Wednesday, 5 December 2018

First baby born after deceased womb transplant

First baby born after deceased womb transplant A healthy baby girl has been born using a womb transplanted from a dead body.

The 10-hour transplant operation - and later fertility treatment - took place in São Paulo, Brazil, in 2016. The mother, 32, was born without a womb.

There have been 39 womb transplants using a live donor, including mothers donating their womb to their daughter, resulting in 11 babies.

But the 10 previous transplants from a dead donor have failed or resulted in miscarriage. BBC News

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Missing special needs support 'a national scandal'

Missing special needs support 'a national scandal' Thousands of children missing out on support for diagnosed special educational needs in England is a "national scandal", Ofsted has said.

There are 2,060 children in 2018 who have education, health and care plans (EHCs) setting out their needs, but who receive no support at all.

Some parents said a child is only assessed when they are excluded.

Ofsted chief, Amanda Spielman, also raised the issue of children disappearing from education. BBC News

Four out of 10 cancer patients initially misdiagnosed, finds report warning of pressures in testing

Four out of 10 cancer patients initially misdiagnosed, finds report warning of pressures in testing Four out of ten people with cancer in the UK are misdiagnosed at least once before their disease is identified, according to a report calling for more investment in early testing.

The report, by the All.Can cancer initiative, warns that one in five (21 per cent) of UK patients surveyed said they waited more than six months to get the correct diagnosis.

This failure to provide a quick, accurate diagnosis is costing patients their lives and the NHS money, the group warns. The Independent

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‘I tried to take my own life. They told me I’d have to wait a month for help’

‘I tried to take my own life. They told me I’d have to wait a month for help’ | Mary O’Hara Despite government promises, mental health services are still failing young people. Here, some of those affected speak out

The word “crisis” comes up a lot whenever children and young people’s mental health is mentioned. Whether it’s youngsters in desperate need of acute care being sent hundreds of miles away for treatment due to local bed shortages, failure to receive help even after their GP has referred them for specialist care, or enduring problems with NHS child and adolescent mental health services (Camhs), patients under 18 find it increasingly difficult to access the support they need. The Guardian

5 million healthy Britons will be tracked in bid to detect disease sooner

5 million healthy Britons will be tracked in bid to detect disease sooner Five million healthy Britons will be tracked for years in attempt to develop artificial intelligence which spots signs of cancer and dementia far earlier.

Ministers said the measures - part of Britain’s industrial strategy - will form the largest ever study of its kind.

The programme to accelerate detection of disease will track detailed clinical information - such as genetic records, scans and samples - from 1 million volunteeers, while regularly questioning a further 4 million patients in order to build a detailed picture. The Daily Telegraph

Nine in 10 adults have unhealthy lifestyles, national survey finds 

Nine in 10 adults have unhealthy lifestyles, national survey finds Nine in ten adults have unhealthy lifestyles, fuelling soaring diabetes levels, new figures show.

The survey of 10,000 adults found the vast majority are at risk of a premature death, because of their daily habits.

Excess weight was the biggest factor identified in the Health Survey for England, with two thirds of adults found to be overweight or obese. The Daily Telegraph

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Record number of British women are dying because of alcohol as figures show drink-related deaths are up 15% since 2001

Record number of British women are dying because of alcohol as figures show drink-related deaths are up 15% since 2001 More British women than ever are dying from alcohol-related diseases, figures revealed today.

Eight women in every 100,000 across the UK die every year because of conditions caused by boozing.

This figure is the highest it has been since records began in 2001 but still lower than the average of 12.2 deaths, and fewer than half the 16.8 deaths among men.

Hard-drinking baby boomers are also dying young because of their habit. Death rates are highest among women in their late 50s and men in their early 60s. The Daily Mail

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Tuesday, 4 December 2018

Kettering General Hospital bereavement facilities get refurbishment

Kettering General Hospital bereavement facilities get refurbishment A charity which supports local families who have lost a baby has paid for a £17,000 refurbishment and expansion of Kettering General Hospital’s bereavement facilities. Northamptonshire SANDS (the Stillborn and Neonatal Death Charity) has been supporting the improvement work since December last year – and it is now complete. Northamptonshire Telegraph

New scanner will help Kettering General Hospital detect womb cancer earlier

New scanner will help Kettering General Hospital detect womb cancer earlier A new high-tech ultrasound scanner which helps in the early detection of womb cancer has been bought for Kettering General Hospital by a cancer charity. Representatives from Leicestershire-based charity Brown Dog have presented the £38,385 Voluson S10 Scanner to the hospital’s gynaecology department. Northamptonshire Telegraph

Free drug and alcohol support and treatment service launched in Northamptonshire

Free drug and alcohol support and treatment service launched in Northamptonshire A new drug and alcohol support and treatment service that is free and confidential has been launched in Northamptonshire after being commissioned by the county council.

STAR, which stands for Support, Treatment, Advice and Recovery was set up with the aim of providing a more accessible prevention and treatment services for those who need it most.

The services can be used by clients themselves, family members of those with drug and alcohol problems and professionals who work with clients with substance misuse issues. Northampton Chronicle & Echo

Collapsed OOH contracts transferred to new providers - Health Service Journal

Collapsed OOH contracts transferred to new providers - Health Service Journal Primecare has also withdrawn from out of hours contracts with Walsall, Herefordshire, and Sandwell and West Birmingham CCGs, as well as an end of life care contract with Nene CCG. HSJ

Investigation into the provision of mental health care to patients presenting at the emergency department

Investigation into the provision of mental health care to patients presenting at the emergency department This investigation comprised a series of observational studies, interviews and discussions with subject matter experts to establish how risk to mental health is assessed and then managed nationally in the emergency department report. The report highlights variation in mental health care across emergency departments and sets out four recommendations aimed at improving patient care. CASH

Approaches to better value in the NHS

Approaches to better value in the NHS "This report shares learning and insight from three NHS hospital trusts that have developed organisation-wide strategies for value improvement. It draws on interviews, roundtables and site visits with senior leaders in the NHS who are committed to developing better value services." QIPP @lert 

A vision for population health

A vision for population health "The report outlines a framework for population health centred on four pillars: the wider determinants of health; our health behaviours and lifestyles; the places and communities we live in; an integrated health and care system." King's Fund

Exclusive: Supplier faces 'big penalties' after huge NHS email shutdown - Health Service Journal

Exclusive: Supplier faces 'big penalties' after huge NHS email shutdown - Health Service Journal Consultancy firm Accenture is very likely to face “big penalties” after a software upgrade led to the complete shutdown of the NHS email service, HSJ has been told.

A well placed senior source confirmed the company, which runs NHSmail on behalf of NHS Digital, will be penalised for the shutdown that was linked to a software upgrade which took place several weeks ago.

Accenture had “totally failed” to meet the requirements of its contract with NHS Digital and would face big penalties, HSJ was told by sources familiar with discussions.

HSJ was also told the error should have been detected in testing or in the weeks after the software upgrade. When the failure did occur, backup systems should have kicked in, but did not. HSJ

Baby boomers increasingly being admitted to hospital for drug-related mental health problems - Telegraph.co.uk

Baby boomers increasingly being admitted to hospital for drug-related mental health problems - Telegraph.co.uk
Baby boomers with a relaxed attitude to drugs are increasingly being admitted to hospital with mental health problems, new NHS figures have revealed.

Admissions for drug related mental and behavioural disorders for those aged 45 and over have increased by 85 per cent over the last decade, compared with just a one per cent rise amongst those under 45.

There has also been a 32 per cent increase in admissions for poisoning as a result of drug use in those aged 55 and over in the last six years, according to NHS Digital. Telegraph

Children given antibiotics which should only be used sparingly

Children given antibiotics which should only be used sparingly Children are too often being prescribed antibiotics that have been put on a list of treatments that should only be used sparingly because of fears of the development of superbugs.

An analysis of sales in the community of oral antibiotics specially formulated for children in 70 high and middle-income countries has found that consumption of the drugs varies widely from country to country.

In a quarter of all countries antibiotics which should only be used under certain strict circumstances accounted for 20 per cent of total antibiotic consumption. Telegraph

Transgender services GP fined £12,000 over registration failure

Transgender services GP fined £12,000 over registration failure The GP prosecuted for failing to register her online advice services for transgender patients with a health regulator in Wales says she has moved her service to England.

But Helen Webberley admits she has still not registered with inspectors there either.

She was fined £12,000 by a district judge who called the offence "serious". BBC News

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Red tape preventing cancer patients from accessing new drugs

Red tape preventing cancer patients from accessing new drugs Cancer patients are missing out on innovative new drugs, with red tape covering clinical trials and licensing among the factors to blame, according to a report by the UK’s Institute of Cancer Research.

Children’s cancers have received little in the way of new treatments, a finding the authors put down to drug companies failing to invest in these rare conditions and using regulatory loopholes to avoid conducting the necessary clinical trials.

The report finds that recent years have seen a boom in new drugs for blood cancers and lung cancer, but some other cancers have had no new drugs licensed since 2000. The Guardian

Hospitals report warns against volunteers doing work of NHS staff

Hospitals report warns against volunteers doing work of NHS staff Volunteers play a vital role in hospitals such as by doing tea rounds and fetching medications but should never be required to do the work of trained staff, according to a report.
An estimated 78,000 volunteers perform a variety of roles in NHS hospitals across England. Richard Murray, the director of policy at the King’s Fund thinktank, which conducted the study, said that while it found frontline staff appreciated volunteers, that was “provided they were not being used as substitutes for paid staff”. The Guardian

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NHS to introduce mental health checks for new fathers

NHS to introduce mental health checks for new fathers New fathers and fathers-to-be will be offered mental health checks if their partner is suffering anxiety, psychosis or postnatal depression, NHS England has announced.

While it is well recognised that pregnant women and and new mothers can experience mental health problems, little attention has been paid to their partners. The Guardian

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Monday, 3 December 2018

Northamptonshire Council: Government takes over children's services

Northamptonshire Council: Government takes over children's services The government has taken over a cash-strapped council's children's services department after a report found people in its care were at "potential risk".

Earlier this month, a letter from Ofsted to the chief executive of Northamptonshire County Council said its social workers were "overwhelmed".

The government says the council's children's services is failing to perform "to an adequate standard".

The authority has twice banned itself from spending in 2018 amid cash issues. BBC Northampton

Tackling HIV stigma in the health service

Tackling HIV stigma in the health service The past 30 years have seen huge advances in the medical treatment of HIV, with life expectancyin those diagnosed in the UK today similar to that in the general population. Despite the fact that we have surpassed the UNAIDS targets on diagnosis and treatment, stigmatising attitudestowards people living with HIV have persisted and are experienced even within the health service. Last year, a report from The King's Fund recommended that the Department of Health and NHS England should work together to make the NHS 'an exemplar of zero stigma'. So how big an issue is stigma within the health service today and what can be done to tackle it? The King's Fund

Understanding the new commissioning system in England: contexts, mechanisms and outcomes

Understanding the new commissioning system in England: contexts, mechanisms and outcomes This study explores how the new commissioning system is functioning after reorganisation of the NHS in England in 2012. This research aimed to assess the impact of the reforms on the operation and outcomes of the commissioning system. Policy Research Unit in Commissioning and the Healthcare System

'The NHS turned its back on mum - and it cost us £250,000'

'The NHS turned its back on mum - and it cost us £250,000' Spending on vital care services for the elderly has been cut by a quarter per head since 2010, a BBC analysis shows. It has left growing numbers of families struggling to get the help they need. One family caught in this trap told the BBC about their struggles. BBC News

Excess winter deaths highest since 1970s, says ONS

Excess winter deaths highest since 1970s, says ONS There were around 50,100 excess winter deaths in England and Wales in 2017-18 - the highest since the winter of 1975-76, figures from the Office for National Statistics show.

The increase is thought to be down to the flu, the ineffectiveness of the flu vaccine in older people and spells of very cold weather last winter.

Most excess deaths occurred in women and the over-85s. BBC News

NHS hospitals treat soaring number of older people for drug misuse

NHS hospitals treat soaring number of older people for drug misuse Number of over-45s in England admitted with drug-related mental problems rose 85% over decade

Growing numbers of middle-aged and older people are ending up in hospital suffering serious mental health problems after taking drugs, new NHS statistics reveal.

The number of people in England aged 45 and above admitted with a drug-related mental and behavioural disorder has soared 85% over the last decade. The Guardian

NHS chiefs look to scrap four-hour A&E maximum wait

NHS chiefs look to scrap four-hour A&E maximum wait Patients with minor ailments would miss out in change to targets

NHS bosses are considering a shake-up of A&E care that could lead to patients with only minor ailments no longer being guaranteed that they will be treated within four hours.

Under the plans being examined, people with non-urgent medical needs would be advised to seek help at a GP surgery, walk-in centre or pharmacy instead – or face a long wait in A&E. The Guardian

Matt Hancock accused of breaching code over GP app endorsement

Matt Hancock accused of breaching code over GP app endorsement Labour calls for inquiry after health secretary praised firm in paid-for newspaper articles

Labour is demanding an inquiry after Matt Hancock, the health secretary, was accused of breaking the ministerial code by endorsing a private healthcare company in a sponsored newspaper supplement.

An interview with Hancock appeared in the Evening Standard’s Future London Health supplement, which was paid for by Babylon. In the feature, Hancock praised the company’s GP at Hand app, which allows users to have video consultations with doctors via their smartphone. Hancock is an ally of George Osborne, the editor of the Evening Standard. The Guardian

GP surgery closures 'will see 3 million patients lose out in the next year' 

GP surgery closures 'will see 3 million patients lose out in the next year'  GP surgery closures will see 3 million patients lose out in the next year, according to a survey by the Royal College of General Practitioners.

A total of five per cent of GPs reported their practice was likely to close within the next year - equating to over 350 practices in the UK.

It comes amid widespread concern over the ability to fill roles in the sector as more and more GPs retire early or move to work in the private sector. The Daily Telegraph

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'Fake' paramedic treats more than 100 patients in London before being discovered

'Fake' paramedic treats more than 100 patients in London before being discovered A  “fake” paramedic is believed to have treated more than 100 patients in London this summer, it has emerged.

The trainee member of staff with the London Ambulance Service flunked his paramedic exams but carried out “unauthorised” responses to 999 calls for several weeks.

It is understood he was able to pose as a qualified paramedic by infiltrating an internal computer system used by emergency crews while they are on duty. The Daily Telegraph

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NHS whistleblower forced to withdraw claims after being threatened with 'life changing' costs

NHS whistleblower forced to withdraw claims after being threatened with 'life changing' costs A junior doctor has been forced to withdraw whistleblowing allegations against the NHS claiming he was threatened with ‘life-changing’ legal costs if he lost the case.

Dr Chris Day, 32, flagged concerns about understaffing at an intensive care unit at Queen Elizabeth Hospital in Woolwich in 2013 but was stripped of his Health Education England (HEE) training number, and forced out of his job. The Daily Telegraph

Friday, 30 November 2018

Late and weekend GP appointments available in Kettering, Rushden and Wellingborough...but not Corby

Late and weekend GP appointments available in Kettering, Rushden and Wellingborough...but not Corby A service which makes GP appointments available in the evening and at weekends has been rolled out across Northamptonshire - but not in Corby.
In 2014 the Government pledged to extend opening hours at GP surgeries across the country and Nene CCG is the latest to introduce the GP Extended Access Service. The service means appointments will be available until 8pm from Monday to Friday and in the mornings at the weekends and on bank holidays at central surgeries. But surgeries in Corby overseen by Corby CCG - the smallest CCG in the country - are yet to have the GP Extended Access Service. A Corby CCG spokesman said evening appointments would be available from April next year. Northamptonshire Telegraph

Celebrating 20 years of Kettering’s Cransley Hospice

Celebrating 20 years of Kettering’s Cransley Hospice Twenty years ago this month, one of Kettering’s most important institutions was born. Cransley Hospice opened in November 1998 on the ground floor of Sunley Court having been formed by Dr John Smith. Northamptonshire Telegraph

Northants trust that went from 'requires improvement' to 'outstanding' in three years wins award

Northants trust that went from 'requires improvement' to 'outstanding' in three years wins award
Northamptonshire Healthcare NHS Foundation Trust (NHFT) is celebrating after being named trust of the year at the Health Service Journal Awards in London.

This accolade - presented to the team last week in London - comes just months after NHFT was rated outstanding by the Care Quality Commission (CQC).

The trust says the award reflects the positive feedback it receives from their patients and is a huge testament to their staff that work hard every day to make a difference to those they care for across community, mental health, learning disability and speciality services – including prison healthcare. Northampton Chronicle and Echo

Kettering General Hospital to hold baby roadshow

Kettering General Hospital to hold baby roadshow A pregnancy and baby roadshow is being hosted by Kettering General Hospital to help hundreds of parents-to-be to prepare for their big day and subsequently care for their baby. The event, on Wednesday, December 5, is the 30th in 20 years and it will provide a huge range of advice on all aspects of pregnancy and baby care. It is being held at The Hall@KGH (the recreation hall next to car park B at the main KGH site) from 6pm-8pm. Northamptonshire Telegraph

KGH introduces state-of-the-art feedback system

KGH introduces state-of-the-art feedback system Kettering General Hospital has introduced a new way for patients to give feedback about their hospital experience. Northamptonshire Telegraph

Significantly more girls access mental health services in Northamptonshire, new report reveals

Significantly more girls access mental health services in Northamptonshire, new report reveals  Youngsters battling mental health issues in Northamptonshire say long waiting times are the most common challenge they face when trying to access help.

More than 700 responses from young people between the ages of 11-19 years old in this county have been collated by Young Healthwatch Northamptonshire in their new emotional wellbeing report, published yesterday (November 29).

The report pinpoints over 60 per cent of young people wished to receive support at school and significantly more girls (43 per cent) said they had needed to access support for their emotional well being, compared to a smaller percentage of their male counterparts (26 per cent). Northampton Chronicle and Echo

Better information for paramedics and mental health nurses

Better information for paramedics and mental health nurses NHS Digital has taken a crucial step towards a more joined-up health and care system with the launch of the new national record locator service.

The service will allow triage personnel such as mental health nurses and paramedics, who are called to a patient in distress, to find out whether a patient they are treating has a mental health crisis plan. NHS Networks

Type 2 diabetes: NHS to offer 800-calorie diet treatment

Type 2 diabetes: NHS to offer 800-calorie diet treatment Thousands of people with type 2 diabetes in England are to be prescribed a very low-calorie diet in the hope of reversing their condition.

Under the pilot they will be restricted to 800 calories a day, in the form of soups and shakes, for three months. When the diet was trialled last year, almost half of those involved managed to put their diabetes into remission. NHS England has also announced it's expanding a programme to prevent people developing type 2 diabetes. The health service currently spends around 10% of its budget on treating diabetes in England.  BBC News - Health

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Government set to relax restrictions on non-EU doctors

Government set to relax restrictions on non-EU doctors The government is set to relax its immigration rules to let more foreign doctors come to Britain to help tackle the NHS’s widespread shortages of medics, the Guardian can reveal.

Ministers have agreed to significantly expand the 1,500 doctors a year allowed to come and work in Britain under the medical training initiative (MTI). The move could result in the maximum number of non-EU medics able to come rising to as many as 3,000. The Guardian

Measles resurgence 'due to vaccine hesitancy', WHO warns

Measles resurgence 'due to vaccine hesitancy', WHO warns There has been a worldwide resurgence of measles, with many countries experiencing "severe and protracted" outbreaks last year, a report warns.

The World Health Organization data shows a rise in cases in almost every region of the world, with 30% more cases in 2017 than 2016. Experts say complacency, collapsing health systems and a rise in fake news about the vaccine are behind the rise. BBC News - Health

The latest figures on the NHS's performance

The latest figures on the NHS's performance The Long Term Plan for the NHS will signal a reset on performance over the next five years, as frontline staff and managers continue to ensure record numbers of patients get the healthcare and support they need.

Our latest report on the performance of the provider sector, covering July to September 2018, shows that hospitals admitted nearly 1,000 more emergency patients a day than in the same period last year, treating 5.52 million patients within the four-hour target.

On top of this, hospitals have been able to discharge more patients from their services sooner, including reducing the number of beds occupied by patients who have been there for more than three weeks (classed as a ‘long-stay patients’), freeing up the equivalent of 2,470 beds in time for winter. NHS Improvement

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Thursday, 29 November 2018

New children's commissioner has started at Northamptonshire County Council

New children's commissioner has started at Northamptonshire County Council The new children’s commissioner drafted in to save Northamptonshire’s failing children’s service department has started work.

Despite the lack of an official announcement from central government, experienced commissioner Malcolm Newsam is in post and is getting to grips with what is going on within the in-crisis department. Northampton Chronicle and Echo

Campaign against domestic abuse and sexual violence to run in Northampton over the festive period

Campaign against domestic abuse and sexual violence to run in Northampton over the festive period A new campaign promoting organisations who support survivors of domestic abuse and sexual violence will see a series of surgeries held in Northampton over the next fortnight.

Marking the national 16 Days of Activism Against Gender-Based Violence in Northampton, the ‘Don’t let violence shatter your Christmas’ campaign and activities aims to raise awareness of local support in the run-up to the festive period, when instances of domestic abuse and sexual violence can increase.

The activities will include town centre information stalls on the Market Square and support surgeries held in local businesses. Northampton Chronicle and Echo

Community mental health survey 2018

Community mental health survey 2018 This survey looks at the experiences of people receiving community mental health services. It finds that people’s experiences of the care they receive from community-based mental health services have continued to deteriorate. It highlights concerns around access to care, care planning and support for people with mental health conditions in relation to physical health needs, financial advice or benefits. Care Quality Commission

Asylum seekers in Britain unable to access healthcare

Asylum seekers in Britain unable to access healthcare Cost and fears about how they will be treated, or consequences for their immigration status, are preventing people seeking or refused asylum from using health services, a new report from the Equality and Human Rights Commission has found, prompting a call for greater separation of the immigration and healthcare systems.
Our new research, published today, explores the experiences of people who are or have been in the asylum process in Britain, as well as engaging with healthcare professionals and analysing existing research.

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Independent evaluation of The Guinness Partnership’s dementia project

Independent evaluation of The Guinness Partnership’s dementia project The Housing LIN was commissioned by The Guinness Partnership to undertake an independent evaluation of the progress made in becoming a more dementia-friendly organisation. Guinness implemented a two year project in 2015 to take forward developments, initially in two pilot areas of Havant and Manchester with a view to rolling out successful approaches more broadly. Housing LIN

Five key questions Brexit poses for the NHS

Five key questions Brexit poses for the NHS Whether it is a no-deal Brexit or the agreement brokered by the prime minister, leaving the European Union promises to have a profound impact on patients and the wider NHS.

From the staff who work on the wards and in the GP surgeries to the supply of vital medicines, there are implications.

Here is a look at five key questions. BBC News

Health Secretary Matt Hancock deletes '1,000 more GPs' claim after statistics watchdog censure

Health Secretary Matt Hancock deletes '1,000 more GPs' claim after statistics watchdog censure The health secretary has deleted claims of a “terrific” increase of 1,000 GPs joining the NHS in just three months, after being censured by the government statistics watchdog.

Matt Hancock made the claimed in a tweet last week and was widely criticised by doctors and health groups who said he was misleading the public, as the actual figures showed qualified doctor numbers fell.

Those figures were also drastically inflated by the new intake of junior doctors who started GP specialty training in August. The Independent

NHS trust at centre of baby deaths inquiry deemed 'unsafe'

NHS trust at centre of baby deaths inquiry deemed 'unsafe' Shrewsbury and Telford hospital’s A&E and maternity care is inadequate – regulator

The hospital trust at the centre of an inquiry into dozens of baby deaths and injuries has been declared inadequate by the NHS’s care regulator over its “unsafe” A&E and maternity care.

The move by the Care Quality Commission (CQC) is the latest blow to hit Shrewsbury and Telford Hospital NHS trust, which has been under pressure over a growing catalogue of alleged breaches of care standards. The Guardian

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An 'alarm bell': Experts warn HIV has hit a 10 year high in Europe ahead of 30th World Aids Day

An 'alarm bell': Experts warn HIV has hit a 10 year high in Europe ahead of 30th World Aids Day The rate of new HIV infections reached a decade-long high in Europe last year, raising an "alarm bell" ahead of the 30th anniversary of World Aids Day on Saturday.

Despite the huge progress made in controlling the global endemic since the 1980s, Europe saw nearly 160,000 new HIV cases in 2017.

This is equivalent to 20 people per 100,000, a rise from the 18.2 new diagnoses per 100,000 people in 2016, according to a joint report from the World Health Organization (WHO) and European Centre for Disease Prevention and Control (ECDC). The Daily Telegraph

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Climate change is a grave threat to our health. Time is running out to act

Climate change is a grave threat to our health. Time is running out to act The world is finally waking up to the enormity of the public health threat posed by climate change after a summer of searing temperatures left a trail of destruction stretching across the globe.

The effects of these heatwaves have recently been underscored by a groundbreaking report from the Lancet Countdown, which provides an annual global barometer on the health impacts of climate change. The Daily Telegraph

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Which are the healthiest nations in the world?

Which are the healthiest nations in the world? London-based charity the Legatum Institute has ranked 149 countries on nine different categories, including health, but health was the area in which the UK performed worst, ranking just 26th. The Daily Mail

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NHS should be run like MCDONALD's, Health Secretary Matt Hancock claims

NHS should be run like MCDONALD's, Health Secretary Matt Hancock claims The NHS should look to McDonald's to improve its leadership, according to the Health and Social Care Secretary.

Matt Hancock praised the fast food chain's training and support programmes in a speech that emphasised the importance of leadership in the health service. The Daily Mail

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Wednesday, 28 November 2018

Sir Ron Kerr review: empowering NHS leaders to lead

Sir Ron Kerr review: empowering NHS leaders to lead This review was led by Sir Ron Kerr and explored 3 challenges faced by executive leaders across the NHS:
  • expectations and support available for leaders
  • alignment of performance expectations at the organisational and system level
  • level of administrative burden placed upon executive leaders
The review makes a number of recommendations to address these challenges. Department of Health and Social Care

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Leadership in integrated care systems

Leadership in integrated care systems This paper, aimed at chief executives, directors and senior managers from the NHS, local authorities, housing organisations and voluntary and community sector, is based on findings from interviews with systems leaders and a review of the literature. The NHS Leadership Academy commissioned SCIE to undertake this research to further expand the understanding of systems leadership and leadership of integrated care systems. Free registration is required to access this document. Social Care Institute for Excellence

Health at a glance: Europe 2018

Health at a glance: Europe 2018 This report states that mental health problems, such as depression, anxiety disorders and alcohol and drug use disorders, affect more than one in six people across the European Union in any given year. Besides the impact on people’s well-being, the report estimates the total costs of mental ill-health at over EUR 600 billion – or more than four per cent of GDP – across the 28 EU countries. Organisation for Economic Co-operation and Development

Norfolk and Suffolk NHS Foundation Trust remains 'inadequate'

Norfolk and Suffolk NHS Foundation Trust remains 'inadequate' England's worst performing mental health trust has been rated inadequate for a third time, with patients trying to take their lives waiting for care.

Norfolk and Suffolk NHS Foundation Trust (NSFT) had unsafe acute wards and was seriously understaffed.

The Care Quality Commission (CQC) said bosses repeatedly failed to protect patients and a charity has called for the government to intervene.

NSFT said it was disappointed but "determined to get things right". BBC News

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NHS no deal Brexit plans will be activated 'before Christmas' if MPs vote down May's deal, health secretary says

NHS no deal Brexit plans will be activated 'before Christmas' if MPs vote down May's deal, health secretary says Contingency plans to ensure the supply of medicines and other health services will be triggered before Christmas if Theresa May’s Brexit deal fails to get MP’s backing next month, the head of NHS England has admitted.

Simon Stevens, told the Commons Health Committee that plans for a no dealBrexit, some costing “tens of millions of pounds", would need activating within weeks if the transition plan is voted down on 11 December.

Contracts to take on additional warehouses and refrigerator capacity for drug stockpiles and other biological materials would be included in these expenses. The Independent

No more silk pyjamas: NHS cracks down on ineffective treatments

No more silk pyjamas: NHS cracks down on ineffective treatments Health service in England plans to stop eight treatments in attempt to save £68m a year

NHS England is to stop buying silk pyjamas for patients who have serious skin conditions as part of a crackdown on treatments it says are not proven to work.

The health service plans to no longer purchase silk nightwear and gloves for people with eczema and dermatitis because of a lack of evidence of their effectiveness.

Aliskiren, a blood pressure drug, saving an estimated £939,300

Amiodarone, for abnormal heart rhythms (£1.1m)

Dronedarone, given to patients with atrial fibrillation (1.7m)

Minocycline, prescribed for acne (£637,400) The Guardian

Pharma firm sold mesh implant despite pain warnings

Pharma firm sold mesh implant despite pain warnings A vaginal mesh implant made by one of the world’s biggest pharmaceutical firms was launched despite the company being warned it could shrink and harden inside the body, company documents reveal.

Internal emails between executives, shared with the Guardian, show staff at Johnson & Johnson (J&J) were concerned that the plastic material the mesh was made from had the potential to turn “hard as a rock” and roll up like a “folded potato chip” inside patients.

Despite this risk, the Prolift implant was made available in 2005 and marketed for seven years. In one exchange, staff discussed how “shrinkage of the mesh may lead to pain”.

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Attempts to divert patients from A&E make little difference

Attempts to divert patients from A&E make little difference Attempts to reduce pressure on Accident and Emergency departments by diverting the least sick do little to cut attendances or save money, new research suggests.

The study published in the Emergency Medicine Journal, found little evidence that schemes which try to weed out “low need” patients and send them to GPs and minor injuries units help to cut crowding in casualty units. The Daily Telegraph

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Cervical cancer screening rate falls to lowest for at least 21 years 

Cervical cancer screening rate falls to lowest for at least 21 years The proportion of women attending cervical screening is the lowest for at least 21 years, new figures show.

The statistics show that just 71.4 per cent of women in England are attending screening - the lowest since 1997 - and a fall from 75.7 per cent in 2011.

Experts said difficulties getting GP appointments for a smear test were fuelling the decline.

The figures show screening coverage is higher among older women than younger women. The Daily Telegraph

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Why has it taken so long to wake up to the danger implants that caused 1,000 deaths? 

Why has it taken so long to wake up to the danger implants that caused 1,000 deaths? Carl Heneghan, a professor of evidence-based medicine at Oxford University, details his shock and annoyance at the regulation of medical devices. The Daily Mail

Tuesday, 27 November 2018

Urgent care company collapse leaves GPs just 10 days to find out-of-hours cover

Urgent care company collapse leaves GPs just 10 days to find out-of-hours cover A number of GP practices are being forced to urgently seek replacement out-of-hours cover after the private company providing services on their behalf gave them just 10 days' notice of ceasing operations.

Primecare, which forms part of the financially struggling Allied Healthcare group, wrote last week to over 20 Birmingham GP practices for which it directly provides out-of-hours cover, informing them they would stop services by the end of the month.

The decison also affects a number of CCGs, which have been told the services they contract from Primecare will cease by mid-December.

NHS Walsall CCG, NHS Sandwell and West Birmingham CCG, NHS Herefordshire CCG and NHS Nene CCG all hold out-of-hours and urgent care services contract with the company, while Primecare also forms part of a wider NHS 111 and out-of-hours contract covering more than a dozen West Midlands CCGs. Pulse

Cancer care: England still lagging behind the best

Unfinished business: An assessment of the national approach to improving cancer services in England 1995–2015 This report looks at progress in cancer care over two decades. It finds that progress has been made on reducing mortality, and improving the chances of survival and the experience of care, for people in England diagnosed with cancer.

However, despite persistent ambitions to be the best in Europe and the world, the gap in survival rates has not been closed.

The report sets out recommendations to help close the gap in survival between England and other comparable countries. The Health Foundation

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Shedding light on service design involving patients and the public

Shedding light on service design involving patients and the public One of the most satisfying aspects of patient and public involvement (PPI) is the ability to look back at a project and clearly see how the patient voice had meaningful impact. Using patient insight data to influence change is a lengthy process, with the ‘truth’ emerging slowly during systematic analysis of all the data that’s been gathered over the preceding weeks, months or years. Much rarer are the occasions when something emerges during a lone workshop or focus group that is clearly going to redefine the way you think about a particular problem; the 'lightbulb moment'. The King's Fund

Radical changes needed to tackle stalling health improvements

Radical changes needed to tackle stalling health improvements The King’s Fund has warned that, without radical change, progress in improving the population’s health is at risk of grinding to a halt.

Health improvements over the last century have meant that each generation has lived longer, healthier lives than their predecessors. But in a new report, The King’s Fund argues that this can no longer be taken for granted, highlighting a number of key measures against which progress has stalled.

Policing and mental health: Picking up the pieces

Policing and mental health: Picking up the pieces In 2017, we inspected all 43 police forces in England and Wales and the British Transport Police on their effectiveness, as part of our PEEL (police effectiveness, efficiency and legitimacy) inspection programme.

One of the main areas we inspect in effectiveness is how well the police protect those who are vulnerable, and support victims. For the first time within this area, we inspected how effectively police respond to and support people with mental health problems. This report sets out our findings. Her Majesty's Inspectorate of Constabulary and Fire & Rescue Services

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Less than a third of doctors involved in winter planning, new RCP poll finds

Less than a third of doctors involved in winter planning, new RCP poll finds Less than a third of doctors (29%) responding to a poll by the RCP say they have been asked to take part in planning for winter, despite last winter being one of the worst on record for the NHS and extra pressure over summer due to the heatwave.

This low level of involvement may explain why over half (56%) of participants say they are worried or very worried about the ability of their service to deliver safe patient care this winter, with only 17% saying they are confident or very confident. Royal College of Physicians 

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Investigating recent developments in the commissioning system: final report

Investigating recent developments in the commissioning system: final report There is now a more complex local landscape of organisations all of which need to be involved in the planning of local services; and clinical commissioning groups (CCGs) need to be able to find ways to engage with them effectively. This project investigated the initial stages of this process. The questions addressed by the research were: how are CCG internal processes of decision making changing?; what is the role of the individual CCG in the current commissioning landscape?; how is accountability maintained by CCGs in the current commissioning landscape?; how is competition and the current pricing regime relevant to CCGs’ commissioning decisions?; and how should commissioning develop? Policy Research Unit in Commissioning and the Healthcare System

Safety concerns raised over breast implants

Safety concerns raised over breast implants An investigation has raised safety concerns about the most commonly used type of silicone breast implant in the UK.

Women in France are now being advised not to use "textured" silicone implants while authorities investigate links with a rare form of cancer.

British women are still having the implants put in and there has been no warning from the UK regulator to stop.

It says it will take action when it sees there is a problem. BBC News

LGBT+ people's health 'seen as less important to NHS', equalities committee warns

LGBT+ people's health 'seen as less important to NHS', equalities committee warns The NHS has been accused of treating the health needs of gay, transgender and other LGBT+ people as “less important” than the wider population by the head of parliament’s Women and Equalities Committee.

After receiving evidence from more than 60 groups as part of an inquiry into health and social care support for LGBT+ communities, the committee’s chair, Maria Miller MP, said the “NHS is not delivering”.

The committee is currently working on a report on the issue, but has published evidence on the “stark” inequalities that exist in access and health outcomes for LGBT+ people. The Independent

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NHS to save £300m on cost of most expensive drug

NHS to save £300m on cost of most expensive drug The NHS is set to save a record £300m after negotiating deals with five manufacturers on low-cost versions of the health service’s most costly drug.

The saving – the biggest in NHS history from a single drug negotiation – could pay for 11,700 more community nurses or 19,800 more breast cancer treatments for patients.

The deal has come about through the introduction of “biosimilar” versions of adalimumab, which is prescribed to more than 46,000 patients for hospital-treated, serious conditions such as rheumatoid arthritis, inflammatory bowel disease and psoriasis. The Independent

NHS to look into deaths of 100,000 mental health patients a year

NHS to look into deaths of 100,000 mental health patients a year The NHS is to start investigating the deaths of more than 100,0000 mental health patients a year in a drive to cut the number of fatalities linked to poor care.

England’s 54 specialist mental health trusts have been told to start looking into every death in an effort to learn from mistakes.

In future they should more fully investigate cases in which the patient may have received poor or unsafe care, especially if they had bipolar disorder or an eating disorder. The Guardian

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Thyroid patients left to battle weight gain as NHS bosses refuse to pay for crucial medication

Thyroid patients left to battle weight gain as NHS bosses refuse to pay for crucial medication Patients suffering from thyroid conditions are being routinely abandoned to gain weight because NHS bosses refuse to pay for unnecessarily expensive life-changing drugs, a report has found.

An investigation commissioned by the Department of Health and Social Care reveals potentially thousands of patients are being left to battle excess weight as well as diabetes, depression and heart problems because of the back-door rationing. The Daily Telegraph

Monday, 26 November 2018

Northampton-based crisis response team praised by watchdog for 'respectful, cheery staff'

Northampton-based crisis response team praised by watchdog for 'respectful, cheery staff'
A Northampton-based crisis team created to treat people in their own homes after falling or suffering an incident has been commended by the health watchdog.

The Crisis Response Team (CRT) - operated by Northamptonshire County Council - has scored a 'good' rating in all areas and has been praised for treating patients with dignity, respect and a 'cheery approach'.

The service was formerly run by Olympus Care Services Ltd, a company which was created by the county council's ex-CEO Paul Blantern to manage key services. Northampton Chronicle & Echo

Medical device rules need 'drastic change' to protect patients

Medical device rules need 'drastic change' to protect patients Urgent and drastic changes to the rules around medical devices, such as pacemakers, are needed to protect patients, according to the Royal College of Surgeons. It wants a register of every device in every patient set up so doctors know if new innovations are causing harm.

An investigation by 58 media organisations has uncovered patients being given implants that were unsafe. The government said it would look at what changes may be required. Medical devices range from implanted contraceptives to hip replacements to pacemakers in the heart. BBC News - Health

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NHS saves record £300 million by switching to cheaper arthritis drug

NHS saves record £300 million by switching to cheaper arthritis drug The NHS is set to save a record £300 million after negotiating deals with five manufacturers on low-cost versions of the health service's most costly drug.

The saving - the biggest in NHS history from a single drug negotiation - could pay for 11,700 more community nurses or 19,800 more breast cancer treatments for patients.

The deal has come about through the introduction of "biosimilar" versions of adalimumab, which is prescribed to more than 46,000 patients for hospital-treated, serious conditions such as rheumatoid arthritis, inflammatory bowel disease and psoriasis. The Telegraph

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NHS facing huge shortfall without Treasury injection

NHS facing huge shortfall without Treasury injection Inflation since government’s funding pledge in the summer means billions more may be needed

The NHS risks ending up with billions of pounds less than anticipated from the government’s flagship funding pledge unless it can secure a further cash injection from the Treasury, it has emerged.

Theresa May announced in the summer that funds for NHS England would be boosted by £20.5bn by 2023-24, in an intervention designed to calm concerns about the pressures on the service and to improve cancer and mental health services. But there are now concerns that an increase in inflation since the pledge was made will see a “substantial” shortfall. The Guardian

Mental health stigma in schools: helping young people access support

Mental health stigma in schools: helping young people access support Lucinda Powell considers a recent systematic review of qualitative evidence on stigma related to targeted school-based mental health interventions. The review provides some interesting findings and useful strategies, given the recent UK government announcement that they are backing plans to make specialist mental health provision available in schools. Mental Elf

Government launches new strategy for veteran support

Government launches new strategy for veteran support A new ten-year strategy has been launched focusing on the UK-wide support of veterans.


Launched only days after the 100th anniversary of Armistice Day, the strategy outlines a new vision and principles in support of those who have served in the UK Armed Forces and their families. NHS Employers

Proposed changes to NMC language test requirements

Proposed changes to NMC language test requirements The Nursing and Midwifery Council (NMC) will consider proposed changes to the requirements for overseas nurses taking the International English Language Test System (IELTS) in its council meeting on 28 November.

The NMC has received feedback that despite being able to communicate to a high level in English, many nurses and midwives taking the IELTS test were just missing out on achieving a level 7.

Under the proposal, nurses and midwives will still be required to achieve a minimum overall level 7 in the ILETS test, but a level of 6.5 in writing alongside a level 7 in reading, listening and speaking will be accepted. NHS Employers

Survey charts decline of community mental health services

Survey charts decline of community mental health services People’s experiences of the care they receive from community-based mental health services have continued to deteriorate, according to an annual survey from the Care Quality Commission (CQC). Care Quality Commission (CQC)

Friday, 23 November 2018

Pioneering heart procedure performed at KGH

Pioneering heart procedure performed at KGH A new procedure to treat calcified heart arteries using sonic pressure waves has been performed at Kettering General Hospital for the first time.

Consultant interventional cardiologist Dr Prashanth Raju, assisted by cardiology registrar Dr Abdelmunam Tumy, performed the Shockwave Coronary Intravascular Lithotripsy on Wellingborough man Jack Hadley earlier this month. Northamptonshire Telegraph

'Unsafe' Northampton care home failed to notice when residents were poorly or sick, inspectors say

'Unsafe' Northampton care home failed to notice when residents were poorly or sick, inspectors say
Northampton care home where staff failed to notice or take action when its elderly residents were poorly has been branded 'unsafe' by the health watchdog.

In the past two years, Pytchley Court Nursing Home, in Brixworth, has failed to meet standards despite inspectors visiting five separate times to tell them how to improve.

But in its newest report published last week (November 12), the home has now slipped into an 'inadequate' rating after the CQC found repeated failures to make sure its residents were safe. Northampton Chronicle and Echo

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Prevention is better than cure – except when it comes to paying for it

Prevention is better than cure – except when it comes to paying for it We welcome Matt Hancock’s signal and intent that prevention will be one of three priorities distinguishing his time as Secretary of State for Health and Social Care. The policy paper, Prevention is better than cure recognises the complex factors that drive population health and announces a Green Paper to come next year. It also sets out a long list of existing government actions and commitments but stops short of committing to anything new in the short term. The King's Fund

Guidance for trusts on homelessness referrals

Guidance for trusts on homelessness referrals On 1 October 2018, the Homelessness Reduction Act 2017 introduced a new legal duty on some public services to refer service users they consider may be homeless or threatened with homelessness to a local housing authority.

This guidance provides an overview of the duty to refer for NHS staff, including how to make a referral to a local authority. Department of Health and Social Care

October flu figures show 6,000 more staff get their flu jab

October flu figures show 6,000 more staff get their flu jab Public Health England have today released the first figures for the 2018/19 flu season showing that 6,785 more frontline healthcare workers received the flu vaccine from 1st September 2018 to 31st October 2018 compared to the same period last year. NHS Employers

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Why catching cancer earlier is so important

Why catching cancer earlier is so important A leading cancer expert says making treatment more straightforward for patients is the key to catching tumours early and improving survival rates.

In future, all potential cancer patients - whether having obvious signs or less clear symptoms - will be treated by the same route, rather than being on two different paths.

The NHS in Wales will be the first health service in the UK to do it this way. BBC News

Youth mental health - what's going on?

Youth mental health - what's going on? Nearly one in four young women has some form of mental illness, a new NHS report has found. LGBT teens are also much more at risk.

The findings are based on a survey of more than 9,000 young people in England, the first update of the report in 13 years.

Overall, among children aged five to 15, one in nine had a mental health disorder, up from one in 10 in the previous study. BBC News

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FGM aid: New £50m package to protect millions of girls from female genital mutilation around world

FGM aid: New £50m package to protect millions of girls from female genital mutilation around world Britain will ramp up efforts to end the devastating practice of female genital mutilation (FGM) with a £50m aid package to end the abuse of women and girls around the world.

Penny Mordaunt, the international development secretary, announced a cash boost to local projects across Africa over the next five years, as part of efforts to end the practice by 2030.

FGM, which refers to any procedure to alter female genital organs for non-medical reasons, can cause infection, scarring, childbirth complications and mental trauma. The Independent

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Life expectancy falling for women in poorest areas of England

Life expectancy falling for women in poorest areas of England The life expectancy of women in the most deprived areas of England is falling, new research has revealed.

Previous research has shown those in more affluent areas have a greater life expectancy than those in poorer ones, but researchers have found the gap is widening, with experts saying lives are being lost to preventable and treatable diseases as a result of rising poverty.

The team say the growing gap is probably down to a combination of factors, including the relatively high price of healthy food and difficulty accessing healthcare – factors they say have been exacerbated by issues such as the gig economy and austerity policies. The Guardian

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Internet may be fuelling hypochondria after ‘Google diagnoses’ surge by more than 8,700% in 3 years

Internet may be fuelling hypochondria after ‘Google diagnoses’ surge by more than 8,700% in 3 years Britons are turning to Google more than 100,000 times a year to self-diagnose and find cures, new research shows.

UK search volumes for terms such as 'how to know if chest pains are serious' have risen by 8,781 per cent from 2015 to 2018, analysis of Google data has found.

It raises concerns that searching symptoms online is fueling hypochondria.

Searches for treatment for sciatica, acne and IBS have been the most common ovver the past three years. The Daily Mail

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Thousands of lung-cancer patients will get access to a life-saving treatment on the NHS

Thousands of lung-cancer patients will get access to a life-saving treatment on the NHS NHS drugs watchdog NICE gave the green light to a pilot of the treatment, making available to more than 3,000 patients over the next 18 months. It may then become a routine therapy. The Daily Mail

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Thursday, 22 November 2018

Winners of 2018 HSJ Award for Provider Trust of the Year revealed - Northamptonshire Healthcare

Winners of 2018 HSJ Award for Provider Trust of the Year revealed - Northamptonshire Healthcare No one could accuse leaders at Northamptonshire Healthcare FT of setting their sights low. The overall aim is to support change and growth both locally and on a national scale. Individual goals include demonstrably changing cultures to influence care; delivering innovations that change lives; staying financially robust in a challenged climate; and developing strong partnership working. Health Service Journal

Ketamine: Can it treat depression?

Ketamine: Can it treat depression? Ketamine has a reputation as a party drug but a handful of clinics in the UK now legally offer it as a treatment for the most severe types of depression.

BBC Like Minds meets two patients who have regular infusions, as all other treatments have failed. Featuring staff and patients at Northamptonshire Healthcare NHS Foundation Trust. BBC News

Record NHS funding to give patients a better alternative to hospital

Record NHS funding to give patients a better alternative to hospital More NHS patients will be cared for at home and in their community to avoid them going into or staying in hospital unnecessarily, Theresa May announced.

Ahead of a visit to a north London health centre she pledged to cut needless hospital admissions and help inpatients return home sooner – through community-based rapid response teams and dedicated support for care home residents. Department of Health and Social Care

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