rules, beginning next year, which could see significant swings in income for trusts.
The plans in a tariff engagement published by NHS England and NHS Improvement today include:
The plans in a tariff engagement published by NHS England and NHS Improvement today include:
- Confirmation of a “blended approach” to paying for urgent and emergency care
- A revision of how the market forces factor is calculated, which could see shifts in income of up to 2 per cent next year
- Confirmation of substantial changes to outpatient tariffs
- Changes in payment for maternity services
Health Service Journal
Long-term NHS plan must be honest, realistic, achievable and clear
Long-term NHS plan must be honest, realistic, achievable and clear NHS leaders have warned of the effects on NHS staff of a “permanent cycle of public failure” as they miss key targets despite working harder than ever, thanks to rising demand and tough savings targets. NHS Providers’ chief executive Chris Hopson told delegates at their annual conference this morning that this paradox must end, as he called for a long-term NHS plan that is honest about demand, sustainable, achievable, clear and based on mutual respect. OnMedica
Body parts scandal: firm stripped of NHS contracts
Body parts scandal: firm stripped of NHS contracts Fifteen trusts have served termination notices to Healthcare Environment Services, minister says
Healthcare Environment Services (HES) has been stripped of NHS contracts after hundreds of tonnes of waste from hospitals, including human body parts, were allowed to pile up at its facilities, the health minister has announced.
HES is run by a husband and wife who have paid themselves almost £1m in dividends over the past two years despite the company losing around £1.7m. The Guardian
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Healthcare Environment Services (HES) has been stripped of NHS contracts after hundreds of tonnes of waste from hospitals, including human body parts, were allowed to pile up at its facilities, the health minister has announced.
HES is run by a husband and wife who have paid themselves almost £1m in dividends over the past two years despite the company losing around £1.7m. The Guardian
See also:
- NHS waste handler stripped of contracts BBC News
- Troubled firm at centre of NHS body parts scandal STRIPPED of its contract The Daily Mail
- Troubled firm at centre of NHS body parts scandal 'underestimated' scale of human waste The Daily Mail
- Waste firm stripped of NHS contract after stockpiling human body parts The Daily Telegraph
- NHS supplier stripped of contracts after human body parts and organs found ‘piling up at facilities’ The Independent
Treatment of autistic girl who injured Alder Hey nurses 'atrocious', says judge
Treatment of autistic girl who injured Alder Hey nurses 'atrocious', says judge High court hears traumatised girl assaulted staff after seeing hospital’s shrine to Alfie Evans
A high court judge has criticised Liverpool council over its “atrocious” treatment of a severely traumatised girl with autism who injured nine nurses on an NHS ward.
The 15-year-old, identified as R, was said to have post-traumatic stress disorder from living in a war zone in Iraq for several years. The Guardian
A high court judge has criticised Liverpool council over its “atrocious” treatment of a severely traumatised girl with autism who injured nine nurses on an NHS ward.
The 15-year-old, identified as R, was said to have post-traumatic stress disorder from living in a war zone in Iraq for several years. The Guardian
Brexit could have a 'catastrophic' impact on cancer research and affect healthcare, scientists say
Brexit could have a 'catastrophic' impact on cancer research and affect healthcare, scientists say Brexit could have a 'catastrophic' impact on UK cancer research and may trigger a staffing crisis, a new study has said.
Overseas staff contributed to nearly 80 per cent of papers published in the UK between 2007 and 2014, and collaboration with EU scientists is increasingly common.
Restrictions on free movement after Brexit could risk undermining healthcare based on the research, according to a review led by Queen's University in Belfast. The Daily Mail
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Overseas staff contributed to nearly 80 per cent of papers published in the UK between 2007 and 2014, and collaboration with EU scientists is increasingly common.
Restrictions on free movement after Brexit could risk undermining healthcare based on the research, according to a review led by Queen's University in Belfast. The Daily Mail
See also:
- The impact of Brexit on UK cancer research The Lancet Oncology
English hospitals cut sugary drinks sales
English hospitals cut sugary drinks sales All 227 hospital trusts in England have signed up to a national target to reduce the amount of sugar consumed by patients, staff and visitors – more than half of the NHS's 1.3m staff are overweight. The Daily Mail
Tuesday, 9 October 2018
Corby boy who needs round-the-clock care ‘is being failed’
Corby boy who needs round-the-clock care ‘is being failed’ An little boy from Corby who has astounded doctors who believed he would die in infanthood is being failed by those responsible for commissioning his care, according to his heartbroken family.
Five-year-old Logan Barton was born in March 2013 with a vanishingly rare chromosome deletion and an extensive list of chronic, potentially fatal, illnesses.
He needs round-the-clock care which his mum Wendy Barton says Corby NHS Clinical Commissioning Group is failing to find for him. Northamptonshire Telegraph
Five-year-old Logan Barton was born in March 2013 with a vanishingly rare chromosome deletion and an extensive list of chronic, potentially fatal, illnesses.
He needs round-the-clock care which his mum Wendy Barton says Corby NHS Clinical Commissioning Group is failing to find for him. Northamptonshire Telegraph
Long waits for mental health treatment lead to divorce, job loss and money problems
Long waits for mental health treatment lead to divorce, job loss and money problems PATIENTS are waiting up to 13 years to see an NHS mental health specialist, research by the Royal College of Psychiatrists (RCPsych) has found.
A ComRes poll of 500 British adults diagnosed with a mental illness found that over half (55%) waited more than four weeks from referral to see an NHS mental health specialist, one in four more than three months and 6% more than a year. Following the poll, RCPsych interviewed 25 respondents and found one man waited 13 years to get the help he needed.
For some, the long waits caused a deterioration in their mental health which in turn led to relationship problems including divorce (36%), financial troubles including getting into debt (32%) and work problems such as job loss (34%).
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A ComRes poll of 500 British adults diagnosed with a mental illness found that over half (55%) waited more than four weeks from referral to see an NHS mental health specialist, one in four more than three months and 6% more than a year. Following the poll, RCPsych interviewed 25 respondents and found one man waited 13 years to get the help he needed.
For some, the long waits caused a deterioration in their mental health which in turn led to relationship problems including divorce (36%), financial troubles including getting into debt (32%) and work problems such as job loss (34%).
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New report reveals UK doctors at greater risk of work-related stress, burnout and depression and anxiety than the general population
New report reveals UK doctors at greater risk of work-related stress, burnout and depression and anxiety than the general population We welcome the announcement made by NHS chief Simon Stevens that there will be national funding for a new mental health support scheme which will cover all doctors working in the NHS. The scheme will cover approximately 110,000 more doctors, in addition to those already supported.
A new report published today by the Society of Occupational Medicine and The Louise Tebboth Foundation offers evidence that this funding is indeed urgently needed. The report details evidence that UK doctors are at greater risk of work-related stress, burnout and depression and anxiety than the general population. The incidence of suicide, especially among women doctors and for GPs and trainees, is also comparatively high.
A new report published today by the Society of Occupational Medicine and The Louise Tebboth Foundation offers evidence that this funding is indeed urgently needed. The report details evidence that UK doctors are at greater risk of work-related stress, burnout and depression and anxiety than the general population. The incidence of suicide, especially among women doctors and for GPs and trainees, is also comparatively high.
Regulating the duty of candour: requires improvement
Regulating the duty of candour: requires improvement This research shows that the Care Quality Commission (CQC) “requires improvement” in how it regulates the statutory duty of candour. This is despite significant improvements since AvMA’s previous report in 2016. Action against Medical Accidents
Making hospitals safe for people with diabetes
Making hospitals safe for people with diabetes This report has been developed through conversations with people with diabetes, diabetes inpatient teams, healthcare professionals working in hospitals and hospital managers. It highlights the challenges facing diabetes inpatient services and shows what should be in place in all hospitals. Diabetes UK
Who are the young people 'not ill enough' to get help?
Who are the young people 'not ill enough' to get help? Every year thousands of mentally ill young people find the help they are receiving comes to an abrupt end when they hit a significant birthday.
Across Europe, it is a point reached somewhere between the ages of 16 and 21, marking the moment at which care from children's services comes to an end.
A significant proportion are in need of ongoing support and treatment, but among those moving into adult care many report feeling abandoned, neglected or poorly looked after.
Many others fail to get any support at all from adult services - their care reaching a very real cliff edge. BBC News
Across Europe, it is a point reached somewhere between the ages of 16 and 21, marking the moment at which care from children's services comes to an end.
A significant proportion are in need of ongoing support and treatment, but among those moving into adult care many report feeling abandoned, neglected or poorly looked after.
Many others fail to get any support at all from adult services - their care reaching a very real cliff edge. BBC News
Mesh 'last option' for incontinence
Mesh 'last option' for incontinence Women who need treatment for urinary incontinence should only be offered mesh surgery as a last resort, new draft guidelines for the NHS advise.
The National Institute for Health and Care Excellence (NICE) says non-surgical options, like pelvic muscle exercises, are the first to turn to.
The NHS in England has already put restrictions on mesh operations after safety concerns. BBC News
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The National Institute for Health and Care Excellence (NICE) says non-surgical options, like pelvic muscle exercises, are the first to turn to.
The NHS in England has already put restrictions on mesh operations after safety concerns. BBC News
See also:
- Health officials agree to only use controversial vaginal mesh as a last-ditch resort The Daily Mail
- Vaginal mesh should only be offered after all other options explored, new guidelines state The Daily Telegraph
- Vaginal mesh should be offered as last resort, health officials say The Guardian
- Vaginal mesh should only be offered by NHS ‘as last resort’ The Independent
Ipswich Hospital 'virtual workers' free up staff time
Ipswich Hospital 'virtual workers' free up staff time A hospital has brought in three "virtual workers" to act as medical secretaries work alongside its human staff.
The software used by Ipswich Hospital, run by East Suffolk and North Essex NHS Trust, is designed to free up staff from "mundane and repetitive" tasks.
The computer automaton system helps deal with some of the 2,000 GP referrals the hospital receives.
The hospital claims the software will save the NHS £220,000 within a year. BBC News
The software used by Ipswich Hospital, run by East Suffolk and North Essex NHS Trust, is designed to free up staff from "mundane and repetitive" tasks.
The computer automaton system helps deal with some of the 2,000 GP referrals the hospital receives.
The hospital claims the software will save the NHS £220,000 within a year. BBC News
More than one homeless person dies every day in the UK, study finds
More than one homeless person dies every day in the UK, study finds More than one homeless person died every day in the UK over the last 12 months, according to a new study.
A physicist, a former soldier and a travelling musician were among the 449 deaths recorded since October 2017, including 14 in one week alone.
Experts described the statistic as a “national scandal” and placed the blame on welfare cuts, high rents and a lack of social housing.
The true death toll is likely to be significantly higher, according to the Bureau of Investigative Journalism, which produced the database with the help of Channel 4 news, local journalists, charities and grassroots outreach groups. The Independent
A physicist, a former soldier and a travelling musician were among the 449 deaths recorded since October 2017, including 14 in one week alone.
Experts described the statistic as a “national scandal” and placed the blame on welfare cuts, high rents and a lack of social housing.
The true death toll is likely to be significantly higher, according to the Bureau of Investigative Journalism, which produced the database with the help of Channel 4 news, local journalists, charities and grassroots outreach groups. The Independent
Hospices care for 200,000 people a year, but they're powered by voluntary effort
Hospices care for 200,000 people a year, but they're powered by voluntary effort There’s a paradox inherent in the hospice movement: they’re integral, yet wouldn’t exist without volunteers and fundraisers
Hospices across the UK are this week supporting Hospice Care Week: seven days of events marking the extraordinary success of a movement that, in 50 years, has grown to become an essential arm of the nation’s health and care system – largely through voluntary effort.
But the week is at least as much a fundraiser as a celebration: although hospices have made themselves indispensable providers of free palliative and end-of-life care, they continue to rely on the goodwill of their local communities to keep going. On average, they receive only a third of their funding from the state; children’s hospices get even less. And for most, that contribution has been shrinking. The Guardian
Hospices would be in an even better position if their NHS funding support was both more substantial and more consistent
Hospices across the UK are this week supporting Hospice Care Week: seven days of events marking the extraordinary success of a movement that, in 50 years, has grown to become an essential arm of the nation’s health and care system – largely through voluntary effort.
But the week is at least as much a fundraiser as a celebration: although hospices have made themselves indispensable providers of free palliative and end-of-life care, they continue to rely on the goodwill of their local communities to keep going. On average, they receive only a third of their funding from the state; children’s hospices get even less. And for most, that contribution has been shrinking. The Guardian
Hospices would be in an even better position if their NHS funding support was both more substantial and more consistent
Private health firms squeeze out GP-run extended services
Private health firms squeeze out GP-run extended services ‘Creeping privatisation’ of local family services is compromising patient health, say critics
Profit-driven firms are squeezing traditional GPs out of running family doctor services because of rules that NHS bosses and ministers both believe harm patient care, the Observer can reveal.
Doctors, MPs and campaigners have hit out at the “creeping privatisation” of general practice, with private companies being handed contracts ahead of groups of GPs.
The government is saying one thing – collaboration – but the reality is that competition prevails The Guardian
Profit-driven firms are squeezing traditional GPs out of running family doctor services because of rules that NHS bosses and ministers both believe harm patient care, the Observer can reveal.
Doctors, MPs and campaigners have hit out at the “creeping privatisation” of general practice, with private companies being handed contracts ahead of groups of GPs.
The government is saying one thing – collaboration – but the reality is that competition prevails The Guardian
Boy, 6, awarded record £37m in NHS compensation after ‘catastrophic’ brain damage
Boy, 6, awarded record £37m in NHS compensation after ‘catastrophic’ brain damage A six-year-old boy has been awarded a record £37 million from the NHS in compensation after contracting a virus in hospital which led to “catastrophic” brain damage.
The boy contracted the Herpes Simplex virus which later developed into a devastating brain fever following his birth at Watford General Hospital, London’s High Court heard.
The hospital did not detect the infection quickly enough, citing a two-day treatment delay which resulted in “catastrophic damage to his brain,” the boy’s barrister Henry Witcomb QC said. The Daily Telegraph
The boy contracted the Herpes Simplex virus which later developed into a devastating brain fever following his birth at Watford General Hospital, London’s High Court heard.
The hospital did not detect the infection quickly enough, citing a two-day treatment delay which resulted in “catastrophic damage to his brain,” the boy’s barrister Henry Witcomb QC said. The Daily Telegraph
NHS patients asked if they would pay £10 to 'see a GP more quickly'
NHS patients asked if they would pay £10 to 'see a GP more quickly' EMIS Health, which runs the NHS's IT systems, sent a survey asking for people's opinions on privatising the NHS and experts worry the company is trying to get patients' information. The Daily Mail
Fraud costs the NHS £1.29bn a YEAR, report reveals
Fraud costs the NHS £1.29bn a YEAR, report reveals The NHS Counter Fraud Authority, set up in November last year, announced the damning numbers in its first annual report. It said the number will only rise if action isn't taken to stop it. The Daily Mail
Monday, 8 October 2018
Northants County Council paying for empty beds under care home contract
Northants County Council paying for empty beds under care home contract More than 140 beds are laying empty each week at private care homes being paid for by Northamptonshire County Council because the patients the authority is referring do not qualify under the contract.
A report released by the council this week has revealed that a huge percentage of the 204 beds it pays for across four health care centres run by Shaw Healthcare are unused.
The terms of the contract, which were agreed by the then Labour-run council 15 years ago, mean that a number of patients the council wants to refer to the beds are not eligible, so the beds remain unused. Northampton Chronicle and Echo
A report released by the council this week has revealed that a huge percentage of the 204 beds it pays for across four health care centres run by Shaw Healthcare are unused.
The terms of the contract, which were agreed by the then Labour-run council 15 years ago, mean that a number of patients the council wants to refer to the beds are not eligible, so the beds remain unused. Northampton Chronicle and Echo
More than a third of Northampton cancer patients not sure if treatments are working
More than a third of Northampton cancer patients not sure if treatments are working More than a third of cancer patients treated at the Northampton General Hospital NHS Trust say they do not feel they have been kept fully informed about whether their treatment is working.
Patients who underwent cancer treatment with the trust between April and June 2017, were asked about their care as part of this year’s National Cancer Patient Experience Survey.
The survey monitors patients’ impressions of their diagnosis, treatment, and aftercare. Northampton Chronicle and Echo
Patients who underwent cancer treatment with the trust between April and June 2017, were asked about their care as part of this year’s National Cancer Patient Experience Survey.
The survey monitors patients’ impressions of their diagnosis, treatment, and aftercare. Northampton Chronicle and Echo
Access to children and young people’s mental health services – 2018
Access to children and young people’s mental health services – 2018 A new report by the Education Policy Institute assesses the state of children’s mental health services in England. The research examines access to specialist services, waiting times for treatment, and provision for those children that are not able to receive treatment.
The report uses Freedom of Information (FOI) requests to providers of child and adolescent mental health services (CAMHS) and local authorities in England.
See also:
The report uses Freedom of Information (FOI) requests to providers of child and adolescent mental health services (CAMHS) and local authorities in England.
See also:
NHS to prioritise doctors’ mental health
NHS to prioritise doctors’ mental health NHS chief Simon Stevens today announced a new mental health support scheme to cover all doctors working in the NHS. Speaking at a conference on ‘Wounded Healers’, Simon Stevens announced national funding for a new scheme for all NHS doctors in England, covering approximately 110,000 more doctors, in addition to those already supported. NHS England
Boots investigated over great-grandfather's fatal pharmacy error
Boots investigated over great-grandfather's fatal pharmacy error Regulators are investigating the actions of Boots after the death of a great-grandfather who was sent duplicate packs of prescription drugs.
Richard "Tony" Lee took a week of extra pills dispensed in error shortly before his death in December 2016.
The General Pharmaceutical Council, which regulates pharmacies, said it was investigating his daughter's complaint.
Boots said "extremely rare circumstances" led to the error and has now apologised to the family. BBC News
Richard "Tony" Lee took a week of extra pills dispensed in error shortly before his death in December 2016.
The General Pharmaceutical Council, which regulates pharmacies, said it was investigating his daughter's complaint.
Boots said "extremely rare circumstances" led to the error and has now apologised to the family. BBC News
Staff 'afraid to question care' at Shropshire baby death trust
Staff 'afraid to question care' at Shropshire baby death trust Junior staff at a health trust undergoing a review into its maternity care were frightened to raise concerns, a former nurse has claimed.
The nurse, who worked in the maternity department at Shrewsbury and Telford Hospital NHS Trust for a decade, said colleagues often did not ask questions about the care patients received.
An independent review into a series of baby deaths and injuries at the trust is looking at more than 100 cases. BBC News
The nurse, who worked in the maternity department at Shrewsbury and Telford Hospital NHS Trust for a decade, said colleagues often did not ask questions about the care patients received.
An independent review into a series of baby deaths and injuries at the trust is looking at more than 100 cases. BBC News
Too few children receiving treatment for ADHD, figures suggest
Too few children receiving treatment for ADHD, figures suggest Exclusive: Findings undermine Ofsted chief inspector’s claim that too many children are being given Ritalin
Children in England and especially girls are being under-treated, not over-medicated, for ADHD, new figures obtained by the Guardian suggest.
In June, Ofsted’s chief inspector of schools, Amanda Spielman, claimed too many children were being given Ritalin, the main drug for attention deficit hyperactivity disorder. She said reliance on drugs meant behavioural problems were not being addressed. The Guardian
Children in England and especially girls are being under-treated, not over-medicated, for ADHD, new figures obtained by the Guardian suggest.
In June, Ofsted’s chief inspector of schools, Amanda Spielman, claimed too many children were being given Ritalin, the main drug for attention deficit hyperactivity disorder. She said reliance on drugs meant behavioural problems were not being addressed. The Guardian
More than 260,000 diabetes inpatients had hospital medication errors in 2017
More than 260,000 diabetes inpatients had hospital medication errors in 2017 Diabetes UK calls on hospitals to improve patient experience for people with condition
More than a quarter of a million diabetes inpatients experienced a medication error at hospital last year, putting them at risk of serious harm or death, research by a leading charity has found.
Diabetes UK said more than 260,000 people with the condition had encountered errors during a hospital stay in 2017, 9,600 of whom suffered a serious and potentially life-threatening episode of hypoglycaemia because of poor insulin management. The Guardian
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More than a quarter of a million diabetes inpatients experienced a medication error at hospital last year, putting them at risk of serious harm or death, research by a leading charity has found.
Diabetes UK said more than 260,000 people with the condition had encountered errors during a hospital stay in 2017, 9,600 of whom suffered a serious and potentially life-threatening episode of hypoglycaemia because of poor insulin management. The Guardian
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NHS nurses told to dispose of clinical waste in patients' own dustbins
NHS nurses told to dispose of clinical waste in patients' own dustbins District nurses are being told to dispose of bandages and other clinical waste in patients’ own dustbins in the wake of the NHS body parts scandal.
A memo sent to carers tells them to use “sandwich bags and bin liners” to wrap up dressings, gloves, aprons and other clinical waste.
The nurses are specifically told not to use yellow or orange clinical waste bags, which cannot be taken away with household waste.
Bodily fluids, including blood, are to be flushed down a patient’s lavatory “for a temporary period” in what is described as “an alternative disposal process”. The Daily Telegraph
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A memo sent to carers tells them to use “sandwich bags and bin liners” to wrap up dressings, gloves, aprons and other clinical waste.
The nurses are specifically told not to use yellow or orange clinical waste bags, which cannot be taken away with household waste.
Bodily fluids, including blood, are to be flushed down a patient’s lavatory “for a temporary period” in what is described as “an alternative disposal process”. The Daily Telegraph
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GPs to see patients in groups of 15
GPs to see patients in groups of 15 Patients will be expected to see their GPs in groups of up to 15 under plans being considered by the NHS.
Doctors said group consultations should become “the default” option offered by surgeries for many conditions, in an attempt to cope with growing shortages of GPs.
The scheme is expected to be included in the NHS 10-year plan which is due to be published later this year. The Daily Telegraph
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Doctors said group consultations should become “the default” option offered by surgeries for many conditions, in an attempt to cope with growing shortages of GPs.
The scheme is expected to be included in the NHS 10-year plan which is due to be published later this year. The Daily Telegraph
See also:
- Shared GP appointments trialled - and patients 'like' them BBC News
- The doctor will see you ALL now: Patients to be asked to share GP appointments with up to 14 others The Daily Mail
- Some patients benefit from group appointments, GPs say The Guardian
- GPs to offer group appointments with up to 15 patients at a time The Independent
The £6,000 kick in the teeth: Parents forced to pay out for children's braces the NHS refuse to fund
The £6,000 kick in the teeth: Parents forced to pay out for children's braces the NHS refuse to fund Tens of thousands of families are being forced to pay up to £6,000 for dental braces for children who should get them free on the NHS.
A Mail on Sunday investigation has found that at least 20,000 youngsters a year are being denied the corrective treatment they need for seriously misaligned teeth. The figure could be even higher, but there are no official figures. The Daily Mail
A Mail on Sunday investigation has found that at least 20,000 youngsters a year are being denied the corrective treatment they need for seriously misaligned teeth. The figure could be even higher, but there are no official figures. The Daily Mail
GPs to text patients urging them to change unhealthy habits
GPs to text patients urging them to change unhealthy habits Patients could be sent text messages urging them to change unhealthy habits under radical proposals from the Health Secretary.
Matt Hancock wants to use data from patients’ own medical records – as well as more general information on population trends – to work out their risk of developing certain illnesses.
Patients would then be sent targeted public health advice via an app, email or text message which is based on their specific risk. The Daily Mail
Matt Hancock wants to use data from patients’ own medical records – as well as more general information on population trends – to work out their risk of developing certain illnesses.
Patients would then be sent targeted public health advice via an app, email or text message which is based on their specific risk. The Daily Mail
Nurses may soon be able to write sick notes to reduce the workload of over-stretched GPs
Nurses may soon be able to write sick notes to reduce the workload of over-stretched GPs Professor Gina Radford, deputy chief medical officer of NHS England, claims the health service is 'taking forward work to legislate an extension of fit note certification to other healthcare professionals'. The Daily Mail
Friday, 5 October 2018
Hospital beds crisis in Northamptonshire can be tackled with help of new computer system
Hospital beds crisis in Northamptonshire can be tackled with help of new computer system A new computer system is expected to help prevent patients from spending ‘too long’ in local hospital beds.
Northamptonshire County Council’s cabinet is set to agree to allow the authority to procure the system, which is currently a prototype and will soon go live.
It comes after recent research found that up to a third of 1,000 hospital beds in the county are occupied by a person who could have been discharged. Northamptonshire Telegraph
Northamptonshire County Council’s cabinet is set to agree to allow the authority to procure the system, which is currently a prototype and will soon go live.
It comes after recent research found that up to a third of 1,000 hospital beds in the county are occupied by a person who could have been discharged. Northamptonshire Telegraph
Approaches to better value: improving quality and cost
Approaches to better value: improving quality and cost The NHS is increasingly focusing on how it can improve the value of its services, to deliver the highest quality health outcomes for patients at the lowest cost possible. This report shares learning and insight from three NHS hospital trusts that have developed organisation-wide strategies for value improvement. The King's Fund
Reviewing the Better Care Fund: time to be bold?
Reviewing the Better Care Fund: time to be bold? The Prime Minister’s announcement in June of a new funding settlement for the NHS included a requirement for what Jeremy Hunt later described as ‘the full integration’ of the NHS and social care. Less attention was given to the announcement that the Better Care Fund (BCF) would be reviewed to make sure it supports that goal. The King's Fund
National mortality case record review: annual report 2018
National mortality case record review: annual report 2018 This report reveals that hospitals are using a standardised review approach to learn from adult acute deaths and improve patient care. It cites a number of case studies where the structured judgement review process has made positive contributions to improving healthcare for patients. Royal College of Physicians
Human body parts 'pile up' in NHS waste backlog
Human body parts 'pile up' in NHS waste backlog Hundreds of tonnes of human body parts and medical waste is piling up after a disposal company working for the NHS has struggled to incinerate it.
The government confirmed the waste had not been properly disposed of by Healthcare Environmental Services.
A spokeswoman said there was no risk to the public, but the waste material had not been incinerated in a timely fashion.
The anatomical waste is stored on sites in secure and refrigerated containers. BBC News
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The government confirmed the waste had not been properly disposed of by Healthcare Environmental Services.
A spokeswoman said there was no risk to the public, but the waste material had not been incinerated in a timely fashion.
The anatomical waste is stored on sites in secure and refrigerated containers. BBC News
See also:
- NHS waste backlog: Criminal probe over body parts 'pile up' BBC News
- Human body parts being stockpiled in their hundreds of tonnes by NHS-contracted waste firm The Daily Telegraph
- Body parts pile up as NHS supplier fails to dispose of human waste The Guardian
- Trusts alerted as firm stockpiles clinical waste and body parts Health Service Journal
- Government reviewing procurement process after 'human body parts' scandal Health Service Journal
- Human body parts and organs among tonnes of medical waste stockpiled by NHS contractor The Independent
Tighter cyber security deemed ‘not value for money’
Tighter cyber security deemed ‘not value for money’ The government is set to ignore recommendations from its top national cyber body that the NHS must meet a “minimum bar” for cyber security, even as the service continues to come under online attack.
A government commissioned review of the NHS response to the WannaCry global ransomware attack, published in February, recommended that all NHS organisations meet a cyber security standard, known as a cyber essentials plus, by June 2021. Health Service Journal
A government commissioned review of the NHS response to the WannaCry global ransomware attack, published in February, recommended that all NHS organisations meet a cyber security standard, known as a cyber essentials plus, by June 2021. Health Service Journal
The NHS doctor facing deportation after 16 years
The NHS doctor facing deportation after 16 years Highly skilled workers who want to live and work in Britain will get priority – that’s according to the Government’s immigration policy, outlined at the Tory conference this week.
And, just today, the NHS launched a drive to recruit more than 1200 doctors from Australia – to help boost GP numbers.
Yet a popular, highly qualified doctor in east Surrey, who’s lived here for 16 years, is now facing deportation after her application for indefinite leave to remain was refused. Channel 4 News
And, just today, the NHS launched a drive to recruit more than 1200 doctors from Australia – to help boost GP numbers.
Yet a popular, highly qualified doctor in east Surrey, who’s lived here for 16 years, is now facing deportation after her application for indefinite leave to remain was refused. Channel 4 News
Fifth of UK adults fear catching flu from jab, study finds
Fifth of UK adults fear catching flu from jab, study finds A new study claims some of the most common myths about being ill include “starve a fever” and “the flu jab gives you flu”.
A poll of 2,000 adults found one-fifth of the population fear catching flubecause they have had the flu jab.
This belief could be the reason why only 37 per cent of Britons are planning to be vaccinated against the virus this year. The Independent
A poll of 2,000 adults found one-fifth of the population fear catching flubecause they have had the flu jab.
This belief could be the reason why only 37 per cent of Britons are planning to be vaccinated against the virus this year. The Independent
NHS strikes deal for cutting edge cancer treatment for adults with lymphoma
NHS strikes deal for cutting edge cancer treatment for adults with lymphoma Patients with a type of cancer who have just months to live are to have access to a “game-changing” new treatment on the NHS in England, health chiefs say.
Up to 200 adults a year with a form of lymphoma will be able to receive the therapy as hospitals in Birmingham, Bristol, Manchester, London and Newcastle prepare to provide it.
The treatment offers new hope to patients with cancer of the lymphatic system who have run out of other options, experts believe. The Independent
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Up to 200 adults a year with a form of lymphoma will be able to receive the therapy as hospitals in Birmingham, Bristol, Manchester, London and Newcastle prepare to provide it.
The treatment offers new hope to patients with cancer of the lymphatic system who have run out of other options, experts believe. The Independent
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Women have wrongly been told they are pregnant as thousands of tests recalled
Women have wrongly been told they are pregnant as thousands of tests recalled Thousands of pregnancy testing kits are being recalled after women were wrongly informed they were expecting.
About 60,000 of the potentially faulty Clear & Simple digital pregnancy tests have been distributed in the UK and an unknown number have been found to give a false positive result.
China-based manufacturer Guangzhou Wondfo Biotech announced the recall following an investigation, admitting that a production error had led to its results “misleading consumers”. The Daily Telegraph
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About 60,000 of the potentially faulty Clear & Simple digital pregnancy tests have been distributed in the UK and an unknown number have been found to give a false positive result.
China-based manufacturer Guangzhou Wondfo Biotech announced the recall following an investigation, admitting that a production error had led to its results “misleading consumers”. The Daily Telegraph
See also:
- Digital pregnancy tests recalled in new alert amid false positive results Medicines and Healthcare products Regulatory Agency
- Digital pregnancy tests recalled over inaccurate results BBC News
GPs being asked to run cookery classes to help battle Britain's obesity crisis
GPs being asked to run cookery classes to help battle Britain's obesity crisis GPs have been urged to prescribe healthy recipes in a bid to combat Britain’s obesity crisis.
Doctors are also being asked to run weekend cookery classes at their practices, in a bid to teach families how to eat a balanced diet.
Medics at the Royal College of GPs’ annual conference said doctors needed to take a bigger role in helping patients to choose their meals more wisely. The Daily Telegraph
Doctors are also being asked to run weekend cookery classes at their practices, in a bid to teach families how to eat a balanced diet.
Medics at the Royal College of GPs’ annual conference said doctors needed to take a bigger role in helping patients to choose their meals more wisely. The Daily Telegraph
NHS will recruit doctors from Australia as it 'pulls out all the stops' to try and hire more GPs
NHS will recruit doctors from Australia as it 'pulls out all the stops' to try and hire more GPs The NHS will offer Australian doctors a 'relocation package' of up to £18,500 to move to the UK as it tries to hire more GPs to battle a staffing crisis.
The health service will target GPs who previously left the UK for Australia and are looking to return home, as well as Australian GPs who want to live in the UK.
NHS England's director of care says the UK is 'pulling out all the stops' as it tries to bring in doctors from a country where training and quality are as high as at home.
Figures last week revealed as many as 2.5 million patients are at risk of losing their surgeries in the next five years because so many doctors are close to retiring. The Daily Mail
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The health service will target GPs who previously left the UK for Australia and are looking to return home, as well as Australian GPs who want to live in the UK.
NHS England's director of care says the UK is 'pulling out all the stops' as it tries to bring in doctors from a country where training and quality are as high as at home.
Figures last week revealed as many as 2.5 million patients are at risk of losing their surgeries in the next five years because so many doctors are close to retiring. The Daily Mail
See also:
- NHS to recruit doctors from ‘Down Under’ NHS England
Thursday, 4 October 2018
Northamptonshire County Council: 'Mistakes' made in care contract
Northamptonshire County Council: 'Mistakes' made in care contract A former leader of a cash-strapped council - which is paying up to £2m a year for empty care beds - has admitted "mistakes were made" in the signing of the deal.
The 25-year elderly care contract was negotiated by Northamptonshire County Council in 2003 under Labour.
The authority said this week the centres had been operating below 30-50% occupancy for several years.
The previous leader said the deal was "unanimously accepted". BBC Northampton
The 25-year elderly care contract was negotiated by Northamptonshire County Council in 2003 under Labour.
The authority said this week the centres had been operating below 30-50% occupancy for several years.
The previous leader said the deal was "unanimously accepted". BBC Northampton
Home to school transport and learning disability services targeted in Northamptonshire County Council savings
Home to school transport and learning disability services targeted in Northamptonshire County Council savings Home to school transport funding will be severely reduced from next year as the county council tries to balance its books.
Savings plans will also target better contract management of learning disabilities suppliers in the two most visible budget cuts for 2019/20.
Northamptonshire County Council announced yesterday morning its new ‘stabilisation plan’ to make £20m of savings for this financial year, and a further update on addressing the £35m unfunded deficit from the last financial year (2017/18). Northamptonshire Telegraph
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Savings plans will also target better contract management of learning disabilities suppliers in the two most visible budget cuts for 2019/20.
Northamptonshire County Council announced yesterday morning its new ‘stabilisation plan’ to make £20m of savings for this financial year, and a further update on addressing the £35m unfunded deficit from the last financial year (2017/18). Northamptonshire Telegraph
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Changes to staffing patterns at A&E could improve viability of smaller hospitals, research suggests
Changes to staffing patterns at A&E could improve viability of smaller hospitals, research suggests Improving A&E triage processes, encouraging groups of clinicians to pool their capacity at the hospital ‘front door’ and ending the practice of separating out services like ambulatory care units could be essential measures to shore up smaller hospitals, researchers argue today.
These recommendations come in a new Nuffield Trust report looking at the ways in which hospitals serving between 140,000 and 300,000 people run medical services for acutely ill patients.
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These recommendations come in a new Nuffield Trust report looking at the ways in which hospitals serving between 140,000 and 300,000 people run medical services for acutely ill patients.
See also:
- Rethinking acute medical care in smaller hospitals Nuffield Trust
Be the change : ensuring an effective response to all in psychiatric emergency equal to medical care - recommendations from the first international summit on urgent and emergency behavioural healthcare
Be the change : ensuring an effective response to all in psychiatric emergency equal to medical care - recommendations from the first international summit on urgent and emergency behavioural healthcare According to this report, care for people in mental health crisis does not adequately address the needs of the community it is intended to serve. It outlines ten recommendations that if fulfilled would make urgent and emergency psychiatric health care ‘minimally adequate’, and calls on governmental agencies, policy makers and health and social services to take radical action to address inequalities and improve mental health crisis care. NHS Clinical Commissioners
Industry funders involved in most aspects of funded trials
Industry funders involved in most aspects of funded trials Few industry-funded trials in high impact journals are conducted without the involvement of industry employees in their design, conduct and reporting but this fact is sometimes downplayed or even omitted altogether, according to research* published online today by the BMJ. Although academics believed industry collaboration to be beneficial, some reported loss of academic freedom. In their separate opinion piece**, two of the study authors urged academics to refuse collaboration where industry demands control over trial design, conduct, data, statistical analysis, or reporting. OnMedica
‘Tech tsunami’ putting NHS services at risk, GP leaders warn
‘Tech tsunami’ putting NHS services at risk, GP leaders warn A “tech tsunami” being championed by the likes of health secretary Matt Hancock is destabilising the NHS in a way that increases health inequalities and profits private firms, GP leaders have said.
Warning about the growing “digital divide” the chair of the Royal College of GPs (RCGP), Professor Helen Stokes-Lampard, has called government to invest in NHS technology to ensure all patients can benefit. The Independent
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Warning about the growing “digital divide” the chair of the Royal College of GPs (RCGP), Professor Helen Stokes-Lampard, has called government to invest in NHS technology to ensure all patients can benefit. The Independent
See also:
- RCGP Chair takes on tech firms who are using 'bully boy' tactics and creating a 'digital divide' in patient care Royal College of General Practitioners
- UK.gov asks biz for ideas on how to 'overcome' data privacy concerns in NHS The Register
Brexit uncertainty sees UK patients cut from heart attack drug trial
Brexit uncertainty sees UK patients cut from heart attack drug trial UK patients have been cut from an international clinical trial to test a new heart attack drug because of uncertainties about registering new medicines after Brexit.
The drug, dutogliptin, is being tested to see if it can help regenerate cardiac muscle after a heart attack and patients in Exeter, Leeds and Clydebank in Scotland were due to take part. The Independent
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The drug, dutogliptin, is being tested to see if it can help regenerate cardiac muscle after a heart attack and patients in Exeter, Leeds and Clydebank in Scotland were due to take part. The Independent
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Theresa May tells tragic tale of her god daughter's cancer death as she announces new NHS plan
Theresa May tells tragic tale of her god daughter's cancer death as she announces new NHS plan Theresa May has spoken about how the death of her god daughter from cancer has fuelled her determination to improve diagnosis and treatment of the disease.
The Prime Minister said a new cancer strategy would increase early diagnosis rates from one-in-two to three-in four within a decade.
Under the plans, the NHS will create a national network of “one stop shops” for cancer checks to drive up detection rates. The Daily Telegraph
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The Prime Minister said a new cancer strategy would increase early diagnosis rates from one-in-two to three-in four within a decade.
Under the plans, the NHS will create a national network of “one stop shops” for cancer checks to drive up detection rates. The Daily Telegraph
See also:
- Prime Minister announces new cancer strategy Health Service Journal
- The five key themes of Theresa May's conference speech The Guardian
Young doctors being attacked on social media by patients, top medic warns
Young doctors being attacked on social media by patients, top medic warns Doctors should limit their use of social media to avoid attacks by angry patients and shadowy lobby groups, one of the profession’s leaders has warned.
Dr Clare Gerada, former chair of the Royal College of GPs, said younger doctors in particular are increasingly subject to online “vitriol” and “hate”.
Now medical director of the NHS Practitioner Health Programme (PHP), a service to support under-pressure staff, she told The Telegraph that millennial doctors should take themselves off social media for periods in order to protect their mental health. The Daily Telegraph
Dr Clare Gerada, former chair of the Royal College of GPs, said younger doctors in particular are increasingly subject to online “vitriol” and “hate”.
Now medical director of the NHS Practitioner Health Programme (PHP), a service to support under-pressure staff, she told The Telegraph that millennial doctors should take themselves off social media for periods in order to protect their mental health. The Daily Telegraph
Australia set to be first country to wipe out cervical cancer
Australia set to be first country to wipe out cervical cancer Australia is on track to eliminate cervical cancer in the next 20 years, making it the first country in the world to wipe out the disease.
A study in the Lancet Public Health journal has shown that if vaccination and screening continue at their current level cervical cancer rates will drop to less than six in 100,000 by 2022 and to below four in 100,000 by 2035. The current rate in Australia is seven cases per 100,000, compared to 10 per 100,000 in the UK. The Daily Telegraph
A study in the Lancet Public Health journal has shown that if vaccination and screening continue at their current level cervical cancer rates will drop to less than six in 100,000 by 2022 and to below four in 100,000 by 2035. The current rate in Australia is seven cases per 100,000, compared to 10 per 100,000 in the UK. The Daily Telegraph
Wednesday, 3 October 2018
Northampton mum’s plea to NHS to fund rare drug to change son’s life
Northampton mum’s plea to NHS to fund rare drug to change son’s life A Northampton mum-of-one is urging the NHS to pay for a rare drug needed to keep her son alive.
Six-year-old Archie Kambanis of Duston has a rare muscle-wasting condition called Spinal Muscular Atrophy (SMA) and was diagnosed with SMA when he was just two. Northampton Chronicle and Echo
Six-year-old Archie Kambanis of Duston has a rare muscle-wasting condition called Spinal Muscular Atrophy (SMA) and was diagnosed with SMA when he was just two. Northampton Chronicle and Echo
Maths, baths and computer models: ways to make health services more efficient
Maths, baths and computer models: ways to make health services more efficient Chris Sherlaw-Johnson looks at different approaches being used to improve the efficiency and effectiveness of health services, and explains the value they could bring to the NHS. Nuffield Trust
NHS key statistics: England, October 2018
NHS key statistics: England, October 2018 This briefing paper provides a summary of NHS demand, performance and capacity of services in England. It includes A&E statistics, waiting lists, ambulance data, delayed discharges, staffing levels including doctors and nurses, and more. House of Commons Library
GP at Hand's smartphone doctor ads ruled misleading
GP at Hand's smartphone doctor ads ruled misleading Adverts for a smartphone GP service that promised NHS doctor appointments "in minutes" have been ruled misleading by the Advertising Standards Authority.
The service offers a symptom-checker and free GP consultations via videolink on smartphones.
The ASA received complaints that the ads did not say users would first have to leave their GP, and registration could take up to three weeks.
GP at Hand said it thought the process was "self-evident". BBC News
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The service offers a symptom-checker and free GP consultations via videolink on smartphones.
The ASA received complaints that the ads did not say users would first have to leave their GP, and registration could take up to three weeks.
GP at Hand said it thought the process was "self-evident". BBC News
See also:
- ASA Ruling on Babylon Healthcare Services Ltd t/a GP at hand Advertising Standards Authority
- Ads for virtual GP at Hand service banned The Daily Mail
- Advert for GP access smartphone app banned by watchdog The Guardian
- Watchdog rules GP at Hand adverts were misleading HSJ
MP's 'horror' at getting £4.2bn to digitise NHS with no plan
MP's 'horror' at getting £4.2bn to digitise NHS with no plan A former minister has described his "horror" at being handed £4.2bn to create a "paperless" NHS in England by 2020 without a plan how to do it.
George Freeman's role was digitizing the NHS - but he had not been involved in the 2016 public spending talks.
And he said his civil servants were ordered to set out how they would spend the money only after it was allocated.
This is how things are done in government, said Mr Freeman, and, he suggested, why they go wrong. BBC News
George Freeman's role was digitizing the NHS - but he had not been involved in the 2016 public spending talks.
And he said his civil servants were ordered to set out how they would spend the money only after it was allocated.
This is how things are done in government, said Mr Freeman, and, he suggested, why they go wrong. BBC News
Government's £240m winter pledge for social care is a ‘sticking plaster’, experts say
Government's £240m winter pledge for social care is a ‘sticking plaster’, experts say A £240m emergency funding injection to prop up social care this winter and ease pressure on the NHS has been labelled a “sticking plaster” by patient groups.
Ahead of his speech to the Conservative Party Conference in Birmingham on Tuesday, health and social care secretary Matt Hancock said the move would prevent hospital beds being used by people who could be better cared for in their homes.
But council leaders warned they cannot be expected to “turn services on and off” in response to short-term bailouts from the government. The Independent
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Ahead of his speech to the Conservative Party Conference in Birmingham on Tuesday, health and social care secretary Matt Hancock said the move would prevent hospital beds being used by people who could be better cared for in their homes.
But council leaders warned they cannot be expected to “turn services on and off” in response to short-term bailouts from the government. The Independent
See also:
- £240 million social care investment to ease NHS winter pressures Department of Health and Social Care
- Matt Hancock on funding health services BBC News
Newly discharged mental health patients at much higher risk of death
Newly discharged mental health patients at much higher risk of death Such patients are 90 times more likely to die from drugs overdose than general population, research finds
People with mental health problems are at a hugely increased risk of dying from unnatural causes, including suicide, soon after they have been discharged from hospital, new research reveals.
Such patients are 38 times more likely to die of fatal poisoning and 90 times more likely to perish from a drugs overdose than the general population, according to a new study. The Guardian
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People with mental health problems are at a hugely increased risk of dying from unnatural causes, including suicide, soon after they have been discharged from hospital, new research reveals.
Such patients are 38 times more likely to die of fatal poisoning and 90 times more likely to perish from a drugs overdose than the general population, according to a new study. The Guardian
See also:
- Suicide Methods and Specific Types of Accidental Death and Fatal Poisoning Among Discharged Psychiatric Patients: A National Cohort Study (abstract) Journal of Clinical Psychiatry
- Discharged mental health patients ‘at greater risk of dying’ University of Manchester
‘I was left to fight alone for NHS whistleblowing protection’
‘I was left to fight alone for NHS whistleblowing protection’ | Benedict Cooper As his tribunal case is finally heard, Chris Day discusses winning protection for other junior doctors – and why he feels betrayed
Blowing the whistle in the NHS is meant to be easy. Medical bodies such as the Department of Health and Social Care, the General Medical Council (GMC) and individual hospital trusts all encourage the practice – on paper. But when Chris Day, a junior intensive care doctor, raised numerous concerns about understaffing and safety at the intensive care unit of Queen Elizabeth hospital in Woolwich, he found out all too quickly the toll it would take on his career.
Day says he made a “protected disclosure” to hospital management and to Health Education England (HEE) – which oversees junior doctors’ training and career development – about the understaffing. But he says that far from being believed, he became the victim of a pernicious effort to discredit him and the issues he’d raised. A number of counter-allegations were made against him, and his HEE training number was deleted, effectively forcing him out of his career. “Looking back it was incredible that so much effort was going into discrediting me and my safety concerns,” he says. The Guardian
Blowing the whistle in the NHS is meant to be easy. Medical bodies such as the Department of Health and Social Care, the General Medical Council (GMC) and individual hospital trusts all encourage the practice – on paper. But when Chris Day, a junior intensive care doctor, raised numerous concerns about understaffing and safety at the intensive care unit of Queen Elizabeth hospital in Woolwich, he found out all too quickly the toll it would take on his career.
Day says he made a “protected disclosure” to hospital management and to Health Education England (HEE) – which oversees junior doctors’ training and career development – about the understaffing. But he says that far from being believed, he became the victim of a pernicious effort to discredit him and the issues he’d raised. A number of counter-allegations were made against him, and his HEE training number was deleted, effectively forcing him out of his career. “Looking back it was incredible that so much effort was going into discrediting me and my safety concerns,” he says. The Guardian
NHS must follow the lead of driverless cars and embrace technology – even if it doesn't work perfectly, Health Secretary says
NHS must follow the lead of driverless cars and embrace technology – even if it doesn't work perfectly, Health Secretary says The NHS must follow the lead of driverless cars and embrace technology - even if it doesn't work perfectly, the Health Secretary has said.
Matt Hancock urged GPs to do more to adopt innovations such as virtual consultations via video, and the use of artificial intelligence.
The minister, who became Health Secretary in July, personally uses an app called “GP at Hand” which uses artificial intelligence to assess symptoms and offers smartphone consultations.
Last month he criticised NHS attempts to block use of such schemes, saying every patient should be able to benefit from such services. The Daily Telegraph
Matt Hancock urged GPs to do more to adopt innovations such as virtual consultations via video, and the use of artificial intelligence.
The minister, who became Health Secretary in July, personally uses an app called “GP at Hand” which uses artificial intelligence to assess symptoms and offers smartphone consultations.
Last month he criticised NHS attempts to block use of such schemes, saying every patient should be able to benefit from such services. The Daily Telegraph
Over a million women screened for cervical cancer wait longer than two-weeks for their results
Over a million women screened for cervical cancer wait longer than two-weeks for their results More than one million women screened for cervical cancer wait longer than the two-week target for their results, new figures show.
Only 53 per cent of women who were tested between August 2017 and 2018 received their results within 14 days, a Freedom of Information request found.
These delays create unnecessary anxiety and 'could put women off' attending their appointments, according to the charity Jo's Cervical Cancer Trust.
The charity has today blamed the delays on changes to the NHS cervical screening programme, which has caused a shortage of staff to deal with the results. The Daily Mail
Only 53 per cent of women who were tested between August 2017 and 2018 received their results within 14 days, a Freedom of Information request found.
These delays create unnecessary anxiety and 'could put women off' attending their appointments, according to the charity Jo's Cervical Cancer Trust.
The charity has today blamed the delays on changes to the NHS cervical screening programme, which has caused a shortage of staff to deal with the results. The Daily Mail
Tuesday, 2 October 2018
Northamptonshire County Council: Plan to save £55m unveiled
Northamptonshire County Council: Plan to save £55m unveiled A council plans to cut spending on agency staff and highways services, while boosting tax receipts, to tackle a £65m funding shortfall.
The "stabilisation plan" published by Northamptonshire County Council aims to save an additional £20m in 2018-19, on top of £45m in cuts already planned.
Government-appointed commissioners have been brought in to oversee the council, which has twice banned new spending.
Council leader Matt Golby said the authority faced "unprecedented times".
Plans to slash £35m had already been announced in the initial budget passed for this year. BBC Northampton
The "stabilisation plan" published by Northamptonshire County Council aims to save an additional £20m in 2018-19, on top of £45m in cuts already planned.
Government-appointed commissioners have been brought in to oversee the council, which has twice banned new spending.
Council leader Matt Golby said the authority faced "unprecedented times".
Plans to slash £35m had already been announced in the initial budget passed for this year. BBC Northampton
New £350,000 haematology and oncology bay opens at NGH to treat cancer patients
New £350,000 haematology and oncology bay opens at NGH to treat cancer patients Generous fundraisers and medics got together to officially unveil a new haematology and oncology assessment bay at Northampton General Hospital, which is aimed to keep cancer patients out of A&E.
Oncology and haematology patients are often ill between their treatment cycles and require emergency support and review, sometimes immediately. The urgent nature of these complications means that patients are unable to wait for outpatient appointments. Northampton Chronicle and Echo
Oncology and haematology patients are often ill between their treatment cycles and require emergency support and review, sometimes immediately. The urgent nature of these complications means that patients are unable to wait for outpatient appointments. Northampton Chronicle and Echo
Guidance: Improving people’s health: applying behavioural and social sciences
Guidance: Improving people’s health: applying behavioural and social sciences A comprehensive and collaborative strategy to enable public health professionals to use behavioural and social sciences to improve health and wellbeing. Public Health England
Integrating care for every community
Integrating care for every community Health and care needs are changing, with more people living longer with multiple long term conditions.
This new animation explains the challenges facing the health and care system and how partnerships are being formed between the NHS, local government and the third sector in every part of the country. NHS England
This new animation explains the challenges facing the health and care system and how partnerships are being formed between the NHS, local government and the third sector in every part of the country. NHS England
Emergency £240m to free up hospital beds
Emergency £240m to free up hospital beds An emergency £240m will be pumped into social care in England to ease pressure on the NHS this winter by enabling more elderly people to be cared for at home.
The cash will help councils pay for measures like housing adaptations and care packages, Health Secretary Matt Hancock will tell the Tory conference.
Getting people back home will "free up hospital beds", Mr Hancock will say.
Winter months often place hospitals under strain. In January, one in five patients faced long delays for a bed. BBC News
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The cash will help councils pay for measures like housing adaptations and care packages, Health Secretary Matt Hancock will tell the Tory conference.
Getting people back home will "free up hospital beds", Mr Hancock will say.
Winter months often place hospitals under strain. In January, one in five patients faced long delays for a bed. BBC News
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NHS to suffer £2.7bn cuts 'after government miscalculation of public sector pension costs', research suggests
NHS to suffer £2.7bn cuts 'after government miscalculation of public sector pension costs', research suggests The NHS will suffer cuts worth £2.7bn after the government miscalculated the pension costs of public sector workers, new analysis by the House of Commons library has shown.
The research suggested that government underestimated the costs by as much as £4bn a year.
That money could have paid for the salaries of over 61,900 nurses, the Labour Party, which released the research, said. The Independent
The research suggested that government underestimated the costs by as much as £4bn a year.
That money could have paid for the salaries of over 61,900 nurses, the Labour Party, which released the research, said. The Independent
As a black nurse, I see the crushing racial inequality across the NHS. This has to stop
As a black nurse, I see the crushing racial inequality across the NHS. This has to stop | Donna Kinnair Black doctors and nurses are paid far less than their white colleagues. The NHS must address the barriers and prejudices in its system
Some years ago a fellow black nurse said to me that I had been described by a nursing leader as “the only acceptable black nurse”.
I’d like to say we’ve come a long way since then, but the enormous ethnic pay gap in the NHS shows there’s a long road yet to travel. As revealed last week, black doctors and nurses are on average paid thousands of pounds less than their white colleagues. There are still those who divide our workforce between “acceptable” and “unacceptable”. The Guardian
Some years ago a fellow black nurse said to me that I had been described by a nursing leader as “the only acceptable black nurse”.
I’d like to say we’ve come a long way since then, but the enormous ethnic pay gap in the NHS shows there’s a long road yet to travel. As revealed last week, black doctors and nurses are on average paid thousands of pounds less than their white colleagues. There are still those who divide our workforce between “acceptable” and “unacceptable”. The Guardian
Physical restraint used on 50% more NHS patients with learning disabilities
Physical restraint used on 50% more NHS patients with learning disabilities Growing numbers of patients with learning disabilities are being physically restrained in mental health units, despite ministers telling NHS trusts to use such techniques less often.
Staff in NHS mental health hospitals deployed restraint on such patients 22,000 times last year, almost 50% more than the 15,000 occasions in 2016, BBC research has found.
That included a rise in face-down or “prone” restraint, which is particularly controversial and has been widely criticised as dangerous. Used 2,200 times in 2016, the figure rose to 3,100 in 2017.
The disclosures, made by Radio 4 programme File on 4, prompted criticism from health charities and the minister who, in 2014, ordered trusts to reduce their use of restraint. The Guardian
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Staff in NHS mental health hospitals deployed restraint on such patients 22,000 times last year, almost 50% more than the 15,000 occasions in 2016, BBC research has found.
That included a rise in face-down or “prone” restraint, which is particularly controversial and has been widely criticised as dangerous. Used 2,200 times in 2016, the figure rose to 3,100 in 2017.
The disclosures, made by Radio 4 programme File on 4, prompted criticism from health charities and the minister who, in 2014, ordered trusts to reduce their use of restraint. The Guardian
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Cost of lifesaving heroin withdrawal drug soars by 700%
Cost of lifesaving heroin withdrawal drug soars by 700% Treatment agencies warn of extra drug-related deaths unless price hike is addressed
A 700% spike in the price of a drug used to wean addicts off heroin has caused alarm among treatment agencies, which warn of a rise in drug-related deaths unless urgent action is taken to make it more affordable.
Buprenorphine is an alternative to methadone that reduces the symptoms of withdrawal and lessens the desire to use heroin. It is estimated that more than 30,000 people in England use the drug, which offers a reduced risk of overdose compared with methadone. The Guardian
A 700% spike in the price of a drug used to wean addicts off heroin has caused alarm among treatment agencies, which warn of a rise in drug-related deaths unless urgent action is taken to make it more affordable.
Buprenorphine is an alternative to methadone that reduces the symptoms of withdrawal and lessens the desire to use heroin. It is estimated that more than 30,000 people in England use the drug, which offers a reduced risk of overdose compared with methadone. The Guardian
More than one in four weekend GP appointments left unused, investigation finds
More than one in four weekend GP appointments left unused, investigation finds More than one in four GP appointments are left unused at weekends, amid a “shocking” failure of policies to improve access to family doctors, an investigation has found.
Ministers have repeatedly promised to expand opening hours of GP surgeries, so that working people are able to get appointments during evenings and weekends.
But the research from areas offering such access shows 37 per cent of Sunday appointments are being left unfilled, along with 24 per cent of Saturday slots, and 23 per cent of those on weekday evenings. The Daily Telegraph
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Ministers have repeatedly promised to expand opening hours of GP surgeries, so that working people are able to get appointments during evenings and weekends.
But the research from areas offering such access shows 37 per cent of Sunday appointments are being left unfilled, along with 24 per cent of Saturday slots, and 23 per cent of those on weekday evenings. The Daily Telegraph
See also:
- Revealed: 'Shocking' 25% of evening and weekend GP appointments empty Pulse
- Extending access to routine GP services must be based on patient need, says RCGP Royal College of General Practitioners
- Quarter of weekend and evening GP appointments wasted due to 'lack of of demand', despite record waiting times The Independent
I've seen lives destroyed by hospitals losing test results
I've seen lives destroyed by hospitals losing test results While the rest of society has embraced a paperless culture, some NHS records are still written on easily lost bits of paper, says Dr Mike Brooks. The Daily Mail
Hospital patients should volunteer and give back to the NHS to make it 'work so much better'
Hospital patients should volunteer and give back to the NHS to make it 'work so much better' Hospital patients should give back to the NHS by volunteering when they are better, according to the head of a watchdog.
Sir Robert Francis, who today took charge of Healthwatch England, said more people should be offering their help for free to the health service.
The 68-year-old added the NHS would 'work so much better' if everybody did their bit.
But, Sir Robert stressed, volunteers must not be expected to make up for short-staffing or to do the work of paid employees. The Daily Mail
Sir Robert Francis, who today took charge of Healthwatch England, said more people should be offering their help for free to the health service.
The 68-year-old added the NHS would 'work so much better' if everybody did their bit.
But, Sir Robert stressed, volunteers must not be expected to make up for short-staffing or to do the work of paid employees. The Daily Mail
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