Thursday, 16 January 2020

Frail older people in England missing out on vital medicines checks

Frail older people in England missing out on vital medicines checks Just 59% of ‘extremely frail’ older people received annual drugs review by GP last year.

Almost 75,000 severely frail, older people in England are missing out on vital medicine checks, putting them at risk of hospitalisation, falls and adverse drug reactions, according to an analysis of NHS data.

At least 10% of hospital admissions of frail older people are directly attributable to mismanagement of medicine. But the analysis of all patients aged over 65 in England found that only 59% – 108,507 – of people identified as being extremely frail received their annual medicines review last year. The Guardian

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Prostate deaths hit record high of 12,000 after soaring by more than a quarter in less than 20 years

Prostate deaths hit record high of 12,000 after soaring by more than a quarter in less than 20 years Prostate cancer deaths have passed 12,000 a year for the first time.

The toll has risen by more than a quarter in less than 20 years, official figures show.

By contrast, the number of annual deaths from breast cancer dropped by nearly 1,600 between 1999 and 2017, from 12,947 to 11,371. Annual prostate deaths have risen by nearly 2,600 in the same period, from 9,460 to 12,031 – a 27 per cent increase. The Daily Mail

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Wednesday, 15 January 2020

Kettering General Hospital's half a billion rebuild could be a reality in a decade

Kettering General Hospital's half a billion rebuild could be a reality in a decade Bosses at the ageing hospital, some parts of which date back to the 1890s, were already celebrating the news that they were in line for a £46m new urgent care hub.

Late last year they were also told that they were on the Government's manifesto list of 40 hospitals that could be in line for new buildings.

After the budget this Spring the trust is expected to be handed a portion of £100m of seed money to develop a business case to prove that Kettering General Hospital needs a total rebuild. This will be the first of many hurdles that the trust needs to pass during the process. Northamptonshire Telegraph

Katie Fisher: ‘I’m not trying to blame anyone for our mental health failings’

Katie Fisher: ‘I’m not trying to blame anyone for our mental health failings’ The head of St Andrew’s, the biggest independent provider of NHS mental healthcare, on her plans to downsize and hand over services

Few bosses would nurture an ambition to shrink their operations by half. But Katie Fisher admits this is her vision for St Andrew’s Healthcare, the UK’s biggest independent charitable provider of NHS mental healthcare, and she intends to make a start this year by closing at least 100 of its 860 beds.

St Andrew’s, founded in 1838, has been under sustained fire over the quality of its services, most recently last week when the Care Quality Commission (CQC) inspectorate identified “repeated and systemic failings” in procedures and governance. The charity’s specialist provision for adolescents has been in special measures since last spring, and remains closed to new admissions, and the organisation has faced outrage over the treatment of an 18-year-old, known as Bethany, whose father claimed she was kept in seclusion at St Andrew’s for two years and fed through a hatch. The Guardian

NHS funding bill enters Parliament

NHS funding bill enters Parliament The NHS Long Term Plan Funding Bill will enshrine in law an extra £33.9 billion a year by 2024 for the NHS. Department of Health and Social Care

Hernia mesh implants used 'with no clinical evidence'

Hernia mesh implants used 'with no clinical evidence' "Too many" types of hernia mesh implants are being used on NHS patients with little or no clinical evidence, the BBC has been told.

New data shows more than 100 different types of mesh were purchased by NHS Trusts from 2012 to 2018 in England and Scotland, leading to fears over safety.

The meshes can cut into tissue and nerves, leaving some people unable to walk, work or care for children.

The regulator MHRA said there was a clinical need for the devices. BBC News

Women who had botched operations left with no payouts

Women who had botched operations left with no payouts A cosmetic surgeon who botched operations and had inadequate medical insurance showed a lack of professional integrity, and dishonesty, a medical tribunal has said.

Dr Arnaldo Paganelli was found to have breached his patients' trust - and some are still waiting for compensation.

He worked privately for The Hospital Group in Birmingham and the small print of the contract given to patients told them to check their doctor's insurance. BBC News

As an NHS doctor, I'm really stretched - a few more minutes with a patient would help us give compassionate care

As an NHS doctor, I'm really stretched - a few more minutes with a patient would help us give compassionate care I’ve always found it difficult to describe why I wanted to be a doctor. It was really an instinct: a desire to one day be able to do something useful in a challenging situation. I’m lucky that following this path has worked out. I (mostly) love my job as a paediatrician working in a London Trust, and I really love the NHS. I also know I’m lucky to have made it this far whilst still caring about my patients and remaining physically and mentally intact myself. iNews

Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up

Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up Ten years on from the Mid Staffordshire NHS trust scandal, the man who led the inquiry into one of the worst care disasters in the service’s history has said he remains worried about the safety of patients and a culture that leaves staff too frightened to speak up.

Sir Robert Francis QC said some safety risks highlighted a decade ago remain unresolved and he threw his weight behind calls for senior managers in the NHS to be regulated. The Independent

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As NHS delays increase, we must not accept this crumbling system as the new norm

As NHS delays increase, we must not accept this crumbling system as the new norm | Zara Aziz It’s taking longer to see a GP due to the fallout from rushed hospital discharges. All services must be properly funded and staffed

A&E figures have made headline news, reportedly treating the smallest number of patients within four hours (68.6%), their lowest since the 95% target was set in 2004.

Due to delays in seeing and admitting patients through A&E, ambulance services are facing significant pressures. In the last year 21,663 patients were forced to wait for at least an hour with crews, the highest number ever recorded by the NHS. And once admitted, 2,347 people waited for 12 hours or more on a trolley. The Guardian

Dads cluttering up maternity wards and making women self-conscious about breastfeeding, say midwives

Dads cluttering up maternity wards and making women self-conscious about breastfeeding, say midwives New and expectant fathers treating maternity units “like hotels” are making mothers uncomfortable and risking patient safety, midwives have complained.

Staff have raised concern with NHS bosses that the current policy of encouraging men to be present on wards is putting women off breastfeeding. The Daily Telegraph

Around one in five adults were abused as children, first ever ONS analysis finds

Around one in five adults were abused as children, first ever ONS analysis finds Around one in five adults were abused as children, according to the first ever analysis conducted by the official government statistics body.

The research studies emotional, physical and sexual abuse - as well as domestic violence - from threats and belittlement to beatings and rape.

The Office for National Statistics (ONS) data estimates that 8.5 million people aged between 18 and 74 were abused or witnessed abuse as children before the age of 16. The Daily Telegraph

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GPs are in revolt over a drive to spot cancer sooner by making regular visits to care home patients

GPs are in revolt over a drive to spot cancer sooner by making regular visits to care home patients GPs are in revolt over targets that require them to visit care homes once a fortnight and spot cancer much earlier.

The measures are part of a five-year contract agreed with NHS officials to encourage surgeries to work together to improve care.

But family doctors say the terms are excessive given intense staffing pressures and the demands of a growing and ageing population. The Daily Mail

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One in six women who suffer the heartbreak of a miscarriage end up with PTSD

One in six women who suffer the heartbreak of a miscarriage end up with PTSD One in six women suffer from long-term PTSD symptoms following a miscarriage or ectopic pregnancy, research suggests.

Scientists quizzed 650 women who lost their baby about their psychological state following the heartbreaking news.

Almost a third of women suffered from post-traumatic stress a month later. Others were plagued with anxiety and depression, as well as feelings of guilt and shame. The Daily Mail

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Tuesday, 14 January 2020

Where can I give blood? How to give blood in Corby, Kettering and Wellingborough as NHS appeals for more male blood donors

Where can I give blood? How to give blood in Corby, Kettering and Wellingborough as NHS appeals for more male blood donors The NHS have launched a campaign to increase male blood donors after it was revealed that there is a gender imbalance in new donors.

Statistics for 2019 showed that for every 100 new female donors, there were 70 new male donors, meaning men made up just 41% of new donors last year. Northamptonshire Telegraph

Northants residents with long term health problems urged to get flu jab

Northants residents with long term health problems urged to get flu jab Thousands of Northamptonshire residents living with long-term health conditions are being encouraged to have a free flu jab, because of the life threatening risk caused by the flu virus. AboutMyArea

New campaign urges public to speak up about the NHS

New campaign urges public to speak up about the NHS Healthwatch England has launched the #SpeakUp2020 campaign, encouraging everybody to speak up about what would make health and social care services in their communities better.

Improving Care by Using Patient Feedback

Improving Care by Using Patient Feedback Both staff and patients want feedback from patients about the care to be heard and acted upon and the NHS has clear policies to encourage this. Doing this in practice is, however, complex and challenging. This report features nine new research studies about using patient experience data in the NHS.  These show what organisations are doing now and what could be done better.  Evidence ranges from hospital wards to general practice to mental health settings.  There are also insights into new ways of mining and analyzing big data, using online feedback and approaches to involving patients in making sense of feedback and driving improvements. National Institute for Health Research

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Beyond parity of esteem: achieving parity of resource, access and outcome for mental health in England

Beyond parity of esteem: achieving parity of resource, access and outcome for mental health in England Mental health services remain a long way behind most physical health services in terms of their resourcing, patient ability to access care and overall patient outcomes. This report outlines findings about the state of mental health in England and recommendations for improvements. Key findings: under a third of children with mental health problems in England are able to access the care they need; those with a severe mental illness in England on average die 15 to 20 years earlier than the general population; and suicide is the leading cause of death among young people in the UK aged 20-34 years, and for men in the UK aged under 50. British Medical Association

    The English local government public health reforms: an independent assessment

    The English local government public health reforms: an independent assessment This report, commissioned from The King's Fund, assesses the success of the 2013 reforms to public health in England, which were part of the coalition government’s wider health reform programme. These reforms, which saw the responsibility for many aspects of public health move from the NHS to local government, involved the transition of staff and services and required the formation of new relationships to ensure public health was embedded across local government services. Local Government Association

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    Over 100000 NHS patients benefit from new same-day pharmacy service

    Over 100000 NHS patients benefit from new same-day pharmacy service People dealing with minor illnesses or in need of urgent medicine have recently been seen by local pharmacies, taking mounting pressures off doctors.

    The Government announced that more than 100,000 patients have had appointments with expert pharmacists in the last 10 weeks, relieving pressures on GPs and A&E departments. National Health Executive

    Pensions row 'making bad situation worse in NHS'

    Pensions row 'making bad situation worse in NHS' The continuing dispute over pensions that has seen doctors stop working overtime is "making a bad situation worse", hospital bosses are warning.

    Some have been refusing to work extra hours because they were being landed with bills after changes to how much could be accrued in pensions tax free.

    A short-term fix, proposed in November by NHS bosses in England, will see the NHS pick up the tax bills.

    But NHS Providers said that move had not begun to solve the problems. BBC News

    NHS to trial twice-yearly injection alternative to statins

    NHS to trial twice-yearly injection alternative to statins Mass trial of drug inclisiran comes after health service strikes deal with Novartis

    The NHS is to launch a mass trial of an as-yet unapproved twice-yearly cholesterol-lowering injection, which it hopes will save lives and cut medical bills for thousands of people who do not take statins.

    About 40,000 people with high “bad” or low-density lipoprotein cholesterol will be invited to join the trial of inclisiran by NHS England via their GPs. The NHS has struck a novel deal with drugmaker Novartis, which will provide the injections free in exchange for the results of the five-year trial, which will be run by the NHS staff. The Guardian

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    Just one in 100 primary school children are eating healthy packed lunches

    Just one in 100 primary school children are eating healthy packed lunches Fewer than two in 100 primary school children are eating a healthy packed lunch, a study suggests.

    Analysis shows 1.6 per cent of packed lunches in England meet nutritional standards imposed on school canteens by the government, compared to 1 per cent in 2006.

    The alarming figure has stagnated for a decade, despite a food education drive in the late 2000s. The Daily Mail

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    Monday, 13 January 2020

    'More needs to be done' to help hundreds on waiting list for NHS gender identity clinic in Northamptonshire

    'More needs to be done' to help hundreds on waiting list for NHS gender identity clinic in Northamptonshire An LGBT charity believes 'more has to be done' to help the hundreds of transgender and non-binary adults waiting for an NHS gender identity clinic in Northamptonshire.

    A total of 759 people are on the waiting list for the service based at Danetre Hospital in Daventry, which supports over-18s with gender dysphoria and offers a range of treatments. Northampton Chronicle and Echo

    Flu vaccination: increasing uptake

    Flu vaccination: increasing uptake This quality standard covers increasing the uptake of flu vaccination among people who are eligible. It describes high-quality care in priority areas for improvement. It does not cover uptake of flu vaccination in people aged 65 and over. National Institute for Health and Care Excellence

      The GP practice where patients can share appointments

      The GP practice where patients can share appointments Faced with a wait for a GP appointment, would you choose a group session with the doctor instead? It is an idea some surgeries are investigating.

      Demand for appointments increasingly outweighs availability. In recent years, the number of GP appointments has risen by 13%, but GP numbers are up by less than 5%, putting huge pressure on surgeries.

      In addition, many of us are living longer and with multiple long-term conditions, which can make consultations extremely complex.

      The traditional one-to-one 10-minute appointment is arguably no longer fit for purpose. BBC News

      Millions left unspent on NHS as councils fail to cash in on money from housing developers

      Millions left unspent on NHS as councils fail to cash in on money from housing developers The NHS is missing out on tens of millions of pounds from housing developers because councils are failing to ask for the funds, it has emerged.

      And even when councils do collect the funds, the NHS often fails to spend it – £34m is currently unused.

      Property developers are required to stump up this cash to obtain planning permission. The funds are intended to be spent on developing and creating buildings to alleviate pressure on the health service after an influx of residents. The Independent

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      Safety fears as hospitals redeploy nurses to care for patients in corridors

      Safety fears as hospitals redeploy nurses to care for patients in corridors Overcrowding forces ward staff to spend part of shift looking after patients without a bed.

      Hospitals are having to redeploy nurses from wards to look after queues of patients in corridors, in a growing trend that has raised concerns about patient safety.

      Many hospitals have become so overcrowded that they are being forced to tell nurses to spend part of their shift working as “corridor nurses” to look after patients who are waiting for a bed. The Guardian

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      NHS lung cancer screening 'could save 5,000 lives a year'

      NHS lung cancer screening 'could save 5,000 lives a year' Experts call for introduction of CT scans for people at risk due to smoking or family history

      The NHS could save 5,000 lives a year by introducing screening for lung cancer, say experts.

      Prof Charles Swanton, chief clinician at Cancer Research UK and one of the country’s leading cancer scientists, said: “The data are extraordinary. If we had a drug half as good as that, we would have adopted it by now.” The Guardian

      Stiff upper lip means war babies will not seek  help for depression 

      Stiff upper lip means war babies will not seek  help for depression Older generations are being encouraged to ditch their “stiff upper lip” after research found six in ten pensioners have experienced depression or anxiety.

      The NHS is launching a national campaign urging the elderly to seek help for mental health problems, after research found widespread reluctance to do so. The Daily Telegraph

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      Polluted air is set to cause 160,000 deaths over the next decade, experts predict

      Polluted air is set to cause 160,000 deaths over the next decade, experts predict Air pollution will cause 160,000 fatal strokes and heart attacks in the next decade unless the Government acts to clean up Britain’s dirty air, experts have warned.

      The British Heart Foundation says that roughly 40 people a day will die from heart and circulation problems caused by toxic air over the next ten years. Currently, the annual total is 11,000 and that figure is projected to rise during the decade.

      The charity warns today that air pollution presents a ‘major public health emergency’ that must be urgently addressed. The Daily Mail

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      How IVF success rates are almost four TIMES lower in some parts of UK

      How IVF success rates are almost four TIMES lower in some parts of UK IVF success rates are three-and-a-half times lower in some parts of the UK because of a cruel 'postcode lottery', experts have warned.

      Women having the procedure at St Jude's Fertility Clinic in Wolverhampton have just a 12 per cent chance of having a baby.

      By contrast, the success rate of an IVF cycle at University Hospital Coventry – just a 50-minute drive away – is 43 per cent. The Daily Mail

      Friday, 10 January 2020

      Kettering and Northampton hospitals to 'merge management teams'

      Kettering and Northampton hospitals to 'merge management teams' The hospitals released a joint statement to announce the news - which they say will 'strengthen health services in Northamptonshire.'

      Bosses were keen to stress that the organisations themselves would not be merged, but that the appointment of a group chief executive officer would enable the hospitals to work more closely together. Northamptonshire Telegraph

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      Thousands of Nene women missing breast screening tests, NHS figures reveal

      Thousands of Nene women missing breast screening tests, NHS figures reveal More than 20,000 women in Nene missed their last screening for breast cancer, NHS figures reveal. Daventry Express

      Social care services: funding cuts are biting hard

      Social care services: funding cuts are biting hard When we were writing last year’s Social care 360 report we found an appropriate name for a key, v-shaped graph showing the divergence between the number of people requesting social care support from councils and those receiving it. We called it the ‘crocodile’s mouth’ graph, partly because the slightly sinister tone (never smile at a crocodile) reflected a rather worrying trend – more people were asking for support but fewer were receiving it. The King's Fund

      Guidance: Physical activity guidelines: UK Chief Medical Officers' report

      Guidance: Physical activity guidelines: UK Chief Medical Officers' report A report from the Chief Medical Officers in the UK on the amount and type of physical activity people should be doing to improve their health. Department of Health and Social Care

      Access to child and adolescent mental health services in 2019

      Access to child and adolescent mental health services in 2019 The Education Policy Institute (EPI) has published its Annual Report on access to child and adolescent mental health services (CAMHS).

      The study examines access to specialist services, waiting times for treatment, and provision for the most vulnerable children in England.

      The research is based on new data obtained using freedom of information (FOI) requests to mental health providers and local authorities over the course of a year. This data is not published by the NHS.

      The majority of lifelong mental health problems develop early on, during childhood or adolescence. The wider economic costs of mental ill health in England are vast, estimated at £105bn each year.

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      Measuring progress: commitments to support and expand the mental health workforce in England

      Measuring progress: commitments to support and expand the mental health workforce in England This report finds that recent commitments to support and expand the mental health workforce have fallen short of their goals. To assess progress against these commitments and identify where further action is required, the report analyses workforce data and a survey of health care professionals working in the sector. British Medical Association

        Specialty, associate specialist and locally employed doctors workplace experiences survey: initial findings report

        Specialty, associate specialist and locally employed doctors workplace experiences survey: initial findings report This report contains the initial results of a survey of Specialty and Associate Specialist (SAS) and Locally Employed (LE) doctors – the one in six UK doctors who are not GPs, consultants nor in training roles. The survey founds that 30 per cent of SAS doctors and 23 per cent of their LE counterparts had been bullied, undermined or harassed at work in the last year, either by colleagues or by patients and their families. General Medical Council

          Eczema, acne and skin-picking: 'More mental health help needed'

          Eczema, acne and skin-picking: 'More mental health help needed' "I felt very ashamed and I still do if I'm going through a bad flare."

          For Phaedra Longhurst, 27, the effects of skin-picking disorder dermatillomania, eczema and acne are more than just skin deep. And she's not alone.

          Each year, about 13 million people in the UK visit their GP with a skin complaint and a recent survey of dermatologists suggests there is insufficient access to related mental support. BBC News

          Mystery Chinese virus: How worried should we be?

          Mystery Chinese virus: How worried should we be? A mystery virus - previously unknown to science - is causing severe lung disease in the Chinese city of Wuhan.

          More than 50 people have been infected. Seven are currently in a critical condition.

          A new virus arriving on the scene, leaving patients with pneumonia, is always a worry and health officials around the world are on high alert.

          But is this a brief here-today-gone-tomorrow outbreak or the first sign of something far more dangerous? BBC News

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          Thousands on waiting lists for gender identity clinics

          Thousands on waiting lists for gender identity clinics Andrea Halliley is one of thousands of people on waiting lists for NHS gender identity clinics in England.

          The 51-year-old ex-soldier is one of more than 13,500 transgender and non-binary adults on waiting lists. BBC News

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          Female doctors earn £40,000 less than male colleagues due to ‘two-tier’ GP pay gap

          Female doctors earn £40,000 less than male colleagues due to ‘two-tier’ GP pay gap Women GPs earn an average of £40,000 a year less than their male colleagues – one of the worst gender pay gaps for any profession.

          Researchers largely blame the 35 per cent pay gap on a two-tier system in which more men choose to operate as private contractors with the NHS, running their practice as a business.

          The pay disparity can affect GPs of all ages and grades, according to the study by the Institute for Public Policy Research, which was shared with The Independent.

          Who do I treat first: a cancer patient or the woman with a bleed on her brain?

          Who do I treat first: a cancer patient or the woman with a bleed on her brain? Every time I tell a patient in intensive care their treatment is to be delayed, I’m angry and ashamed.

          It’s a sunny Friday morning. I find a parking space easily, just as a song by my favourite band ends and I turn off the ignition. It’s 8.15am when I see the night consultant in the corridor: the past 13 hours caring for critically ill patients in the intensive care unit (ICU) has taken its toll. Their long night is over. My long day is just beginning. The Guardian

          A&E waiting times worst on record, as medics say NHS on its knees

          A&E waiting times worst on record, as medics say NHS on its knees Accident & Emergency waiting times are now the worst on record, with more than a fifth of patients waiting more than four hours.

          Medics warned that they were “on their knees” as the NHS continued to miss a raft of key targets.

          Casualty units should see at least 95 percent of patients within four hours. The Daily Telegraph

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          Pharmacists 'should be given the power to diagnose people with cancer'

          Pharmacists 'should be given the power to diagnose people with cancer' Pharmacists should be given the power to diagnose people with cancer and refer them to specialists, experts have said.

          A report by University College London said pharmacies should serve as 'early diagnosis hubs' in order to improve cancer survival rates.

          The call was backed by the Royal College of Pharmacists and the British Lung Foundation, who said pharmacists are often best placed to spot early symptoms of lung cancer. The Daily Mail

          Thursday, 9 January 2020

          Northampton hospital chief praises staff as A&E continues to treat 400 patients each day

          Northampton hospital chief praises staff as A&E continues to treat 400 patients each day Northampton's hospital chief executive Sonia Swart has commended her staff for their 'unwavering dedication' as hundreds of patients continue to need treatment at A&E.

          It comes as relentless winter pressures have seen up to 400 patients - experiencing mostly respiratory problems, chest pains, and flu - needing treatment at Northampton's A&E department. Northampton Chronicle and Echo

          Hindsight 2020: Lessons on setting targets in health and social care

          Hindsight 2020: Lessons on setting targets in health and social care After the 2015 general election, the NHS and social care were set a number of targets on where they needed to be by 2020. Now that year has started, this briefing looks at how they have fared over that time, looking at a sample of key targets. Which have been met, which are being missed, and which by now no longer exist? The briefing then looks at the lessons that need to be learned. Nuffield Trust

          Collaborative commissioning for sexual health, reproductive health and HIV: a review of 4 areas

          Collaborative commissioning for sexual health, reproductive health and HIV: a review of 4 areas In 2016, Public Health England (PHE) and partner agencies undertook a survey of sexual health, reproductive health and HIV commissioning and published an accompanying action plan. One of the key actions was to support two pilot areas in developing collaborative approaches. PHE has undertaken an evaluation of these two areas and two other areas that had adopted a collaborative approach to commissioning. This review provides a summary of the evaluation and the existing frameworks that can support collaborative working. The slide set details the methodology and findings from this qualitative evaluation. Public Health England

            Investigation into lack of timely monitoring of patients with glaucoma

            Investigation into lack of timely monitoring of patients with glaucoma Lack of timely follow-up for glaucoma patients is a recognised national issue across the NHS. Research suggests that around 22 patients a month suffer severe or permanent sight loss as a result of the delays.

            Our latest report comes after we looked at the case of a 34-year old woman who lost sight as a result of delayed follow-up appointments. She saw seven different ophthalmologists, and the time between her initial referral to hospital eye services and laser eye surgery was 11 months. By this time her sight had deteriorated so badly, she was registered as severely sight impaired.

            We’ve made seven safety recommendations as a result of this investigation. Healthcare Safety Investigation Branch

            £1.8bn PCN programme on brink as senior GPs threaten to withdraw

            £1.8bn PCN programme on brink as senior GPs threaten to withdraw 'Totally unrealistic' draft service specifications have left high-profile GPs warning they could quit the network contract DES, signalling trouble for the future of primary care networks (PCNs). GPonline

            A&E patients face long waits as winter bites

            A&E patients face long waits as winter bites Huge pressures at hospitals across the NHS over the last month have led to long delays for patients seeking emergency care, figures suggest.

            The NHS England December data showed record delays in A&E with one in five patients waiting more than four hours.

            A key problem seems to have been a shortage of beds on wards.

            The figures show nearly 100,000 of the sickest patients faced hours stuck on trolleys and waiting in corridors while beds were found for them. BBC News

            GP shortages cause 'unacceptable' patient waits

            GP shortages cause 'unacceptable' patient waits Family doctors are under intense pressure and general practice is running on empty, warns the Royal College of GPs (RCGP).

            It says severe staff shortages are causing "unacceptable" delays for patients in England.

            In a letter to Health Secretary Matt Hancock, its chairman says ministers must take urgent action to deal with the lack of GPs.

            The government said it had recruited a "record number" of GP trainees. BBC News

            Healthy habits 'deliver extra disease-free decade'

            Healthy habits 'deliver extra disease-free decade' Women can gain 10 and men seven years of life free of cancer, heart problems and type-2 diabetes from a healthy lifestyle, a study in the BMJ suggests.

            They must exercise regularly, drink in moderation only, have a healthy weight and good diet and not smoke. BBC News

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            NHS use of puberty blockers legal challenge begins

            NHS use of puberty blockers legal challenge begins Legal action is being launched against the NHS over the prescribing of drugs to delay puberty.

            Papers have been lodged at the High Court by a mother and a nurse against the Tavistock and Portman NHS Trust, which runs the UK's only gender-identity development service (Gids).

            Lawyers will argue it is illegal to prescribe the drugs, as children cannot give informed consent to the treatment.

            The Tavistock said it had a "cautious and considered" approach to treatment. BBC News

            I've seen fellow patients die of eating disorders. This needs tackling - fast

            I've seen fellow patients die of eating disorders. This needs tackling - fast A holistic approach helped me recover after 20 years in and out of hospital. As demand rises, more investment is needed

            We live in a society where low weight is accepted, not talked about, not treated. As I know well from personal experience, people only get treatment for eating disorders when they are nearly dead. The Guardian

            Warnings over “postcode lottery” in ovarian cancer diagnosis and survival

            Warnings over “postcode lottery” in ovarian cancer diagnosis and survival Survival rates for women with ovarian cancer are twice as high in some parts of the country than others, amid warnings of an NHS “postcode lottery” in diagnosis and treatment of the disease.

            A new report warns that in some parts of the country just one in ten cases are diagnosed at their earliest stage, which health services in other areas achieve almost half of the time. The Daily Telegraph

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            Smokers in England are less hooked than a decade ago - but are also less inclined to give up

            Smokers in England are less hooked than a decade ago - but are also less inclined to give up Smokers in England are less hooked than they were a decade ago – but are also less inclined to give up, a study has revealed.

            An analysis of 41,610 smokers found they were smoking around three cigarettes less every day in 2017, compared to 2008.

            However, their motivation to quit or at cut down has declined drastically, researchers at University College London discovered. The Daily Mail

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            Wednesday, 8 January 2020

            How arguments for change may inadvertently keep things the same

            How arguments for change may inadvertently keep things the same I was having lunch with some friends recently, and the topic of racial privilege and historical injustices came up. One friend mentioned an argument being made in the USA advocating that these injustices might be redressed by the current-day beneficiaries giving (or returning) assets to those who had been previously wronged (see, for example, Ta-Nehisi Coates on the case for reparations in 2014 and 2019). As Harvard’s David Williams described to us at our Annual Conference this year, these injustices can have long-lasting consequences. The King's Fund

            Future patient care at risk unless health research protected and boosted

            Future patient care at risk unless health research protected and boosted Health research faces a crisis that could impact on patient care, says a new report led by 10 prominent figures in the NHS and academia.

            The Academy of Medical Sciences’ report raises the alarm about the number of research active NHS staff who are finding it increasingly difficult to find time for research. Support for research is not helped by the widening gap between universities and the NHS.

            See also:

            Mental health policy in England

            Mental health policy in England Around one in four people in the UK suffer from a mental health problem each year. The NHS has set out that it wants to achieve “parity of esteem” between mental and physical health, in terms of access to services, quality of care and allocation of resources. This briefing looks at the current mental health strategy, reform of the Mental Health Act, waiting times and the use of force in mental health settings. House of Commons Library

              Connecting up the care: supporting London’s children exposed to domestic abuse, parental mental ill-health and parental substance abuse

              Connecting up the care: supporting London’s children exposed to domestic abuse, parental mental ill-health and parental substance abuse Early neglect and trauma on children can have substantial negative outcomes later on in life. These potentially traumatic events are called adverse childhood experiences (ACEs). This report from the London Assembly Health Committee examines three ACEs which commonly co-occur (domestic violence and abuse, parental mental ill-health and parental alcohol and drug misuse) to assess how access to and support from services could be improved. London Assembly

                Scottish project tackles pills' 'environmental impact'

                Scottish project tackles pills' 'environmental impact' A new Scottish health project aims to tackle potential harm caused to the environment by pharmaceuticals.

                An estimated 100 million treatments are prescribed every year in Scotland.

                After a pill passes through a person's body, some of its compounds reach rivers, lochs and the sea because waste water plants cannot filter them out.

                While the project team say there is no evidence of a risk to the public, they warn of possible threats to marine wildlife. BBC News

                Virus from shrews linked to unexplained deaths in Europe

                Virus from shrews linked to unexplained deaths in Europe A virus that can jump from shrews to humans could be to blame for previously unexplained deaths in Europe, scientists have found.

                A study of brain tissue samples from more than 50 patients who died from encephalitis, or brain swelling, over 20 years has identified eight new cases of the Borna virus. The Independent

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                Yes, the NHS needs more nurses, but where is the action on social care?

                Yes, the NHS needs more nurses, but where is the action on social care? | David Brindle The biggest challenge by far is the projected need for more care workers by 2035 to keep pace with the ageing population

                Frantic efforts are being made to boost applications for nursing degree courses before next week’s annual Ucas deadline, following the partial U-turn just before Christmas on the scrapping of training bursaries. At a cost of more than £2bn, students are being offered new grants worth between £5,000 and £8,000 a year – although they must still pay tuition fees – in tacit recognition that the abolition of bursaries in 2016 was a big mistake. The Guardian

                More than 1,000 sex assaults on mixed sex wards, investigation finds

                More than 1,000 sex assaults on mixed sex wards, investigation finds More than 1,000 sexual assaults have been reported on NHS mixed-sex mental health wards since 2017, an investigation has found.

                It follows calls for tighter rules to protect patients’ dignity and safety.

                The figures show there were at least 1,019 reports of sexual assaults on mixed wards from April 2017 to October 2019. The Daily Telegraph

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                Cancer breakthrough as scientists find how tumour-killing cells are activated

                Cancer breakthrough as scientists find how tumour-killing cells are activated More effective cancer treatments could be on the horizon now that researchers have found out how tumour-killing cells are switched on.

                Doctors have for years been using CAR T-cell therapy to make some immune cells directly target tumour cells in blood cancer patients.

                They knew CD4+ T cells, known as 'helpers' because they transport vital nutrients, start to aggressively fight cancers after the treatment. The Daily Mail

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                Tuesday, 7 January 2020

                'Repeated failings' at St Andrew's Healthcare mental health charity

                'Repeated failings' at St Andrew's Healthcare mental health charity A mental health hospital charity has been told it made "repeated and systemic failings" in its leadership by health inspectors.

                The Care Quality Commission (CQC) raised several concerns at St Andrew's Healthcare, based in Northampton.

                They included a two-year backlog to address issues found by the CQC in previous inspections.

                St Andrew's Healthcare said it had new leaders who were committed to making improvements. BBC Northampton

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                Junior doctors 2018 contract refresh guidance

                Junior doctors 2018 contract refresh guidance This guidance published in partnership with the British Medical Association, aims to support employers to appoint and develop flexible training champions. The champion will play a strategic role in promoting and improving existing support for less than full-time trainee doctors and dentists, advocating for them where necessary. The ultimate intention behind the introduction of the role was to create a shift in culture within the NHS, to give trainees more flexibility, and to offer them support as they carry out their training and other commitments they may have. NHS Employers

                  The risks behind the hype of stem-cell treatments

                  The risks behind the hype of stem-cell treatments Some private clinics are charging UK patients thousands of pounds for unproven and unregulated treatments using the "healing powers" of stem cells, the BBC has found.

                  And experts are warning some of these "therapies" can cause significant harm.

                  Stem cells can become many types of cells in the body, from muscle to brain, and can repair damaged tissue.

                  But they are approved only for treating some blood conditions, for skin grafts and the repair of damaged corneas. BBC News

                  Running marathon cuts 'artery age by four years'

                  Running marathon cuts 'artery age by four years' Training for and completing a marathon improves the health of a new runner's arteries, cutting about four years off their "vascular age", a study suggests.

                  Researchers from Barts and University College London tested 138 novice runners attempting the London Marathon.

                  Over six months of training, their arteries regained some youthful elasticity, which should reduce the risk of heart attacks and strokes. BBC News

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                  Dozens of hospitals leaving NHS staff at risk of attacks by patients

                  Dozens of hospitals leaving NHS staff at risk of attacks by patients Dozens of NHS hospitals are breaking the law by failing to protect staff from violent attacks, it has emerged.

                  The Health and Safety Executive (HSE) has said 25 NHS trusts are in breach of rules designed to make sure they manage risks to their staff from violent patients or members of the public.

                  This follows 38 inspections by the regulator since April 2018. The Independent

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                  'Children cannot give consent to transgender treatment', nurse launching legal test case claims 

                  'Children cannot give consent to transgender treatment', nurse launching legal test case claims Children cannot consent to transgender treatment, a nurse bringing a landmark legal case has said, claiming that many are autistic, homosexual or just confused.

                  Susan Evans, 62, a former psychiatric nurse at the Tavistock and Portman NHS foundation trust, said that “experimental” and “invasive medical treatment” should be prevented in order to protect children. The Daily Telegraph

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                  AI can diagnose brain tumors better, faster and earlier than doctors can

                  AI can diagnose brain tumors better, faster and earlier than doctors can Artificial intelligence can detect brain tumors during surgery better than trained doctors, a new study claims.

                  Researchers developed a computer algorithm that could diagnose the cancerous masses with almost 95 percent accuracy.

                  The results analyzed by neuropathologists were slightly less accurate at around 94 percent. The Daily Mail

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                  Monday, 6 January 2020

                  Max Clifford: HMP Littlehey staff 'made medication errors'

                  Max Clifford: HMP Littlehey staff 'made medication errors' Disgraced publicist Max Clifford was given wrongly-labelled medication at least twice in prison before he died, a report has found.

                  Clifford, 74, died two years ago while serving an eight-year sentence at Littlehey Prison in Cambridgeshire for historical sex offences.

                  Northamptonshire Healthcare NHS Foundation Trust, which provides healthcare at HMP Littlehey, said the coroner had accepted its action plan and evidence of implementation.

                  It said it would "continue to share learning and implement our findings to ensure our care is of a high standard". BBC News

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                  £40 million investment to reduce NHS staff login times

                  £40 million investment to reduce NHS staff login times The government will provide £40 million to transform slow login times, one of the main technology frustrations facing NHS staff.

                  NHS staff currently have to log in to multiple computer programmes when tending to a patient, with each programme requiring its own login details. Some staff need to log into as many as 15 different systems.

                  This can be time consuming, and also requires staff to remember multiple complex passwords or use the same one on multiple systems, which is potentially a cybersecurity risk. Department of Health

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                  DNA Testing On The NHS To Fast Track Diagnosis For Critically Ill Babies And Children

                  DNA Testing On The NHS To Fast Track Diagnosis For Critically Ill Babies And Children The NHS in England is providing a new form of DNA test capable of rapidly diagnosing rare diseases for critically ill babies and children, as part of its Long Term Plan to use world leading technologies to improve care for the sickest infants.

                  80 babies and children have received this new test, with almost half being given a diagnosis for their rare disease.

                  The technique, known as ‘whole exome sequencing’, doubles the chance of a diagnosis and can reveal what is wrong with patients in days rather than weeks, reducing waits for worried families. NHS England

                  Fentanyl deaths on rise in UK, drug report warns

                  Fentanyl deaths on rise in UK, drug report warns Deaths caused by the drug fentanyl are on the rise in the UK, a report warns.

                  Deaths related to Fentanyl, a synthetic opioid considered to be 50 times more potent than heroin, rose from eight in 2008 to 135 in 2017, the report said.

                  The Advisory Council on the Misuse of Drugs (ACMD) said the government should introduce controls to tackle the "emerging threat" the painkiller poses.

                  The ACMD said a rise in the number of deaths in the UK is being driven by fentanyl being added to heroin. BBC News

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                  Age of carers is 'looming crisis' for adult care

                  Age of carers is 'looming crisis' for adult care The increasing age of carers looking after adults with learning disabilities is a "looming crisis" for councils, a study claims.

                  Two-thirds of adults with learning disabilities or autism live with their families. Medical advances mean they are living longer than ever but many parents - some in their 80s and 90s - are worried about what will happen when they die.

                  Researchers from the University of Bath say the "issue will reach breaking point if it isn't tackled". BBC News

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                  Surgery patients with deadly sepsis are not getting antibiotics fast enough, NHS audit finds

                  Surgery patients with deadly sepsis are not getting antibiotics fast enough, NHS audit finds More than 80 per cent of patients who have signs of a deadly sepsis infection before high-risk surgery are not getting antibiotics fast enough, a major NHS report has warned.

                  Sepsis kills an estimated 44,000 people in England every year and rapid access to antibiotics within the first hour after diagnosis is vital to halt the infection.

                  But a review of performance across 179 NHS hospitals has found a majority of patients undergoing emergency bowel surgery are not getting medication early enough. The Independent

                  Hospital in bullying claims did not monitor at-risk patients

                  Hospital in bullying claims did not monitor at-risk patients West Suffolk NHS trust failed to heed warning over patients with aneurysms, raising questions about management

                  A hospital accused of bullying its staff is facing new claims that it failed to act on a leading doctor’s warning about a potential fatal failure to monitor vulnerable patients, the Guardian can reveal.

                  Anorexia is the deadliest mental illness. Why is the NHS still not taking it seriously?

                  Anorexia is the deadliest mental illness. Why is the NHS still not taking it seriously? | Tom Quinn The rise in hospital admissions for eating disorders shows that medics don’t have the knowledge or the resources to treat them

                  The rise in hospital admissions for people with eating disorders reported on Thursday is very concerning. It shows that much more must be done to intervene early and provide intensive support in the community. The Guardian

                  Hospitalisations for flu 10-fold higher than last year, official figures show 

                  Hospitalisations for flu 10-fold higher than last year, official figures show The number of people hospitalised with flu this winter is almost ten times as high as this time last year, new figures show.

                  The NHS statistics also show rates of winter vomiting bug are a quarter higher, putting hospitals under mounting pressure.

                  Health officials urged those eligible for the flu jab to come forward, without delay. The Daily Telegraph

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                  Children with mental health problems must be severely unwell before they can get help at NHS

                  Children with mental health problems must be severely unwell before they can get help at NHS Children with mental health problems are being turned away by the NHS because their symptoms are not severe enough, an investigation has found.

                  Data obtained via freedom of information requests shows a third of mental health trusts in England reject child patients whose condition is not 'severe' or 'significant'.

                  GPs claimed some children were having to attempt or threaten suicide in order to be referred to a specialist. The Daily Mail

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                  Friday, 3 January 2020

                  Striving to deliver

                  Striving to deliver Trust leaders are warning that they are more concerned than ever before about the level of risk they will need to manage for patients and their staff this winter. This briefing is an assessment of readiness looking into the areas of concern facing the NHS and the extensive planning they and their local partners have put into place to mitigate this. King's Fund

                  Briefing
                  Press release

                  GPs to visit care home patients fortnightly under network requirements

                  GPs to visit care home patients fortnightly under network requirements GPs will have to carry out visits to care home patients 'at least' every fortnight from this September as part of the delivery of new network service specifications, new proposals have revealed.
                  According to a draft NHS England document outlining the primary care network service specifications, practices in PCNs will deliver five national services from April 2020 onwards, including enhanced care in residential homes and structured medication reviews.
                  Plans for services to provide anticipatory care and personalised care must be drawn up by 'no later than June 2020'. Services to support early cancer diagnosis must have a clinical lead in place from April, and during 2020/21 there must be a 'safety netting' approach put in place to monitor patients referred for suspected cancer. Pulse

                  Nurse who worked at the first privatised NHS hospital says she wants people to 'remember' the 'disaster'

                  Nurse who worked at the first privatised NHS hospital says she wants people to 'remember' the 'disaster' Private provision of health care services has always been controversial and has been a hot topic during and since the recent general election. Labour claimed that more NHS services could be outsourced to private companies, particularly in connection with a possible post-Brexit UK-US trade deal. Boris Johnson, for his part, insists "the NHS will never be for sale”.
                  However, the ITV documentary The Dirty War on the NHS aired recently, arguing that the health service is "under threat of being sold off and converted to a free market model inspired by America's disastrous health insurance system".
                  The film focused on Hinchingbrooke Hospital in Cambridgeshire, the first hospital to be handed to a private management firm. i newspaper

                  The NHS begins 2020 with good reason to hope for a better decade

                  The NHS begins 2020 with good reason to hope for a better decade The NHS stands at the threshold of a new decade facing both potentially its most difficult winter in decades and the most hopeful medium-term future since the 2008 financial crash.
                  The global economic meltdown at the end of this century’s first decade was significantly more important than anything that happened between 2010 and 2019. It led, though not directly, to public sector austerity, which undermined many of the gains made by the NHS during the New Labour years and decimated other areas of social provision on which the health service depends.
                  The aftermath of austerity will go on damaging the NHS for some time, not least because budget cuts for local authorities and other areas of expenditure have only been mitigated, but not ended. We have also yet to count the cost in staff morale and resilience from what may prove to be a cruel winter.
                  However, for the first time in nearly 10 years NHS leaders can look forward over a three-year period and reasonably expect to do more — albeit only a little — than manage decline and hope that a more logical and effective way of working may become a widespread reality. Health Service Journal

                  Children in mental distress denied NHS help until close to suicide


                  Children in mental distress denied NHS help until close to suicide Children suffering mental health problems are being refused treatment until they are close to suicide, amid soaring referrals, an investigation reveals. Medics said services were “washing their hands” of vulnerable children and teenagers, with one in three trusts only accepting cases classed as the most severe.
                  Experts said children were being forced to wait until their condition deteriorated - in some cases resulting in a suicide attempt - in order to get to see a specialist. It comes amid concern that social media is fuelling a growing mental health crisis among younger generations, encouraging feelings of inadequacy.
                  Some are facing waits of 18 months for counselling, amid rising numbers of referrals. NHS data shows the total number of referrals to such specialists has risen by almost a fifth in the year. The Telegraph

                  New DNA tests mean babies and children can be diagnosed with rare diseases in just days

                  New DNA tests mean babies and children can be diagnosed with rare diseases in just days The NHS is promising a “genomic revolution,” with rare child diseases diagnosed in days, with far more accuracy than has previously possible.
                  Up to 700 babies and children a year will be offered a new form of DNA test, which can rapidly identify mutations in critically ill patients.
                  The Health Secretary said the new technology was “game changing” for the NHS, with experts saying the tests could double the chance of an accurate diagnosis and ensure swift treatment.
                  The technique, known as “whole exome sequencing” can reveal what is wrong with patients in days rather than weeks, reducing waits for worried families. The Telegraph

                  Thursday, 2 January 2020

                  NHS fighting back against rising tide of gambling ill health

                  NHS fighting back against rising tide of gambling ill health The NHS is facing a rising tide of gambling related ill health as more betting addicts than ever before are being taken to hospital. New data released today (28th December) show a record number of admissions last year related to gambling addiction, including care for severe mental ill health conditions like psychosis. The number of gambling related hospital admissions has more than doubled in the last six years from 150 to 321. NHS England

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                  Not enough NHS staff for people with cancer, charity warns

                  Not enough NHS staff for people with cancer, charity warns There are not enough NHS staff to meet the needs of growing numbers of people with cancer, a charity is warning.

                  Macmillan Cancer Support says patients are calling its helpline "at breaking point", feeling they cannot ask questions of the overstretched doctors and nurses caring for them.

                  Key targets for cancer care are being missed as pressure on the NHS rises. The NHS said patient satisfaction levels and survival rates were both at record highs. BBC News - Health

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                  App helps parents of premature babies stay in touch

                  App helps parents of premature babies stay in touch An app has been developed to help parents stay in touch with their premature baby in hospital. To help reduce the separation anxiety, a third of neonatal units in the UK have signed up to an app that helps parents stay in touch with their premature babies 24 hours a day. BBC News

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                  KGH not treating 20 per cent of eye patients in time

                  KGH not treating 20 per cent of eye patients in time The hospital says it is now outsourcing some appointments to the private sector and is putting on additional eye clinics in an attempt to reduce the backlog with just over 500 patients currently waiting more than 18 weeks for treatment after being referred to the hospital. Northamptonshire Telegraph

                  Slip-ups at otherwise 'caring' Northampton medical centre lead to sub-par inspection

                  Slip-ups at otherwise 'caring' Northampton medical centre lead to sub-par inspection Slip-ups in key areas of care have led to a Northampton medical centre earning a sub-par rating by the healthcare watchdog.

                  The CQC has rated the Brook Medical Centre in Ecton Brook Road 'requires improvement' after finding faults in its systems that keep patients safe.  In the newest report, published on December 11, inspectors say staff seemed unclear about who to speak to about safeguarding or how to spot when a patient was acutely unwell as they arrive at the practice.

                  However, the watchdog praised the centre's kindness towards patients and how patients could cuickly get care if they needed it. Northampton Chronicle & Echo

                  Improved NHS Migraine Care To Save Thousands Of Hospital Stays

                  Improved NHS Migraine Care To Save Thousands Of Hospital Stays Headache and migraine sufferers will benefit from better diagnosis and care as part of the NHS Long Term Plan to improve local health services, avoiding up to 16,500 emergency hospital admissions every year. Health chiefs and other experts believe that the greater use of ‘headache diaries’ and fast access to specialist advice for family doctors will improve the quality of life of millions and reduce pressure on frontline services. NHS England

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                  Scrap 'quick-fix diets and tea-toxes' this New Year

                  Scrap 'quick-fix diets and tea-toxes' this New Year If your New Year resolution is to lose some weight, avoid fad diets, because they don't work and can be harmful, says NHS England's top doctor.

                  Diet pills, "tea-toxes" and appetite suppressant products are no quick fix, says Prof Stephen Powis, NHS medical director.

                  Products making this claim can have side-effects, including diarrhoea and heart issues, he warns. Getting in shape safely takes time and requires eating sensibly, and exercise. BBC News - Health

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