Friday, 19 January 2018

NHS crisis: 100,000 waited 30 minutes in ambulance this winter

NHS crisis: 100,000 waited 30 minutes in ambulance this winter Latest figures show almost a quarter of those had to wait at least an hour before being seen

More than 100,000 patients this winter have had to wait in the back of an ambulance for at least 30 minutes because of A&E overcrowding, NHS figures have revealed.

In all 104,987 patients brought to hospitals in England have been stuck inside an ambulance for upwards of half an hour.

A combination of factors are at play. Hospitals have fewer beds than last year, so they are less able to deal with the recent, ongoing surge in illness. Last week, for example, the bed occupancy rate at 17 of England’s 153 acute hospital trusts was 98% or more, with the fullest – Walsall healthcare trust – 99.9% occupied.

The UK has fewer doctors and nurses than many other comparable countries both in Europe and worldwide. According to the Organisation for Economic Co-operation and Development (OECD), Britain comes 24th in a league table of 34 member countries in terms of the number of doctors they have relative to their populations. Greece, Austria and Norway have the most; the three countries with proportionately the fewest medics are Turkey, Chile and Mexico. Jeremy Hunt, the health secretary, regularly points out that the NHS in England has more doctors and nurses than when the Conservatives came to power in 2010. That is true, although there are now fewer district nurses, mental health nurses and other types of health professionals.

We will be monitoring the situation in hospitals over the next few months and want to hear your experiences of the NHS this winter. We are keen to hear from healthcare professionals as well as patients about the situation. Have operations been cancelled? Has pressure led to certain wards being closed? How are staff coping? Help us document what is going on across the UKContinue reading... The Guardian

NHS bosses urged GPs to purchase a cheaper flu jab

NHS bosses urged GPs to purchase a cheaper flu jab NHS England asked doctors to purchase the trivalent jab - which offers no protection against the B Yamagata strain, referred to as 'Japanese flu', according to documents obtained by HSJ. The Daily Mail

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Thursday, 18 January 2018

VIDEO: Go behind the scenes with Northamptonshire Healthcare NHS Foundation Trust

VIDEO: Go behind the scenes with Northamptonshire Healthcare NHS Foundation Trust Northamptonshire Healthcare NHS Foundation Trust (NHFT) is offering a closer look at local healthcare with its #weareNHFT video online. NHFT has launched a video and magazine to give people a glimpse of some of the behind the scenes work going on across hospitals and within the community.

It is part of the on-going #weareNHFT campaign to demonstrate the values and work of the dedicated staff across the trust. Northamptonshire Telegraph

KGH marks 10 years of life-saving bowel screening

KGH marks 10 years of life-saving bowel screening Kettering General Hospital is celebrating 10 years of providing a life-saving bowel screening service which has found almost 800 cancers.

The trust went live with its first bowel screening patient in December 2007 when it became the screening centre for the Leicestershire, Northamptonshire and Rutland area as part of a national scheme to introduce bowel cancer screening across the country. Northamptonshire Telegraph

Guidance: The wellbeing of 15-year-olds: analysis of the What About YOUth? survey

Guidance: The wellbeing of 15-year-olds: analysis of the What About YOUth? survey A report highlighting associations between health behaviours, other self-rated life factors (such as bullying and body image) and wellbeing. Public Health England

The Hidden Cancer - The Need to Improve Blood Cancer Care

The Hidden Cancer - The Need to Improve Blood Cancer Care This report makes important recommendations on how to make improvements and ensure that we all work together to raise awareness of blood cancer. It is also a call to the Government and NHS to ensure that blood cancers and needs of blood cancer patients are properly addressed. All-Party Parliamentary Group on Blood Cancer

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No homes for nurses: how NHS land is being sold off to build unaffordable homes

No homes for nurses: how NHS land is being sold off to build unaffordable homes This report examines the NHS sites that have been sold under the Government’s public land sale programme. These include hospitals, community health centres and other health service infrastructure that have been identified as surplus by the NHS. It compares the homes planned on these sites to the average wages of NHS key workers. New Economics Foundation

Pressure 'easing' on busy A&E units

Pressure 'easing' on busy A&E units Pressures on busy A&E units have begun to ease in England, but hospitals still remain over-crowded, NHS figures show.

Latest weekly data up to last Sunday showed the number of times ambulances have been delayed waiting outside A&E fell by nearly a quarter to 12,500.

Bed closures due to the vomiting bug norovirus have also fallen.

But NHS England warned the cold snap expected to hit the north of England over the next few days could lead to an increase in illnesses. BBC News

East of England ambulance delays kill 20, says MP

East of England ambulance delays kill 20, says MP Twenty people died after ambulance delays over 12 days when a trust failed to move into its highest state of emergency, an MP has said.

Labour's Clive Lewis told the Commons senior managers wanted to move East of England Ambulance Service Trust to so-called REAP 4 on 19 December.

Mr Lewis said the decision was not taken until 31 December.

The trust said it experienced "significant pressure" over the winter period. BBC News

Minister for loneliness appointed to continue Jo Cox's work

Minister for loneliness appointed to continue Jo Cox's work A minister for loneliness, a project first started by the late MP Jo Cox, has been announced by Downing Street.

Tracey Crouch said she was proud to take on the "generational challenge" to tackle an issue affecting about nine million UK people, young and old.

The 42-year-old said she would work across political parties in the role.

The Commission on Loneliness was first set up by Ms Cox, who was killed before the EU referendum.

A 2017 report said loneliness was as harmful to health as smoking 15 cigarettes a day. BBC News

Family doctors working 'beyond safe levels', says GPs' leader

Family doctors working 'beyond safe levels', says GPs' leader As doctors describe dealing with up to 70 patients a day, college warns of risks to public health

GPs across Britain are working above safe levels because of relentless and unmanageable workloads, leading doctors have warned. Continue reading... The Guardian

Half of England's care home providers failing the elderly

Half of England's care home providers failing the elderly Half of England’s major care home providers are failing their elderly residents in at least a quarter of their properties, say researchers. For some, the proportion is even higher. The Daily Mail

Wednesday, 17 January 2018

Adoption and spread of innovation in the NHS

Adoption and spread of innovation in the NHS The first large-scale clinical trials of statins were held in the mid-1980s and statins became available on prescription from the NHS in the 1990s. By the early 2000s, the English NHS was prescribing around 8 billion daily doses of statins each year, contributing to dramatic reductions in rates of mortality from cardiovascular disease.

Meanwhile, despite considerable progress, the NHS, like other health systems, is still struggling to implement basic hygiene protocols such as hand washing in hospitals, 150 years after Joseph Lister published his observations in the Lancet on antiseptic methods. Some innovations are incendiary, spreading with a spark from funders, regulators, professionals or the public. Others seem stubbornly immobile, no matter how easy they appear to implement or how persuasive the evidence. The King's Fund

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Funding system failing people with continuing healthcare needs

Funding system failing people with continuing healthcare needs A new report says Government must take steps to improve complex process beset with delays and poor-quality assessments because care is compromised too often due to access to funding

NHS continuing healthcare (CHC) funding is intended to help some of the most vulnerable people in society, who have significant healthcare needs.

But too often people's care is compromised because no one makes them aware of the funding available, or helps them to navigate the hugely complicated process for accessing funding.

Those people that are assessed spend too long waiting to find out if they are eligible for funding, and to receive the essential care that they need. About one-third of assessments in 2015–16 took longer than 28 days. In some cases people have died whilst waiting for a decision. Public Accounts Select Committee

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Health service 'haemorrhaging' nurses, figures reveal

Health service 'haemorrhaging' nurses, figures reveal The NHS is "haemorrhaging" nurses with one in 10 now leaving the NHS in England each year, figures show.

More than 33,000 walked away last year, piling pressure on understaffed hospitals and community services.

The figures - provided to the BBC by NHS Digital - represent a rise of 20% since 2012-13, and mean there are now more leavers than joiners.

Nurse leaders said it was a "dangerous and downward spiral", but NHS bosses said the problem was being tackled.

The figures have been compiled as part of an in-depth look at nursing by BBC News

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Changing profession

Changing profession From the running of general practices to carrying out surgical operations, the role of nurses is changing. So what are some of the things modern nurses do? BBC News

Alarm in hospitals as NHS triggers emergency plans in 14 trusts after Carillion collapse - The Independent

Alarm in hospitals as NHS triggers emergency plans in 14 trusts after Carillion collapse The NHS has triggered emergency contingency plans across 14 hospital trusts to maintain essential services previously delivered by collapsed contractor Carillion.

Additional staff have been sent to six major hospitals where Carillion is contracted to provide essential maintenance, catering, cleaning and portering services with NHS hospitals at maximum capacity.

The construction and services company, which went into compulsory liquidation on Monday, is also in the middle of constructing two new NHS hospitals which could now face further delays. The Independent

Alys Cole-King: ‘Suicide in the NHS family is particularly resonant for me’ | Hélène Mulholland

Alys Cole-King: ‘Suicide in the NHS family is particularly resonant for me’ Suicide prevention expert Alys Cole-King wants distressed NHS colleagues to seek support themselves during the winter crisis

Reports by overstretched NHS staff of the pressures of the winter crisis moved Dr Alys Cole-King to fire off a series of tweets last week:“You matter as much as your patients”, she said encouraging anyone struggling at work in the NHS to tell someone, with a link to online self-help material for those feeling suicidalContinue reading... The Guardian

I was a doctor prone to fainting. This is how I got over it

I was a doctor prone to fainting. This is how I got over it Like 12% of medical students, the graphic sights of the operating theatre caused me to faint. But slowly, after many queasy incidents, I learned how to cope

Medicine is great, but it involves pain, pus and blood. For some, seeing those things is a problem. When I started medical school, I was worried. Before applying, I had spent a night in the local casualty department as work experience. I watched a junior doctor try to prise a splinter from a young woman’s hand. It was hurting her, and she kept yelping. The doctor got irritated and said the anaesthetic “should be working by now”. He kept digging into her hand with a scalpel tip; she started to cry. I felt lightheaded, my skin went cold, I moved my legs to keep the blood flowing, but seconds later I fainted. Continue reading... The Guardian

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Measles strikes more than 100 people across five regions

Measles strikes more than 100 people across five regions A measles outbreak has spread to five regions in England, infecting 122 confirmed cases.

West Yorkshire has the most sufferers with 34 people being struck down with the life-threatening infection, followed by 32 in the West Midlands, 29 in Liverpool and Cheshire, 20 in Surrey and Sussex, and seven in Greater Manchester. The Daily Mail

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