Friday, 12 July 2019

Change or collapse: lessons from the drive to reform health and social care in Northern Ireland

Change or collapse: lessons from the drive to reform health and social care in Northern Ireland  The health and social care system in Northern Ireland has seen seven fundamental reviews setting out major changes of direction in the last 20 years. Each has delivered a similar verdict: the country needs to reduce its reliance on hospitals, centralise some services for a critical mass at a smaller number of sites, and focus more on prevention and keeping people healthy. This report examines the factors that may be helping or hindering efforts to improve the health and social care system in Northern Ireland today. It aims to be of interest to health leaders across different countries, especially in the rest of the UK. The King's Fund
Report

Improving cyber security in the NHS

Improving cyber security in the NHS This white paper from the Institute of Global Health Innovation finds that the NHS remains vulnerable to cyber-attack, and must take urgent steps to defend against threats which could risk the safety of patients. It outlines a number of key measures for NHS trusts to implement in order to increase cyber resilience. These initiatives include employing cyber security professionals in their IT teams, building ‘fire-breaks’ into their systems to allow certain segments to become isolated if infected with a computer virus, and having clear communication systems so staff know where to get help and advice on cyber security.
White paper
More detail

Chief people officer: Prioritise NHS staff for mental healthcare

Chief people officer: Prioritise NHS staff for mental healthcare  The NHS’ chief people officer has said NHS staff should be prioritised for receiving mental healthcare because of the “stressful” nature of the job. Prerana Issar, who started as chief people officer for NHS England and Improvement in April, proposed the idea during a Twitter chat earlier this week about how to make the NHS a great place to work. Health Service Journal

Former health minister rejoins controversial drug maker's PR agency

Former health minister rejoins controversial drug maker's PR agency  James O’Shaughnessy’s employer represents firm refusing to cut price of cystic fibrosis drug. Former health minister James O’Shaughnessy has rejoined the PR consultancy Portland, whose clients include a US drug company which is refusing to drop the price of an important cystic fibrosis drug to a level the NHS can afford.
Lord O’Shaughnessy had dealings with the company, Vertex, while he was a health minister from 2016 until December last year. In April last year, he wrote a letter to the company, with fellow minister Steve Brine, asking it to negotiate a “responsible and proportionate” price for the drug Orkambi. The Guardian

Government launches new training scheme to help teachers spot difference between pupil stress and mental health issues

Government launches new training scheme to help teachers spot difference between pupil stress and mental health issues Teachers risk mistaking exam stress for mental health issues, as the Department for Education launches a new training scheme to help them spot the difference. One representative from every state school in the country will be offered a mental health training workshop as part of a £9.3 million Government scheme.
Jaime Smith, director for mental health and wellbeing in schools at the Anna Freud National Centre for Children which will oversee the training, said that the pilot, which ran in 1,500 schools, showed that the training improved teachers' understanding about “what they can do to keep children in schools and support them in schools before referring onto specialist services, so only making that referral when it’s necessary”.
Ms Smith added that teachers need to “understand the difference” between a clinical diagnosis when someone might suffering from something serious, to normal levels of stress. The DfE has already published new guidance on mental health and behaviour in schools, in which teachers are encouraged to refer children on to external specialists if they display symptoms of mental health issues. The Telegraph

Record numbers struggle to see GP - and most can't see the one they want 

Record numbers struggle to see GP - and most can't see the one they want  Most patients who want to see their own GP can no longer get an appointment with them, according to new figures suggesting the days of the family doctor are over.

The statistics show record numbers of patients struggling to even get through on the telephone, and increasingly long waits for an appointment. For the first time, the majority of patients who wanted to see a particular doctor were unable to do so, the survey of more than 770,000 patients shows. The Telegraph

Thursday, 11 July 2019

Special delivery! Parents reunited with midwives after baby Adara born in Northampton General Hospital car park

Special delivery! Parents reunited with midwives after baby Adara born in Northampton General Hospital car park At about 6am Shannon quickly called Northampton General Hospital who advised the couple to wait a little while longer but come 8.15am Shannon was close to giving birth. Northampton Chronicle and Echo

NHS rolls out staff retention scheme as part of the Long Term Plan

NHS rolls out staff retention scheme as part of the Long Term Plan A scheme that has helped keep more than a 1,000 nurses, midwives and other clinicians in the NHS will be rolled out to cover staff working in general practice as well as hospitals, the NHS announced today. A ‘transfer window’ lets staff move within the NHS between areas while developing new skills. Rewards from local businesses like discount gym membership and targeted mentoring for new joiners are among the incentives used to keep them. NHS England

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Disability, mental health and wellbeing support in DHSC: workforce report 2019

Disability, mental health and wellbeing support in DHSC: workforce report 2019 The Department of Health and Social Care's (DHSC) first annual workforce report on disability, mental health and wellbeing. The voluntary report sets out work the department is doing to support staff and promote good practice around disability, mental health and wellbeing. GOV.UK

LGA charts growing impact of health and wellbeing boards

LGA charts growing impact of health and wellbeing boards This report highlights how health and wellbeing boards (HWBs) are making a real difference through a wide range of initiatives, including reducing hospital admissions and time spent in hospital, reducing demand for GP appointments, helping thousands of smokers to quit, imposing restrictions on fast food outlets near schools, and reducing unemployment, poverty and poor housing. NHS Networks

Daily drink of fruit juice can increase the risk of cancer by 12%, major study suggests

Daily drink of fruit juice can increase the risk of cancer by 12%, major study suggests The findings, from a major study in France, come a week after Boris Johnson said he may reverse the sugar tax on drinks. Doctors said it should serve as a warning to the Government to take action. Mail Online

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After days visiting my sick dad, I am in awe of the compassion of hospital staff | Adrian Chiles

After days visiting my sick dad, I am in awe of the compassion of hospital staff | Adrian Chiles If I knew how to sculpt, I would carve statues to Redditch’s clinicians and cleaners

I have been in hospital in Redditch all week. My dad has not been well and I am proving myself to be a loyal but not especially competent carer, lacking as I do patience, bravery and basic organisational skills. The Guardian

Hackers 'could target anaesthetic devices'

Hackers 'could target anaesthetic devices' A type of anaesthetic machine that has been used in NHS hospitals can be hacked and controlled from afar if left accessible on a hospital computer network, a cyber-security company says.

A successful attacker would be able to change the amount of anaesthetic delivered to a patient, CyberMDX said. Alarms designed to alert anaesthetists to any danger could also be silenced. GE Healthcare, which makes the machines, said there was no "direct patient risk". BBC News

Is an ounce of prevention worth a pound of cure? Estimates of the impact of English public health grant on mortality and morbidity

Is an ounce of prevention worth a pound of cure? Estimates of the impact of English public health grant on mortality and morbidity Most previous attempts to estimate the marginal productivity of English health care expenditure have employed instruments that rely on statistical tests alone for their justification. A new approach to instrumentation has proposed the use of ‘funding rule’ variables as instruments, which can be justified on theoretical grounds. This paper exploits the availability of a funding formula for local authority (LA) public health expenditure in England to investigate the relationship between such expenditure and mortality. King's Fund Management and Policy Alert

Wednesday, 10 July 2019

Ellie's 18th birthday fundraiser wish comes true as 150 gifts for Northampton's poorly children flood in

Ellie's 18th birthday fundraiser wish comes true as 150 gifts for Northampton's poorly children flood in
A former Northampton hospital patient was inspired to set up a special birthday campaign to celebrate her 18th - and saw 150 presents donated to the children's ward.

Ellie Waters published a tweet in March appealing for toys to be donated to the Northampton General Hospital Children's ward, as part of her 18th birthday wishlistNorthampton Chronicle and Echo

Amazon Alexa offering NHS health advice

Amazon Alexa offering NHS health advice People will be able to get expert health advice using Amazon Alexa devices, under a partnership with the NHS, the government has announced.

From this week, the voice-assisted technology is automatically searching the NHS Choices website when UK users ask for health-related advice.

The Department of Health in England said it could reduce demand on the NHS.

Privacy campaigners have raised data protection concerns but Amazon say all information will be kept confidential. BBC News

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CNO to enrol 14 trusts on global nursing excellence scheme

CNO to enrol 14 trusts on global nursing excellence scheme The chief nursing officer for England has announced plans to put 14 NHS trusts through an internationally-recognised programme that aims to create a positive working environment for nursing staff.

Dr Ruth May said she wanted trusts to take part in the Pathway to Excellence scheme to help create a culture where nursing and midwifery professionals at all levels were involved in the decision-making process, ensuring ”collective ownership” in developing and improving practice. Nursing Times

NHS creating its own 'G-Cloud' for digital services

NHS creating its own 'G-Cloud' for digital services The NHS is in the process of creating an organisation-wide procurement framework for IT services, similar to the G-Cloud digital marketplace set up for Central Government.

NHS CIO Will Smart admitted that it's unusual for the NHS to make any organisation-wide purchases, but admitted that it is setting up a system to enable it to negotiate better deals with suppliers. www.computing.co.uk

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How is the NHS performing? July 2019 quarterly monitoring report

How is the NHS performing? July 2019 quarterly monitoring report Since April 2011, The King’s Fund has published a quarterly monitoring report (QMR) to track, analyse and comment on the issues the health and care system is facing. This is the 28th QMR, which takes stock of what has happened over the past few months with NHS financial and operational performance in England. King's Fund

Vape shops open in two UK hospitals to help smokers kick the habit

Vape shops open in two UK hospitals to help smokers kick the habit Vape shops have opened in two NHS hospitals in the West Midlands as part of efforts to eradicate smoking.

The outlets run by Ecigwizard are at Sandwell general hospital in West Bromwich and Birmingham city hospital, both of which are run by Sandwell and West Birmingham hospitals NHS trust.

The trust is clamping down on smoking on its grounds, with people being issued £50 fines since 5 July if they light up. Security cameras are also being used to police smoking. The Guardian

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NHS fees: 'Couple couldn't take baby's body home'

NHS fees: 'Couple couldn't take baby's body home' Charging overseas patients for NHS care in England must be suspended until it is clear it is not harming women, the Royal College of Midwives has said.

A couple whose baby died following an emergency Caesarean were not given the body as they were unable to pay £10,000 in medical fees, one doctor has said.

Joe Rylands said the expansion of charging had caused "disbelief" among many colleagues.

The Department of Health said the charges had raised £1.3bn since 2015. BBC News

Promoting professionalism, reforming regulation: government response to the consultation

Promoting professionalism, reforming regulation: government response to the consultation Department of Health and Social Care -
The original consultation set out proposals to make professional regulation faster, simpler and more responsive to the needs of patients, professionals, the public and employers. In this response, the government states it will take forward legislative changes to the regulators’ fitness to practise processes and operating framework. It believes these changes will deliver: modern and efficient fitness to practise processes; better supported professionals; and more responsive and accountable regulation. King's Fund

Neuro patience: still waiting for improvements in treatment and care

Neuro patience: still waiting for improvements in treatment and care Neuro Patience presents the findings of the 2018/19 National Neurology Patient Experience Survey. The report covers three main themes – accessible, personalised and holistic care and support (which includes social care, mental health and financial security). Overall the 2018/19 results show that people’s experiences remain poor. The Neurological Alliance

Nurses will be offered supermarket discounts to persuade them to stay in the NHS  

Nurses will be offered supermarket discounts to persuade them to stay in the NHS Nurses will be offered supermarket discounts and cheap gym membership as part of efforts to persuade workers stay in the NHS, health chiefs will say.

Simon Stevens, head of the health service, will call for the wider rollout of schemes which have given staff savings of up to £1,000 a year on their shopping.

The plans will see nurses, midwives and other clinical workers offered access to promotions and discounts, in a bid to encourage staff loyalty. The Telegraph

Tuesday, 9 July 2019

HPV vaccine could prevent over 100,000 cancers

HPV vaccine could prevent over 100,000 cancers Estimates suggest that the HPV vaccine programme could prevent over 64,000 cervical cancers and nearly 50,000 non-cervical cancers by 2058.From September 2019, boys in school year 8 will be offered the free Human Papilloma Virus (HPV) vaccine for the first time. GOV.UK

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New guidance calls on NHS to embed a learning and just culture to support staff, patients and carers

New guidance calls on NHS to embed a learning and just culture to support staff, patients and carers Challenging the NHS’ workplace culture is key to improving patient safety says NHS Resolution in their latest guidance.

Being fair: supporting a just and learning culture for staff and patients following incidents in the NHS highlights the need for the NHS to involve users of care services and staff in safety investigations.

The paper draws on NHS Resolution’s unique dataset to explore best practice in response to incidents resulting from claims from across the system. NHS Resolution received 317 claims valued at close to £27.5 million in the past four years relating to staff stress and bullying in NHS trusts. NHS Resolution

NHS Providers welcomes manageable workloads progress, but calls for NHS education investment - National Health Executive

NHS Providers welcomes manageable workloads progress, but calls for NHS education investment - National Health Executive NHS Providers welcomes manageable workloads progress, but calls for NHS education investment.

NHS Providers deputy chief executive Saffron Cordery has welcomed a report published by the General Medical Council on the results of their national training surveys which suggested progress towards more manageable workloads was happening, though still called for further investment into NHS education. National Health Executive

'Amazing' gene-silencing drugs reach NHS

'Amazing' gene-silencing drugs reach NHS A new form of medicine called "gene-silencing" has been approved for use by the NHS in England.

The drugs will be used to reverse a disease called amyloidosis, which causes nerve and organ damage. It can be fatal. BBC News - Health

Healthcare for people leaving an immigration removal centre: guidance for NHS providers

Healthcare for people leaving an immigration removal centre: guidance for NHS providers Department of Health and Social Care (DHSC) - This guidance is for NHS providers, including immigration removal centre (IRC) healthcare staff. It explains the entitlements and access to NHS care for people who are leaving an IRC and moving into the community. King's Fund Health Management and Policy Alert

The role of the GP in caring for gender-questioning and transgender patients

The role of the GP in caring for gender-questioning and transgender patients The RCGP has published an overview of the main issues facing gender-questioning and transgender patients, general practice and the broader health system. NHS Networks



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Patients face long wait to see benefits from NHS funding boost

Patients face long wait to see benefits from NHS funding boost New analysis from The King’s Fund suggests that patients face a long wait before they will see improvements in care as a result of the government’s £20 billion NHS funding boost. The King's Fund

Monday, 8 July 2019

Questions over decision to appoint part-time boss of struggling Leicestershire Partnership NHS Trust - Leicestershire Live

Questions over decision to appoint part-time boss of struggling Leicestershire Partnership NHS Trust Health campaigners have questioned the decision to appoint a part-time chief executive to a failing Leicestershire health trust.

Angela Hillery has been hired to replace retiring chief of Leicestershire Partnership NHS Trust, Dr Peter Miller, and faces the challenging task of overturning a recent CQC report which highlighted multiple failings within the trust.

Ms Hillery will stay in post at Northamptonshire Healthcare NHS Foundation Trust - a trust rated outstanding by the CQC - while carrying out the role.

Health campaigners have questioned the move saying it is unrealistic to expect the required level of change while maintaining standards across the border in Northamptonshire. Leicestershire Live

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UK plans £3m no-deal medicine transport

UK plans £3m no-deal medicine transport The Department of Health and Social Care plans to spend £3m on no-deal Brexit measures to transport medication.

It wants to hire an "express freight service" to transport medicines, blood and transplant tissue.

But experts have warned that the deadline of 1 September set for the deal is a "tight" timeframe.

The government's current plan is to leave the EU on 31 October, with or without a trade deal. BBC News

NHS is out and proud for Pride

NHS is out and proud for Pride Hundreds of thousands of NHS staff are set to join Pride celebrations across the country this weekend and throughout summer.

Ahead of London Pride today (Saturday) the NHS has confirmed that more than 200 hospitals are launching dedicated schemes that support lesbian, gay, bisexual and transgender (LGBT+) communities.

As many as 150,000 doctors, nurses, cleaners, surgeons, midwives and other health service staff are taking up a new Rainbow Badge initiative which gives staff the opportunity to show their support for LGBT+ patients and staff. NHS England

NHS operations cancelled in standoff with consultants

NHS operations cancelled in standoff with consultants Hospitals are having to cancel operations and cancer scans are going unread for weeks because consultant doctors have suddenly begun working to rule in a standoff over NHS pensions.

Doctors say the dispute is escalating so quickly that it will send NHS services “into meltdown” and is so serious that it poses “an existential threat” to the health service’s survival. The Guardian

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NHS should ban bell-ringing ceremonies celebrating end of cancer treatment, charity says

NHS should ban bell-ringing ceremonies celebrating end of cancer treatment, charity says
The NHS should scrap bell-ringing ceremonies celebrating the end of cancer treatment, because it is a "kick in the teeth" for those still suffering, a patient battling the disease has said.

The bell-ringing ritual at the end of chemotherapy or radiation has become common in hospitals and clinics nationwide in recent years.

Friends and family and staff clap and cheer as the patient reads out a poem before ringing a bell to show they have "beaten" the disease.

The ceremonies, often proudly shared by patients in online videos, originated in the US and now feature at around 200 UK hospitals.

But critics are complaining that the bells are a "divisive and cruel" reminder for incurable patients on wards that they will never get to ring one. The Telegraph

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Commissioning standard for urgent dental care

Commissioning standard for urgent dental care NHS England has published a standard to support the commissioning of consistent patient-centred urgent dental care services that are aligned with other urgent care services. NHS Networks

Game Of Thrones star Emilia Clarke backs new NHS stroke plan

Game Of Thrones star Emilia Clarke backs new NHS stroke plan Game Of Thrones star Emilia Clarke, who suffered a devastating stroke eight years ago, is backing an NHS drive to improve stroke care for young people.

Clarke, who is an ambassador for the Royal College of Nursing (RCN), is supporting a programme to train more nurses to become specialists in neuro rehabilitation.

The plan will improve stroke care for those aged 18 to 40, both in the private sector and the NHS. ITV News

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Right-touch assurance assessment for sonographers

Right-touch assurance assessment for sonographers The Professional Standards Authority (PSA) has published a report considering the most appropriate form of assurance for the role of sonographer, based on an assessment to the risk of harm arising to patients from the practice.

The PSA have concluded that, as most sonographers are qualified nurses and radiographers and are therefore statutorily registered by the Nursing and Midwifery Council (NMC), statutory regulation for this profession is not currently recommended. Although, this could change if the number of people joining the profession through an undergraduate route significantly increases. NHS Employers

Air pollution could shorten a child's life by up to seven months

Air pollution could shorten a child's life by up to seven months  Air pollution could shorten a child's life by up to seven months says the first study conducted since new Government guidelines.

An eight-year-old child born in 2011 may die between two to seven months early if exposed over their lifetime to projected future pollution concentrations, King's College London researchers studying the city of Birmingham have found. It is the first time new Government guidance on "mortality burdens" of air pollution, which was published last August has been applied in practice in a large city area. The Telegraph

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Friday, 5 July 2019

Peers call for NHS-style free social care system and an extra £8bn to tackle funding crisis

Peers call for NHS-style free social care system and an extra £8bn to tackle funding crisis  Peers call for NHS-style free social care system and an extra £8bn to tackle funding crisis. The House of Lords Economic Affairs Committee has challenged the two Tory leadership candidates to create an NHS-style free service in response to rapidly rising demand in social care.

Peers including former Conservative and Labour chancellors have called for an immediate £8bn investment in social care, to tackle the “national scandal” which left 1.4 million older people with unmet care needs last year.
The report suggests introducing free personal care in an NHS-style format which, despite likely proving more expensive than alternatives, will reduce demand for residential care and health care and encourage people to seek home care earlier. National Health Executive

New charter launched to help trusts deal with safety incidents

New charter launched to help trusts deal with safety incidents NHS staff are requiring “significant” amounts of support after being involved in patient safety incidents, prompting a national body to draw up a new charter for how trusts should respond.
The “Being Fair” charter has been created by NHS Resolution (formerly the NHS Litigation Authority) in a bid to ensure trusts respond to incidents in a way that is fair to both the patient and staff involved, and that errors are not repeated. Health Service Journal

How private hospitals use financial incentives to lure doctors

How private hospitals use financial incentives to lure doctors This report looks into how the private hospital sector uses financial incentives to attract NHS consultants to work for them. NHS Networks

1.8m fewer adult smokers in England in 2018

1.8m fewer adult smokers in England in 2018 The number of adult cigarette smokers in England has dropped by around 1.8m from 7.7m (19.8%) in 20113 to 5.9m (14.4%) in 2018, new official figures show.
The prevalence of adult smokers throughout the UK was 14.7%. Of the constituent countries, England had the lowest (14.4%). Prevalence was highest in Scotland (16.3%), followed by Wales (15.9%) and then Northern Ireland (15.5%) NHS Digital

What a difference a place makes: the growing impact of health and wellbeing boards

What a difference a place makes: the growing impact of health and wellbeing boards This report highlights how health and wellbeing boards (HWBs) are making a real difference through a wide range of initiatives, including reducing hospital admissions and time spent in hospital, reducing demand for GP appointments, helping thousands of smokers to quit, imposing restrictions on fast food outlets near schools, and reducing unemployment, poverty and poor housing. King's Fund
Report

Social care funding: time to end a national scandal

Social care funding: time to end a national scandal This report finds that publicly funded social care support is shrinking, as diminishing budgets have forced local authorities to limit the numbers of people who receive public funding. It recommends that the Government immediately spends £8 billion to restore social care to acceptable standards and then introduces free personal care over a period of five years. King's Fund
Report
Economic Affairs Committee - news

There is an alternative: ending austerity in the UK

There is an alternative: ending austerity in the UK The global financial crisis of 2007/08 had a significant impact on the UK’s public finances. Since 2010/11, successive UK governments have chosen to impose a programme of austerity in an attempt to reduce the budget deficit. However, there is a growing consensus that austerity has failed economically, fiscally and socially. This report argues that the state must have a bigger role – and must invest more – in four ‘social deficits’, including health inequalities and mental health. King's Fund
Report
Institute for Public Policy Research - publications

Majority of hospitals using NICE endorsed sepsis tools, finds report

Majority of hospitals using NICE endorsed sepsis tools, finds report The vast majority of NHS hospitals in England are using officially endorsed clinical tools designed to improve the response to life-threatening sepsis, new research has found.
However, MPs and campaigners say more still needs to be done to raise awareness of the “hugely under-acknowledged” condition among healthcare professionals and the public in order to boost survival rates. Nursing Times

“Worryingly high” number of people infected with latent form of drug resistant TB 

“Worryingly high” number of people infected with latent form of drug resistant TB  More than 19 million people around the globe are infected with one of the most complex forms of dormant tuberculosis, threatening efforts to control the fatal disease, researchers have warned.

In the first study to estimate the number of people living with latent multi-drug resistant tuberculosis (MDR-TB), published in Lancet Infectious Diseases, experts found that three people in every 1,000 carry the hard-to-treat bacteria – a “worryingly high” figure that “threatens elimination goals”. The Telegraph

Thursday, 4 July 2019

Dedication and 'infectious enthusiasm' earn Northampton nurses national recognition

Dedication and 'infectious enthusiasm' earn Northampton nurses national recognition Two nurses from Northampton General Hospital have earned on the highest healthcare awards available for going above and beyond the expectations of their role.

Holly Slyne and Gillian Smith are among some of the first nurses nationally to receive the Chief Nursing Officer silver award.

The award and two bespoke badges were presented to them during a visit to the hospital in June from Susan Aitkenhead, deputy Chief Nursing Officer. Northampton Chronicle & Echo

Health campaigners question whether Northamptonshire health trust boss can take on a second job

Health campaigners question whether Northamptonshire health trust boss can take on a second job Health campaigners have questioned the decision to appoint a part-time chief executive to a failing Leicestershire health trust.

Angela Hillery has been hired to replace retiring chief of Leicestershire Partnership NHS Trust, Dr Peter Miller, and faces the challenging task of overturning a recent CQC report which highlighted multiple failings within the trust.

But Ms Hillery will stay in post at Northamptonshire Healthcare NHS Foundation Trust - a trust rated outstanding by the CQC - while carrying out the role.Northampton Chronicle & Echo

Stronger evidence needed to improve confidence in medicinal cannabis

Stronger evidence needed to improve confidence in medicinal cannabis Despite the rescheduling of medicinal cannabis, very few prescriptions have been issued. One of the many reasons for this is because of the gaps in the evidence base.

Most forms of medicinal cannabis are unlicensed and do not have NICE approval, says the Health and Social Care Committee report on Drugs policy: medicinal cannabis. Commons Select Committee: Parliament UK

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Physical activity helps children to deal with life’s challenges

Physical activity helps children to deal with life’s challenges  Public Health England, Disney UK and Sport England launch new Change4Life campaign to inspire children to get more active. A new survey from Change4Life and Disney UK has found that less than half of parents are aware that physical activity can build children’s self-confidence (49%), reduce anxiety (47%) and improve their self-esteem (46%). Just 16% (1 in 6) think that physical activity can help children develop attributes which make it easier to cope with life’s little set-backs. GOV.UK

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Alcohol abuse affects one in five UK inpatients, study suggests

Alcohol abuse affects one in five UK inpatients, study suggests One in five people admitted to a UK hospital drinks alcohol in a harmful way and one in 10 depends on it, a study suggests.

King's College London researchers want people with issues caused by drinking to be screened. They are also calling for more trained staff to give support.

Alcohol can cause a large number of medical conditions, which costs the NHS in the UK around £3.5bn a year. BBC News - Health

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Health of older people suffering in poor housing, MPs warn

Health of older people suffering in poor housing, MPs warn More than 2 million older people are suffering physical and mental ill health and even death as a consequence of living in substandard and non-accessible homes, according to a cross-party group of MPs.

Substandard housing costs the NHS £1.4bn every year with cold, damp and other hazards causing falls and exacerbating conditions such as heart disease, strokes, respiratory illnesses and arthritis as well as contributing to poor mental health, according to an in-depth inquiry by the all-party parliamentary group for ageing and older people. The Guardian

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Making the right choices: using data-driven technology to transform mental healthcare

Making the right choices: using data-driven technology to transform mental healthcare This report examines the current landscape of data-driven technologies and their applications in mental health care, highlighting areas where these tools offer the most potential for the NHS and its patients. It discusses what makes mental health different from other areas of health, and the implications this has for the application of data-driven tools. It also examines barriers to implementation, and proposes ways to move forward. King's Fund - Health Management and Policy Alert

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How good are hospitals at treating 'hidden killer'?

How good are hospitals at treating 'hidden killer'? Patients' lives are being put at risk because of delays giving them treatment for sepsis, experts are warning.

Hospitals are meant to put patients on an antibiotic drip within an hour when sepsis is suspected - but research by BBC News suggests a quarter of patients in England wait longer.

Delays raise the chance of potentially fatal complications such as organ failure. But NHS England said there were signs performance was improving. And it said hospitals were getting better at spotting those at risk sooner. BBC News - Health

Children’s hospices to receive £25 million a year as part of NHS Long Term Plan

Children’s hospices to receive £25 million a year as part of NHS Long Term Plan Funding for children’s hospices will rise to £25 million a year, NHS England has pledged. Medical advances mean the NHS can help seriously ill children and young people with more complex health issues live longer, more fulfilling lives. NHS England’s hospice grant programme currently provides £12 million a year for children’s hospices, helping to provide care and support to children and their families close to home in their final days. NHS England

Wednesday, 3 July 2019

Teamwork praised at Northampton General Hospital in CQC inpatient survey

Teamwork praised at Northampton General Hospital in CQC inpatient survey Patients staying overnight in Northampton General Hospital have rated the hospital 7.9 out of 10 for their experience of care.

The inpatient survey, which took place in July 2018, asked nearly 500 Northampton patients who had recently stay overnight to score the hospital over their experiences. Northampton Chronicle and Echo

Pregnant smokers warned of ‘potentially deadly risks’

Pregnant smokers warned of ‘potentially deadly risks’More than 61,000 women still smoking last year at time they gave birth, NHS England says

Women who smoke during pregnancy are endangering themselves and their baby, NHS England has warned, as figures show more than one in 10 continue to use cigarettes.

The trend in pregnant women and the stubbornly higher rates of smoking among the least affluent groups in society trouble experts, even though the latest data shows the overall smoking rate is at an all-time low. The Guardian

NHS must take urgent steps to defend against hackers, says White Paper | Imperial News - Imperial College London

NHS must take urgent steps to defend against hackers, says White Paper | Imperial News - Imperial College London SAFE SPACE - The NHS remains vulnerable to cyber-attack, and must take urgent steps to defend against threats which could risk the safety of patients. Imperial College London

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Advisory council set up to make the most of an ageing society

Advisory council set up to make the most of an ageing society A new council of specialists from across society, the UK Longevity Council, will advise how best to use innovations in technology, products and services to improve the lives of our ageing population. NHS Networks

Obesity 'causes more cases of some cancers than smoking'

Obesity 'causes more cases of some cancers than smoking' Obesity now causes more cases of four common cancers in the UK than smoking, according to a charity.

Cancer Research UK says bowel, kidney, ovarian and liver cancers are more likely to have been caused by being overweight than by smoking tobacco. BBC News - Health

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Facebook announces crackdown on misleading health content

Facebook announces crackdown on misleading health content Facebook is cracking down on posts pushing miracle cures, misleading health claims and weight-loss pills.

The social media giant announced yesterday that it is altering its algorithm to suppress such "sensational" content in users news feeds.

The move comes as Facebook faces mounting pressure in the UK and abroad to stop the spread of damaging health conspiracies on its site. The Telegraph

Obesity 'causes more cases of some cancers than smoking'

Obesity 'causes more cases of some cancers than smoking' Obesity now causes more cases of four common cancers in the UK than smoking, according to a charity.

Cancer Research UK says bowel, kidney, ovarian and liver cancers are more likely to have been caused by being overweight than by smoking tobacco.

It says millions are at risk of cancer because of their weight and that obese people outnumber smokers two to one. BBC News - Health



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Personalised care for veterans - guidance for CCGs and councils

Personalised care for veterans - guidance for CCGs and councils NHS England has set out details of a new personalised care approach for those veterans who have a long-term physical, mental or neurological health condition or disability. NHS Networks

The role of the GP in caring for gender-questioning and transgender patients

The role of the GP in caring for gender-questioning and transgender patients This paper provides an overview of the key issues facing gender-questioning and transgender patients, general practice and the broader health system. It establishes the RCGP’s position on the role of a GP in providing care to patients experiencing gender dysphoria, the policy principles underpinning this position and recommendations for ensuring these patients receive equal access to the highest standard of care. King's Fund Health Management and Policy Alert

The NHS Patient Safety Strategy

The NHS Patient Safety Strategy Patient safety is about maximising the things that go right and minimising the things that go wrong. It is integral to the NHS’ definition of quality in healthcare, alongside effectiveness and patient experience.

This strategy sets out what the NHS will do to achieve its vision to continuously improve patient safety. NHS Improvement

Dementia

Dementia This updated NICE quality standard, (QS184) covers preventing dementia, and assessment, management and health and social care support for people with dementia. It describes high-quality care in priority areas for improvement. King's Fund Health Management Alert

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Five year plan for MSK health

Five year plan for MSK health Public Health England has published a five-year plan to improve musculoskeletal health with an emphasis on prevention. NHS Networks

Tuesday, 2 July 2019

Northamptonshire MPs call for radical plan to change adult social care and health services

Northamptonshire MPs call for radical plan to change adult social care and health services  Northamptonshire’s MPs have told the county’s health and council bosses that they need to come up with a radical plan to combine health and adult social care if they are going to attract more funds from government.

A model such as the one in Greater Manchester in which health and adult social care are provided by one organisation is being advocated by MPs who yesterday (June 27) met health and council leaders in Westminster to discuss the way out of the current crisis in which 900 patients are currently stranded in hospital beds. Northampton Chronicle and Echo

NHS blunders claiming 11,000 lives every year amid 'blame game' culture

NHS blunders claiming 11,000 lives every year amid 'blame game' culture Eleven thousand patients a year may be dying as a result of NHS blunders amid a "blame game" culture between staff, health chiefs have warned.

A new safety strategy says thousands of lives may be being lost - with older patients most likely to fall victim - because errors are being repeated as medics “close ranks”.

NHS leaders will on Tuesday unveil plans to save 1,000 lives a year within five years, under a radical strategy to ensure all staff - however junior - are trained to act if they spot risks. The Telegraph

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Newly diagnosed cancer patients should be prescribed fitness plans 

Newly diagnosed cancer patients should be prescribed fitness plans Newly diagnosed cancer patients should be given exercise and nutrition plans in order to boost their chances of recovery and survival, charities say.

Experts said that those about to embark on treatment should be given personalised recommendations about their lifestyles, in order to “maximise” their resilience to treatment.

The report by Macmillan Cancer Support, the Royal College of Anaesthetists, the National Institute for Health Research Cancer and Nutrition Collaboration called for the introduction of “prehabilitation" as soon as possible after a diagnosis. The Telegraph

Boys more likely to need help for 'back to school asthma'

Boys more likely to need help for 'back to school asthma' Boys with asthma are twice as likely as girls to visit their GP with worsening symptoms during the first weeks of the new school year, research suggests.

It found a tripling of appointments related to "back to school" asthma in England.

Being exposed to new viruses at school and a relaxed use of inhalers over the holidays could be factors, experts say.

Asthma could turn into "a ticking time bomb" during the summer holidays, Asthma UK said. BBC News

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Why it’s important to review the care of people with dementia

Why it’s important to review the care of people with dementia Healthwatch - As dementia is a degenerative condition, The Care Act states that people are entitled to regular reviews to ensure care meets their changing needs. However, when Heatlhwatch analysed data from 97 local councils, it found people were not getting what they were entitled to. King's Fund

Early cancer detection and survival to be prioritised by NHS

Early cancer detection and survival to be prioritised by NHS Monitoring one-year survival will be central to measuring progress in transforming cancer care, the Health and Social Care Secretary, Matt Hancock, announced today. Screening programmes will be overhauled and diagnosis made faster and more accurate with new state-of-the-art technology as part of a blueprint for rapidly improving cancer detection and survival announced by Matt Hancock.

Speaking in the House of Commons, the Health and Social Care Secretary set out how the NHS will deliver on its commitments to improve early detection of cancer. GOV.UK

NHS unable to guarantee medicines supply in the event of a no deal

NHS unable to guarantee medicines supply in the event of a no deal Plans to transport medicine in the event of a no-deal Brexit must be reactivated 'within the next days or weeks' to prevent shortages, NHS chief executive Simon Stevens has said.

Speaking before the Health and Social Care Committee in the Commons last week (25 June), Mr Stevens said it is 'critical' that transport plans are reactivated as the NHS is 'completely dependent' on additional cross-ferry links. Pulse

Digital GP provider stopped children's appointments after CQC warning - Health Service Journal

Digital GP provider stopped children's appointments after CQC warning - Health Service Journal An online GP provider suspended appointments for under 18s after the Care Quality Commission raised concerns over the sharing of data, the regulator has revealed, but the provider was rated “good” overall.

Inspectors were concerned that parents using the Push Doctor app could prevent consultations from being shared with their child’s NHS GP, according to a CQC report. HSJ

Exclusive: NHS England attempted to alter independent report on child cancer care - Health Service Journal

Exclusive: NHS England attempted to alter independent report on child cancer care - Health Service Journal NHS England engaged in an unprecedented attempt to interfere with an independent clinical body’s report into child cancer services, seeking to have a recommendation on co-location of intensive care services removed, HSJ has learned.

The independent organisation NCEPOD, or National Confidential Enquiry into Patient Outcome and Death, has confirmed it was asked to remove a recommendation from a report published in December.

The charity’s chair Ian Martin told HSJ the body was concerned about the request “as it has never happened before” and he said it put the “independent clinical voice, on which we rely, at risk”.

It is the latest example of NHS England’s attempts to limit wider exposure of clinical concerns around co-location of intensive care services with child cancer units. HSJ

Surrey’s Pregnancy Advice Line to Be Expanded Nationwide

Surrey’s Pregnancy Advice Line to Be Expanded Nationwide To help fulfill its goal of halving maternity-related deaths by 2025, the NHS Long Term Plan aims to expand nationwide the Surrey Heartlands Pregnancy Advice Line, which provides new and expectant mothers guidance on labor, breastfeeding, and other pregnancy-related health problems. The 24-hour advice line, staffed by midwives, averages 126 calls per day and has already helped some 20,000 women in the past year. The Commonwealth Fund

NHS opens first ever cannabis clinic as mind-altering 'skunk' fuels psychosis among users

NHS opens first ever cannabis clinic as mind-altering 'skunk' fuels psychosis among users The NHS has opened the UK’s first ever cannabis treatment clinic in response to soaring levels of “skunk”-induced psychosis.

Users of skunk, an especially potent form of cannabis, are presenting with symptoms of psychosis at an alarming rate according to the psychiatrist leading the pilot clinic based in King’s College London.

Dr Marta Di Forti described cannabis-induced psychosis as a “crisis” which cannot be ignored. Tens of thousands of people are affected she told The Mail on Sunday. The Telegraph

Are you happy to share your health data?

Are you happy to share your health data? From automated eye scans to analysing the cries of new-born babies, faster drug development to personalised medicine, artificial intelligence (AI) promises huge advances in the field of healthcare. But major challenges remain.

At the recent AI for Good Summit in Geneva, Switzerland, we were told how AI could speed up the development of new drugs, lead to personalised medicine informed by our genomes, and help diagnose diseases in countries suffering from underdeveloped health services and a chronic shortage of doctors. BBC News

Homeless people are 60 times more likely to visit A and E

Homeless people are 60 times more likely to visit A and E Research reveals extent of health issues compared with general population in England.

Homeless people in England are 60 times more likely to visit A&E in a year than the general population, according to a study that reveals the extent of health problems among those who sleep rough or are stuck in temporary accommodation. The Guardian

Monday, 1 July 2019

Northamptonshire needs 'radical plan' for bed blocking

Northamptonshire needs 'radical plan' for bed blocking MPs have told a cash-strapped council it needs a "radical plan" to solve its bed blocking crisis. About 900 patients are stuck in Northamptonshire hospitals and the county council has overspent on adult social care by £6m in three months. In a meeting on Thursday, the county's MPs said health and adult social care should be combined to attract more funds. BBC News - Northampton

Fake news putting 50,000 lesbian, gay and bisexual women at risk of cancer

Fake news putting 50,000 lesbian, gay and bisexual women at risk of cancer The common belief that lesbian, gay and bisexual (LGB) women are not at risk of cervical cancer is fake news that has created a dangerous screening gap, the NHS has warned today. Up to 50,000 lesbian, gay and bisexual women have never been for a cervical cancer screening test because they wrongly think they are not at risk NHS England

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'A child can't breathe. The parents hang up before I get the address': my job as a 999 call-taker

'A child can't breathe. The parents hang up before I get the address': my job as a 999 call-taker Talking to suicidal people, care workers trying CPR and patients who want ambulances for back pain is all in a week’s work

Today’s eight-hour shift starts in style. A colleague takes a call from someone who will only swear at her, refusing to answer any questions.The Guardian

Primary Care Networks have undeniable benefits, but there is no 'one size fits all' approach to solving GP pressures, says College

Primary Care Networks have undeniable benefits, but there is no 'one size fits all' approach to solving GP pressures, says College Professor Helen Stokes-Lampard, Chair of the Royal College of GPs, has responded to the launch of Primary Care Networks (PCNs) in England.

She said: "Primary Care Networks are essentially groups of practices working together and aiming to work with other agencies to deliver improved care for patients - and collaboration can have great benefits, particularly at a time when general practice is facing such intense resource and workforce pressures.

"Working in networks should allow general practices to pool clinical and administrative resources, as well as making it easier to introduce truly multi-disciplinary teams - ultimately it should help to free up GPs' time to spend with patients who need us most, and improve access to more integrated services for our communities. Royal College of GPs (RCGP)

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NHS practices join forces to form primary care networks The Guardian

Am I burning out?

Am I burning out? The World Health Organisation has officially recognised burnout - but how do you know if you're suffering from it? BBC News - Health

NHS Long Term Plan Implementation framework

NHS Long Term Plan Implementation framework NHS England and NHS Improvement has published an implementation framework for the NHS Long Term Plan, setting out further detail on how the commitments in that document will be delivered. NHS Networks

New web resource on effective staffing

New web resource on effective staffing A new resource is now available on CQC’s website which explores the approaches taken by a range of health and social care providers to make effective use of their staff.

Through a series of case studies, we highlight what providers have done to address the challenge of providing safe, effective staffing in creative and flexible ways.

While each example is different, they all show action to manage workforce challenges based on ensuring the overall safety of patient care, rather than rigid staffing ratios. They also highlight how taking an alternative approach to staffing can have a positive impact for people using services. Care Quality Commission

Friday, 28 June 2019

Northamptonshire worst in country as 900 patients are STRANDED in our hospitals

Northamptonshire worst in country as 900 patients are STRANDED in our hospitals Nine hundred patients are currently stranded in Northamptonshire hospitals, making it the worst situation in the country.

Northamptonshire County Council’s director of adult social services says that despite huge efforts to try to improve the situation, as fast as people are being sent home more people are arriving at the doors of the county’s two hospitals.

Ninety over-65s are currently being admitted each day, which is twice the national average. Northamptonshire Telegraph

The UK spends less on capital in health care than other comparable countries

The UK spends less on capital in health care than other comparable countries As a share of GDP, the UK spends far less on capital in health care than comparable OECD countries.

In 2016, the UK spent 0.27% of GDP on capital in health care, compared to 0.51% in the OECD. Low capital spending has meant NHS Trusts are unable to purchase the newest technology, while also facing a significant and rising maintenance backlog. The Health Foundation

Reducing the need for restraint and restrictive intervention

Reducing the need for restraint and restrictive intervention This guidance from the DHSC and Department of Education is for health services, social care services and special education settings. It sets out how to support children and young people with learning disabilities, autistic spectrum conditions and mental health difficulties who are at risk of restrictive intervention. Department of Health and Social Care

    RCPCH prevention vision for child health

    RCPCH prevention vision for child health In advance of the Department of Health and Social Care's prevention green paper, this strategy paper from the RCPCH sets out their proposals for how to transform the health and wellbeing of children and young people in the UK. It states that he amount of free sugar in baby food should be reduced and the government should place a “moratorium” on public health funding cuts. Royal College of Paediatrics and Child Health

      Select batches of Parkinson's and epilepsy medicines recalled

      Select batches of Parkinson's and epilepsy medicines recalled Certain batches of three medicines for Parkinson's, epilepsy and blood clots are being recalled in the UK, and patients are being asked to arrange a new prescription via their GP.

      The affected prescription-only medicines are Neupro, Vimpat and Clexane with a B & S Healthcare label, the UK's medicine regulator said.

      The drugs may not have been stored correctly before reaching patients. BBC News

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      Hospitals spend millions to remove flammable cladding

      Hospitals spend millions to remove flammable cladding Hospitals are facing disruption and huge bills because of flammable cladding.

      One trauma unit with Grenfell-style cladding has been closed for almost two years.

      A senior worker there says it's having a knock-on effect on the rest of the hospital

      The Department of Health and Social Care says it's working with trusts on remedial work. BBC News

      NHS Digital cyber chief puts emphasis on 'protecting patient information'

      NHS Digital cyber chief puts emphasis on 'protecting patient information' A Chief Information Security Officer (CISO) for NHS Digital has said one of his aims in the role will be to ensure patient information is protected.

      Speaking at the Digital Healthcare Show, Dan Pearce, said one of his main priorities was to “protect patient safety”.

      Pearce, who told the audience he had only been in the job for six weeks, also said he hopes to “protect the reputation of the health system” and ensure there is “patient trust” in terms of their data. Digital Health

      Snake oil or panacea: can technology improve student mental health?

      Snake oil or panacea: can technology improve student mental health? Universities are hoping that new technologies will ease rapidly growing demand for student mental health services, but the evidence they work isn’t always there. The Guardian

      Three quarters of toddlers eat too much, fuelled by 'healthy snacks' which are no better than sweets 

      Three quarters of toddlers eat too much, fuelled by 'healthy snacks' which are no better than sweets Three quarters of toddlers are eating too much - because parents are feeding them supposedly “healthy” snacks which are actually no better than sweets.

      A Public Health England investigation of more than 1,100 foods aimed at babies and infants warns that some fruit-based products are three-quarters sugar.

      Health officials today called for a Government crackdown, warning that parents were being fooled into thinking they were making the right choices for their children, as a result of misleading claims. The Daily Telegraph

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      Doctors' union doesn't take sexual harassment seriously, members say

      Doctors' union doesn't take sexual harassment seriously, members say The British Medical Association's members feel 'actively discouraged' from complaining about sexism, they said amid an investigation sparked by Dr Katie Bramall-Stainer. The Daily Mail

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