Wednesday, 17 October 2018

The puzzle of STPs in London

The puzzle of STPs in London London presents a puzzle for advocates of place-based systems of care. The capital is home to specialist services and hospitals of world-class standards working alongside many innovative primary care and community health services. Local authorities and clinical commissioning groups (CCGs) in some of London’s boroughs are leading the way in integrating health and social care services and exploring how they can improve population health. Despite these achievements, sustainability and transformation partnership (STPs) in London are less advanced than in many other parts of England, and none has yet progressed to become an integrated care system. The King's Fund

New physical activity resource for health professionals

New physical activity resource for health professionals A new resource that will improve conversations about physical activity between patients and healthcare professionals has been launched. Public Health England

An overview of reviews: the effectiveness of interventions to address loneliness at all stages of the life-course

An overview of reviews: the effectiveness of interventions to address loneliness at all stages of the life-course This review is the first of its kind to establish what we know about loneliness and effective ways to tackle it. It is a first step to develop the evidence, revealing big gaps in the current evidence base. It is important to remember that these findings only cover the interventions included in the studies looked at by the review. What Works Centre for Wellbeing

Women told they aren't 'thin enough' for eating disorder treatment, MPs told

Women told they aren't 'thin enough' for eating disorder treatment, MPs told Patients who fear they have eating disorders are being told by GPs they aren't "thin enough for treatment", according to a woman who was denied help.

The woman's MP, Wera Hobhouse, highlighted her story during an emotional debate in Westminster Hall.

In some cases, GPs were denying patients help because they didn't fall under the Body Mass Index (BMI) category of "anorexic", said Ms Hobhouse. BBC News

More than 19,000 babies under one at risk of severe harm in their own homes, report finds

More than 19,000 babies under one at risk of severe harm in their own homes, report finds Thousands of babies under the age of one are at risk of severe harm in their own homes as children’s services across England struggle with unprecedented financial pressures.

A new analysis of government data shows that 19,640 children less than a year old were identified by local authorities as being “in need”, largely due to risk factors in the family home – yet many are not known to services.

The report, by the Children’s Commissioner for England, found that in all, around 50,000 vulnerable youngsters were living in households with a “toxic trio” of domestic abuse, drug or alcohol addiction, and mental health problems. The Independent

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Revealed: NHS England sent 154 eating disorder patients to Scotland

Revealed: NHS England sent 154 eating disorder patients to Scotland Cost of cross-border care doubles in four years amid beds shortage, figures show

A severe shortage of beds for patients with life-threatening eating disorders has forced the NHS to send more than 100 patients from England to Scotland for treatment since 2016, the Guardian can reveal.

At least 154 vulnerable patients, mainly women and some teenagers, had to travel hundreds of miles from their homes in order to receive residential care in Glasgow and Edinburgh, costing the NHS millions of pounds annually. The Guardian

Asthmatics warned avoiding flu jab is like 'playing Russian roulette’

Asthmatics warned avoiding flu jab is like 'playing Russian roulette’ Doctors say winter colds can trigger potentially fatal flare-ups of the illness

Britain’s 5.4 million asthma sufferers are “playing Russian roulette with their life” if they do not have the flu jab before this winter, doctors are warning.

Asthmatics need to get immunised because colds and flu are the main trigger for potential fatal flare-ups of the disease, according to the charity Asthma UK. The Guardian

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The mental health crisis is down to government policy, not stigma

The mental health crisis is down to government policy, not stigma | Clare Allan Rather than locate the problem in the individual, let’s talk about the slashing of council budgets, legal aid and education spending

I have a radical proposal for tackling the mental health crisis. Let’s just stop talking about stigma. I’m not suggesting stigma isn’t a problem. I’ve written about it myself. But all this talk of stigma has become a politically convenient red herring.

It is another way of locating the problem in the individual, “If only he’d felt able to talk …”, and in the attitudes of others towards the individual, rather than where a very large portion of it belongs: in government policy. From attempts to demonise people on sickness benefits as morally inferior scroungers, to the decimation of social care and mental health services, to repeated failures to heed the warnings of mental health professionals, activists and carers, to the devastating impact of welfare reforms, successive Conservative governments have failed people with mental health difficulties at every conceivable turn. Not surprisingly, Theresa May wields the great stigma decoy at every opportunity. “We can end the stigma that has forced too many to suffer in silence and prevent the tragedy of suicide taking too many lives,” she said last week at a Downing Street reception to mark World Mental Health Day, where she also announced the appointment of a new minister for suicide prevention (Perhaps we can all talk to her?), and “up to” £1.8m for the Samaritans.

If people are so reluctant to seek help, why are the waiting lists so long? The Guardian

Disgraced doctor behind vaccine autism fears wins annual award for bad science

Disgraced doctor behind vaccine autism fears wins annual award for bad science The man who published a widely-dismissed paper claiming the MMR vaccine could make children autistic has been ridiculed with an award for bad science.

Andrew Wakefield, a former gastroenterologist who is now believed to be in a relationship with the model Elle Macpherson, has been awarded the 'Rusty Razor' award for pseudoscience by magazine The Skeptic. The Daily Mail

Replacing regular desks with standing work stations 'increases engagement'

Replacing regular desks with standing work stations 'increases engagement' Sit-stand desks were tested on NHS employees in Leicester, where 77 workers given the option to stand cut there sitting down time by about 90 minutes every working day. The Daily Mail

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Tuesday, 16 October 2018

Cardiologist asked Northampton patient to excite herself during examination to raise heart rate - Northampton Chronicle and Echo

Cardiologist asked Northampton patient to excite herself during examination to raise heart rate A heart doctor faces being struck off after asking a woman to sexually excite herself during a medical examination at Northampton General Hospital... three years after asking the same thing of a different patient.

A tribunal heard that locum cardiologist Dr Nilesh Jagjivan made the lewd suggestion of Miss A, who was a medical student and was shadowing him, after he had offered to examine her for an irregular heartbeat. Northampton Chronicle and Echo

Doomed to repeat? Lessons from the history of NHS reform

Doomed to repeat? Lessons from the history of NHS reform NHS leaders are now hard at work on a long-term plan for the health service, due to be published in the coming months. Those who have been involved with health care in England for some time could be forgiven for feeling a sense of déjà vu, as NHS history is littered with similar plans. So what lessons can be learned from these previous plans, and how can we ultimately ensure that this time is a success? Nuffield Trust

Progress on the Five Year Forward View for Mental Health: On the road to parity

Progress on the Five Year Forward View for Mental Health: On the road to parity The All-Party Parliamentary Group (APPG) on Mental Health has published a new report into the delivery of the Five Year Forward View for Mental Health (FyFV-MH). The FyFV-MH was published in 2016 and is the Government's five-year strategy to transform mental health services by 2020/21.

This report comes halfway through the FyFV-MH and is the result of the APPG's inquiry into the delivery of the Government's strategy. It asks what has gone well, what needs to be improved and outlines what the focus beyond 2020/21 should be.

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New nursing associate standards published

New nursing associate standards published Find out about the new nursing associate standards and resources available to support them. NHS Employers

Physician associates at The Royal Free London NHS Foundation Trust

Physician associates at The Royal Free London NHS Foundation Trust The Royal Free London Hospital NHS Foundation Trust has successfully recruited two physician associates. This case study explores how the introduction of physician associates within urology at the trust has helped to increase educational opportunities for junior doctors, reduced workload intensity and improved continuity care for patients. It describes how the trust developed a business case for the roles, how physician associates were integrated into the workforce, and the education and training involved. NHS Employers

Crackdown on painkillers amid addiction fears

Crackdown on painkillers amid addiction fears Two painkillers are to be reclassified as class C controlled substances amid concerns people are becoming addicted to them and misusing them.

The drugs - pregabalin and gabapentin - are also used for epilepsy and anxiety.

The move, announced by the Home Office, means it will now be illegal to posses the drugs without a prescription and it will be illegal to supply or sell them to others.

The government acted after experts said tighter controls were needed. BBC News

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NHS 'failing self-harming over-65s' despite suicide risk increasing with age

NHS 'failing self-harming over-65s' despite suicide risk increasing with age The NHS is not referring the vast majority of older people who self-harm to specialist psychiatric support, despite their chances of committing suicidesignificantly increasing, a study has found.

Researchers from the University of Manchester found that over-65s whose medical records showed reported self-harm were 20 times more likely to die from suicide in the following year – but just 12 per cent were referred to psychiatric specialists.

Over the entire 13 year follow up period, unnatural deaths – predominantly suicides – were 145 times higher among older people who self-harmed. The Independent

GPs will not tell couch potatoes that exercise could boost their health  

GPs will not tell couch potatoes that exercise could boost their health Most GPs are failing to give patients basic advice to do some exercise, despite evidence it can halve the risk of major diseases, experts say.

Public Health England (PHE) said GPs too often failed to raise the topic - because they were ignorant of the benefits of exercise, or were not sure how to bring it up.

Health Secretary Matt Hancock today called for “a culture shift” in medicine where referrals for exercise were as common as doling out a drug prescription. The Daily Telegraph

The damning vaginal mesh dossier: The shocking failures behind the scandal

The damning vaginal mesh dossier: The shocking failures behind the scandal That failure of regulatory oversight is bad enough. But we can also reveal that the new evidence was tainted by a multi-million- dollar deal between that company and the Swedish doctor who invented TVT. The Daily Mail

NHS pays out £100million to disabled children left brain damaged at birth in just 24 hours 

NHS pays out £100million to disabled children left brain damaged at birth in just 24 hours The NHS paid out more than £100million within just 24 hours to disabled children who suffered brain damage at birth.

The High Court approved settlements in 11 cases on Monday and Tuesday last week, which breached the monumental sum in total.

One of the payouts was for a record £37million, which was awarded to a six-year-old boy who suffered a catastrophic brain injury after contracting herpes in hospital.

Negligence victims receive up to three times what they used to after ministers decided to alter how payouts are calculated last year. The Daily Mail