Tuesday, 26 November 2019
Type 2 diabetes peer mentor programme: midterm evaluation
Type 2 diabetes peer mentor programme: midterm evaluation This report outlines the findings so far from an interim evaluation of a peer mentoring service for people living with type 2 diabetes. The programme builds on Brigstowe's model of peer mentoring for people diagnosed with HIV and aimed to see if similar wellbeing and health outcomes could be achieved when transferring the model to other long-term health conditions. Brigstowe
Can the NHS boost nurse numbers by 50,000?
Can the NHS boost nurse numbers by 50,000? The Conservative manifesto pledges to add 50,000 nurses to the workforce in England by 2024-25.
How realistic is this target, particularly given that nurse numbers have gone up by only about 5,000 since 2010?
Workforce is one of the main concerns for the NHS in England right now. Health employers talk of difficulties filling rotas and worries about how future staff can be recruited at a time of rising patient demand. BBC News
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How realistic is this target, particularly given that nurse numbers have gone up by only about 5,000 since 2010?
Workforce is one of the main concerns for the NHS in England right now. Health employers talk of difficulties filling rotas and worries about how future staff can be recruited at a time of rising patient demand. BBC News
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Martin Marshall: GPs need to do less, but it’s not what patients want to hear
Martin Marshall: GPs need to do less, but it’s not what patients want to hear | Denis Campbell The new chair of the RCGP says doctors are under pressure to overtreat, and calls on politicians to stem the exodus from the profession
The NHS does too much medicine”. These are surprising words to hear uttered by a GP, given their role as gatekeepers to the NHS – the doctors who send patients to hospital for tests, surgery or other treatment.
But Martin Marshall, the new chair of the Royal College of General Practitioners, firmly believes that part of the reason the NHS is so overstretched is that doctors (GPs and hospital doctors) overdiagnose illness – and as a result patients have too many exploratory tests and too many unnecessary treatments. Getting a grip on that, he believes, would help relieve the pressure on the health service in general and the nation’s overworked family doctors in particular. The Guardian
The NHS does too much medicine”. These are surprising words to hear uttered by a GP, given their role as gatekeepers to the NHS – the doctors who send patients to hospital for tests, surgery or other treatment.
But Martin Marshall, the new chair of the Royal College of General Practitioners, firmly believes that part of the reason the NHS is so overstretched is that doctors (GPs and hospital doctors) overdiagnose illness – and as a result patients have too many exploratory tests and too many unnecessary treatments. Getting a grip on that, he believes, would help relieve the pressure on the health service in general and the nation’s overworked family doctors in particular. The Guardian
Hospital beds at record low in England as NHS struggles with demand
Hospital beds at record low in England as NHS struggles with demand The number of hospital beds has fallen to its lowest level ever, despite the head of the NHS warning that bed closures have gone too far.
The health service in England has cut so many beds in recent years that it has just 127,225 left to cope with the rising demand for care, which will intensify as winter starts to bite.
In total, 17,230 beds have been cut from the 144,455 that existed in April-June 2010, the period when the coalition Conservative/Liberal Democrat government took office and imposed a nine-year funding squeeze on the NHS, even though critics cautioned against it because of growing pressures on the service. The Guardian
The health service in England has cut so many beds in recent years that it has just 127,225 left to cope with the rising demand for care, which will intensify as winter starts to bite.
In total, 17,230 beds have been cut from the 144,455 that existed in April-June 2010, the period when the coalition Conservative/Liberal Democrat government took office and imposed a nine-year funding squeeze on the NHS, even though critics cautioned against it because of growing pressures on the service. The Guardian
A third of maternity doctors 'burnt out' and at risk of losing empathy for women in their care
A third of maternity doctors 'burnt out' and at risk of losing empathy for women in their care More than a third of maternity doctors are “burnt out,” and at risk of lacking empathy for the women in their care, researchers have warned.
The study of more than 3,000 obstetricians and gynaecologists found high levels of long-term stress and overwork, especially among trainee medics.
Researchers said the findings - from the largest UK study on the topic - were “very worrying,” with serious implications for patients. The Daily Telegraph
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The study of more than 3,000 obstetricians and gynaecologists found high levels of long-term stress and overwork, especially among trainee medics.
Researchers said the findings - from the largest UK study on the topic - were “very worrying,” with serious implications for patients. The Daily Telegraph
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Six million TONNES of asbestos are still in schools and hospitals in the UK
Six million TONNES of asbestos are still in schools and hospitals in the UK Six million tonnes of asbestos are still inside 1.5million buildings in the UK including hospitals and eight out of 10 schools, according to a report.
Think-tank ResPublica has urged the Government to reform its policies in order to save teachers and nurses from asbestos related deaths.
The toxic material was once used for insulation and fire-proofing but can lead to serious cases of lung disease and cancer, particularly mesothelioma, if inhaled.
Although the use of asbestos was banned 20 years ago, anything built or refurbished before 1999 may still contain it. The Daily Mail
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Think-tank ResPublica has urged the Government to reform its policies in order to save teachers and nurses from asbestos related deaths.
The toxic material was once used for insulation and fire-proofing but can lead to serious cases of lung disease and cancer, particularly mesothelioma, if inhaled.
Although the use of asbestos was banned 20 years ago, anything built or refurbished before 1999 may still contain it. The Daily Mail
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Monday, 25 November 2019
Breast cancer GP 'didn't think' he could get the disease
Breast cancer GP 'didn't think' he could get the disease A retired male GP who was diagnosed with breast cancer five years ago said he "hadn't even contemplated" he could get the disease.
Mike Greenhalgh, from Abthorpe, Northamptonshire, who was a doctor for 27 years, said he had never seen a case of breast cancer in men.
The 63-year-old said he found it "difficult" being seen in a clinic with mostly women patients.
About 360 men in the UK are diagnosed each year, compared to 54,500 women. BBC Northampton
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Mike Greenhalgh, from Abthorpe, Northamptonshire, who was a doctor for 27 years, said he had never seen a case of breast cancer in men.
The 63-year-old said he found it "difficult" being seen in a clinic with mostly women patients.
About 360 men in the UK are diagnosed each year, compared to 54,500 women. BBC Northampton
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Back in the ‘too difficult’ box: social care and the manifestos
Back in the ‘too difficult’ box: social care and the manifestos With concern about care for older people and disabled adults now the third most important issue for voters behind only the NHS and Brexit in the latest poll from Ipsos MORI, we now have the detail of social care pledges from the three main English parties. Labour and the Liberal Democrats have published their manifestos and the Conservatives have announced their social care policy. Do they make for happy reading around social care? The King's Fund
Achieving integrated care: 15 best practice actions
Achieving integrated care: 15 best practice actions This resource, produced in partnership with the Social Care Institute for Excellence, aims to support local systems in fulfilling their ambition of integration. The 15 actions prioritised in this resource draw on evidence about what works from international research, emerging best practices and engagement with our own stakeholders and partners. The actions are deliberately aligned with national policy, legal frameworks and regulatory guidance, but most important, they allow for local variety in system design and service delivery to flourish. Local Government Association
Living near busy road can stunt children's lung growth, study says
Living near busy road can stunt children's lung growth, study says Children exposed to roadside air pollution could have their lung growth stunted by up to 14%, a study suggests.
Living within 50m of a major road could increase the risk of lung cancer by up to 10%, the paper also found.
The study of 13 cities in the UK and Poland found air pollution contributes to a higher chance of heart disease, strokes, heart failure and bronchitis.
Campaigners called on the government to commit to tackling "dangerous" air pollution in the UK. BBC News
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Living within 50m of a major road could increase the risk of lung cancer by up to 10%, the paper also found.
The study of 13 cities in the UK and Poland found air pollution contributes to a higher chance of heart disease, strokes, heart failure and bronchitis.
Campaigners called on the government to commit to tackling "dangerous" air pollution in the UK. BBC News
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Cancer immunotherapy drug 'less toxic and prolongs life'
Cancer immunotherapy drug 'less toxic and prolongs life' An immunotherapy drug that could save some cancer patients from the ordeal of extreme chemotherapy may also help them live longer, researchers say.
In a trial, pembrolizumab kept head and neck cancers at bay for an average of two years - five times longer than under chemotherapy.
The patients also suffered far fewer side-effects.
Cases of head and neck cancers are rising in the UK and most are diagnosed late, when they are harder to treat. BBC News
In a trial, pembrolizumab kept head and neck cancers at bay for an average of two years - five times longer than under chemotherapy.
The patients also suffered far fewer side-effects.
Cases of head and neck cancers are rising in the UK and most are diagnosed late, when they are harder to treat. BBC News
Nurse says NHS trust failed to protect him from racist attack
Nurse says NHS trust failed to protect him from racist attack An NHS nurse is locked in a legal battle with his employer after being assaulted and abused by a patient who was known to be racist.
Colleridge Bessong, a mental health nurse, is taking legal action against Pennine Care NHS trust in Manchester over what he claims is the trust’s failure to protect him from the violent racist attack. The Guardian
Colleridge Bessong, a mental health nurse, is taking legal action against Pennine Care NHS trust in Manchester over what he claims is the trust’s failure to protect him from the violent racist attack. The Guardian
NHS winter crisis fears grow after thousands of EU staff quit
NHS winter crisis fears grow after thousands of EU staff quit Mass resignations after Brexit vote compound health staffing shortages
More than 10,000 EU nationals have left the NHS since the Brexit referendum, including almost 5,000 nurses. These new figures will add fuel to concerns about a wider staffing crisis.
So far this year more than 3,250 EU staff have left the NHS, according to data released under the Freedom of Information Act. The figures are from less than half England’s trusts and cover only 10 months, so the actual figure is likely to be higher. This year alone, 1,116 EU nurses have left. The Guardian
More than 10,000 EU nationals have left the NHS since the Brexit referendum, including almost 5,000 nurses. These new figures will add fuel to concerns about a wider staffing crisis.
So far this year more than 3,250 EU staff have left the NHS, according to data released under the Freedom of Information Act. The figures are from less than half England’s trusts and cover only 10 months, so the actual figure is likely to be higher. This year alone, 1,116 EU nurses have left. The Guardian
Many men still failing to take health seriously, despite success of Movember-style campaigns, research suggests
Many men still failing to take health seriously, despite success of Movember-style campaigns, research suggests Movember-style male health campaigns are failing to make men take their wellbeing seriously, as nearly half still resist going to the doctor, new research suggests.
The arrival of November traditionally sees social media flooded with pictures of men with specially grown moustaches as part of a drive to raise awareness of male health issues.
However, despite the campaign raising £10 million in the UK last year, a survey by Bupa has found a large proportion of the male population are still worryingly cavalier about health. The Daily Telegraph
The arrival of November traditionally sees social media flooded with pictures of men with specially grown moustaches as part of a drive to raise awareness of male health issues.
However, despite the campaign raising £10 million in the UK last year, a survey by Bupa has found a large proportion of the male population are still worryingly cavalier about health. The Daily Telegraph
Figures reveal the NHS trusts where more than 99% of overnight beds were FULL this summer
Figures reveal the NHS trusts where more than 99% of overnight beds were FULL this summer Nine out of 10 hospital beds in England were full between July and September, according to NHS statistics.
Figures revealed more than 50 hospitals had more beds occupied than the NHS's 92 per cent safe operating limit.
The second-quarter figures were the worst in at least a decade and on par with those normally seen in the depths of winter.
Leading English surgeons told MailOnline bed closures have 'gone too far' and when so many beds are full operations have to be cancelled and flu spreads quickly. The Daily Mail
Figures revealed more than 50 hospitals had more beds occupied than the NHS's 92 per cent safe operating limit.
The second-quarter figures were the worst in at least a decade and on par with those normally seen in the depths of winter.
Leading English surgeons told MailOnline bed closures have 'gone too far' and when so many beds are full operations have to be cancelled and flu spreads quickly. The Daily Mail
NHS doctors vote to scrap home visits because modern GPs 'don't have time'
NHS doctors vote to scrap home visits because modern GPs 'don't have time' England's Local Medicine Committees voted 54 per cent in favour of removing the obligation to do home visits from GPs' contracts and said the practice is 'virtually unheard of' in other countries. The Daily Mail
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See also:
- Home visits are a core part of general practice - and invaluable for some vulnerable patients, says RCGP Royal College of General Practitioners
- GPs vote to reduce patient home visits BBC News
- GPs vote to scrap home visits from their contracts The Daily Telegraph
- LMCs vote to remove home visits from GP contract GPonline
- Hancock rejects GPs' vote to remove home visits from contracts The Guardian
Friday, 22 November 2019
Northamptonshire women wait too long for cervical screening results
Northamptonshire women wait too long for cervical screening results NHS guidelines say women should get their cervical screening results within 14 days, but 25,872 women screened in Northamptonshire waited for longer than two weeks.
According to data published by the NHS today, 37 per cent of women tested in Northamptonshire got their results after two weeks but within three weeks of their screening.
More than a fifth of women tested waited even longer for their results, with 22.6 per cent of women getting their letters after three weeks. Northamptonshire Telegraph
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According to data published by the NHS today, 37 per cent of women tested in Northamptonshire got their results after two weeks but within three weeks of their screening.
More than a fifth of women tested waited even longer for their results, with 22.6 per cent of women getting their letters after three weeks. Northamptonshire Telegraph
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- Number of women facing long waits for smear results is longest on record The Daily Telegraph
District nursing today: the view of district nurse team leaders in the UK
District nursing today: the view of district nurse team leaders in the UK This report warns that the UK’s district nurse workforce is under threat due to long-term underinvestment in training, education and skills, which could pose a threat to patient safety. It reveals an evolving healthcare workforce crisis, set against rising demand for district nursing services across all UK regions. Queen's Nursing Institute
A manifesto for a 21st century health service
A manifesto for a 21st century health service This manifesto calls on the next government to address the issues preventing the delivery of a 21st century national health service. It argues that focusing on staff wellbeing and integrated care is what’s needed to create a sustainable NHS, not a total restructure. Royal College of Anaesthetists
'I used to pull sickies every few months because of stress'
'I used to pull sickies every few months because of stress' Amy Brennan says she used to need to "pull sickies" once every couple of months because she couldn't face going into work.
"I'd have a few days prior arguing with myself to get up, and go in," she tells the BBC.
But recently she realised she was doing this because of her mental health issues, so now she calls in sick and says she needs to take "a mental health day". BBC News
"I'd have a few days prior arguing with myself to get up, and go in," she tells the BBC.
But recently she realised she was doing this because of her mental health issues, so now she calls in sick and says she needs to take "a mental health day". BBC News
Leeds woman reveals 'trauma' of mental health detention
Leeds woman reveals 'trauma' of mental health detention A mental health patient has told how she was rugby tackled by police officers while running along a motorway after escaping from hospital.
Megan Alikhanizadeh said the mental health system was failing people, with the police often forced to intervene.
Her story comes as figures show a 17% increase in the number of times police in England have detained someone under the Mental Health Act since 2016-17. BBC News
Megan Alikhanizadeh said the mental health system was failing people, with the police often forced to intervene.
Her story comes as figures show a 17% increase in the number of times police in England have detained someone under the Mental Health Act since 2016-17. BBC News
NHS overtakes Brexit as voters' top priority for election, poll finds
NHS overtakes Brexit as voters' top priority for election, poll finds Voters are now more likely to base their vote on the state of the NHS than they are about Brexit with less than a month to go before election day, a new poll has found.
The NHS is now solidly ahead of Brexit as a concern, with 60 per cent of voters citing the issue in the poll conducted 15-18 November, up 6 per cent compared to a similar poll conducted 8-11 November. The Independent
The NHS is now solidly ahead of Brexit as a concern, with 60 per cent of voters citing the issue in the poll conducted 15-18 November, up 6 per cent compared to a similar poll conducted 8-11 November. The Independent
NHS delays ‘independent’ maternity report until after election
NHS delays ‘independent’ maternity report until after election An independent report into maternity safety in the NHS has been blocked from publication by NHS England until after the general election, The Independent has learnt.
Doctors and midwives have criticised the national body for preventing the report from being widely shared which they said could delay improvements and learning.
It comes as The Independent revealed a leaked report earlier this week exposing the largest maternity scandal in the NHS’s history at the Shrewsbury and Telford Hospital Trust where dozens of babies and three mothers died.
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Doctors and midwives have criticised the national body for preventing the report from being widely shared which they said could delay improvements and learning.
It comes as The Independent revealed a leaked report earlier this week exposing the largest maternity scandal in the NHS’s history at the Shrewsbury and Telford Hospital Trust where dozens of babies and three mothers died.
See also:
- RCOG response to Ockenden review leak Royal College of Obstetricians and Gynaecologists
- Shrewsbury and Telford NHS maternity death review families unaware BBC News
- NHS chiefs said families seeking answers about baby deaths were acting with 'venom' The Daily Telegraph
- Doctors may face suspension over NHS 'worst maternity scandal' The Guardian
- Hundreds of families unaware they are involved in maternity scandal The Independent
- Shrewsbury maternity scandal: Medical watchdog asks NHS for information about doctors at trust The Independent
- Shrewsbury maternity scandal: Hundreds of families whose babies died or have been left with brain damage in hospital to be contacted by trust The Independent
- Shrewsbury hospital’s ‘overzealous’ pursuit of natural birth left patients at risk, critics say The Independent
Potentially deadly tick-borne parasite found in UK for first time
Potentially deadly tick-borne parasite found in UK for first time A potentially deadly tick-borne parasite has been found in the UK for the first time.
The organism, B venatorum, causes an animal disease recognised as an emerging infection in people called babesiosis, also known as "Texas fever"
Infected people may show symptoms such as flu and jaundice, but severe cases can lead to death, the European Centre for Disease Prevention and Control warned. The Independent
The organism, B venatorum, causes an animal disease recognised as an emerging infection in people called babesiosis, also known as "Texas fever"
Infected people may show symptoms such as flu and jaundice, but severe cases can lead to death, the European Centre for Disease Prevention and Control warned. The Independent
More than 80% of adolescents not active enough, warns WHO
More than 80% of adolescents not active enough, warns WHO More than 80% of adolescents worldwide are not active enough, putting their health at risk by sitting focused on a screen rather than running about, say World Health Organization (WHO) researchers.
The proportion of insufficiently active girls in 27 countries rose to more than 90% in 2016, the latest year for which figures are available. There was a significant gender gap, with girls lagging behind boys in physical activity, in all but four countries – Afghanistan, Samoa, Tonga and Zambia. The Guardian
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The proportion of insufficiently active girls in 27 countries rose to more than 90% in 2016, the latest year for which figures are available. There was a significant gender gap, with girls lagging behind boys in physical activity, in all but four countries – Afghanistan, Samoa, Tonga and Zambia. The Guardian
See also:
- Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants (open access) Lancet Child and Adolescent Health
- New WHO-led study says majority of adolescents worldwide are not sufficiently physically active, putting their current and future health at risk World Health Organization
- Global epidemic' of childhood inactivity BBC News
Australian women win landmark case against Johnson & Johnson over vaginal mesh implant injuries
Australian women win landmark case against Johnson & Johnson over vaginal mesh implant injuries Three Australian women representing patients given vaginal mesh implants won a landmark class action today against international medical giants.
A Federal Court in Sydney found two Johnson & Johnson group manufacturers and its Australian supplier engaged in misleading or deceptive conduct and hid the risks associated with the implants from patients. The Daily Telegraph
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A Federal Court in Sydney found two Johnson & Johnson group manufacturers and its Australian supplier engaged in misleading or deceptive conduct and hid the risks associated with the implants from patients. The Daily Telegraph
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Norovirus warning as winter vomiting bug rates are 26% higher than average
Norovirus warning as winter vomiting bug rates are 26% higher than average Dozens of schools in England have been hit by outbreaks of an illness thought to be the winter vomiting bug, norovirus.
Around 60 schools in the North East have had pupils and staff off sick with a flu-like illness and some have even had to close to try and stop infection spreading.
Public Health England said it was likely adults and children were coming down with flu or norovirus, which causes vomiting and diarrhoea. The Daily Mail
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Around 60 schools in the North East have had pupils and staff off sick with a flu-like illness and some have even had to close to try and stop infection spreading.
Public Health England said it was likely adults and children were coming down with flu or norovirus, which causes vomiting and diarrhoea. The Daily Mail
See also:
- Official Statistics: Norovirus and rotavirus: summary of surveillance 2019 to 2020 Public Health England
Thursday, 21 November 2019
Sharp decline in district nursing workforce poses threat to patient safety
Sharp decline in district nursing workforce poses threat to patient safety The UK’s district nurse workforce is under severe threat due to long-term underinvestment in training, education and skills, posing a direct threat to patient safety, warn the authors of a new, independent report, commissioned by the Queen’s Nursing Institute. NHS Networks
More families come forward in Shropshire maternity inquiry
More families come forward in Shropshire maternity inquiry Campaigners say 25 new cases have emerged since the leak of a report into maternity care in Shropshire. BBC News
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Patient died after 'transplant surgeon error' in Welsh hospital
Patient died after 'transplant surgeon error' in Welsh hospital A transplant patient died after a surgeon failed to disclose he had spilt stomach contents on organs which went on to be used in NHS operations.
The 36-year-old died of an aneurysm caused directly by infection from a donated liver, while two other patients became ill from transplants.
The incident took place in 2015 but only came to light when one of the sick patients attended a hospital in Wales. It had involved a surgeon from Oxford University NHS Foundation Trust. BBC News
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The 36-year-old died of an aneurysm caused directly by infection from a donated liver, while two other patients became ill from transplants.
The incident took place in 2015 but only came to light when one of the sick patients attended a hospital in Wales. It had involved a surgeon from Oxford University NHS Foundation Trust. BBC News
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Inducing labour at 41 weeks could save lives, new research claims
Inducing labour at 41 weeks could save lives, new research claims Pregnant women should be induced earlier to reduce baby deaths, a new study has found, as researchers call for the end of a ‘wait and see’ approach.
The study, done in conjunction with hospitals and academics across Sweden, concluded that pregnant women should not be offered induction later than 41 weeks.
During the course of the trial which involved almost 3,000 women between 2016 and 2018, six babies died after labour was induced at or beyond 42 weeks of pregnancy. The Telegraph
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The study, done in conjunction with hospitals and academics across Sweden, concluded that pregnant women should not be offered induction later than 41 weeks.
During the course of the trial which involved almost 3,000 women between 2016 and 2018, six babies died after labour was induced at or beyond 42 weeks of pregnancy. The Telegraph
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Smear test attendance rises for the first time in FIVE years in England
Smear test attendance rises for the first time in FIVE years in England Statistics from the NHS show 71.9 per cent of women in England attended their cervical screening appointments last year but experts warn there are still too many turning down the offer. Mail Online
Transgender people face years of waiting with NHS under strain
Transgender people face years of waiting with NHS under strain Long waits for appointments cause stress for patients, with suicide and self-harm a risk
Thousands of transgender adults and children face waits of up to three or more years for gender identity treatment as NHS services come under strain with growing numbers seeking treatment.
The number of adults and children being referred to gender identity clinics in England rose from 3,330 in 2014-15 to 8,074 in 2018-19, an average year on year increase of around 25%, according to freedom of information data from five clinics offering services. The Guardian
Thousands of transgender adults and children face waits of up to three or more years for gender identity treatment as NHS services come under strain with growing numbers seeking treatment.
The number of adults and children being referred to gender identity clinics in England rose from 3,330 in 2014-15 to 8,074 in 2018-19, an average year on year increase of around 25%, according to freedom of information data from five clinics offering services. The Guardian
Time for NHS to 'wake up' to GP burnout risk, warns next RCGP chair
Time for NHS to 'wake up' to GP burnout risk, warns next RCGP chair In the week that he is due to take over from Professor Helen Stokes-Lampard, Professor Martin Marshall said that the working conditions of doctors had to be improved, warning that ‘undoable’ workloads were not an ‘inconsequential problem’.
His comments follow a GMC report that found doctors with high levels of burnout could have up to a 63% higher chance of making a major medical error in the following three months. GP Online
His comments follow a GMC report that found doctors with high levels of burnout could have up to a 63% higher chance of making a major medical error in the following three months. GP Online
'Half of women will be carers by the age of 46'
'Half of women will be carers by the age of 46' Women can expect to take on caring responsibilities for an older, sick or disabled relative more than a decade earlier than men, a report concludes.
Research by Sheffield and Birmingham universities shows half of women will care by the age of 46, compared with half of men, for whom the age is 57.
The research suggests two-thirds of UK adults can expect to become an unpaid carer during their lifetimes. The charity Carers UK says carers need five-to-10 days of paid care leave. BBC News
Research by Sheffield and Birmingham universities shows half of women will care by the age of 46, compared with half of men, for whom the age is 57.
The research suggests two-thirds of UK adults can expect to become an unpaid carer during their lifetimes. The charity Carers UK says carers need five-to-10 days of paid care leave. BBC News
The nation's health: priorities for the next government
The nation's health: priorities for the next government The Health Foundation -This report looks at how long-term improvements in life expectancy and mortality in the UK have stalled and are falling behind other high-income countries. At the same time the difference between the health of people living in the best- and worst-off communities is widening. It calls for action across the whole of government to address these trends. It asks that investment be directed towards areas of public spending that create the right conditions for people to lead healthy lives. King's Fund - Health Management and Policy Alert
Older people living with dementia and costs of dementia care in the UK 2019–2040
Older people living with dementia and costs of dementia care in the UK 2019–2040 This report, commissioned by Alzheimer’s Society, provides projections of the number of older people (aged 65 and over) living with dementia and the costs of health care, social care and unpaid care for older people living with dementia from 2019 to 2040 in the UK. NHS Networks
Wednesday, 20 November 2019
NGH confirms non-urgent operations have been cancelled to support A&E
NGH confirms non-urgent operations have been cancelled to support A&E Non-urgent operations over the next four months have been cancelled at Northampton General Hospital so doctors can better support A&E demands.
The news comes as Northampton General Hospital yesterday (Tuesday) was seeking advice from its commissioners about how to deal with soaring demand for NHS services. Northampton Chronicle and Echo
The news comes as Northampton General Hospital yesterday (Tuesday) was seeking advice from its commissioners about how to deal with soaring demand for NHS services. Northampton Chronicle and Echo
Remember those no longer with us at 'Light Up A Life' event in Northampton
Remember those no longer with us at 'Light Up A Life' event in Northampton NGH's charity is dedicating lights on their Christmas tree this year to remember loved ones that cannot be with us for this festive period.
Northamptonshire Health Charity - which aims to enhance patient experience beyond what the NHS can fund - say this celebration will provide a chance to reflect and remember people who are no longer with us. Northampton Chronicle and Echo
Northamptonshire Health Charity - which aims to enhance patient experience beyond what the NHS can fund - say this celebration will provide a chance to reflect and remember people who are no longer with us. Northampton Chronicle and Echo
We know the public love the NHS, but do they think it is a good employer?
We know the public love the NHS, but do they think it is a good employer? Despite being one of the largest employers in the world, it is well publicised that the NHS is facing enormous challenges, with its workforce crisis being one of the most pressing issues. Earlier this year, the Interim NHS People Plan set out the vision for supporting those working in the NHS. It outlines that the route to tackling the high number of vacancies and turnover across the NHS lies not only in increasing the number of staff, but also in making the NHS ‘the best place to work’. The King's Fund
Immigration and the NHS: the evidence
Immigration and the NHS: the evidence New promises for the NHS are appearing almost daily on the campaign trail: more cash, more doctors and nurses, better hospitals and equipment. Meanwhile – in the real world – NHS performance continues to deteriorate. NHS data out last week paints a grim picture. A&E performance is the worst on record. And 4.6 million people are stuck on waiting lists.
In response, the Conservative Party issued a statement suggesting that international migrants – among other things – will make things worse. It said: ‘the last thing our NHS can afford is Labour’s plans for a four day week and uncontrolled and unlimited immigration, which would could cripple our health service, leaving it understaffed and underfunded.’
This isn’t a new argument. And it plays on public perceptions that international migration can put pressure on public services. Migration policy is about much more than its impact on the NHS or the economy. And political narratives often fail to reflect the different experiences, understandings, and impacts of migration in the UK. But – leaving these issues aside – the idea that migration has a negative impact on the NHS is not backed up by the evidence. The Health Foundation
In response, the Conservative Party issued a statement suggesting that international migrants – among other things – will make things worse. It said: ‘the last thing our NHS can afford is Labour’s plans for a four day week and uncontrolled and unlimited immigration, which would could cripple our health service, leaving it understaffed and underfunded.’
This isn’t a new argument. And it plays on public perceptions that international migration can put pressure on public services. Migration policy is about much more than its impact on the NHS or the economy. And political narratives often fail to reflect the different experiences, understandings, and impacts of migration in the UK. But – leaving these issues aside – the idea that migration has a negative impact on the NHS is not backed up by the evidence. The Health Foundation
Revealed: scandal of 30,000 NHS workers on zero hours contracts
Revealed: scandal of 30,000 NHS workers on zero hours contracts At least 30,000 NHS workers in the UK report employed on zero hours contracts, new GMB analysis of official figures has revealed.
The true number is likely higher as the statistics may not include outsourced workers, or workers employed through controversial ‘wholly owned subsidiary’ companies that are not bound by nationally agreed employment standards.
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The true number is likely higher as the statistics may not include outsourced workers, or workers employed through controversial ‘wholly owned subsidiary’ companies that are not bound by nationally agreed employment standards.
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Guidance: Oral care and people with learning disabilities
Guidance: Oral care and people with learning disabilities To help health professionals, paid social care staff and family members to support someone with learning disabilities to get good oral care. Department of Health and Social Care
Seeing an NHS dentist 'a problem everywhere'
Seeing an NHS dentist 'a problem everywhere' More than 2 million adults in England are unable to see an NHS dentist, BBC analysis suggests.
They include an estimated 1.45 million who have tried and failed to get an NHS appointment in two years with the rest on waiting lists or put off by cost.
Another 2 million assume they cannot get care where they live, suggesting nearly one in 10 miss out overall. BBC News
They include an estimated 1.45 million who have tried and failed to get an NHS appointment in two years with the rest on waiting lists or put off by cost.
Another 2 million assume they cannot get care where they live, suggesting nearly one in 10 miss out overall. BBC News
Old age: Why 70 may be the new 65
Old age: Why 70 may be the new 65 It may be time to rethink how we measure and define old age in the UK because more people are surviving into their late 80s and beyond, say experts.
The Office for National Statistics team says although 65 has traditionally been seen as the start of old age, 70 could be seen as the "new 65".
That's because many people who reach this milestone birthday can still expect to live another 15 years. BBC News
The Office for National Statistics team says although 65 has traditionally been seen as the start of old age, 70 could be seen as the "new 65".
That's because many people who reach this milestone birthday can still expect to live another 15 years. BBC News
Sepsis alert system hailed for reducing deaths and hospital stays
Sepsis alert system hailed for reducing deaths and hospital stays Digital alerts which monitor patients for sepsis have resulted in a fall in deaths and hospital stays linked to the deadly condition.
The system has been in place across the Imperial College Healthcare NHS Trust’s emergency departments and inpatient wards since 2016, notifying doctors if factors such as temperature, heart rate and glucose levels fall outside what is considered safe.
Clinicians are informed via a pop-up warning which appears in electronic health records or on a dashboard. ITV News
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The system has been in place across the Imperial College Healthcare NHS Trust’s emergency departments and inpatient wards since 2016, notifying doctors if factors such as temperature, heart rate and glucose levels fall outside what is considered safe.
Clinicians are informed via a pop-up warning which appears in electronic health records or on a dashboard. ITV News
See also:
- Evaluating a digital sepsis alert in a London multisite hospital network: a natural experiment using electronic health record data (open access) Journal of the American Medical Informatics Association
- Thousands could be saved from sepsis after major trial of monitoring system is 'success' The Daily Mail
- Sepsis early warning technology could save thousands of lives, Imperial study finds The Daily Telegraph
‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals
‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals Dozens of babies and three mothers died on the wards of a single hospital trust, in what is being described as the largest maternity scandal in the history of the NHS, The Independent can today reveal.
Clinical malpractice was allowed to continue unchecked over a period of 40 years, with repeated failings by doctors, midwives and hospital bosses, according to a leaked internal report.
The investigation singles out the deaths of at least 42 babies and three mothers at Shrewsbury and Telford Hospital Trust (SATH) between 1979 and 2017.
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Clinical malpractice was allowed to continue unchecked over a period of 40 years, with repeated failings by doctors, midwives and hospital bosses, according to a leaked internal report.
The investigation singles out the deaths of at least 42 babies and three mothers at Shrewsbury and Telford Hospital Trust (SATH) between 1979 and 2017.
See also:
- Statement in respect of reports on our Maternity service Shrewsbury and Telford Hospital Trust
- Shrewsbury and Telford Hospital: Babies and mums died 'amid toxic culture' BBC News
- Shrewsbury and Telford: 42 babies and three mothers died at NHS trust in worst ever maternity scandal The Daily Telegraph
- Leaked report exposes maternity scandal at Shropshire NHS trust The Guardian
- Shrewsbury and Telford joins Morecambe Bay and Mid-Staffs on grim roll call of horrific NHS scandals The Independent
- Shrewsbury maternity trust could be prosecuted for corporate manslaughter The Independent
- The NHS has failed to learn the lessons of Morecambe Bay – with devastating consequences The Independent
- ‘They condemned my daughter to death’: The family whose fight for justice uncovered the Shrewsbury maternity scandal The Independent
- The Shrewsbury scandal proves what women tell me every day – maternity care is dangerous and inhumane The Independent
- Time to learn the lessons: how the NHS must now change – and what you can do to help The Independent
- NHS Trust's 'toxic' culture led to mother and baby deaths ITV News
- NHS maternity scandal: 'I feel bitter hatred, quite frankly' Sky News
- Babies and mothers died in what may be worst ever NHS maternity scandal, report finds Sky News
Calls to scrap ‘immoral’ NHS fee for foreign staff
Calls to scrap ‘immoral’ NHS fee for foreign staff Exclusive: medical associations say surcharge rise will worsen staffing crisis
Boris Johnson’s plans to charge foreign staff who help save British lives £625 a year to use the NHS will worsen its staffing crisis, medical associations have warned.
They have reacted with dismay over the prime minister’s proposal to extend the so-called health surcharge to nurses, doctors and other medical and ancillary staff who come to work in the NHS from EU27 countries. The Guardian
Boris Johnson’s plans to charge foreign staff who help save British lives £625 a year to use the NHS will worsen its staffing crisis, medical associations have warned.
They have reacted with dismay over the prime minister’s proposal to extend the so-called health surcharge to nurses, doctors and other medical and ancillary staff who come to work in the NHS from EU27 countries. The Guardian
Social care must be solved by next government, coalition of charities and councils tell Telegraph
Social care must be solved by next government, coalition of charities and councils tell Telegraph The social care crisis must be solved by the next government, a coalition of charities and councils have warned, as they urge politicians to finally 'grasp the nettle'.
Since 2010, almost £8billion has been cut from council adult social care budgets during a time of growing demand.
Writing in The Telegraph today care experts have issued a warning to politicians that “social care must be at the top of the domestic policy agenda”.
Since 2010, almost £8billion has been cut from council adult social care budgets during a time of growing demand.
Writing in The Telegraph today care experts have issued a warning to politicians that “social care must be at the top of the domestic policy agenda”.
Three clinics rapped for misleading pregnant women
Three clinics rapped for misleading pregnant women Three clinics have been rapped for misleading pregnant women by exaggerating the effectiveness of Down's syndrome blood tests.
My Baby Company, The Birth Company and Ultrasound Direct charge up to £650 for the test.
All three claimed it was 99 per cent accurate – but the Advertising Standards Authority said evidence shows only 82 per cent of babies given a 'positive' result would be born with Down's. The Daily Mail
My Baby Company, The Birth Company and Ultrasound Direct charge up to £650 for the test.
All three claimed it was 99 per cent accurate – but the Advertising Standards Authority said evidence shows only 82 per cent of babies given a 'positive' result would be born with Down's. The Daily Mail
NHS trusts only received a third of the £91million they billed 'health tourists' last year
NHS trusts only received a third of the £91million they billed 'health tourists' last year NHS hospitals only managed to claim back 38 per cent of the money they billed health tourists from outside of Europe last year.
Just £35million out of a £91m total was reclaimed by the health service for care it provided to citizens from countries not in European Economic Area.
London hospital trusts were the worst affected, in some cases getting paid only £1 for every £10 they were owed and writing off more than £4million in a year. The Daily Mail
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Just £35million out of a £91m total was reclaimed by the health service for care it provided to citizens from countries not in European Economic Area.
London hospital trusts were the worst affected, in some cases getting paid only £1 for every £10 they were owed and writing off more than £4million in a year. The Daily Mail
See also:
- Trusts missing out on tens of millions from overseas patients Health Service Journal
- NHS claims back just one third of the £91m billed from 'health tourists' The Daily Telegraph
Tuesday, 19 November 2019
Fit for the future: how should the incoming Government help the NHS?
Fit for the future: how should the incoming Government help the NHS? The NHS consistently ranks among the issues that voters care most about and we are now approaching a General Election which has been characterised by strong messages on healthcare from all sides.
As the membership body that represents leaders across healthcare providers, clinical commissioners and local systems, the NHS Confederation has surveyed its members in England to gauge what they feel are their most critical priorities for an incoming Government.
This report summarises their most pressing issues: workforce, social care and capital investment.
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As the membership body that represents leaders across healthcare providers, clinical commissioners and local systems, the NHS Confederation has surveyed its members in England to gauge what they feel are their most critical priorities for an incoming Government.
This report summarises their most pressing issues: workforce, social care and capital investment.
See also:
Evaluating integrated care: why are evaluations not producing the results we expect?
Evaluating integrated care: why are evaluations not producing the results we expect? With a number of different integrated care models not reducing hospital admissions as expected, this briefing outlines the reasons why this might be happening. It includes advice for model design and implementation, for commissioners of evaluation, and for evaluators on how to address these issues. Nuffield Trust
See also:
See also:
- Integrated care and the complexity of ordinary lives Nuffield Trust
Plugging the leaks in the UK care home industry: Strategies for resolving the financial crisis in the residential and nursing home sector
Plugging the leaks in the UK care home industry: Strategies for resolving the financial crisis in the residential and nursing home sector A report from the Centre for Health and Public Interest (CHPI) identifies where each pound that goes into the care home industry ends up, by using a forensic study of the accounts of more than 830 adult care home companies, including the 26 largest providers.
The outlook for councils’ funding: is austerity over?
The outlook for councils’ funding: is austerity over? A growing elderly population, increases in the number of disabled adults, and increases in wage and other costs, mean that English councils will likely need billions in extra funding over the next parliament if they are to meet the rising costs of providing adult social care. That will be required just to maintain services at current levels. And councils’ spending on local public services per resident will, next year, still be at least 20% below 2009–10 levels, on average. Institute for Fiscal Studies
NHS to pay tax bills to get doctors back to work
NHS to pay tax bills to get doctors back to work Doctors in England have been promised their tax bills will be covered by the NHS in an attempt to get them back doing overtime shifts.
Doctors have been refusing to do extra work because they were being landed with bills after changes to how much can be accrued in pensions tax-free.
Senior NHS figures and ministers have signed off on the plan amid concern about the impact on waiting times. BBC News
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Doctors have been refusing to do extra work because they were being landed with bills after changes to how much can be accrued in pensions tax-free.
Senior NHS figures and ministers have signed off on the plan amid concern about the impact on waiting times. BBC News
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Lib Dems join pledging war over NHS with plan for extra £35bn
Lib Dems join pledging war over NHS with plan for extra £35bn Plan would take NHS England’s budget to £142.6bn by 2023-24 as £12.9bn will go to social care
The Liberal Democrats have joined the bidding war over the NHS by promising to invest an extra £35bn into health and social care over the next five years.
The party plans to fund this through its signature policy of adding a penny to the basic rate of income tax, which it says would raise £7bn. This would see NHS England’s budget grow to £142.8bn by 2023-24. The Guardian
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The Liberal Democrats have joined the bidding war over the NHS by promising to invest an extra £35bn into health and social care over the next five years.
The party plans to fund this through its signature policy of adding a penny to the basic rate of income tax, which it says would raise £7bn. This would see NHS England’s budget grow to £142.8bn by 2023-24. The Guardian
See also:
- Liberal Democrat pledge would double recent growth in health spending but falls just short of what's needed to modernise the service The Health Foundation
- Lib Dems right to identify workforce, capital and social care as key NHS Confederation
- General election 2019: PM puts corporation cuts on hold to help fund NHS BBC News
- General election 2019: Income tax rise will boost NHS budget - Lib Dems BBC News
- Boris Johnson shelves plans to slash corporation tax to pour £6billion into the NHS instead The Daily Mail
- Brexit will cost NHS additional £60m a year to recruit doctors and nurses from abroad, Liberal Democrats claim The Independent
Revealed: NHS running short of dozens of lifesaving medicines
Revealed: NHS running short of dozens of lifesaving medicines Internal document seen by the Guardian shows low supplies for heart, cancer and anti-epilepsy drugs
The NHS is running short of dozens of lifesaving medicines including treatments for cancer, heart conditions and epilepsy, the Guardian has learned.
An internal 24-page document circulated to some doctors last Friday from the medicine supply team at the Department of Health and Social Care (DHSC), headed “commercial-sensitive”, listed many drugs currently hit by shortages at the NHS.
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The NHS is running short of dozens of lifesaving medicines including treatments for cancer, heart conditions and epilepsy, the Guardian has learned.
An internal 24-page document circulated to some doctors last Friday from the medicine supply team at the Department of Health and Social Care (DHSC), headed “commercial-sensitive”, listed many drugs currently hit by shortages at the NHS.
See also:
- Patients shouldn't panic or stockpile in the wake of medicine supply shortages, says RCGP Royal College of General Practitioners
- Britain's 'unprecedented' drug shortage BBC News
- NHS is short of 86 drugs including cancer, epilepsy and heart disease The Daily Mail
Statins do not harm the memory – and may prevent cognitive decline for some
Statins do not harm the memory – and may prevent cognitive decline for some Statins don't harm the memory – and could even prevent cognitive decline in those with heart disease or high risk of dementia.
The findings follow a long debate about possible side effects of the daily pills, taken by around 8 million adults in the UK to prevent heart attacks and strokes.
The six-year study of more than 1,000 people aged 70 to 90, who underwent a battery of tests and brain scans, found no link between statins and memory impairment. The Daily Telegraph
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The findings follow a long debate about possible side effects of the daily pills, taken by around 8 million adults in the UK to prevent heart attacks and strokes.
The six-year study of more than 1,000 people aged 70 to 90, who underwent a battery of tests and brain scans, found no link between statins and memory impairment. The Daily Telegraph
See also:
- Effects of Statins on Memory, Cognition, and Brain Volume in the Elderly (abstract) Journal of the American College of Cardiology
- Statins DON'T harm your memory, study suggests The Daily Mail
Why a spray almost identical to 'party' drug ketamine is set to be approved to 'treat' depression
Why a spray almost identical to 'party' drug ketamine is set to be approved to 'treat' depression The illegal, hallucinogenic 'party' drug ketamine is addictive, physically perilous and known to increase the risk of suicide.
Now a pharmaceutical version, called esketamine (brand name Spravato), is set to be approved as a wonder cure for people with depression so severe it may drive them to suicide.
This has prompted protests from experts who argue that the tests on esketamine have been inadequate and that even in those tests, involving some 1,600 people, esketamine was associated with six deaths. The Daily Mail
Now a pharmaceutical version, called esketamine (brand name Spravato), is set to be approved as a wonder cure for people with depression so severe it may drive them to suicide.
This has prompted protests from experts who argue that the tests on esketamine have been inadequate and that even in those tests, involving some 1,600 people, esketamine was associated with six deaths. The Daily Mail
Older people have paid the most into our NHS yet are often denied cancer treatment, barred from drug trials, and see their mental health neglected
Older people have paid the most into our NHS yet are often denied cancer treatment, barred from drug trials, and see their mental health neglected When retired engineer Gregory Kay was admitted to a nursing home aged 66, six weeks before he died, he was taking 930 pills a month — 31 pills every day.
Gregory had been diagnosed with Parkinson's in 2006 and had been on medication ever since, says his widow Mary, 70, a writer and mother-of-four with five grandchildren, from Southsea, Hampshire. The Daily Mail
Gregory had been diagnosed with Parkinson's in 2006 and had been on medication ever since, says his widow Mary, 70, a writer and mother-of-four with five grandchildren, from Southsea, Hampshire. The Daily Mail
Monday, 18 November 2019
KGH shows its LGBTQ support
KGH shows its LGBTQ support Staff at Kettering General Hospital are showing their support for the lesbian, gay, bisexual, transgender and questioning (LGBTQ) community by wearing distinctive enamel badges. Northamptonshire Telegraph
Experimental waiting times data for autism services published for first time
Experimental waiting times data for autism services published for first time NHS Digital has published partial statistics on waiting times for people in contact with autism services – the first time this data has been available.
The report includes data on the number of new patients referred for suspected autism within the reporting period and waiting times for the first appointment.
The report includes data on the number of new patients referred for suspected autism within the reporting period and waiting times for the first appointment.
The surgeon as an expert witness: a guide to good practice
The surgeon as an expert witness: a guide to good practice This guidance sets out the role a surgeon should play when acting as an expert witness in civil, criminal and coroners’ cases. The guidance comes after two independent reviews highlighted a need to improve the quality and consistency of expert witnesses in gross negligence manslaughter cases. Royal College of Surgeons
Why more people are talking about the issue of social care
Why more people are talking about the issue of social care The care system helps older and disabled people with day-to-day tasks like washing, dressing, eating and medication.
It is under pressure across the UK after past governments failed to reform or fund the council-run system properly.
Experts believe the problems are now so acute that politicians who ignore the issue at this election, do so at their peril. BBC News
It is under pressure across the UK after past governments failed to reform or fund the council-run system properly.
Experts believe the problems are now so acute that politicians who ignore the issue at this election, do so at their peril. BBC News
Switch to vaping 'helps smokers' hearts'
Switch to vaping 'helps smokers' hearts' Smokers can improve the health of their hearts within weeks of switching to e-cigarettes, the largest trial of its kind shows.
The month-long study of 114 smokers suggests vaping has the potential to reduce heart attack and stroke risk.
The team, at the University of Dundee, stressed vaping was "not safe" - just less harmful than tobacco.
The British Heart Foundation said stopping smoking was the single best thing you could do for your heart. BBC News
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The month-long study of 114 smokers suggests vaping has the potential to reduce heart attack and stroke risk.
The team, at the University of Dundee, stressed vaping was "not safe" - just less harmful than tobacco.
The British Heart Foundation said stopping smoking was the single best thing you could do for your heart. BBC News
See also:
- Cardiovascular Effects of Switching From Tobacco Cigarettes to Electronic Cigarettes (open access) Journal of the American College of Cardiology
- Vaping IS better for your heart than tobacco, scientists prove The Daily Mail
Huntington's disease: Woman who inherited gene sues NHS
Huntington's disease: Woman who inherited gene sues NHS A woman is suing a London NHS trust for not revealing her father had been diagnosed with Huntington's disease before she had her own child.
She only discovered he carried the gene for the degenerative, incurable brain disorder after her daughter was born.
The woman then found out she too carried the faulty gene, meaning her daughter has a 50% chance of having it.
The NHS said the case raised competing duty of care and duty of confidentiality issues. BBC News
She only discovered he carried the gene for the degenerative, incurable brain disorder after her daughter was born.
The woman then found out she too carried the faulty gene, meaning her daughter has a 50% chance of having it.
The NHS said the case raised competing duty of care and duty of confidentiality issues. BBC News
The NHS will be key to this election. And that’s bad news for the health service
The NHS will be key to this election. And that’s bad news for the health service | Andy Cowper Labour and the Tories trying to outdo each other on spending pledges is not a mature way to run such a vital service
Health policy in a well-run country should be boring. It should be the precise and prosaic matter of examining data on health and care demand; looking at issues of performance, outcomes and safety; and making systems run in such ways that every taxpayer’s pound buys as much as possible of what we citizens and taxpayers need. The Guardian
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Health policy in a well-run country should be boring. It should be the precise and prosaic matter of examining data on health and care demand; looking at issues of performance, outcomes and safety; and making systems run in such ways that every taxpayer’s pound buys as much as possible of what we citizens and taxpayers need. The Guardian
See also:
- Promises, promises: reflecting on past election pledges The Health Foundation
- General election 2019: Labour vows to end dental check-up charges BBC News
- Boris will END health tourism charging non-Brits £625 to use NHS services The Daily Express
- Jeremy Corbyn vows to exclude NHS from trade deals The Daily Mail
- NHS bosses accused of gagging staff during election campaign The Guardian
- Corbyn vows to protect NHS from US drugs firms The Guardian
- Are Tory proposals to charge foreigners more to use the NHS fair? The Guardian
- Labour will offer free dental check-ups for everyone in England, shadow health secretary says The Independent
- General election 2019: NHS staff work a million hours of unpaid overtime every week, Labour claims iNews
- General election 2019: The parties policies on NHS, immigration and more fact checked iNews
- Migrants must pay for NHS on 'day one' under Johnson immigration plan Metro
Great Ormond Street Hospital accused of 'cover up' in scandal over controversial treatments given to children
Great Ormond Street Hospital accused of 'cover up' in scandal over controversial treatments given to children Great Ormond Street has been accused of a “cover up” in a scandal over controversial treatments that may have been used on hundreds of children.
The world famous children’s hospital may have subjected up to 463 children with a rare gut disease to unnecessary and potentially risky treatment.
Under the “aggressive” treatment, some children were needlessly banned from eating for years – instead getting food via a tube through their stomachs. The Daily Telegraph
The world famous children’s hospital may have subjected up to 463 children with a rare gut disease to unnecessary and potentially risky treatment.
Under the “aggressive” treatment, some children were needlessly banned from eating for years – instead getting food via a tube through their stomachs. The Daily Telegraph
Dangerous legacy of vaccine myths as one in three children have missed potentially lifesaving jabs
Dangerous legacy of vaccine myths as one in three children have missed potentially lifesaving jabs One in three parents say their children have missed at least one potentially lifesaving jab, a Daily Mail poll reveals today.
In a sign that ‘anti-vaxx’ myths may be hindering take-up, many cited concerns about safety and side-effects.
A total of 30 per cent of parents surveyed said their children had missed one or more routine jabs including MMR, flu or meningitis. One in four claimed the reason for missing the appointment was ‘safety concerns’ about vaccines.
A quarter of parents surveyed said they were often exposed to anti-vaxx messages on social media sites.
In a sign that ‘anti-vaxx’ myths may be hindering take-up, many cited concerns about safety and side-effects.
A total of 30 per cent of parents surveyed said their children had missed one or more routine jabs including MMR, flu or meningitis. One in four claimed the reason for missing the appointment was ‘safety concerns’ about vaccines.
A quarter of parents surveyed said they were often exposed to anti-vaxx messages on social media sites.
Friday, 15 November 2019
Privatisation in the English NHS: fact or fiction?
Privatisation in the English NHS: fact or fiction? With general election campaigning so far having a heavy focus on ‘privatisation’ and the NHS, Helen Buckingham and Mark Dayan take a closer look at this often thorny issue. Nuffield Trust
Tackling poor health outcomes: the role of trauma-informed care
Tackling poor health outcomes: the role of trauma-informed care Over the past few months I’ve been interviewing, reading and writing about the provision of health and care services to people who sleep rough. One concept has particularly stood out to me from what I’ve heard: trauma. It’s something I’ve been hearing more about recently, both in this research and in other health and care contexts. The King's Fund
Combined Performance Summary
Combined Performance Summary NHS performance statistics for urgent and emergency care, planned care, cancer and mental health. NHS England
See also:
See also:
- Combined Performance Summary: September–October 2019 Nuffield Trust
- Today’s figures highlight that the NHS in England is desperately struggling to stay afloat The Health Foundation
- The King's Fund responds to today's NHS England's combined performance summary The King's Fund
- Figures show we could be on track for 100,000 trolley waits Nuffield Trust
- A&E waiting times hit worst-ever level BBC News
- NHS reports worst waiting times on record Channel 4 News
- A&E waiting times are now the worst since records began The Daily Telegraph
- A&E waiting times in England hit worst-ever level The Guardian
- It’s Narnia on the wards: the NHS is in permanent winter crisis now The Guardian
- 'This will almost certainly get worse': Hospital A&E waiting times hit worst level on record The Independent
- War veteran, 99, left 'crying out in pain' on A&E trolley for 10 hours The Independent
- NHS A&E figures are 'a source of shame for all politicians' as health service records worst ever performance levels iNews
- NHS England records worst A&E waiting times in 15 years Sky News
Caring for doctors Caring for patients
Caring for doctors Caring for patients A new independent report into the wellbeing of doctors and medical students
In 2018 we commissioned Professor Michael West and Dame Denise Coia, to carry out a UK-wide review to help tackle the causes of poor wellbeing faced by medical students and doctors.
Their report, Caring for doctors, Caring for patients, includes eight recommendations to help deliver safe, supportive and inclusive environments, and compassionate cultures across the UK. The General Medical Council
See also:
In 2018 we commissioned Professor Michael West and Dame Denise Coia, to carry out a UK-wide review to help tackle the causes of poor wellbeing faced by medical students and doctors.
Their report, Caring for doctors, Caring for patients, includes eight recommendations to help deliver safe, supportive and inclusive environments, and compassionate cultures across the UK. The General Medical Council
See also:
- Acting on wellbeing solutions could make UK health services a model for the world The General Medical Council
- The King's Fund responds to the General Medical Council's new report on the wellbeing of doctors The King's Fund
Using population health management to work differently
Using population health management to work differently Lancashire and South Cumbria ICS are using population health management to crunch data on demographic and activity trends and forecast population demand on their health and care system.
This enables them to establish the cause of health deterioration in different population groups and future impact on patients and services. Finding these patients early enough could prevent or delay the onset of complex and debilitating conditions which would not only improve that person’s health but would avoid cost increases across the NHS and social care sector. Healthcare Financial Management Association
This enables them to establish the cause of health deterioration in different population groups and future impact on patients and services. Finding these patients early enough could prevent or delay the onset of complex and debilitating conditions which would not only improve that person’s health but would avoid cost increases across the NHS and social care sector. Healthcare Financial Management Association
#WonderfulWomenDo launched on a wave of celebration and positivity across health and care
#WonderfulWomenDo launched on a wave of celebration and positivity across health and care Get involved and support the new social media campaign #WonderfulWomenDo from the Health & Care Women Leaders Network - share the amazing things so many of you do each day to support one another. NHS Employers
Severe allergic reactions rise in children in England over past five years
Severe allergic reactions rise in children in England over past five years The number of children being admitted to hospital in England with a severe allergic reaction has risen every year for the past five years.
NHS figures show 1,746 children were treated for anaphylactic shock in 2018-19, up from 1,015 in 2013-14.
The parents of Natasha Ednan-Laperouse, who died in 2016 after eating a baguette containing sesame, called the increase "deeply alarming".
Scientists say environmental factors could be to blame for more allergies. BBC News
NHS figures show 1,746 children were treated for anaphylactic shock in 2018-19, up from 1,015 in 2013-14.
The parents of Natasha Ednan-Laperouse, who died in 2016 after eating a baguette containing sesame, called the increase "deeply alarming".
Scientists say environmental factors could be to blame for more allergies. BBC News
Half of British adults have 'no idea' about nutrition, research claims
Half of British adults have 'no idea' about nutrition, research claims British adults admitted they did not have a balanced diet because they were bad with portion sizes, food groups or nutritional information on food labels, when the were surveyed for a new poll.
Half of the 2,000 adults questioned said they had "no idea" how much protein, fat, carbohydrates, sugar, dairy and fruit and veg they are supposed to eat.
Around 49 per cent admitted they were not au fait with portion sizes.
As a consequence, nine in 10 said their diet probably lacked balance. The Independent
Half of the 2,000 adults questioned said they had "no idea" how much protein, fat, carbohydrates, sugar, dairy and fruit and veg they are supposed to eat.
Around 49 per cent admitted they were not au fait with portion sizes.
As a consequence, nine in 10 said their diet probably lacked balance. The Independent
The social care crisis is killing the NHS
The social care crisis is killing the NHS The latest NHS performance statistics are ghastly – hospitals and, let’s not forget, their staff, are working flat out in the face of rising accident and emergency attendances with record numbers of patients being forced to wait hours to be seen.
But the true horror lies a little deeper in the stats and, while it will attract fewer headlines, the frightening reality is there for all to see: the collapse of social care is dragging down the health service (requires registration). The Independent
But the true horror lies a little deeper in the stats and, while it will attract fewer headlines, the frightening reality is there for all to see: the collapse of social care is dragging down the health service (requires registration). The Independent
My daughter died of dementia at 42. I'm angry doctors took so long to diagnose her
My daughter died of dementia at 42. I'm angry doctors took so long to diagnose her As a nurse I’m used to dealing with illnesses, but not enough is known about this cruel disease. I want to increase awareness
My daughter Anna was 36 when she started to exhibit strange, inexplicable behaviours, both at work and at home. Anna was a clinical trials research nurse in a busy hospital. She was also a wife, and a mum to two young sons.
Her behaviours escalated to the point where it was not safe for her to be at home. She would clap, bang her head, whistle, wail, take off her shoes and run like a child in the hospital corridors, eat any food she could lay her hands on, bite and chew inappropriately. Worse than that was her complete lack of empathy and inhibition. She was forced to give up her job and had to come and live with us, her parents. The Guardian
My daughter Anna was 36 when she started to exhibit strange, inexplicable behaviours, both at work and at home. Anna was a clinical trials research nurse in a busy hospital. She was also a wife, and a mum to two young sons.
Her behaviours escalated to the point where it was not safe for her to be at home. She would clap, bang her head, whistle, wail, take off her shoes and run like a child in the hospital corridors, eat any food she could lay her hands on, bite and chew inappropriately. Worse than that was her complete lack of empathy and inhibition. She was forced to give up her job and had to come and live with us, her parents. The Guardian
Allergens must be listed on menus, coroner says, as figures show soaring hospitalisations of children
Allergens must be listed on menus, coroner says, as figures show soaring hospitalisations of children Allergens must be listed on menus, a coroner has said, as new figures show the number of children hospitalised as a result of severe reactions has risen by 70 per cent in five years.
Owen Carey died after unwittingly eating buttermilk in a burger restaurant, despite having made staff aware of his dairy allergy when he went out to celebrate his 18th birthday with his family.
Yesterday the coroner warned of a risk of future deaths, if menus were not forced to contain clear information. The Daily Telegraph
Owen Carey died after unwittingly eating buttermilk in a burger restaurant, despite having made staff aware of his dairy allergy when he went out to celebrate his 18th birthday with his family.
Yesterday the coroner warned of a risk of future deaths, if menus were not forced to contain clear information. The Daily Telegraph
Send patients texts to remind them to take statins, doctors say
Send patients texts to remind them to take statins, doctors say Sending patients text messages to remind them to take their statins could save thousands of lives a year, a study suggests.
Cardiologists say the simple tactic – known as 'nudging' – could also include emails or phone calls.
Millions of people are prescribed statins to lower their cholesterol levels, drastically slashing their risk of heart attacks and strokes.
But figures suggest as little as six per cent of patients adhere to their prescription of the pills, which cost pennies and are proven to be life-saving. The Daily Mail
Cardiologists say the simple tactic – known as 'nudging' – could also include emails or phone calls.
Millions of people are prescribed statins to lower their cholesterol levels, drastically slashing their risk of heart attacks and strokes.
But figures suggest as little as six per cent of patients adhere to their prescription of the pills, which cost pennies and are proven to be life-saving. The Daily Mail
Thursday, 14 November 2019
KGH error killed my dad
KGH error killed my dad A Rushden grandfather died after his cancer went untreated - despite being detectable on a scan almost two years earlier.
Steve Sampson is pursuing a negligence claim after Kettering General Hospital's catastrophic error caused the death of his dad Derek.
A report from a colonogram and endoscopy in 2015 said there was no tumour but when Derek went for another scan in 2017 he was told he had terminal cancer. Northamptonshire Telegraph
Steve Sampson is pursuing a negligence claim after Kettering General Hospital's catastrophic error caused the death of his dad Derek.
A report from a colonogram and endoscopy in 2015 said there was no tumour but when Derek went for another scan in 2017 he was told he had terminal cancer. Northamptonshire Telegraph
UK risking fall in national life expectancy as social inequalities increase
UK risking fall in national life expectancy as social inequalities increase New analysis of mortality data exploring reasons behind stalling life expectancy improvements in the UK, has uncovered worrying trends affecting some of the population, including a rising number of avoidable deaths among the under 50s. In fact the slowdown in mortality improvements has been so large that life expectancy predictions are back to where they were 16 years ago. The Health Foundation
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New guide on addressing your gender pay gap
New guide on addressing your gender pay gap NHS Employers and the Health and Care Women Leaders Network have launched a practical guide to support NHS employers with their gender pay gap.
A&E waiting times hit worst-ever level
A&E waiting times hit worst-ever level One in six patients waited longer than four hours in A&E in England during October - the worst-ever performance since the target was introduced in 2004. BBC News
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Election 2019: NHS policy check - what to look out for in party manifestos
Election 2019: NHS policy check - what to look out for in party manifestos The NHS is one of the areas that people have said they are most concerned about.
The BBC's health editor Hugh Pym has picked out some of the key issues - staffing, social care, mental health support and A&E provision.
In this video, he explains how to navigate the election campaign and check policies, pledges and manifestos, to see if the parties are taking them seriously.
So, if you care about what the parties are promising on the NHS in this election, here are some of the key things to watch out for. BBC News
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The BBC's health editor Hugh Pym has picked out some of the key issues - staffing, social care, mental health support and A&E provision.
In this video, he explains how to navigate the election campaign and check policies, pledges and manifestos, to see if the parties are taking them seriously.
So, if you care about what the parties are promising on the NHS in this election, here are some of the key things to watch out for. BBC News
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Climate change poses unprecedented health risks to children, major study warns
Climate change poses unprecedented health risks to children, major study warns Climate change poses an unprecedented health risk to children and is already having “persistent and pervasive” effects that will last throughout their lives, a major new study has warned.
Without drastic reductions in emissions, escalating temperature increases will burden the next generation with high levels of malnutrition, weaker immune systems and higher risk of premature death. The Independent
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Without drastic reductions in emissions, escalating temperature increases will burden the next generation with high levels of malnutrition, weaker immune systems and higher risk of premature death. The Independent
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- 2019 report Lancet Countdown
- Climate change is damaging the health of the world's children, report warns The Daily Mail
- Climate crisis will affect lifelong health of young, warn doctors The Guardian
The female problem: how male bias in medical trials ruined women's health
The female problem: how male bias in medical trials ruined women's health Centuries of female exclusion has meant women’s diseases are often missed, misdiagnosed or remain a total mystery
From the earliest days of medicine, women have been considered inferior versions of men. In On the Generation of Animals, the Greek philosopher Aristotle characterised a female as a mutilated male, and this belief has persisted in western medical culture.
“For much of documented history, women have been excluded from medical and science knowledge production, so essentially we’ve ended up with a healthcare system, among other things in society, that has been made by men for men,” Dr Kate Young, a public health researcher at Monash University in Australia, tells me. The Guardian
From the earliest days of medicine, women have been considered inferior versions of men. In On the Generation of Animals, the Greek philosopher Aristotle characterised a female as a mutilated male, and this belief has persisted in western medical culture.
“For much of documented history, women have been excluded from medical and science knowledge production, so essentially we’ve ended up with a healthcare system, among other things in society, that has been made by men for men,” Dr Kate Young, a public health researcher at Monash University in Australia, tells me. The Guardian
Drug users offered Greggs vouchers to get tested for hepatitis C
Drug users offered Greggs vouchers to get tested for hepatitis C Newcastle incentive is part of NHS England’s drive to eliminate virus by 2025
Drug users in Newcastle are being offered an unusual incentive to get tested for hepatitis C – vouchers for the bakery chain Greggs.
Gateshead and South Tyneside local pharmaceutical committee (LPC) is inviting pharmacies to participate in the scheme as part of NHS England’s drive to eliminate the virus by 2025. The Guardian
Drug users in Newcastle are being offered an unusual incentive to get tested for hepatitis C – vouchers for the bakery chain Greggs.
Gateshead and South Tyneside local pharmaceutical committee (LPC) is inviting pharmacies to participate in the scheme as part of NHS England’s drive to eliminate the virus by 2025. The Guardian
Thousands of bowel cancer cases missed due to ‘unacceptable’ testing failures
Thousands of bowel cancer cases missed due to ‘unacceptable’ testing failures Thousands of bowel cancer cases are being missed due to “unacceptable” testing failures, research in the BMJ shows.
The UK research found that some providers carrying out colonoscopies were three times as likely as others not to spot signs of disease.
At the worst units, almost one in ten cases which turned out to be bowel cancer were not picked up during the tests, the study led by the University of Leeds found. The Daily Telegraph
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The UK research found that some providers carrying out colonoscopies were three times as likely as others not to spot signs of disease.
At the worst units, almost one in ten cases which turned out to be bowel cancer were not picked up during the tests, the study led by the University of Leeds found. The Daily Telegraph
See also:
- Unacceptable variation in screening colonoscopy (open access editorial) The BMJ
- Variation in post-colonoscopy colorectal cancer across colonoscopy providers in English National Health Service: population based cohort study (open access) The BMJ
- Outcomes at follow-up of negative colonoscopy in average risk population: systematic review and meta-analysis (open access) The BMJ
- Private bowel cancer checks are 'less accurate' than tests carried out on the NHS, study suggests The Daily Mail
- Colorectal cancer rates after colonoscopies too varied OnMedica
Number of people who are obese in England has almost doubled in 20 years
Number of people who are obese in England has almost doubled in 20 years Obesity rates in England have doubled in the last 20 years, according to an analysis of Government data.
Around 13million people over the age of 16 were considered obese in 2017 – up from the 6.9million recorded back in 1997.
Health leaders have called the rise an 'urgent problem', with obesity known to cause cancer, heart disease and type 2 diabetes.
It comes after a report published last week showed the NHS spent £1.075billion on treating type 2 diabetes last year – more than ever. The Daily Mail
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Around 13million people over the age of 16 were considered obese in 2017 – up from the 6.9million recorded back in 1997.
Health leaders have called the rise an 'urgent problem', with obesity known to cause cancer, heart disease and type 2 diabetes.
It comes after a report published last week showed the NHS spent £1.075billion on treating type 2 diabetes last year – more than ever. The Daily Mail
See also:
- 13 million adults in the UK are obese, amid doubling in weight problems The Daily Telegraph
- Obesity almost doubles in 20 years to affect 13 million people The Guardian
Health websites in the UK 'share search terms with advertisers'
Health websites in the UK 'share search terms with advertisers' Health websites are sharing people's personal search data with online giants including Google, Amazon and Facebook, an investigation has revealed.
The arrangements are accused of taking sensitive information without people's consent and therefore breaching British data protection laws.
A total of 79 out of 100 websites were implicated in the Financial Times investigation include WebMD, Healthline, BUPA and the British Heart Foundation. The Daily Mail
The arrangements are accused of taking sensitive information without people's consent and therefore breaching British data protection laws.
A total of 79 out of 100 websites were implicated in the Financial Times investigation include WebMD, Healthline, BUPA and the British Heart Foundation. The Daily Mail
Wednesday, 13 November 2019
Northamptonshire councillors to dig deep into county budget but admit it looks ‘better than previous years’
Northamptonshire councillors to dig deep into county budget but admit it looks ‘better than previous years’ A committee tasked with scrutinising the county council’s budget has said that it appears to be ‘more robust’ than in recent years – but that they would still be digging deep into it.
Last week saw Northamptonshire County Council unveil its draft budget for the 2020/21 financial year. It includes £23 million of cuts to department services – the bulk of which is in adult social services – and proposes a council tax increase of 3.99 per cent inclusive of a social care precept. Northampton Chronicle and Echo
Last week saw Northamptonshire County Council unveil its draft budget for the 2020/21 financial year. It includes £23 million of cuts to department services – the bulk of which is in adult social services – and proposes a council tax increase of 3.99 per cent inclusive of a social care precept. Northampton Chronicle and Echo
Case study: Tackling mental health in general practice
Case study: Tackling mental health in general practice People experiencing low-level mental distress, such as bereavement or anxiety, make up a significant proportion of patients seen in general practice. Often there is little a GP can do beyond medication to support people with mental health needs, especially if they do not meet the threshold for referral to secondary care mental health services. Primary Care Commissioning
Plugging the leaks in the UK care home industry: strategies for solving the financial crisis in the residential and nursing home sector
Plugging the leaks in the UK care home industry: strategies for solving the financial crisis in the residential and nursing home sector This report identifies where each pound that goes into the care home industry ends up by using a forensic study of the accounts of over 830 adult care home companies, including the 26 largest providers. If finds significant levels of leakage of money from front-line care, including to profit, rental bills and debt repayments. The companies examined have a combined income of £10.4bn, representing 68 per cent of the total estimated market value for independent providers in 2017. Centre for Health and the Public Interest
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