Friday, 16 April 2021

Reform of social care doomed to fail unless the structural issues of fragile provider market are addressed

Reform of social care doomed to fail unless the structural issues of fragile provider market are addressed A report from the Nuffield Trust warns that years of delay to social care reform and a fragmented market has left provider services unstable and without support for innovation.

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Nearly 1 in 12 people on NHS waiting lists have been stuck waiting over a year

Nearly 1 in 12 people on NHS waiting lists have been stuck waiting over a year Today’s figures paint a bleak picture of the challenges facing the English health service in the wake of Covid-19. As NHS staff have battled the pandemic, waiting times for routine care have increased. The King's Fund

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Survey shows doctors fear NHS will take years to recover from pandemic

Survey shows doctors fear NHS will take years to recover from pandemic As the country edges its way back towards normality, many doctors fear the NHS will take years to recover. According to our 10th survey of members, the majority of doctors (59%) say it will take at least 18 months to get the NHS back on an even keel, including almost a third (30%) who say the huge backlogs in care resulting from the pandemic will take more than 2 years to clear. Royal College of Physicians

Confirmed cases of COVID-19 variants identified in UK

Confirmed cases of COVID-19 variants identified in UK Public Health England releases weekly updates on the number of confirmed new cases of variants of concern and variants under investigation identified in the UK.

The dominant variant continues to be VOC-20DEC-01 (B.1.1.7) and PHE will continue to monitor all variants closely. The best way to stop the spread of the virus is to remember: hands, face, space and follow the restrictions in place.

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Brain clots 'more likely' with Covid infection than vaccine

Brain clots 'more likely' with Covid infection than vaccine The risk of developing a serious brain clot - known as a cerebral venous sinus thrombosis (CVST) - is 8 to 10 times higher in people with Covid than those who get a vaccine, a study suggests.

Based on US data, the Oxford research team says people being vaccinated should be reassured by the findings.

It follows investigations into links between the AstraZeneca vaccine and rare blood clots. BBC News

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Puberty blockers: NHS to set up independent review group

Puberty blockers: NHS to set up independent review group A new independent review group will assess the prescription of puberty blockers for under-16s, NHS England has announced.

Puberty blockers are prescribed to some young people who are experiencing gender dysphoria - a "mismatch" between their biological sex and gender identity. BBC News

Families need cannabis prescriptions support, say MPs and peers

Families need cannabis prescriptions support, say MPs and peers MPs and peers are calling for funding for families forced to buy medicinal cannabis for their children privately.

The treatment was made legal with a prescription in 2018 for those with an "exceptional clinical need".

But a cross-party letter from 100 politicians says only three NHS prescriptions have been given out since, forcing families to spend thousands on private treatments. BBC News 

Ethics row after human-monkey embryo created in major scientific breakthrough

Ethics row after human-monkey embryo created in major scientific breakthrough Scientists have grown human cells in monkey embryos with the aim to understand more about how cells develop and communicate with each other.

Researchers from the Salk Institute in California have produced what is known as monkey-human chimeras, with human stem cells - special cells that have the ability to develop into many different cell types - inserted in macaque embryos in petri dishes in the lab. The Daily Telegraph

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Thursday, 15 April 2021

Covid rates are still up to FIVE TIMES the UK average in these 12 Northamptonshire neighbourhoods

Covid rates are still up to FIVE TIMES the UK average in these 12 Northamptonshire neighbourhoods These 12 Northamptonshire neighbourhoods have Covid-19 infection rates up to FIVE TIMES the national average, according to latest official figures.

Numbers of positive tests tumbled county-wide during the lockdown — down by 31 per cent in the week up to April 4.

Yet several stubborn hotspots remain in Northampton, Corby, Kettering and Wellingborough — and also in villages which were part of the old Daventry district council area, now West Northamptonshire. Northamptonshire Telegraph

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New private hospital earmarked for Kettering site

New private hospital earmarked for Kettering site A business park on the edge of Kettering could soon be home to a new day-case private hospital.

Huge plans have been unveiled by applicants WW Medical Facilities Ltd for the site at North Kettering Business Park, near the hamburger roundabout, in a move which could create 110 highly-skilled jobs. Northamptonshire Telegraph

How has the NHS People Plan 2020/21 influenced the future of the NHS as an employer?

How has the NHS People Plan 2020/21 influenced the future of the NHS as an employer? In 2020, we published an analysis of the economic influence of the NHS as an employer at the local level that found that in many areas of England, the NHS provider sector was not only the biggest employer, but offered higher wages and more opportunities for professional development than most other local employers. When we published the report, the NHS People Plan 2020/21 was on the horizon. Now almost a year after the Plan was published, what has it revealed about how NHS England wants to guide employment practices in the NHS in the future, and how well does that match the changes in the economy so far as a result of the Covid-19 pandemic? The King's Fund

Joint letter on the health and social care workforce

Joint letter on the health and social care workforce The Nuffield Trust, Health Foundation and King’s Fund have come together to suggest a clause to be added to the NHS Bill putting in place independent projections of how many health and social care staff will be in place in the future, and how many will be needed. 

Unequal impact? coronavirus, disability and access to services: Government response to the Committee’s fourth report

Unequal impact? coronavirus, disability and access to services: Government response to the Committee’s fourth report The Committee published the original report in December 2020 and this is the Government response report. It replies to the recommendations on food accessibility, the Public Sector Equality Duty, the impacts on health and social care and education among others. It also outlines plans for the National Strategy for Disabled Strategy, to be published in spring 2021. House of Commons Women and Equalities Committee

Coronavirus (COVID-19) Infection Survey, antibody and vaccination data for the UK: 14 April 2021

Coronavirus (COVID-19) Infection Survey, antibody and vaccination data for the UK: 14 April 2021 Antibody and vaccination data by UK country and regions in England from the Coronavirus (COVID-19) Infection Survey. This survey is being delivered in partnership with University of Oxford, University of Manchester, Public Health England and Wellcome Trust. Office for National Statistics

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Consultation launched on staff COVID-19 vaccines in care homes with older adult residents

Consultation launched on staff COVID-19 vaccines in care homes with older adult residents Staff in care homes with older adult residents in England may be required to have a COVID-19 vaccine to protect residents from the virus. Department of Health and Social Care

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Covid: 82% of positive rapid tests 'were correct'

Covid: 82% of positive rapid tests 'were correct' Most positive rapid coronavirus tests taken since 8 March appear to have returned a correct result, according to data seen by the BBC.

Analysis of data from Public Health England shows 82% sent off for a confirmatory PCR test returned the same positive result. BBC News

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Nearly 400,000 NHS patients in England waiting more than a year for treatment

Nearly 400,000 NHS patients in England waiting more than a year for treatment Nearly 400,000 NHS patients in England have now been waiting more than a year for routine treatment, according to the latest NHS performance data.

According to NHS England a total of 387,885 patients had been waiting over a year for planned surgery and other routine treatments – this has increased from just 1,613 a year ago and is the highest number for any month since December 2007. The Independent

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Psilocybin: Magic mushroom compound 'promising' for depression

Psilocybin: Magic mushroom compound 'promising' for depression Psychedelic drug psilocybin, found in magic mushrooms, is as good at reducing symptoms of depression as conventional treatment, a small, early-stage study has suggested.

But when it comes to actively improving people's well-being and ability to feel pleasure, the psychedelic drug may have had a more powerful effect. BBC News

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Wednesday, 14 April 2021

Easing of lockdown measures may have to be ‘reversed’ if variants spread rapidly, says scientist

Easing of lockdown measures may have to be ‘reversed’ if variants spread rapidly, says scientist Lockdown measures may need to be reintroduced if there is a rapid spread of Covid variants, a scientist advising the Government has said.

Surge testing is currently taking place in parts of London after a rise in people contracting the coronavirus variant first identified in South Africa. Northamptonshire Telegraph

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Crisis, communities, change: demands for an equitable recovery

Crisis, communities, change: demands for an equitable recovery Over the winter of 2020-2021, we undertook a community inquiry to listen to stories of resilience, challenge and imagination arising from the pandemic.

As part of our community inquiry, this short briefing is an attempt to understand in greater detail how those of ethnic minority backgrounds have been impacted. 

Amongst the findings was that discrimination in local services was twice as high among ethnic minorities: 52 per cent of Asian and 50 per cent of Black respondents have faced discrimination when accessing local services – compared to 19 per cent of the white population. The data suggests that institutional distrust because of discrimination may play a role in vaccine hesitancy. Royal Society for Arts, Manufactures and Commerce

Integrated care systems explained: making sense of the new NHS structure

Integrated care systems explained: making sense of the new NHS structure Delivering more joined-up care for patients has been a key ambition for the NHS over the past few years. This glossary was developed following NHS Providers' recent virtual workshops, where governors expressed a desire to learn more about the acronyms and terminology that are now commonly used to describe how the NHS structure is evolving. NHS Providers

    UK moves into next phase of vaccine roll-out as government target hit early

    UK moves into next phase of vaccine roll-out as government target hit early Everybody in cohorts 1 to 9 has been offered a vaccine, with people aged 45 to 49 now invited to book their appointments. Department of Health and Social Care

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    'Mix and match' UK Covid vaccine trial expanded

    'Mix and match' UK Covid vaccine trial expanded A major UK trial looking at whether Covid vaccines can be mixed with different types of jabs used for first and second doses is being expanded.

    Combining vaccines might give broader, longer-lasting immunity against the virus and new variants of it, and offer more flexibility to vaccine rollout.

    Adults over 50 who have had a first dose of Pfizer or AstraZeneca can apply to take part in the Com-Cov study. BBC News

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    NHS considers standardised national nursing uniform

    NHS considers standardised national nursing uniform The NHS is currently considering implementing standardised uniforms for nursing staff and other healthcare workers.

    Staff working in clinical roles across the health service in England are now being asked to take part in a seven week consultation on the proposals. NursingNotes

    ‘I felt humiliated’: parents respond to NHS maternity care racial bias inquiry

    ‘I felt humiliated’: parents respond to NHS maternity care racial bias inquiry Feeling manipulated into having medical procedures, dismissed by professionals and labelled with racial stereotypes are among the complaints of parents who responded to a national inquiry into racial injustice in UK maternity care.

    A panel established by the charity Birthrights is investigating discrimination ranging from explicit racism to racial bias and microaggressions that amount to poorer care. The Guardian

    Two directors to step down at Suffolk hospital hit by ‘witch-hunt’ claims

    Two directors to step down at Suffolk hospital hit by ‘witch-hunt’ claims Two directors at Matt Hancock’s local hospital are to step down, it has been announced ahead of the publication of a delayed review into a “witch-hunt” for a whistleblower involving an unprecedented demand for fingerprints from senior clinicians.

    In January 2020 a “rapid review” was ordered into claims of managing bullying at West Suffolk hospital trust which the health secretary had to recuse himself from because of his friendship with the trust’s chief executive, Steve Dunn. The Guardian

    Boris Johnson accused of creating ‘loophole’ in proposed conversion therapy ban

    Boris Johnson accused of creating ‘loophole’ in proposed conversion therapy ban Boris Johnson has been accused of creating a “loophole” in the government’s proposed ban on conversion therapy after he suggested it will not cover prayer in religious settings for the “exploration” of a person’s sexual identity.  The Independent

    Tuesday, 13 April 2021

    Northamptonshire among first Covid-19 hubs to roll out Moderna vaccine TODAY

    Northamptonshire among first Covid-19 hubs to roll out Moderna vaccine TODAY Northamptonshire’s Covid-19 Vaccination Centre has today (Tuesday) become one of the first sites in England to give Moderna vaccine jabs.

    The county’s vaccination programme was picked out as a location to use the new vaccine, which was approved for use in the UK in January. Northamptonshire Telegraph

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    Scale of domestic abuse injuries among women admitted at Northamptonshire hospitals revealed by NHS figures

    Scale of domestic abuse injuries among women admitted at Northamptonshire hospitals revealed by NHS figures Between eight and 56 women have been put in a Northamptonshire hospital after being abused by their spouse or partner over the last five years, new figures reveal. Northampton Chronicle and Echo

    Longer waits, missing patients and catching up: How is elective care in England coping with the continuing impact of COVID-19?

    Longer waits, missing patients and catching up: How is elective care in England coping with the continuing impact of COVID-19? This analysis looks at what we know about the impact of the second wave of the COVID-19 pandemic on elective care in England.

    While the NHS delivered a remarkable amount of elective treatment during the second wave of the pandemic, the pressure of caring for large numbers of patients seriously unwell with COVID-19 has led to longer delays for the growing number of patients on the waiting list.

    Data on clinical pathways show that four million fewer people completed elective treatment in 2020 compared with 2019 (down from 16 million to 12 million). The Health Foundation

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    The ethnicity pay gap in the English NHS

    The ethnicity pay gap in the English NHS The NHS is the largest employer of ethnic minority staff in England with over 225,000 employees. Issues around equality are important, but how is this reflected in staff pay? This research report examines the differences in basic pay between ethnic minority staff and White staff employed by the NHS - by occupation, pay system and band. Nuffield Trust 

    NHS Covid-19 app : early adopter evaluation report

    NHS Covid-19 app : early adopter evaluation report An NHS Covid-19 app was developed in response to the Covid-19 pandemic. The NHS Covid-19 app has been trialled in the London Borough of Newham, the Isle of Wight (IoW) and among NHS Volunteer Responders. This trial period is referred to as the early adopter phase. The NHS Covid-19 app programme commissioned a formal evaluation report to ascertain perceptions of the NHS Covid-19 app and (intended) usage of its features during the early adopter phase. Department of Health and Social Care 

      Moderna jabs mark new milestone in NHS vaccination programme

      Moderna jabs mark new milestone in NHS vaccination programme The first Moderna jabs will be delivered in England today (Tuesday) as the NHS vaccination programme reaches another milestone.

      More than 20 sites, including Reading’s Madejski Stadium and the Sheffield Arena, will initially use the newest vaccine, as the NHS continues to expand the vaccination programme.

      For those aged 18-29 who are eligible for a jab, the Moderna vaccine provides another alternative to the AstraZeneca vaccine, in line with updated MHRA guidance last week. NHS England 

      Covid: Over-45s invited to book vaccine

      Covid: Over-45s invited to book vaccine People aged 45 or over in England can now get a Covid jab, as the vaccination programme enters the next phase.

      Appointments can be booked on the NHS England website, which temporarily crashed on Tuesday morning when it opened up to the new age group.

      It comes after all over-50s and those in high-risk groups in the UK were offered a first dose of the vaccine. BBC News

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      NHS staff are suffering from ‘moral injury’, a distress usually associated with war zones | Mariam Alexander

      NHS staff are suffering from ‘moral injury’, a distress usually associated with war zones | Mariam Alexander Adequate support now could head off a post-pandemic exodus of health workers who feel broken by their experiences. The Guardian 

      Return to crowded A&Es and long ambulance delays will put patients at risk, warn experts

      Return to crowded A&Es and long ambulance delays will put patients at risk, warn experts Hospital emergency departments are facing a return to dangerous overcrowding within weeks, with queues of ambulances waiting hours to hand over patients, accident and emergency doctors have warned.

      A “system failure” of the wider NHS system to support patients means more people are being forced to turn to A&E, said Dr Adrian Boyle, vice-president of the Royal College of Emergency Medicine. The Independent 

      Hospitals using out-of-date sepsis triage tools put A&E patients at risk

      Hospitals using out-of-date sepsis triage tools put A&E patients at risk Some hospitals are using an out of date triaging tool for emergency patients suffering from sepsis that could leave them at risk of harm.

      A warning has been issued to NHS trusts to make sure their triage tools are up to date with the latest advice after several reported incidents in accident and emergency departments. The Independent

      Monday, 12 April 2021

      Covid-19: Mass testing of 3,000 residents in Corby

      Covid-19: Mass testing of 3,000 residents in Corby The town with the highest Covid-19 rate in England is to carry out door-to-door testing on 3,000 residents ahead of the easing of restrictions on Monday.

      Trained volunteers will be going out in the Beanfield area of Corby in Northamptonshire from Saturday. BBC Northampton

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      Birthing partners allowed back to pregnancy scans at Northampton General Hospital after more than a year

      Birthing partners allowed back to pregnancy scans at Northampton General Hospital after more than a year After more than a year of birthing partners not being allowed to attend pregnancy scans at Northampton General Hospital, the restriction is finally being lifted. Northampton Chronicle and Echo

      Gender divide: a post-COVID recovery must address pandemic inequalities

      Gender divide: a post-COVID recovery must address pandemic inequalities The COVID-19 pandemic has affected us all. However, it’s clear women across the UK have faced particular challenges over the past year. From key workers, the majority of whom are female, to mothers supporting their children with home learning – often combined with working from home – women have shown incredible resilience, but at what risk to their long-term health? The Health Foundation

      Visas extended for thousands of frontline health and care workers

      Visas extended for thousands of frontline health and care workers Thousands of crucial frontline health workers and their dependents will be granted free visa extensions, Home Secretary Priti Patel has announced.

      Free one-year visa extensions will be automatically granted to eligible overseas health and care workers whose visas were due to expire before 1 October 2021. Home Office

      Coronavirus: UK sets new record for Covid jab second doses

      Coronavirus: UK sets new record for Covid jab second doses More than 400,000 second doses of Covid vaccines have been given in the UK for the fourth consecutive day, according to the latest government data.

      A record total of 475,230 second doses were administered on Saturday - along with 111,109 first doses.

      On Friday, 450,136 second doses and 106,878 first doses were received. BBC News

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      Contraception blood-clot risk: ‘public need better access to advice’

      Contraception blood-clot risk: ‘public need better access to advice’ Women need more information about contraceptive options, experts said, after concerns over rare blood clots linked to the AstraZeneca Covid jab prompted a debate over side-effects caused by certain forms of the pill. The Guardian

      Pandemic drinking puts more than 100 people in hospital

      Pandemic drinking puts more than 100 people in hospital Official Government data shows the NHS dealt with more than three-quarters of a million alcohol-related admissions between April and December last year. The Daily Mail

      Cameron took Greensill for private drink with Hancock to discuss NHS payment scheme

      Cameron took Greensill for private drink with Hancock to discuss NHS payment scheme David Cameron took financier Lex Greensill for a private drink with Health Secretary Matt Hancock to discuss an app later offered within the NHS, Sky News has confirmed.

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      Friday, 9 April 2021

      Covid-19: Corby shoppers 'vital' to town centre in virus hotspot

      Covid-19: Corby shoppers 'vital' to town centre in virus hotspot People living in the area with England's highest Covid-19 rate have been urged to support the "fragile" high street as more businesses reopen.

      The latest figures show Corby in Northamptonshire, had 142.6 cases per 100,000 people in the week to 3 April - treble the England-wide average but down 34% from the previous week. BBC Northampton

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      Chart of the week: Real-terms NHS staff pay from 2010 to 2020

      Chart of the week: Real-terms NHS staff pay from 2010 to 2020 Each week we present analysis of data in chart form to illustrate some key issues and invite discussion. Following recent government proposals to offer a 1% pay rise to most NHS staff following a year unlike almost any other for health professionals, Mark Dayan looks at real-terms pay for different NHS staff groups over the past decade. How are different staff groups faring? Nuffield Trust

      Country in the grip of a mental health crisis with children worst affected, new analysis finds

      Country in the grip of a mental health crisis with children worst affected, new analysis finds Children and young people are bearing the brunt of the mental health crisis caused by the pandemic, new analysis by the Royal College of Psychiatrists has found. 

      A year on from the first lockdown and after warnings from the mental health sector about the impact of the pandemic on the country’s mental health, NHS Digital data shows that while the crisis is affecting people of all ages, it is under-18s who are suffering most. 

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      Levelling Up Health

      Levelling Up Health Covid-19 has had a devastating impact on our country, exposing our nation’s poor health and our health inequalities - 90% of those who died with Covid had significant prior poor health. A new healthcare system is essential to confront how unhealthy we are.  The report sets out why this is needed and what should be done. It proposes a 10 Year Health Improvement Plan, and new Health Improvement Fund, a shift in political attitudes that have impeded progress, clear priorities for action and the need to challenge and change organisations that harm our children and our health.

      All of society and all parties must seize the moment to improve our health, we show how. All-Party Parliamentary Group for Longevity

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      Government approach to negative body image ‘dangerous’

      Government approach to negative body image ‘dangerous’ As the country prepares for the reopening of gyms and beauty salons, a new report into body image has branded the Government's approach to eating disorders and tackling poor body image, and a key health indicator, potentially harmful.

      The use of the Body Mass Index (BMI) in determining if an individual's weight is healthy should be scrapped immediately, according to a new report on body image published by the Women and Equalities Committee.

      The report also found that lockdown had a 'devastating' impact on those with or at high risk of developing eating disorders and intensified body image anxieties, arguing for improved protection from appearance-based discrimination and more diversity in advertising. Women and Equalities Committee 

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      ‘Nightingale effect’ sees thousands of healthcare support workers join the NHS

      ‘Nightingale effect’ sees thousands of healthcare support workers join the NHS The NHS has boosted support for patients, their families and staff by recruiting 10,000 healthcare support workers (HCSWs) in the first three months of the year.

      The new staff will support the workforce and assist nurses, midwives and other healthcare professionals to perform health checks, update patient records, help patients wash, dress and move around, and care for women and families in maternity services. They will also support people with mental health conditions, learning disabilities, and autism.

      New NHS data shows of the 10,000 new staff, half are completely new to health and social care – clear evidence of the ‘Nightingale effect’ caused by the coronavirus pandemic. NHS England

      New campaign urges public to get tested twice a week

      New campaign urges public to get tested twice a week From today (Friday 9 April) everyone in England will be able to access free, regular, rapid COVID-19 testing.

      Alongside the roll-out of the vaccine, regular testing is an essential part of the easing of restrictions, helping identify variants and stopping individual cases from becoming outbreaks. Anyone can now access free, rapid lateral flow tests for themselves and their families to use twice a week, in line with clinical guidance. Department of Health and Social Care

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      Covid: Deaths in England and Wales fall 92% since January peak

      Covid: Deaths in England and Wales fall 92% since January peak Weekly deaths involving coronavirus in England and Wales have dropped 92% since the peak of the second wave in January, according to official figures.

      Meanwhile, the total number of deaths registered in the UK over one week is 5% below the five-year average. BBC News

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      Overseas health workers to get free UK visa extension, says Home Office

      Overseas health workers to get free UK visa extension, says Home Office Frontline health workers from overseas will be given a free one-year UK visa extension, the Home Office says.

      The move applies to eligible workers whose visas are due to run out before 1 October 2021 and their dependants.

      The list of professions covered includes doctors, nurses, paramedics and midwives, with 14,000 people expected to benefit. BBC News

      Southern Health: 'No cultural change' at NHS trust

      Southern Health: 'No cultural change' at NHS trust A carer has told a panel investigating a scandal-hit NHS trust he has not seen a "cultural change" at the organisation.

      Southern Health NHS Foundation Trust is being investigated after failures in its care of five patients who died between 2011 and 2015.

      Carer Nick Ralls said his experience of "engagement" from the trust's board had "got worse over time".  BBC News

      Thursday, 8 April 2021

      Corby Covid case rate still number one but currently on the decline

      Corby Covid case rate still number one but currently on the decline With lockdown restrictions easing, the Corby Covid case rate - the highest in England for most of 2021 has been dropping - but the town still tops the regional and countrywide charts.

      Cases per 100,000 residents reported over seven days for Corby have been stubbornly high in comparison to those of other areas causing concern for Public Health officials. Northamptonshire Telegraph

      Patients waste tens of thousands of doctor appointments in Northamptonshire during pandemic – costing NHS millions

      Patients waste tens of thousands of doctor appointments in Northamptonshire during pandemic – costing NHS millions Tens of thousands of GP appointments were wasted during the coronavirus pandemic in Northamptonshire because patients failed to attend them. Northampton Chronicle and Echo

      Shaping the future of digital technology in health and social care

      Shaping the future of digital technology in health and social care This report, commissioned by the Health Foundation, provides a summary of evidence for how emerging technologies such as artificial intelligence, smartphones, wearable devices and the internet of things are being used within care settings around the world. The King's Fund

      Delivering prevention in an ageing world: using technology effectively

      Delivering prevention in an ageing world: using technology effectively  As part of the ILC-UK’s 'Delivering prevention in an ageing world' programme, this consultation paper identifies the key areas where technology can play a crucial role in helping push forward the prevention agenda. The paper also collates examples of good practice, including learnings from the ongoing Covid-19 pandemic. Feedback can be given through the survey within the paper before 30 June 2021. International Longevity Centre UK

        The Better End of Life Report 2021

        The Better End of Life Report 2021 We take a closer look at how Covid-19 has affected dying, death and bereavement and what we can learn from the pandemic for improving end of life experience in future.

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        Covid-19 return to work in the roadmap out of lockdown

        Covid-19 return to work in the roadmap out of lockdown These guidelines, published in collaboration with the University of Glasgow, are aimed at workers, employers and health practitioners to increase understanding of the risks of returning to work and the appropriate work-related control measures that could be implemented. Presenting a simple, stepwise approach, the document outlines the multiple factors needed to be considered in the Covid-19 return to work assessment. Society of Occupational Medicine

          Statement on AstraZeneca Covid-19 vaccine following MHRA update

          Statement on AstraZeneca Covid-19 vaccine following MHRA update The Government's statement following updated advice from the UK's medicines regulator. Department of Health and Social Care

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          Covid: Vaccines 'break link' between infections and death

          Covid: Vaccines 'break link' between infections and death Increasingly strong evidence shows that the UK's vaccination programme is breaking the link between Covid-19 cases and deaths, scientists tracking the epidemic have said.

          A study found infections had fallen by roughly two-thirds since February, before beginning to level off. BBC News

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          Concern from patients after Nice advise against painkillers for chronic pain

          Concern from patients after Nice advise against painkillers for chronic pain People with chronic pain which has no known cause should not be prescribed painkillers, health officials have said.

          The National Institute for Health and Care Excellence (Nice) recommended physical and psychological therapies should be used instead. The Independent 

          Maternity compensation claims cost NHS £4 billion

          Maternity compensation claims cost NHS £4 billion Failures in maternity care over the past decade have left more than 1,200 children permanently brain damaged and cost taxpayers more than £4 billion in compensation, new data has revealed.

          According to NHS Resolution, which handles compensation claims on behalf of the NHS, the number of maternity claims has increased dramatically from 391 in 2009 to 765 in 2019-20. The Independent

          Wednesday, 7 April 2021

          Inspectors tell Northampton care agency to improve after finding concerns with safety and leadership

          Inspectors tell Northampton care agency to improve after finding concerns with safety and leadership A Northampton care agency has been told to improve by the health watchdog after a recent inspection found concerns around its safety and leadership.

          Carebank Healthcare's rating from the Care Quality Commission (CQC) was been downgraded from 'good' to 'requires improvement' following the visit in February. Northampton Chronicle and Echo

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          The role of trauma-informed care during the Covid-19 pandemic

          The role of trauma-informed care during the Covid-19 pandemic At the end of 2019, I wrote about the importance of trauma-informed care and the need for system-level change to better meet the needs of people who sleep rough and others who have experienced traumatic events. The ensuing Covid-19 pandemic has demonstrated even more clearly the need for, and the potential of, trauma-informed approaches. The King's Fund

          A record of our own: lockdown experiences of ethnic minority prisoners

          A record of our own: lockdown experiences of ethnic minority prisoners The report reveals the impact of the first six months of Covid-19 restrictions on ethnic minority prisoners and their families. These restrictions have effectively reduced the spread of Covid-19 and saved lives, but they have also had profoundly affected prisoners’ mental health. Zahid Mubarek Trust

            Face coverings in schools and colleges to remain in place

            Face coverings in schools and colleges to remain in place Face coverings in schools and colleges are to remain in place at start of summer term, following an ongoing review of the evidence and data. Public Health England

            Covid: Moderna vaccine roll-out to begin in Wales

            Covid: Moderna vaccine roll-out to begin in Wales The UK is beginning the rollout of its third coronavirus vaccine in Wales.

            Patients in Carmarthenshire are the first to get the Moderna jab, with 5,000 doses arriving at Hywel Dda University Health Board vaccination centres on Tuesday. BBC News

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            Covid-19 raises risk of depression and dementia, study suggests

            Covid-19 raises risk of depression and dementia, study suggests People diagnosed with Covid-19 in the previous six months were more likely to develop depression, dementia, psychosis and stroke, researchers have found.

            A third of those with a previous Covid infection went on to develop or have a relapse of a psychological or neurological condition. BBC News

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            Evidence for puberty blockers use very low, says NICE

            Evidence for puberty blockers use very low, says NICE The evidence for using puberty blocking drugs to treat young people struggling with their gender identity is "very low", an official review has found.

            The National Institute of Health and Care Excellence (NICE) said existing studies of the drugs were small and "subject to bias and confounding".

            The assessment of the evidence into the drugs was commissioned by NHS England. BBC News

            Multiple opportunities missed to prevent suicide death at NHS mental health unit, inquest hears

            Multiple opportunities missed to prevent suicide death at NHS mental health unit, inquest hears A 40-year-old mother of four took her own life at an NHS mental health unit after multiple opportunities were missed to keep her safe, an inquest has found, prompting her family to call for a public inquiry.

            Azra Parveen Hussain was allegedly the seventh in-patient in seven years to die by the same means while in the care of Birmingham and Solihull Mental Health NHS Foundation Trust (BSMHT). The Independent 

            NHS hospital trust facing prosecution after death of woman and child

            NHS hospital trust facing prosecution after death of woman and child A hospital trust is facing prosecution for alleged breaches of patient safety that are said to have led to the deaths of a mother of six and a child who was brain damaged at birth.

            The Care Quality Commission, which regulates NHS and social care in England, has charged Dudley group NHS foundation trust with providing illegally substandard care. The West Midlands trust is due to appear at Dudley magistrates court on Wednesday over alleged lapses in safety and patient care at Russells Hall hospital in the town. The Guardian

            Tuesday, 6 April 2021

            What Boris Johnson said in his lockdown roadmap press conference

            What Boris Johnson said in his lockdown roadmap press conference Beer gardens, non-essential retail and outdoor attractions will be able to open next week, and a new testing regime will see every adult in England able to access two rapid covid tests per week, the prime minister announced. Northamptonshire Telegraph

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            MEET THE GOVERNORS: Kettering governor tells us more about Northamptonshire's changing health scene

            MEET THE GOVERNORS: Kettering governor tells us more about Northamptonshire's changing health scene A KGH governor has written more in his series of pieces about Northamptonshire's changing health scene.

            The governors at KGH have teamed up with the Northants Telegraph to give our readers an insight into their role and the work they do. Northamptonshire Telegraph 

            "Sexual health clinics in Northampton" Popular Googled search term one day after mini-heatwave in the town

            "Sexual health clinics in Northampton" Popular Googled search term one day after mini-heatwave in the town "Sexual health clinics in Northampton" was one of the most Googled phrases in the town on Thursday (April 1), one day after the mini-heatwave

            Thursday was the day after the two-day mini-heatwave and also coincided with the recent easing of months of strict lockdown restrictions. Northampton Chronicle and Echo

            Commission on Race and Ethnic Disparities: the report

            Commission on Race and Ethnic Disparities: the report This report includes a chapter on health which looks at life expectancy, cancer, diabetes, obesity, maternal mortality as well as access to health care, Covid-19 and more. Commission on Race and Ethnic Disparities

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            Public health reform: a whole-government priority?

            Public health reform: a whole-government priority? ‘Health will no longer only be the business of the DHSC, but a core priority for the whole of government’?

            The quote above is from the new policy paper ‘Transforming the public health system: reforming the public health system for the challenges of our times’, published on 29 of March; although the question mark is mine. This paper puts some more flesh on the bones of the announcement of the UK Health Security Agency and the more recently announced Office for Health Promotion, and also connects them to ambitions for the future of integrated care, as set out in the new White Paper. So what to make of it? The King's Fund

            What might long COVID mean for the nation’s health?

            What might long COVID mean for the nation’s health? There is much more to learn about how COVID-19 affects people and what the implications are for the nation's long-term health. Against this uncertainty, the Health Foundation’s COVID-19 impact inquiry team has reviewed emerging evidence on long COVID. Here we summarise our findings to date. 

            5 million people in the UK receive second dose of COVID-19 vaccine

            5 million people in the UK receive second dose of COVID-19 vaccine More than 5 million people in the UK have received their second dose of a coronavirus (COVID-19) vaccine.

            Health services across the UK have now administered over 36.6 million vaccines between 8 December and 02 April, including over 31.4 million people with their first dose and over 5.2 million with their second. Department of Health and Social Care

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            Covid: Rapid tests to be offered twice-weekly in England

            Covid: Rapid tests to be offered twice-weekly in England Everyone in England is to be given access to two rapid coronavirus tests a week from Friday, under an extension of the government's testing programme.

            The lateral flow kits, which can provide results in around 30 minutes, will be available for free at testing sites, pharmacies and through the post. BBC News

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            'A truly frightening backlog': ex-NHS chief warns of delays in vital care

            'A truly frightening backlog': ex-NHS chief warns of delays in vital care Exclusive: hold-ups in operations in England a political issue for Johnson and pose risks to patients, says Sir David Nicholson

            Patients could be waiting as much as two years for vital operations by the time of the next election due to a “truly frightening” backlog of care caused by the pandemic, the NHS’s former boss has said. The Guardian

            'A life-changer': NHS England rolls out five-minute breast cancer treatment

            'A life-changer': NHS England rolls out five-minute breast cancer treatment A new breast cancer treatment will cut the amount of time some patients have to spend in hospital from two and a half hours to five minutes.

            The treatment, called Phesgo, is being rolled out across England by the NHS and will be offered to breast cancer patients undergoing chemotherapy. It will be available to people with HER2-positive breast cancer, which accounts for 15% of all such cancers. The Guardian

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            NHS England to set up 26 mental health hubs to support new, expectant and bereaved mothers

            NHS England to set up 26 mental health hubs to support new, expectant and bereaved mothers New, expectant and bereaved mothers will soon have the help of dozens of new mental health hubs across the country, the NHS has announced.

            NHS England is setting up 26 new sites especially for women - bringing together maternity care and psychological therapy under one roof. Sky News
             
            See also:

            Thursday, 1 April 2021

            Let's draw on the spirit of Corby to reduce Covid rates - together we can do it

            Let's draw on the spirit of Corby to reduce Covid rates - together we can do it Corby residents, renowned for their community spirit and dogged determination in the face of adversity, are being urged by those in the town to dig deep and stay at home to finally beat Covid. Northamptonshire Telegraph

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            New Chief Executive announced for Northampton General Hospital

            New Chief Executive announced for Northampton General Hospital Northampton General Hospital NHS Trust has announced the appointment of Heidi Smoult as its new Chief Executive.

            Heidi is currently Deputy Chief Inspector at the Care Quality Commission (CQC) where she is accountable for the effective regulation of the NHS and independent healthcare providers in the Central region. Northampton Chronicle and Echo

            Why our perceptions of the NHS matter

            Why our perceptions of the NHS matter At various times in its 72-year history, the NHS – as a comprehensive, universal, taxpayer-funded service – has been said to be ‘unsustainable’. These arguments have tended to focus on population ageing, the increasing prevalence of chronic conditions and ever more expensive treatments as leading to an inexorable rise in demand. The Health Foundation

            Making decisions about social care requires tough choices

            Making decisions about social care requires tough choices During a recent Institute for Government event, the former Chancellor George Osborne, spoke about social care. I held my breath as I wondered if he was going to join the long list of former politicians who get converted to the cause after leaving office. But no. Instead he spoke the unspoken about social care: ‘[The political consequence of fixing social care] is incredibly unpopular. It’s much more straightforward politically to keep kicking the can down the road.’ The King's Fund

            Research and analysis: Supporting people living with dementia through safeguarding processes

            Research and analysis: Supporting people living with dementia through safeguarding processes Guidance bringing together research undertaken by Dr Jeremy Dixon at the University of Bath, alongside people living with dementia, their family carers and professionals in the sector. Public Health England

            ‘COVID-friendly’ cancer care at home extended for more patients

            ‘COVID-friendly’ cancer care at home extended for more patients Thousands of people with cancer can benefit from ‘COVID friendly’ treatments from home, the NHS announced. More than 30 different drugs are available to treat patients, offering benefits such as fewer hospital visits or a reduced impact on their immune system. NHS England