Thursday, 22 October 2020

Failings at Northampton mental health ward set up for women with eating disorders

 Failings at Northampton mental health ward set up for women with eating disorders Inspectors have scolded a ward set up to treat women with eating and personality disorders at a Northampton mental health hospital during the pandemic in a new quality report.

The Spencer South ward at St Andrew's Hospital was established in April 2020 to take weight off the NHS after fears arose that patients with eating disorders (ED) would be at risk during the pandemic. Northampton Chronicle and Echo

Out of sight – who cares?: Restraint, segregation and seclusion review

Out of sight – who cares?: Restraint, segregation and seclusion review This report looks at the use of restraint, seclusion and segregation in care services for people with a mental health condition, a learning disability or autistic people. Care Quality Commission

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Health and wellbeing interventions in healthcare: a rapid evidence review

Health and wellbeing interventions in healthcare: a rapid evidence review NHS Employers commissioned the Institute for Employment Studies to investigate the evidence-base of health and wellbeing interventions used in healthcare and their implications for wellbeing outcomes. The findings in the report add to current knowledge about wellbeing interventions that are commonly implemented, if there is any evidence of their efficacy, and what future research still needs to be undertaken in this area. Institute for Employment Studies

    Minds that matter: understanding mental health in later life

    Minds that matter: understanding mental health in later life This report looks at the life events and circumstances that can affect people's mental health in later life, including bereavement, loneliness, ill health and caring responsibilities. Focusing mainly on anxiety and depression, the report also describes people’s mixed experiences of seeking support from GPs, therapists and other services. It highlights the common barriers and makes recommendations for what needs to change to improve support for older people and ensure they can live a mentally healthy later life. Independent Age

      The impact of Covid-19 to date on older people’s mental and physical health

      The impact of Covid-19 to date on older people’s mental and physical health This research finds that some older people are coping with the pandemic, but a sizeable minority are finding life incredibly tough. Those who are not very well and have long term health conditions were particularly likely to report that this is an extremely challenging time for them. The research was made up of a survey of older people, their friends, families, and loved ones (promoted across the Age UK social media channels for two weeks in August 2020 and completed by 569 people) and representative online polling of 1,364 people over the age of 60, conducted by Kantar Polling in September 2020. Age UK

      NHS strengthens mental health support for staff

      NHS strengthens mental health support for staff NHS staff will get rapid access to expanded mental health services that are being rolled out across the country as part of efforts to deal with the second wave of coronavirus. NHS England and NHS Improvement will invest an extra £15 million to strengthen mental health support for nurses, paramedics, therapists, pharmacists, and support staff. NHS England

      Health Secretary warns of long-term effects of COVID-19 as new film released

      Health Secretary warns of long-term effects of COVID-19 as new film released The Health Secretary is urging the public – and especially young people – to follow the rules and protect themselves and others from COVID-19, as new data and a new film released today reveal the potentially devastating long-term impact of the virus. Department of Health and Social Care

      Ethnic minority Covid risk 'not explained by racism'

      Ethnic minority Covid risk 'not explained by racism' A scientist advising the government on ethnicity and Covid says "structural racism is not a reasonable explanation" for black and south Asian people's greater risk of illness and death.

      An earlier report by Public Health England said racism may contribute to the unequal death toll. BBC News

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      Anne Marie Rafferty: 'Covid should be circuit breaker for the ills plaguing nursing'

      Anne Marie Rafferty: 'Covid should be circuit breaker for the ills plaguing nursing' The pandemic is an opportunity to reset policy to tackle the “chronic, enduring problems” that nurses face, according to Anne Marie Rafferty, professor of nursing policy at King’s College London and president of the Royal College of Nursing (RCN).

      “If I can use this phrase, Covid should be the circuit breaker for many of the ills which have plagued the profession for many years: let’s make that happen.”Rafferty, who received a damehood for services to nursing in the Queen’s birthday honours list earlier this month, wants to see tangible recognition of the contributions that frontline nursing colleagues make. The Guardian

      Social care in England needs input of at least £7bn a year, say MPs

      Social care in England needs input of at least £7bn a year, say MPs Full cost of adequately funding sector is likely to run into tens of billions, committee says

      A cross-party group of MPs have called for an urgent multibillion-pound injection into England’s crisis-hit social care system to address rising levels of need among older and disabled people and to improve pay and skills for care workers.

      The health and social care select committee said ministers should invest at least £7bn a year in the care sector by 2023-24, though it said this was only a “starting point” and that it would not address unmet care needs nor improve access to care. The Guardian

      Tuesday, 20 October 2020

      Coronavirus outbreaks in Northamptonshire care homes rise

      Coronavirus outbreaks in Northamptonshire care homes rise Coronavirus outbreaks in Northamptonshire care homes are on the rise again.

      Latest official data released by the county’s public health team has shown that in the week until October 11 there were 12 Covid-19 outbreaks at Northamptonshire care homes, with 44 recorded cases in total. Northampton Chronicle and Echo

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      Hundreds of Northants women suspected of having breast cancer were not screened in required time during pandemic

      Hundreds of Northants women suspected of having breast cancer were not screened in required time during pandemic More than 200 women urgently referred to Northampton General Hospital (NGH) with suspected breast cancer had to wait longer than they should have for screening this spring and summer. Northampton Chronicle and Echo

      Advancing mental health equalities strategy

      Advancing mental health equalities strategy This strategy summarises the core actions all mental health services need to take to better address inequalities in access, experience and outcomes across the sector. It is also an important element of the overall NHS plans to accelerate action to address health inequalities in the next stage of responding to Covid-19. NHS England

        Consultant workforce shortages and solutions: now and in the future

        Consultant workforce shortages and solutions: now and in the future The NHS workforce faces a perfect storm of consultants choosing to retire earlier, a significant proportion approaching retirement age and a growing trend of younger doctors walking away from their career. Covid-19 added significant additional pressure on the workforce with doctors working long hours, in new settings, whilst risking their own lives. Now the NHS is facing a growing backlog of unmet need on top of the existing staffing and resourcing shortages. This report sets out the actions government and employers need to take, now and in the future, to ensure consultants are retained in the NHS. British Medical Association

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          Caring behind closed doors: six months on. The continued impact of the coronavirus (COVID-19) pandemic on unpaid carers

          Caring behind closed doors: six months on. The continued impact of the coronavirus (COVID-19) pandemic on unpaid carers Throughout the COVID-19 pandemic, the majority of carers have had to provide more care. It has left many exhausted and close to burning out according to a new report. They urgently need more support to help them through winter. Carers UK

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          Endometriosis in the UK: time for change

          Endometriosis in the UK: time for change An inquiry by the APPG on Endometriosis has highlighted the devastating impact endometriosis can have on all aspects of a person’s life. The inquiry surveyed over 10,000 people with endometriosis, interviewed healthcare practitioners and those with the condition about their experiences. Amongst the findings was that average diagnosis times for endometriosis have not improved in over a decade and it still takes eight years on average to get a diagnosis. The inquiry report sets out a series of support measures it asks all UK governments to commit to. All Party Parliamentary Group on Endometriosis

            Delays and destitution: an audit of Doctors of the World's Hospital Access Project (July 2018-20)

            Delays and destitution: an audit of Doctors of the World's Hospital Access Project (July 2018-20) This report finds that migrants living in extremely vulnerable circumstances in England are waiting up to 224 weeks to receive medical care because of laws forcing hospitals to carry out immigration checks and withhold care from patients deemed not eligible for free NHS treatment – even when the patient has no income, or the upfront payment would push them into severe debt or further poverty. Doctors of the World

              Deaths at home: More than 26,000 extra this year, ONS finds

              Deaths at home: More than 26,000 extra this year, ONS finds More men than normal are dying at home from heart disease in England and Wales, and more women are dying from dementia and Alzheimer's, figures show.

              More than 26,000 extra deaths occurred in private homes this year, an analysis by the Office for National Statistics found. BBC News

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              UK plan to be first to run human challenge Covid trials

              UK plan to be first to run human challenge Covid trials The UK is pushing ahead to be the first nation to carry out "human challenge" studies where up to 90 healthy people will be deliberately exposed to Covid.

              The trials, which could begin in January, aim to speed up the race to get a Covid-19 vaccine. BBC News

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              Cold-water swimming could delay dementia, research suggests

              Cold-water swimming could delay dementia, research suggests Cold-water swimming could help to delay neuro-degenerative diseases such as dementia, research has suggested.

              Academics at Cambridge University found that many of the cold-water swimmers they monitored at Parliament Hill Lido in London between 2016 and 2018 had increased levels of a “cold-shock” protein (RBM3), which a 2015 study on mice showed offered protection against the onset of dementia. The Independent

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              Boy who prompted law change on medicinal cannabis receives NHS prescription two years on

              Boy who prompted law change on medicinal cannabis receives NHS prescription two years on Billy Caldwell, 15, will receive his first bottle of cannabis oil under the new care plan exactly two years after it was legalised. The Daily Telegraph

              Monday, 19 October 2020

              Second Covid-19 patient dies at Northampton General Hospital

              Second Covid-19 patient dies at Northampton General Hospital NHS England has confirmed two Covid-19 patients died on the same day at Northampton General Hospital earlier this week. Northampton Chronicle and Echo

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              Northampton doctor suspended after arranging medical appointments on WhatsApp for a pregnant patient he met through Tinder

              Northampton doctor suspended after arranging medical appointments on WhatsApp for a pregnant patient he met through Tinder A doctor has been suspended from his duties after he arranged medical appointments on WhatsApp for a patient he had previously met through Tinder. Northamptonshire Telegraph

              Mental health rehabilitation inpatient services: results from the 2019 information request

              Mental health rehabilitation inpatient services: results from the 2019 information request This report raises concerns about the high number of beds situated a long way from the patient’s home, which could result in people becoming isolated from their friends and families and cut off from the local services that will provide care following discharge. It makes recommendations to improve the care for people in mental health rehabilitation inpatient services. Care Quality Commission

                Assessment of mental health services in acute trusts programme: how are people’s mental health needs met in acute hospitals, and how can this be improved?

                Assessment of mental health services in acute trusts programme: how are people’s mental health needs met in acute hospitals, and how can this be improved? This report reviews the findings from over 100 acute hospital inspections. It looks at how well people with mental health needs were cared for across emergency departments, acute medical wards, maternity wards, and children and young people’s services. It also tries to identify where trusts, and the wider system, needs to improve. Care Quality Commission

                  Resilient public services in an age of cyber threats

                  Resilient public services in an age of cyber threats This report makes recommendations for future cyber security policy. It finds that, while Covid-19 has accelerated the digitisation of public services in the UK, it also poses an increased cyber risk. It concludes that without sound infrastructure, investment in maintaining or updating that infrastructure, and a cyber-aware workforce, there is a threat of largescale damage both to the UK public sector and wider society. Reform

                    A telling experience: understanding the impact of Covid-19 on people who access care and support – a rapid evidence review with recommendations

                    A telling experience: understanding the impact of Covid-19 on people who access care and support – a rapid evidence review with recommendations This report aims to identify what worked well, and to highlight areas that people found difficult, both generally and in relation to social care during the first phase of the coronavirus pandemic, seen through the lens of personalisation. Think Local Act Personal

                    New measures to support roll-out of vaccines in the UK

                    New measures to support roll-out of vaccines in the UK New laws will allow more healthcare workers to administer flu and potential COVID-19 vaccines safely to the public. Department of Health and Social Care

                    Covid patients 'less likely to die than in April'

                    Covid patients 'less likely to die than in April' Coronavirus patients admitted to intensive care have a better chance of surviving now than they did in April, according to the dean of the Faculty of Intensive Care Medicine.

                    But these gains levelled off over the summer, Dr Alison Pittard said.

                    The proportion of patients admitted to critical care who die fell by almost a quarter from the peak and as much as half in hospitals overall. BBC News

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                    Endometriosis care needs urgent improvement, MPs say

                    Endometriosis care needs urgent improvement, MPs say Endometriosis care across the UK needs urgent improvement and diagnosis times need to be cut in half, a report by MPs says.

                    It found an average wait for a diagnosis was eight years and that has not improved in more than a decade.

                    Endometriosis affects one in 10 women in the UK and causes debilitating pain, very heavy periods and infertility. BBC News

                    Police 999 callouts to people suffering mental health crises soar

                    Police 999 callouts to people suffering mental health crises soar Two fifths of people in England waiting for NHS support end up calling emergency or crisis services.

                    The police are being called to deal with soaring numbers of incidents involving people suffering from mental health crises, sparking fresh concern about lack of NHS help for the mentally ill. The Guardian

                    NHS hospital admissions for eating disorders rise among ethnic minorities

                    NHS hospital admissions for eating disorders rise among ethnic minorities Faster increase among BAME people in England raises fears of cultural or racial factors

                    The number of hospital admissions for eating disorders is rising at a faster rate among people from ethnic minorities in England, prompting concerns that there may be cultural or racial factors driving them.

                    For white ethnicities, hospital admissions for eating disorders rose by just under a third (31%) across three years, whereas admissions among ethnic minorities rose by more than a half (53%), according to Guardian analysis of NHS data. The Guardian

                    New mothers need longer 'settling in' period at home before midwife visits, NICE warns

                    New mothers need longer 'settling in' period at home before midwife visits, NICE warns New mothers should be given a longer "settling in" period at home, as very early visits from midwives could lead to unfair assessments, warns new guidance by the National Institute for Health and Care Excellence (NICE).

                    Parents should be allowed at least 12 hours alone with their baby after they leave hospital to ensure risk assessments carried out by midwives during the first postnatal visit accurately reflect their living situation, the independent body recommends. The Daily Telegraph

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                    Why won't councils re-open our public loos? 'Covid-says-no' attitude leaving many stranded at home

                    Why won't councils re-open our public loos? 'Covid-says-no' attitude leaving many stranded at home In June, the UK Government wrote to local councils explicitly stating that 'enabling access to toilets is vital' and gave detailed guidance, but it appears this has not been universally heeded. The Daily Mail

                    Friday, 16 October 2020

                    Hospitals say they are prepared for second wave of Covid-19 in Northamptonshire

                    Hospitals say they are prepared for second wave of Covid-19 in Northamptonshire The CEO of Northamptonshire's two main hospitals says he is concerned the Covid-19 second wave currently hitting parts of the UK is heading for the county. Northampton Chronicle and Echo

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                    The Comprehensive Spending Review needs to be genuinely comprehensive: and that means investing in social care

                    The Comprehensive Spending Review needs to be genuinely comprehensive: and that means investing in social care The clue to what needs to happen in this year’s Comprehensive Spending Review (CSR) is in the first word of its title. While some areas of public spending have been largely protected in the past decade, others, including local authorities and adult social care, have seen heavy cuts. As social care reels from the impact of Covid-19, it is time to redress some of that balance and make public spending more comprehensive, focusing not just on health services but on care, and not just on spending by national government but by local government too. The King's Fund

                    The bigger picture: learning from two decades of changing NHS care in England

                    The bigger picture: learning from two decades of changing NHS care in England This report looks back at how NHS care in England has changed over the last two decades. It finds a disconnect between the way services have developed and the changing health needs of the population. It finds that, while the volume of health care delivered grew substantially, growth varied significantly across different services. The Health Foundation

                      COVID-19 is magnifying inequalities and “risks turning fault lines into chasms” – focus now must be on shaping a health and care system that delivers for everyone

                      COVID-19 is magnifying inequalities and “risks turning fault lines into chasms” – focus now must be on shaping a health and care system that delivers for everyone The Care Quality Commission’s (CQC’s) annual assessment of the state of health and social care in England looks at the quality of care over the past year. This includes the period before the full impact of COVID-19 began to be felt and CQC’s routine inspections were suspended as a result of the pandemic.

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                      How will Brexit affect the UK’s response to coronavirus?

                      How will Brexit affect the UK’s response to coronavirus? This briefing considers how leaving the single market might affect UK health and social care services in the short term as they try to deal with coronavirus while maintaining normal services. It also looks at what difference a deal might make, and the options that the UK and the EU have. Nuffield Trust

                        Day surgery for children and young people

                        Day surgery for children and young people This report highlights the specific needs of children and young people undergoing day surgery, outlining pre- and post-operative aspects of care and preparation, parental involvement and facilitating discharge. Royal College of Nursing

                          Heart failure: a blueprint for change

                          Heart failure: a blueprint for change This report reveals that prior to lockdown, UK hospital admissions for heart failure had risen by nearly a third over the last five years to more than 100,000 per year. It suggests that this could partly due to missed opportunities to diagnose and treat people with the condition before they become more unwell and need to be admitted to hospital. It concludes that disjointed and unequal care, likely exacerbated by the Covid-19 pandemic, is leading to more people dying with heart failure. British Heart Foundation

                            Living with Covid-19

                            Living with Covid-19 A dynamic review of the evidence around ongoing Covid19 symptoms (often called Long Covid).

                            This rapid and dynamic review draws on the lived experience of patients and expert consensus as well as published evidence to better understand the impact of ongoing effects of Covid19, how health and social care services should respond, and what future research questions might be. National Institute for Health Research

                            Local COVID-19 alert level update: 15 October 2020

                            Local COVID-19 alert level update: 15 October 2020 The following areas will move from local COVID alert level: medium to local COVID alert level: high from Saturday. Department of Health and Social Care

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                            Covid restrictions: Matt Hancock says 'things will get worse before they get better'

                            Covid restrictions: Matt Hancock says 'things will get worse before they get better' The Health Secretary has announced that tougher Tier 2 Covid measures will come into force in London, Essex, York and other areas.

                            Matt Hancock told the House of Commons that the measures are "vital" to deal with the pandemic, and the decision to bring them in was made "with a heavy heart". BBC News

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                            Lack of mental health help: 'I felt nobody cares'

                            Lack of mental health help: 'I felt nobody cares' The number of under-18s getting NHS help for mental health issues in England nearly halved in the first two months of lockdown.

                            Young people who weren't able to get support say they felt like they "didn't really matter".

                            Lucy, who's 17, says she she didn't know where to go for help.

                            The number of people in England referred to Child and Adolescent Mental Health Services (CAMHS) dropped 47% in April and May, compared with last year. BBC News

                            Baby loss: 'Being a black woman the odds were stacked against me'

                            Baby loss: 'Being a black woman the odds were stacked against me' Genelle Aldred was 19 when her baby girl Sade-Rose was still born in 2002 and felt because of her age and ethnicity the "odds were stacked against her".

                            She believes racial bias within the maternity care sector played a role in her daughter's death as she was not listened to when she said she was not feeling well and saw seven midwives in one week.

                            According to research at Queen Mary's University Hospital in London, black babies are twice as likely to be stillborn compared to white babies. BBC News

                            Parents win six-year battle for truth after NHS 'cover-up' of son's death

                            Parents win six-year battle for truth after NHS 'cover-up' of son's death The parents of a three-year-old boy whose death was part of an alleged NHS cover-up have won a six year battle for the truth about how he died.

                            Shropshire coroner John Ellery backed the parents of three-year-old Jonnie Meek in a second inquest into his death on Thursday and rejected evidence from nurses about what happened at Stafford Hospital in August 2014. The Independent

                            Thursday, 15 October 2020

                            Second Covid-19 death in six days is confirmed at Kettering General Hospital

                            Second Covid-19 death in six days is confirmed at Kettering General Hospital NHS England has confirmed a second Covid-19 patient has died at Kettering General Hospital in the space of six days. Northamptonshire Telegraph

                            Volunteer befriending phone line extended until April in Northamptonshire as 788 calls are made during pandemic

                            Volunteer befriending phone line extended until April in Northamptonshire as 788 calls are made during pandemic The welfare call service was supported by just three volunteers who make calls to patients and service users in need of emotional wellbeing support at the start of the pandemic.

                            Northamptonshire Healthcare's welfare call service has been extended to deliver befriending support in the county. Northampton Chronicle and Echo

                            It is time to put trust, transparency and fair value at the centre of digital health and care

                            It is time to put trust, transparency and fair value at the centre of digital health and care Health data has the potential to change health and care provision, but it also reveals some of the most personal information about ourselves. Emerging examples demonstrate a remarkable potential for data to give new insights that enable service improvements, such as better understanding the unmet need in universal childhood vision screening, enabling blood cancer treatment to be tailored, and training AI software potentially improving detection of eye disease. The King's Fund

                            England, Wales and Scotland among nations with highest death toll from pandemic

                            England, Wales and Scotland among nations with highest death toll from pandemic England, Wales and Scotland had among the highest rate of deaths from all causes, including COVID-19, as a result of the first wave of the pandemic.

                            This is the finding of an international study, led by Imperial College London

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                            Health equals wealth: the global longevity dividend

                            Health equals wealth: the global longevity dividend This report (launched ahead of the G20 Finance Ministers’ meeting) looks at the significant, and growing, economic contributions of older people across the G20. It argues that leveraging the economic contributions of older people will be instrumental in the global post-pandemic recovery, and that addressing health barriers to spending, working, caring and volunteering for longer can unlock a significant ‘longevity dividend’. The analysis finds that countries that spend more on health as a proportion of GDP see higher employment participation, volunteering, and spending by older people. Furthermore, increasing preventative health spending by just 0.1 per cent is associated with a nine per cent increase in annual spending by people aged 60 and over. International Longevity Centre UK

                              Guidance: COVID-19: reducing transmission – what you can do to help

                              Guidance: COVID-19: reducing transmission – what you can do to help Advice on how you can help reduce the transmission of coronavirus (COVID-19). Public Health England

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                              Covid: NHS staff testing 'dismantled' in virus hotspots

                              Covid: NHS staff testing 'dismantled' in virus hotspots A number of NHS trusts stood down in-house coronavirus testing for staff in the summer, ahead of a surge in virus cases, a health leaders' body says.

                              This followed assurances from government about the capacity of the centralised system, says NHS Providers.

                              But it left some staff, including in virus hotspots, unable to access testing when the national system came under strain earlier in the autumn. BBC News

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                              East Kent Hospitals: 'Toxic culture risks patients' lives'

                              East Kent Hospitals: 'Toxic culture risks patients' lives' A "toxic culture" at a troubled NHS trust is risking patients' lives, say several current and former staff.

                              Managers and medics have told BBC News that people are fearful of speaking up amid a bullying, blame culture at the East Kent Hospitals Trust. BBC News

                              Down's syndrome language: 'No-one meant anything hurtful"

                              Down's syndrome language: 'No-one meant anything hurtful' A mother of a young boy with Down's syndrome is helping to teach people about appropriate language. BBC News

                              NHS trust apologises after dementia patient, 77, was 'restrained on 19 occasions at hospital

                              NHS trust apologises after dementia patient, 77, was 'restrained on 19 occasions at hospital An NHS trust has apologised unreservedly to a patient and his family amid accusations that he was restrained on 19 occasions so staff could forcibly treat him.

                              East Kent Hospitals University NHS Foundation Trust said care for the man 'fell far short' of what patients should expect. The Daily Mail

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                              Wednesday, 14 October 2020

                              Pleas to Northamptonshire residents to 'play their part' as Covid restrictions remain unchanged

                               Pleas to Northamptonshire residents to 'play their part' as Covid restrictions remain unchanged ‘Just because you can, doesn’t mean you should’ says Northamptonshire’s top Public Health boss following lockdown announcement.

                              As the country enters the next phase of tackling coronavirus with a new lockdown system, the message from the local health authority is clear. Northamptonshire Telegraph

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                              How should general practice be preparing for winter?

                              How should general practice be preparing for winter? In the early days of the Covid-19 (coronavirus) pandemic, the call to 'protect the NHS' was very much focused on preventing hospitals from becoming overwhelmed. As we enter winter facing a second wave of the pandemic, ensuring the hospital system is resilient enough to endure another crisis will be key. But as we’ve said before, NHS resilience is so much more than hospital beds. The King's Fund

                              State of the nation 2020: children and young people’s wellbeing

                              State of the nation 2020: children and young people’s wellbeing This report collates published evidence on the wellbeing in children and young people over the period of March to August 2020, including: statistics on the personal wellbeing of children and young people in England and the UK; a wider set of indicators on their; relationships; health; education and skills; personal finance; activities; and where they live. Department for Education

                                Stories of shielding: life in the pandemic for those with health and care needs

                                Stories of shielding: life in the pandemic for those with health and care needs When lockdown began, Local Voices created a digital platform - Our Covid Voices - for people with health and care needs to share their experiences of the impact of the the pandemic. This provided the unfiltered views and stories from people at great risk of all the effects of the pandemic, including anxiety, uncertainty and changes to their care. Also their relationships, their jobs and dealing with the everyday aspects of life in the pandemic. This report is a compliation of the contributions to help inform any decisions taken in the future regarding the way their needs are addressed. National Voices

                                  Levelling up communities

                                  Levelling up communities The Covid Recovery Commission was formed in July 2020. The independent Commission brings together some of the UK’s most prominent business figures and entrepreneurs. The Commission will release three short papers before the end of 2020 and a final report in February 2021.

                                  This first report presents the Commission’s initial analysis on how inequality impacts on individuals, neighbourhoods and communities right across the UK and how these inequalities have been impacted by the Covid-19 pandemic. It argues that a new approach to levelling up is needed to tackle these inequalities. This should focus on local impacts and use a comprehensive strategy, wider than simply rebalancing economic fortunes, to ensure the UK economy and society is fairer post-Covid-19, than it was before.

                                    Cutting-edge treatments to be fast-tracked to patients through international collaborations

                                    Cutting-edge treatments to be fast-tracked to patients through international collaborations The UK will join the USA, Canada, Australia, Switzerland, Singapore and Brazil to speed up the approval of innovative medicines. Department of Health and Social Care

                                    Clinically extremely vulnerable receive updated advice tailored to local COVID alert levels

                                    Clinically extremely vulnerable receive updated advice tailored to local COVID alert levels Clinically extremely vulnerable people in England will receive new guidance to help them reduce their risk from coronavirus, tailored to where they live. Department of Health and Social Care

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                                    Covid-19: New three-tier restrictions come into force in England

                                    Covid-19: New three-tier restrictions come into force in England The new three-tier system of Covid-19 restrictions has begun in England.

                                    Most of the country is in the lowest tier - medium - but millions of people in the North and the Midlands face extra curbs on households mixing.

                                    The Liverpool region is the only area to be under the toughest rules, with pubs and bars not serving meals closed. BBC News

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                                    NHS app updated to 'fix' phantom messages

                                    NHS app updated to 'fix' phantom messages The NHS Covid-19 app has been updated to fix an issue with confusing alerts that pop up suggesting exposure to the virus and then disappear.

                                    Users have complained that the notifications are scary and confusing. BBC News

                                    Migrants denied NHS care for average of 37 weeks, research finds

                                    Migrants denied NHS care for average of 37 weeks, research finds Report finds hospital charged destitute anti-FGM campaigner with brain tumour £8,397 for initial treatment

                                    Migrants who need NHS care are being denied treatment for an average of 37 weeks, despite suffering from conditions such as cancer, heart problems or kidney failure, according to research.

                                    One in three end up waiting between six and 12 months, some face even longer delays and in one case a woman with a serious heart complaint could not access care for more than four years, a report found. The Guardian

                                    Parents shocked to learn of maternity failings at ‘inadequate’ hospital unit

                                     Parents shocked to learn of maternity failings at ‘inadequate’ hospital unit The parents of a baby boy who suffered brain damage at a maternity unit criticised by regulators say they fear more babies could have been harmed.

                                    Basildon University Hospital’s maternity services were rated inadequate by the Care Quality Commission in August after inspectors identified a cluster of babies who were starved of oxygen during birth and put at risk of brain damage. The Independent

                                    Tuesday, 13 October 2020

                                    Let's give Boris' three-tier scheme time to see if it works, says Northamptonshire's Public Health chief

                                     Let's give Boris' three-tier scheme time to see if it works, says Northamptonshire's Public Health chief Northamptonshire's Public Health chief says it's time to stick not twist over the latest Covid-19 restrictions...for now.

                                    The county is rated "medium risk" — the lowest — in Boris Johnson's three-tier system announced on Monday with national restrictions and recommendations staying the same. Northampton Chronicle and Echo

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                                    New state-of-the-art medical centre to open next month in Brackley

                                    New state-of-the-art medical centre to open next month in Brackley Brackley Medical Centre and Community Hospital in Wellington Road will include a GP surgery featuring 16 consulting and treatment rooms and a dedicated urgent care unit. Northampton Chronicle and Echo

                                    Reducing health inequalities for people living with frailty: a resource for commissioners, service providers and health, care and support staff

                                    Reducing health inequalities for people living with frailty: a resource for commissioners, service providers and health, care and support staff This report aims to share practical recommendations and examples of how commissioners, service providers and health, care and support staff can overcome barriers to health care for people at greater risk of frailty, including people experiencing deprivation, people who are homeless, people experiencing substance misuse, people with learning disabilities, LGBT people, people with mental health needs, people from Gypsy and Traveller communities, and vulnerable migrants.

                                    It offers insights on how services can work in collaborative, holistic and inclusive ways to reduce health inequalities for people living with frailty, and offer patients the support needed to manage the condition long-term. Friends, Families and Travellers

                                      Avoidable natural deaths in prison custody: putting things right

                                      Avoidable natural deaths in prison custody: putting things right This report, written in collaboration with the Royal College of Nursing, sets out proposals to reduce the number of preventable natural deaths in prisons. It identifies how natural deaths occurring in prison might be prevented, where possible, and end of life care managed with dignity and compassion. Independent Advisory Panel on Deaths in Custody

                                        World Menopause Day 2020

                                        World Menopause Day 2020 Access our resources to promote understanding of menopause in the workplace.

                                        World Menopause Day takes place 18 October 2020.

                                        Studies have shown that menopause symptoms can have a significant impact on attendance and performance in the workplace, which makes menopause not just a female issue, but an organisational issue.

                                        With just under one million women working in the NHS, reducing the stigma attached to the menopause is vital so that more people will talk openly about it. NHS Employers

                                        PM Commons statement on coronavirus: 12 October 2020

                                        PM Commons statement on coronavirus: 12 October 2020 Prime Minister Boris Johnson made a statement on coronavirus to the House of Commons. Prime Minister's Office

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                                        Covid: Sage scientists called for short lockdown weeks ago

                                        Covid: Sage scientists called for short lockdown weeks ago The government's scientific advisers called for a short lockdown in England to halt the spread of Covid-19 last month, newly released documents show.

                                        The experts said an immediate "circuit breaker" was the best way to control cases, at a meeting on 21 September.

                                        Labour called the document "alarming" but No 10 says it took "robust" action. BBC News

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                                        Covid reinfection: Man gets Covid twice and second hit 'more severe'

                                        Covid reinfection: Man gets Covid twice and second hit 'more severe' A man in the United States has caught Covid twice, with the second infection becoming far more dangerous than the first, doctors report.

                                        The 25-year-old needed hospital treatment after his lungs could not get enough oxygen into his body.

                                        Reinfections remain rare and he has now recovered. BBC News

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                                        Monday, 12 October 2020

                                        Royal award for Emma at Northampton General Hospital after training 120 volunteers during pandemic - Northampton Chronicle and Echo

                                        Royal award for Emma at Northampton General Hospital after training 120 volunteers during pandemic Within ten days, Emma Wimpress worked tirelessly to advertise, interview and get 120 new volunteers supporting doctors and nurses in the fight against coronavirus. Northampton Chronicle and Echo

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                                        Fewer begin cancer treatment than pre-pandemic at Northampton General Hospital Trust

                                        Fewer begin cancer treatment than pre-pandemic at Northampton General Hospital Trust Far fewer patients started treatment for cancer at Northampton General Hospital Trust in August compared to the same time last year, new figures reveal. Northampton Chronicle and Echo

                                        Research on understanding LGBT employee networks published

                                        Research on understanding LGBT employee networks published New research published by the University of York sets out key findings and recommendations following a three-year study on how LGBT+ employee networks operate within the NHS. NHS Employers

                                        Building a resilient state: a collection of essays

                                        Building a resilient state: a collection of essays The Covid-19 pandemic has placed a huge strain on the state, and while the response has demonstrated some of the great strengths of our public services and machinery of government, it has also exposed some of the biggest flaws. As an introduction to Reform's new ‘Resilient State’ programme, this collection of essays brings together insight and expertise from across the political spectrum to explore different aspects of a resilient state. The series aims to provide a platform for innovative ideas, to stimulate debate, and help shape a way forward. Reform

                                          Power down to level up: resilient place-shaping for a post-Covid age

                                          Power down to level up: resilient place-shaping for a post-Covid age This report draws on case studies and analysis to argue that an effective case for refocusing UK governance on place must overcome entrenched orthodoxies about where local capacity lies, the nature of power in the modern state, and how policy success is best measured. Local Government Information Unit

                                          Providers deliver: resilient and resourceful through Covid-19

                                          Providers deliver: resilient and resourceful through Covid-19 This report showcases eight examples of great ideas put into action by trusts through the dedication and ingenuity of staff. One of the main themes in the report is the value of staff empowerment, where trust leaders support ideas and approaches developed within their workforce. Other themes such as innovation and collaboration also emerge. NHS Providers

                                            Deputy Chief Medical Officer Professor Jonathan Van-Tam's Op-Ed

                                            Deputy Chief Medical Officer Professor Jonathan Van-Tam's Op-Ed Deputy Chief Medical Officer Professor Jonathan Van-Tam outlines the current Covid-19 situation.

                                            In our national fight against Covid-19, we are at a tipping point similar to where we were in March; but we can prevent history repeating itself if we all act now. Department of Health and Social Care

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                                            Covid: Pressure building in UK hospitals

                                            Covid: Pressure building in UK hospitals NHS Nightingale hospitals in Manchester, Sunderland and Harrogate are being asked to get ready to take patients.

                                            Government advisers say admissions are rising, with more elderly people needing urgent treatment for Covid.

                                            More people are now in hospital with Covid than before restrictions were announced in March.

                                            It comes as a new three-tier system of lockdown rules for England is due to be announced. BBC News

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                                            Flu jab 'essential' for pregnant women this winter

                                            Flu jab 'essential' for pregnant women this winter All pregnant women are being advised to get a flu jab as soon as possible to protect their babies and themselves.

                                            The Royal College of Obstetricians and Gynaecologists (RCOG) and Royal College of Midwives (RCM) say the free vaccination is particularly important this year because of Covid-19.

                                            Influenza is dangerous to people who are pregnant and can be deadly. BBC News

                                            How is the plan for 48 hospitals going?

                                            How is the plan for 48 hospitals going? Boris Johnson said in his virtual conference speech: "This government is pressing on with its plan for 48 hospitals. Count them. That's eight already under way and then 40 more between now and 2030."

                                            This is an upgrade of the "40 new hospitals" pledge Mr Johnson made during the election campaign in 2019 - a claim we examined last December.

                                            So, how is the hospital-building plan progressing? BBC News

                                            Do Not Resuscitate orders to be reviewed after being used on patients during first wave of coronavirus without consent

                                            Do Not Resuscitate orders to be reviewed after being used on patients during first wave of coronavirus without consent An investigation has been launched into allegations of the blanket use of "Do not resuscitate" orders in England during the early part of the coronavirus pandemic.

                                            Concerns have been raised that blanket orders were applied to some groups - such as residents in some care homes - as the NHS faced the first peak of Covid-19.

                                            The Care Quality Commission (CQC) said it is proceeding with the review "at pace". The Daily Telegraph

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                                            Covid coughing link 'may be stopping people with lung cancer coming forward'

                                            Covid coughing link 'may be stopping people with lung cancer coming forward' Referrals currently at 60% of pre-pandemic levels, figures from Cancer Research UK show.

                                            The link between coughing and Covid-19 could be stopping people with lung cancer from seeking medical attention, experts have said.

                                            According to figures from Cancer Research UK, about 350,000 fewer people than normal received urgent suspected cancer referrals across all cancers since the end of March, while 3 million people have missed out on cancer screening. The Guardian