Wednesday, 24 July 2019

‘I had chemo for breast cancer that never existed’

‘I had chemo for breast cancer that never existed’ A woman who underwent a double mastectomy after doctors wrongly diagnosed her with an aggressive form of cancer has said the trauma will remain with her.

Sarah Boyle, 28, had chemotherapy and later needed reconstructive surgery before the mistake was noticed. BBC News

Healthcare leaders set out priority ‘to do’ list for new PM

Healthcare leaders set out priority ‘to do’ list for new PM As Boris Johnson takes over from Teresa May as Britain’s next prime minister, healthcare leaders have set out a list of urgent priorities for the new leader to tackle straight away.

These include the NHS pensions issue, adequate funding of the Long Term Plan ambitions, addressing the social care crisis, and avoiding a ‘no deal’ Brexit. OnMedica

Government health plans criticised as ‘missed opportunity’

Government health plans criticised as ‘missed opportunity’ Doctors and health experts claim government plans to boost public health are too weak to deal with problems such as obesity, smoking and alcohol misuse that are claiming tens of thousands of lives a year.

The green paper on prevention of ill-health in England, which ministers slipped out quietly on Monday evening, includes proposals to end smoking by 2030, make food healthier and stop under-16s buying energy drinks.

But experts criticised the package of measures as inadequate, given the number of people dying avoidably from cancer, heart attacks and strokes linked to smoking and bad diet. The Guardian

Millions wasted in failed NHS hospital closure programme

Millions wasted in failed NHS hospital closure programme Tens of millions of pounds have been wasted on a major failed hospital closure programme, according to an internal NHS document passed to the Guardian.

A confidential, draft document circulated to NHS North West LondonCollaboration of Clinical Commissioning Groups, which serves more than 2 million Londoners, admits the blueprint for one of the NHS’s largest planned reorganisations has failed.

Hundreds of patients - including disabled children - at risk amid delays in supplies of intravenous nutrition

Hundreds of patients - including disabled children - at risk amid delays in supplies of intravenous nutrition Hundreds of NHS patients - including children - who depend on intravenous nutrition - are experiencing delays in deliveries, an investigation has found.

Senior clinical staff said they were “walking a very thin line” amid shortages of supplies of hydration and nutrition for the most vulnerable.

The British manufacturer of the feed, known as Total Parenteral Nutrition (TPN), said hundreds of patients were affected by the problems, which resulted from an inspection by watchdogs. The Daily Telegraph

Tuesday, 23 July 2019

Heat health advice: 2019

Heat health advice: 2019 Warmer weather forecasts for parts of England have prompted advice to take care from Public Health England.

Social workers and a new Mental Health Act: final report

Social workers and a new Mental Health Act: final report This inquiry report is in response to the Independent Review of the Mental health Act 1983. The inquiry looks at the integration of health and social care, and how social workers’ role can be enhanced in new legislation, in order to uphold the human rights of children and adults suffering ill mental health. All-Party Parliamentary Group on Social Work

    UK newborn baby screening 'not good enough'

    UK newborn baby screening 'not good enough' UK babies are missing out on checks for rare but serious health conditions, putting lives at risk, according to a report from the charity Genetic Alliance UK.

    The NHS offers newborns a blood test to screen for up to nine conditions.

    Many other European countries look for 20 or more illnesses and the US screens for more than 50, the charity says.

    The UK National Screening Committee says its recommendations are based on evidence and are regularly reviewed. BBC News

    See also:

    Transgender treatment: Puberty blockers study under investigation

    Transgender treatment: Puberty blockers study under investigation England's only NHS youth gender clinic lowered the age at which it offers children puberty blockers, partly based on a study now being investigated.

    The study's full findings have not been published - but early data showed some taking the drugs reported an increase in thoughts of suicide and self-harm.

    The clinic said data was from a "small sample" and so no "meaningful conclusion" could be drawn from it. BBC News

    Mentally ill children sent hundreds of miles for NHS treatment due to lack of beds

    Mentally ill children sent hundreds of miles for NHS treatment due to lack of beds Mentally ill children are being forced to travel hundreds of miles for NHS treatment, with one child sent 339 miles from their home, an investigation has found.

    Data obtained under the Freedom of Information Act shows that a lack of inpatient beds close to youngsters’ homes means they must be treated in units away from family and friends in other parts of the country.

    The Royal College of Psychiatrists and the charity Young Minds said this can slow down recovery and be frightening for children, some of whom are at risk of self-harm or suicide. The Independent

    Greedy parking enforcement companies are issuing hefty fines to carers and nurses

    Greedy parking enforcement companies are issuing hefty fines to carers and nurses Private companies are issuing hefty penalty charge notices – sometimes even in a hospital’s own car park

    Community nurse Gemma Hayes was on call and on a tight schedule. She left her car in the residents’ car park of a block where her last patient of the day lived and displayed her professional carer’s badge on the dashboard. When she returned she’d been charged £60.

    “I was allocated 30 minutes for the call but spent an extra 45 minutes unpaid overtime as the elderly, housebound patient had additional needs,” says Hayes, who earns £24,200 and regularly works an extra unpaid hour on top of her eight-hour shifts. “I appealed, offering confirmation that I was carrying out a patient visit. It was rejected.

    Changes in the law are unlikely to have any effect on rising charges. The Guardian

    Matt Hancock 'buries' health proposals likely to displease Boris Johnson

    Matt Hancock 'buries' health proposals likely to displease Boris Johnson Green paper on smoking and sugar tax is released late in evening without alerting media

    The health secretary, Matt Hancock, is facing questions after apparently burying important proposals aimed at tackling smoking, drinking and poor diets by releasing them on Monday evening without alerting the media.

    The government’s green paper on the prevention of ill-health appeared on the gov.uk website at 7.22pm, hours after Hancock clashed with Theresa May, who had personally championed the plans. The Guardian

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    GP receptionists will offer patients appointments at chemists, in bid to take pressure off family doctors 

    GP receptionists will offer patients appointments at chemists, in bid to take pressure off family doctors GPs’ receptionists will divert patients to see pharmacists in a bid to relieve pressure on family doctors.

    The NHS plan aims to prevent 20 million GP appointments, with many of those telephoning for help instead offered a “same day” slot at a local chemist.

    Health officials said the moves would mean more accessible and convenient access to services. The Daily Telegraph

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    One in three consultants and GPs may be hit by tax rules which are fuelling soaring waiting lists 

    One in three consultants and GPs may be hit by tax rules which are fuelling soaring waiting lists One in three senior medics could be hit by NHS pensions rules which are fuelling soaring waiting lists, health officials have warned.

    Today ministers opened a consultation on changes to the operation of the scheme, amid a growing crisis as doctors refuse to work overtime.

    Treasury rules means that high earners can end up paying tax rates of more than 90 per cent on earnings over £110,000 a year - which include rises in the value of pensions. The Daily Telegraph

    Dementia costs crisis deepens after it emerges 770,000 people have been refused state support

    Dementia costs crisis deepens after it emerges 770,000 people have been refused state support More than 770,000 elderly people have been refused state support since the Government pledged to reform the broken care system.

    The shocking figure emerged amid growing pressure on the new prime minister to tackle the social care crisis that burdens families with crippling dementia costs. The Daily Mail

    Monday, 22 July 2019

    Corby mums to get continuity of care under new project

    Corby mums to get continuity of care under new project A new pilot project to provide mums-to-be with complete continuity of care with midwives they know is being launched by Kettering General Hospital.

    The Eden Continuity of Care Team consists of six midwives who will be looking after 210 pregnant women from the Lakeside Practice in Corby over the next year.

    The new team was officially launched on Friday, July 19) but since June 1 it has been working with mums who will benefit from the project. Northamptonshire Telegraph

    Northamptonshire MP leads call for Government to ensure every baby gets the best start in life

    Northamptonshire MP leads call for Government to ensure every baby gets the best start in life A Northamptonshire MP called on the Government to take 'strong and decisive action' to ensure every baby gets the best start in life after a debate in the House of Commons.

    Andrea Leadsom led the debate on early years family support after chairing the inter ministerial group focusing on improving support for parents and their babies in the 1001 'critical days' while Leader of the Commons. Northampton Chronicle and Echo

    'Second opinion saved my dad's life': Northampton man taken off end-of-life care after step-daughter's fight to save him

    'Second opinion saved my dad's life': Northampton man taken off end-of-life care after step-daughter's fight to save him Northampton General Hospital has launched a review into the care of a Far Cotton man who is recovering after being taken off end-of-life care. Northampton Chronicle and Echo

    How can the English NHS attract and keep more of the international nurses it needs?

    How can the English NHS attract and keep more of the international nurses it needs? With the numbers of nurses joining the English NHS from elsewhere in the European Union decreasing, Claudia Leone takes a closer look at the current problems and suggests what can be done to help reverse the trend. Nuffield Trust

    Pay rise announced for thousands working in medicine

    Pay rise announced for thousands working in medicine The Health and Social Care Secretary has announced one of the biggest pay rises in a decade for thousands of NHS doctors and dentists. Department of Health and Social Care

    New Deputy Chief People Officer to help make the NHS the ‘best place to work’

    New Deputy Chief People Officer to help make the NHS the ‘best place to work’ NHS England and NHS Improvement have appointed Professor Em Wilkinson-Brice to the role of Deputy Chief People Officer. The new position will play a leading role in supporting delivery of the NHS Long Term Plan, by developing and implementing the NHS’ People Plan due to be published towards the end of the year.

    Failures in communication or follow-up of unexpected significant radiological findings

    Failures in communication or follow-up of unexpected significant radiological findings This report demonstrates where technology could play a pivotal role in reducing harm caused by failures in communication or follow-up of unexpected significant radiological findings. The investigation also makes three other recommendations in relation to following up unexpected significant radiological findings, to The Royal College of Radiologists, NHS England and NHS Improvement, and the Care Quality Commission. Healthcare Safety Investigation Branch

      UK's top doctor calls for global health effort

      UK's top doctor calls for global health effort Countries must work together to tackle global health risks, England's outgoing chief medical officer has said.

      In her final annual report, Prof Dame Sally Davies said focusing on domestic issues could risk failing to control global threats such as Ebola.

      And she said learning from other countries would also ensure the NHS was not left behind. BBC News

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      Surgeons call for breast implant illness warning

      Surgeons call for breast implant illness warning Women who have experienced chronic pain and extreme fatigue after breast enhancement surgery have told the Victoria Derbyshire Programme they were not warned about the possible side effects.

      Breast implant illness (BII) doesn't have an official diagnosis, but some women who believe they have the condition say they returned to full health after having their implants removed. BBC News

      UTI home-testing app to help women trialled by NHS

      UTI home-testing app to help women trialled by NHS A new smartphone app to help women diagnose a urinary tract infection (UTI) is being trialled by the NHS.

      The app will be overseen by 37 pharmacies in a trial across Nottinghamshire and Derbyshire, aimed at freeing up GP appointments.

      It guides users through a urine test and allows the results to be analysed online by a pharmacist. BBC News

      Children under 11 should be taught about FGM, campaigners say

      Children under 11 should be taught about FGM, campaigners say Primary school pupils should be taught about female genital mutilation(FGM) as part of relationship and health education, campaigners have said.

      While secondary schools will teach it as a compulsory part of the curriculum from 2020, the National FGM Centre warns that for some vulnerable girls this will be too late.

      Most girls who are subjected to mutilation are younger than 10, its research shows. The Independent

      See also:

      Long delays to NHS cataract operations leave elderly at risk

      Long delays to NHS cataract operations leave elderly at risk New data reveals badly missed targets despite increased use of private sector providers

      People with poor eyesight are being forced to wait almost six months for operations on the NHS to remove cataracts, official figures reveal.

      Patients in Herefordshire are facing average delays of 168 days – five months and 17 days – for cataract surgery, according to data collected by NHS Digital, the health service’s statistical arm. Waiting times in Great Yarmouth and Waveney in Norfolk are the second worst in England at 163 days, while they now average 154 days in North Lincolnshire. The Guardian

      Private firms given £9.2bn of NHS budget despite Hancock promise

      Private firms given £9.2bn of NHS budget despite Hancock promise Record 2018 total comes after health secretary pledged no privatisation on his watch

      The amount of the NHS budget going to private healthcare firms has reached unprecedented levels, despite the health secretary’s pledge to roll back outsourcing of patient care.

      The Department of Health and Social Care handed a record total of £9.2bn last year to private providers such as Virgin Care and the Priory mental health group, its annual report shows. The Guardian

      Anorexia overtakes cyberbullying as top source of online concern among ten to 16 year olds

      Anorexia overtakes cyberbullying as top source of online concern among ten to 16 year olds Eating disorders have overtaken cyberbullying as the top source of online concern among ten to 16 year olds, a study has revealed.

      Almost three in ten (29%) said they had viewed content encouraging anorexia compared with 22 per cent who cited cyberbullying, according to the survey of almost 2,000 children. The Daily Telegraph

      Experts warn of 'alarming' rise of sepsis among the young as it emerges cases have doubled

      Experts warn of 'alarming' rise of sepsis among the young as it emerges cases have doubled Hospital admissions for sepsis have more than doubled in three years – including an ‘alarming’ rise in young children being treated, figures show.

      Experts warned that antibiotic resistance is fuelling the soaring numbers and warned parents to be extra vigilant for signs of the illness.

      Official NHS data shows there were 350,344 recorded hospital admissions for sepsis in 2017/18, up from 169,125 three years earlier. The Daily Mail

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      Doctors' row over pensions 'is putting lives in danger'

      Doctors' row over pensions 'is putting lives in danger' Cancer patients are being forced to wait weeks for scan results as thousands of doctors cut their hours over the NHS pensions crisis.

      Waiting times have increased from one to six weeks at many hospitals – with some cases of cancer being missed as a result, a report said.

      Top radiologists say lives are being put in danger as vital scans to determine the spread of cancer are left unread for weeks due to a backlog. The Daily Mail

      See also:

      Friday, 19 July 2019

      Guidance on use of data for innovation

      Guidance on use of data for innovation The Department of Health and Social Care has issued guidance on how the NHS should engage with researchers and innovators when entering into data sharing arrangements.

      The department has promised to set up a national centre of excellence assist in the development of data sharing agreements.

      Music 'calms nerves before surgery' as well as sedative

      Music 'calms nerves before surgery' as well as sedative Listening to the "world's most relaxing song" before an operation could be just as good at calming patients' nerves as medication, US researchers say.

      The song, written to reduce anxiety, blood pressure and heart rate, performed as well as a sedative in a study of 157 people.

      But patients said they would have preferred to choose their own music. BBC News

      See also:

      Capita admits further cervical screening administration errors

      Capita admits further cervical screening administration errors Capita has admitted that correspondence relating to cervical screening was not processed properly due to an administrative error.

      The private company, which runs the NHS's Primary Care Support England service, revealed in a statement that the error caused a delay to 16 women being invited to screening - but insisted no harm was caused. Pulse

      Thousands go missing from mental health hospitals in England each year

      Thousands go missing from mental health hospitals in England each year Thousands of patients went missing from mental health hospitals in England last year, NHS figures show.

      A total of 3,462 people who had been sectioned under the Mental Health Act went AWOL - absent without leave - from facilities between April 2018 and March 2019.

      This is a 4.4% rise on the previous year during which 3,316 patients went missing. Sky News

      'Vaccine hesitant': a gentler label than anti-vaxxer, but just as scary

      'Vaccine hesitant': a gentler label than anti-vaxxer, but just as scary Reluctant parents who keep their opinions on jabs to themselves have been called a global threat by the World Health Organisation

      This week we learned that parents who are unsure whether to have their children vaccinated against dangerous diseases are in the grip of “vaccine hesitancy”, a term that first appeared in print in 2008 but is becoming distressingly more common. It is not clear whether there is a symmetrically opposed group who are “vaccine curious”, but to call such waverers “hesitant” is at least gentler than calling them “deniers”. The Guardian

      NHS flu jabs delayed amid scramble to keep up with 'Aussie' strain 

      NHS flu jabs delayed amid scramble to keep up with 'Aussie' strain The NHS is scrambling to get hold of the right flu jabs in time for this winter, amid fears millions of Britons will not be protected against a deadly “Aussie” strain.

      Health officials say delays by the World Health Organisation (WHO) in selecting the vaccine for this winter mean that some jabs will not be delivered to GP practices until the end of November.

      Normally flu vaccinations are offered by the NHS from September. The Daily Telegraph

      See also:

      Relaxing salt regulations in ready meals 'caused 9,9000 cases of heart disease'

      Relaxing salt regulations in ready meals 'caused 9,9000 cases of heart disease' Relaxing salt regulations in the UK has been linked to thousands of cases of heart disease and stomach cancer that would never have otherwise occurred, research suggests.

      A study looked at salt intake in England before and after changes to legislation were introduced in 2011.

      The 'tragic' Public Health Responsibility Deal saw the food industry set its own salt targets, rather than being monitored by an independent body. The Daily Mail

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      Thursday, 18 July 2019

      Report of the survey of liaison psychiatry in England

      Report of the survey of liaison psychiatry in England This is the fourth Liaison Psychiatry survey of England. It concerns the Liaison Psychiatry services in acute hospitals with Emergency Departments in England. NHS England

      Enhancing the experience of doctors - new reports from HEE

      Enhancing the experience of doctors - new reports from HEE Health Education England (HEE) has published two new reports setting out their commitment to improve the experience of doctors across the NHS through enhanced supervision and better support for transition in and out of foundation training.

      We encourage employers to review both reports and understand the impact this will have on how they deliver training and support supervision. NHS Employers

      Driving improvement through technology

      Driving improvement through technology Technology in health and care services is growing in importance. Digitally-enabled care can offer significant benefits to people who use services and those who run and deliver them. These case studies illustrate some of the developments in use and testing. Care Quality Commission

        Child mental health unit referrals 'up nearly 50%'

        Child mental health unit referrals 'up nearly 50%' Referrals to child mental health units from UK primary schools for pupils aged 11 and under have risen by nearly 50% in three years, the BBC has learned.

        Replies to Freedom of Information (FOI) requests from 46 health trusts indicate they rose from 21,125 to 31,531.

        Seven trusts said they had rejected an individual pupil for treatment at least five times over the last four years.

        The government says it is "determined to improve mental health support". BBC News

        Children with gender identity issues 'need help from all sides'

        Children with gender identity issues 'need help from all sides' Solving gender identity issues in children is complicated, and is not always going to be the answer to everything, says NHS England's gender identity development service.

        They need help "from all sides", say experts from the London clinic, because many of the under-18s are also dealing with mental health problems.

        Referrals to the service have more than tripled since 2014-15 - to 2,590.

        Fewer than half decided to have any physical treatments. BBC News

        Trieste’s mental health revolution: 'It’s the best place to get sick'

        Trieste’s mental health revolution: 'It’s the best place to get sick' Sara has struggled with her mental health since she was a child.

        She lives in Trieste, where ideas from a mental health 'revolution' in the 1970s are helping her recover today. BBC News

        Safety concerns raised about software used to triage NHS 111 calls

        Safety concerns raised about software used to triage NHS 111 calls Coroners have linked 11 patient deaths with safety concerns about NHS Pathways, the clinical software used to triage patients calls to the NHS 111 and 999 services.

        An investigation by the Health Service Journal (HSJ) revealed that coroners have issued ‘regulation 28’ reports calling on the NHS and Department of Health and Social Care, to take action to prevent future fatalities. Healthcare IT News

        One in 20 patients exposed to preventable harm in medical care

        One in 20 patients exposed to preventable harm in medical care Around one in 20 patients are exposed to preventable harm in medical care – and one in eight of these cases are severe or led to death – even though early detection and prevention of patient harm in healthcare is an international policy priority, UK-led research published today in The BMJ has revealed. The researchers behind the study called for mitigation of major sources of preventable patient harm such as drug incidents, for evidence to be properly recorded across specialties including primary care and psychiatry, and for better assessment and reporting standards. OnMedica

        Cheap flights blamed as skin cancer rates soar by 45 per cent in a decade

        Cheap flights blamed as skin cancer rates soar by 45 per cent in a decade Rates of melanoma skin cancers have soared by 45 per cent in the past decade as cheap international flights have fuelled a new generation of sun chasers, charities have warned.

        Melanomas are rarer but more serious than non-melanoma skin cancers and rates have risen most steeply among men and the under-50s, a Cancer Research UK analysis found. The Independent

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        Cuts to study of killings by mental health patients ‘put people at risk’

        Cuts to study of killings by mental health patients ‘put people at risk’ NHS England decision is risky and reckless, experts and victims’ families say

        People have been put at risk because the NHS has stopped funding the automatic investigation of all killings by mental health patients, according to psychiatrists and victims’ families.

        Experts who had looked into every such homicide for 20 years had to stop doing so last year after NHS England stopped paying the £100,000-a-year cost involved, the Guardian has learned. The Guardian

        Obesity should be classed as a disease to remove the stigma it is 'self-inflicted' medics say

        Obesity should be classed as a disease to remove the stigma it is 'self-inflicted' medics say Obesity should be classed as a disease to remove the stigma that it is "self-inflicted" and encourage those with weight problems to get help, medics have said.

        Writing in the BMJ, they said that up to 70 per cent of weight variability was inherited, with 200 genes linked to it.

        And they said the rise in obesity was due to “an altered environment” which meant cheap food was readily available. The Daily Telegraph

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        'Anti-vaxxer' parents face £2,000 fines as Germany makes measles vaccinations compulsory

        'Anti-vaxxer' parents face £2,000 fines as Germany makes measles vaccinations compulsory Germany is to make measles vaccinations compulsory for all children from next year amid concern at the rise in infections.

        Angela Merkel’s cabinet agreed on Wednesday to make vaccinations mandatory at all schools and kindergartens. As school is compulsory in Germany and home schooling is not permitted, parents will be obliged to vaccinate their children. The Daily Telegraph

        Wednesday, 17 July 2019

        East Midlands Ambulance Service: Trust makes 'significant improvements'

        East Midlands Ambulance Service: Trust makes 'significant improvements' A previously-troubled ambulance service has made significant improvements, a regulator has found.

        East Midlands Ambulance Service NHS Trust has been rated "good" by the Care Quality Commission (CQC), after being told in 2017 changes were needed.

        Inspectors found the service had new ways of call handling, which helped staff better deal with major incidents.

        The trust was rated as outstanding for being "caring", one of the CQC's key grading areas. BBC Northampton

        New campaign to fund Wellingborough A&E facility

        New campaign to fund Wellingborough A&E facility 'Wellingborough needs its own A&E facility'.

        That's the message from campaigners battling to bring urgent care provision to Northamptonshire's fourth biggest town.

        Currently those in need of immediate medical attention in Wellingborough face a nine-mile trip to Kettering General Hospital, a 12-mile trip to Northampton General Hospital or, further afield, a 16-mile trip to Corby Urgent Care Centre. Northamptonshire Telegraph

        Funding innovation in the NHS: Early observations of a Wave 2 Test Bed

        Funding innovation in the NHS: Early observations of a Wave 2 Test Bed Since last September the Nuffield Trust has been evaluating Care City, a Test Bed based in north east London. Sophie Castle-Clarke describes what we’ve found so far.

        Ensuring that the NHS can make the most of new, well-evidenced technologies is a policy priority. The Test Bed programme is an initiative that tries to do just that. It brings NHS organisations and industry partners together to test combinations of digital technologies with new ways of delivering services in real-world settings, and provides funding for them to do so. The ultimate ambition is to harness the potential of these technologies to improve the delivery of health care and the sustainability of services. Nuffield Trust

        Can less be more? The new approach to social care in South Tyneside

        Can less be more? The new approach to social care in South Tyneside As our new report on the Wigan Deal illustrates, local authorities are increasingly adopting approaches to social care that aim to minimise the need for formal support by focusing on the resources already available to people in their families and communities. It’s an approach that requires a closer, better understanding of the individual, their strengths, their resilience and the assets around them, and – as the report suggests – there is reason to believe it could improve not just community-based social care, but also areas such as hospital discharge. The King's Fund

        Alzheimer's risk 'different in women and men'

        Alzheimer's risk 'different in women and men' Scientists say they may have discovered why more women than men have Alzheimer's disease and dementia.

        It has always been thought that women living longer than men was the reason.

        But new research presented at an international conference suggests this may not be the whole story.

        Differences in brain connectivity and sex-specific genes linked to risk could explain the numbers, the researchers say. BBC News

        See also:

        Number of stroke doctors needs to rise by a third – report - ITV News

        Number of stroke doctors needs to rise by a third – report Stroke survivors living with a disability will rise by a third by 2035, doctors have said as they warned the UK needs far more specialists in stroke medicine.

        The British Association of Stroke Physicians (BASP) said there is a “significant and growing shortage of stroke consultants” in the UK, with around four in 10 hospitals providing stroke care having an unfilled consultant post – compared to less than three in 10 (26%) in 2014.

        In its report, BASP said immediate access to procedures such as intravenous thrombolysis and mechanical thrombectomy, which dissolve clots and restore blood flow to the brain, can significantly decrease the risk of long-term disability and save millions of pounds in long-term health and social care costs. ITV News

        Conflicting healthy eating advice leaving public ‘clueless’, poll suggests

        Conflicting healthy eating advice leaving public ‘clueless’, poll suggests Mixed messages over “healthy” diets are causing “significant” confusion among UK fitness fanatics, according to a study.

        Conflicting expert reports over what is right and wrong means the vast majority of regular exercisers do not know if the food they eat is really doing them any good.

        Eight in 10 admit they are “clueless” over the nutritional benefits of different food types – and have no idea what they should be consuming in order to bulk up or slim down. The Independent

        No, Boris Johnson, working harder is not a solution for poor mental health

        No, Boris Johnson, working harder is not a solution for poor mental health | Arwa Mahdawi Offering tax incentives to companies who support depressed employees sounds like a step towards privatising the NHS

        Boris Johnson is quite the renaissance man. He builds buses! He writes columns! He dabbles in politics! And now, it would appear, he fancies himself a mental health expert. On Sunday, Johnson used his Telegraph column to share his brilliant solution to Britain’s mental health crisis: drown out your inner demons with work. Yep, according to the sentient shock of hair that will probably be Britain’s next prime minister, you can rid yourself of depression by working harder. The Guardian

        English health index to paint detailed picture of nation’s wellbeing

        English health index to paint detailed picture of nation’s wellbeing Database will be used to assess effect of policies as focus shifts to preventing illness

        The government is to set up the most comprehensive database yet to measure the health of people in England as part of leaked plans to improve life expectancy and boost the fight against the biggest deadly diseases.

        Ministers intend to create a “composite health index” which will track whether the population’s health is getting better or worse and the stark difference between rich and poor when it comes to illnesses such as cancer, diabetes and heart disease. The Guardian

        People given financial rewards to quit smoking are '50 per cent more likely to kick the habit'

        People given financial rewards to quit smoking are '50 per cent more likely to kick the habit' People are significantly more likely to quit smoking if they get money for doing so, a study has revealed.

        Researchers found quitters who were motivated with financial rewards are 50 per cent more likely to have kicked the habit after six months.

        They said the NHS could save billions of pounds by using these incentives, such as cash or vouchers, to halt people's deadly addictions.

        Interestingly, the amount of money people were getting didn't seem to make a difference. The Daily Mail

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        Tuesday, 16 July 2019

        Meaningful measures of integration

        Meaningful measures of integration The NHS long-term plan confirmed, once again, that collaboration is now the organising principle of the NHS, and that integrated care is the idea on which national leaders have pinned their hopes. There have been a number of initiatives to integrate services over the past decade, but the pace picked up considerably with the appointment of Simon Stevens as the Chief Executive of NHS England in 2014 and the publication of the NHS five year forward view. If anything will define his legacy when he eventually steps down, it will be the success or otherwise of this. The King's Fund

        National training surveys 2019: initial findings report

        National training surveys 2019: initial findings report More than 75,000 doctors in training and trainers took part in this year's GMC surveys. This initial findings report outlines the key trends across the UK. General Medical Council

          Social care: paying for care home places and domiciliary care (England)

          Social care: paying for care home places and domiciliary care (England) This updated briefing paper considers the current structure of the care home market in England, as well as issues facing the sector and how private clients (“self-funders”) tend to pay more than local authority funded residents (known as “cross-subsidisation”). House of Commons Library

            Scotland's drug deaths set to top 1,000

            Scotland's drug deaths set to top 1,000 New figures released later are expected to show that more than 1,000 people died as a result of drugs in Scotland last year.

            Scotland already has the worst record for reported drug overdose deaths in Europe but the latest figures will show another steep rise.

            Last week, Scottish Public Health Minister Joe Fitzpatrick said the level of drug deaths was an "emergency".

            He told MPs this should be a "wake-up call" over UK government policy. BBC News

            NHS litigation bill rises while claim number remains steady

            NHS litigation bill rises while claim number remains steady Latest figures show the cost of clinical negligence claims is continuing to rise despite a flattening of the number of claims, prompting medical defence bodies to urge the UK government to hasten reform of the legal processes.


            In its annual report NHS Resolution says that provision for claims indemnified had increased by £6.4bn to a record high of £83.4bn as of 31 March 2019. OnMedica

            Rough sleepers denied access to healthcare, pushing them into ‘repeat cycles of homelessness’, study says

            Rough sleepers denied access to healthcare, pushing them into ‘repeat cycles of homelessness’, study says Homeless people are being denied access to basic healthcare, according to research which suggests “perceived stigma and discrimination” in health settings are pushing people with no fixed abode into “repeat cycles of homelessness” and causing “unnecessary deaths”.

            A study by researchers at the University of Birmingham found homeless people were being denied registration at GP surgeries and discharged from hospital onto the streets with no referral to primary care providers. The Independent

            See also:

            Britons and their unborn children at risk due to government inaction over toxic chemicals in everyday use, MPs warn

            Britons and their unborn children at risk due to government inaction over toxic chemicals in everyday use, MPs warn Ministers are ignoring a ‘cocktail of toxic chemicals’ in furniture, food packaging and children’s prams which could harm the health of Britons, even before they’re born, MPs have warned.

            A damning report by the Commons Environmental Audit Committee has accused the government of “sitting on its hands” and allowing chemicals which may be hazardous to health to enter people’s homes. The Independent

            See also:

            Anorexia may originate in the body, not just the mind, groundbreaking study says

            Anorexia may originate in the body, not just the mind, groundbreaking study says Anorexia may not be a purely psychological illness, according to a new study which suggests for the first time sufferers’ metabolism may play an equally important role.

            An international team of researchers found people who develop anorexia are genetically predisposed to have an increased metabolic rate, less body fat and higher physical activity.

            It had been assumed that these physical differences were a consequence of people with anorexia starving themselves. The Independent

            See also:

            The Guardian view on policing youth violence: knives are a public health issue | Editorial

            The Guardian view on policing youth violence: knives are a public health issue | Editorial Ministers and the mayor of London have embraced a new approach. But breaking the cycle will take resources as well as ideas

            When the Guardian embarked on a project to investigate the rising number of children and teenagers being stabbed in 2017, our reporters expected to encounter people traumatised by extreme violence. The loss of a child or young person is always hard to bear, but when they have died as the result of deliberate aggression, the anger and regret of those left behind can be overwhelming. The series, Beyond the Blade, sought to tell the stories of these victims in more detail than they are usually afforded. It also looked for the patterns that underlay the rise in this form of crime. The Guardian

            Coroners link eleven deaths to glitches in NHS 111 and 999 systems 

            Coroners link eleven deaths to glitches in NHS 111 and 999 systems The deaths of eleven patients, including two young children, have been linked to glitches in the algorithms used by the NHS 111 and 999 services.

            Coroners have issued warnings about the “triaging” system after a catalogue of safety concerns.

            The “prevention of future death” reports were issued because of fears the tragedies would be repeated, without swift action to improve the service and reduce the risk of fatal errors. The Daily Telegraph

            New superbug tsar tells of her fear that children will grow up in a 'post-antibiotic apocalypse'

            New superbug tsar tells of her fear that children will grow up in a 'post-antibiotic apocalypse' Britain is sleepwalking into a 'post-antibiotic apocalypse' which would see grave setbacks in our ability to fight disease, the new superbug tsar has warned.

            Professor Dame Sally Davies used her appointment as the UK's special envoy on antimicrobial resistance to make an emotional plea for leaders to sit up and tackle the looming drug crisis.

            She painted a frightening picture of a 'return to the dark ages' of healthcare if we continue to gobble up existing antibiotics without finding replacements. The Daily Mail

            Monday, 15 July 2019

            New roles to help take pressure off GPs

            New roles to help take pressure off GPs A Northamptonshire doctor has welcomed the launch of a new role that will support patients to link up with community and healthcare services as he says GPs are ‘just about on their knees’.

            In the biggest shake-up within doctors surgeries for 15 years, GP groups from across the county have formed 16 new primary care networks who will share a group of new professionals.

            Each network will have a social prescriber whose role is to link up patients who may be socially isolated or have long-term physical or mental health conditions, with services that can help improve their lives. Northamptonshire Telegraph

            'We will back you': a positive approach to risk

            'We will back you': a positive approach to risk On a Thursday afternoon last October I found myself in a community centre in Wigan, listening to an anthropologist explaining the value of cows to a tribe in Africa. I knew they were doing things differently in Wigan, but I hadn’t expected this. The King's Fund

            Obesity crisis: Type 2 diabetes in children up by nearly half in five years

            Obesity crisis: Type 2 diabetes in children up by nearly half in five years The number of children and young people being treated for Type 2 diabetes, a condition normally seen only in older adults and often linked to obesity, has rocketed by nearly 50 per cent in just five years, new analysis by the Local Government Association reveals.

            Latest figures obtained by the LGA, which represents councils in England and Wales, show there were almost 750 cases of those aged under 25 who received care for Type 2 diabetes from Paediatric Diabetes Units in 2017/18. The first cases of Type 2 diabetes in children were diagnosed less than 20 years ago.

            Councils, which are responsible for public health, says this highlights the urgent need to tackle one of the nation’s biggest health challenges in childhood obesity.

            See also:

            Westminster power vacuum leaves NHS struggling

            Westminster power vacuum leaves NHS struggling A Conservative leadership contest and uncertainty over a new Downing Street regime - not to mention Brexit - have left Whitehall in the doldrums.

            That isn't just an academic issue - it affects real lives. Critical decisions on social care and health policy in England have been put on hold, with ministers and civil servants unable to reach difficult decisions in the current political vacuum.

            First, the NHS - some hospitals are reporting record patient numbers coming through accident and emergency departments in June and this month. BBC News

            Dementia risk linked to healthy lifestyle

            Dementia risk linked to healthy lifestyle Nearly everyone can lower their risk of dementia, even if it runs in the family, by living a healthy lifestyle, research suggests.

            The study of nearly 200,000 people showed the risk fell by up to a third.

            The team at the University of Exeter said the results were exciting, empowering and showed people were not doomed to get dementia.

            The findings were revealed at the Alzheimer's Association International Conference. BBC News

            See also:

            Warning issued over adrenaline pen fault

            Warning issued over adrenaline pen fault Allergy patients are being warned of a potential fault with Emerade adrenaline pens.

            The Medicines and Healthcare products Regulatory Agency (MHRA) said some have blocked needles, so cannot deliver adrenaline.

            Around two in every 1,000 pens are thought to be affected. BBC News

            See also:

            Patients ‘in pain and distress’ forced to postpone treatment as NHS six-month waits hit new record

            Patients ‘in pain and distress’ forced to postpone treatment as NHS six-month waits hit new record The number of NHS patients forced to wait more than six months for treatment has hit an all-time high while A&E’s performance has reached its worst June levels on record, official figures show.

            Health service performance figures for May show 245,079 people spent more than 26 weeks on the waiting list, with experts warning many will be “in pain and distress”.

            A heatwave last summer led to unprecedented pressures in the NHS which sapped trusts' time to prepare for winter and there are warning signs this summer could be even worse. The Independent

            See also:

            Lack of homes suitable for older people fuels housing crisis – report

            Lack of homes suitable for older people fuels housing crisis – report Failure to plan for ageing population will also add to pressure on health and care services

            England’s small towns are set to swell with increasing numbers of elderly people as they reject city living amid a hidden housing crisis caused by a lack of appropriate homes for a rapidly ageing population, a new study reveals.

            Bexhill in East Sussex, Corby in Northamptonshire and Denton in Greater Manchester are forecast to see the biggest increases in populations aged 55 and above during the next two decades, according to the Royal Institute of British Architects and the Centre for Towns think tank. The Guardian

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            Government to issue 'sleep hygiene' guidance

            Government to issue 'sleep hygiene' guidance Leaked draft says less than seven hours’ sleep can damage mental and physical health

            The government could give people guidance on how much sleep they need each night, according to reports.

            A leaked draft of a public health green paper, due to be published by the health secretary, Matt Hancock, says the government will review the evidence on sleep and health. It suggests the minimum amount will vary depending on how old someone is, and the paper will give advice on “sleep hygiene”, according to the Times, which obtained the document. The Guardian

            Syphilis cases in Europe have shot up 70% since 2010

            Syphilis cases in Europe have shot up 70% since 2010 Syphilis cases have soared by 70 per cent in Europe since 2010, data shows.

            A report reveals the sexually transmitted infection (STI) reached an all-time high in 2017, with 33,189 confirmed cases in 28 countries across the continent.

            This is an increase of more than 13,000 from the 19,797 reported incidences in 2007.

            Although an issue throughout Europe, cases of the STI more than doubled between 2010 and 2017 in five countries, including Britain. The Daily Mail

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            Health Secretary Matt Hancock pleads with doctors not to retire early over the NHS pension crisis

            Health Secretary Matt Hancock pleads with doctors not to retire early over the NHS pension crisis Health Secretary Matt Hancock is pleading with doctors not to retire early because of the NHS pension crisis.

            Many medics are trying to avoid big tax bills from stricter pension rules that put a cap on their saving allowances.

            Mr Hancock has reassured big earners within the health service that changes to the lifetime allowance will be 'fixed' before April.

            In the meantime, he is asking the consultants and managers to 'take no precipitate action in terms of early retirement'. The Daily Mail

            Friday, 12 July 2019

            Guidance: Childhood flu programme: information for healthcare practitioners

            Guidance: Childhood flu programme: information for healthcare practitioners This document on the flu vaccination and vaccination programme includes information on:
            • what flu is
            • the flu vaccine
            • dosage
            • administering the vaccine
            • advice on vaccinating children with an egg allergy
            • further resources
            View and download the accompanying childhood flu programme 2019 training slideset. Public Health England

            Care of neurological patients found wanting

            Care of neurological patients found wanting A report from the Neurological Alliance says that the experiences of neurological patients remain poor.  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. NHS Networks

            Changes to the friends and family test

            Changes to the friends and family test NHS England has overhauled the friends and family test, the standardised feedback tool used by NHS organisations. Patients will no longer be asked whether they would recommend the service but will be asked instead “Overall, how was your experience of our service?” and asked to select one of six responses. NHS Networks

            NHS extends staff retention scheme

            NHS extends staff retention scheme The NHS is extending a scheme that has helped keep more than 1,000 nurses, midwives and other clinicians in the NHS. 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 Networks

            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

            See Also:

            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