Achieving scale and spread: Learning for innovators and policy-makers In recent years, a significant number of innovators have forged ways to scale and spread innovation in the NHS. However, despite some existing work in this area, less is known about how to achieve greater scale and spread beyond early adopters. The Nuffield Trust was commissioned by the NHS Innovation Accelerator to help fill this knowledge gap.
Friday, 6 March 2020
Feeling the strain What The Commonwealth Fund’s 2019 international survey of general practitioners means for the UK
Feeling the strain: What The Commonwealth Fund’s 2019 international survey of general practitioners means for the UK The Commonwealth Fund surveyed 13,200 primary care physicians across 11 countries between January and June 2019. This included 1,001 general practitioners (GPs) from the UK. The Health Foundation analysed the data and reports on the findings from a UK perspective.
In some aspects of care, the UK performs strongly and is an international leader. Almost all UK GPs surveyed use electronic medical records, and use of data to review and improve care is relatively high.
The survey also highlights areas of major concern for the NHS. Just 6% of UK GPs report feeling ‘extremely’ or ‘very satisfied’ with their workload – the lowest of any country surveyed. Only France has lower overall GP satisfaction with practising medicine. GPs in the UK also report high stress levels, and feel that the quality of care that they and the wider NHS can provide is declining.
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In some aspects of care, the UK performs strongly and is an international leader. Almost all UK GPs surveyed use electronic medical records, and use of data to review and improve care is relatively high.
The survey also highlights areas of major concern for the NHS. Just 6% of UK GPs report feeling ‘extremely’ or ‘very satisfied’ with their workload – the lowest of any country surveyed. Only France has lower overall GP satisfaction with practising medicine. GPs in the UK also report high stress levels, and feel that the quality of care that they and the wider NHS can provide is declining.
See also:
- UK GPs the least satisfied among high income countries with amount of time they have with patients The Health Foundation
- Hurried appointments are leaving GPs stressed and dissatisfied, says RCGP Royal College of General Practitioners
- UK GPs more stressed and dissatisfied than international counterparts GPonline
Mental health crisis services rolled out across England
Mental health crisis services rolled out across England Mental health crisis teams will be strengthened and new alternative forms of provision such as safe havens and crisis cafes will open across the country as part of the NHS Long Term Plan.
More than £200 million of national funding has been allocated to local areas to transform urgent and emergency mental health care through a network of services over the next two years. NHS England
More than £200 million of national funding has been allocated to local areas to transform urgent and emergency mental health care through a network of services over the next two years. NHS England
Better Births four years On: a review of progress
Better Births four years On: a review of progress The report shows that good progress is being made over time in reducing perinatal and maternal mortality, despite an overall increase in the complexity of care. However, the picture is complex and in some areas it lacks clarity, partly as a result of data quality, and partly as a result of the time lag in the data. NHS England
Shropshire baby deaths: Trust will return £1m it received for 'good care'
Shropshire baby deaths: Trust will return £1m it received for 'good care' An NHS trust at the centre of an inquiry into preventable baby deaths will repay money it received for providing good maternity care.
In 2018, Shrewsbury and Telford NHS Trust received almost £1m, weeks before its services were rated inadequate.
The BBC revealed in December the trust had qualified for the payment under the NHS's Maternity Incentive Scheme.
The trust said an "incorrect submission" had been made and it had ordered an independent review. BBC News
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In 2018, Shrewsbury and Telford NHS Trust received almost £1m, weeks before its services were rated inadequate.
The BBC revealed in December the trust had qualified for the payment under the NHS's Maternity Incentive Scheme.
The trust said an "incorrect submission" had been made and it had ordered an independent review. BBC News
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Coronavirus: Older patient becomes first virus fatality in UK
Coronavirus: Older patient becomes first virus fatality in UK A woman with underlying health conditions has become the first person in the UK to die after testing positive for coronavirus.
The Royal Berkshire NHS Trust said the patient, understood to be in her 70s, had been "in and out of hospital for non-coronavirus reasons".
She was admitted and tested positive for coronavirus on Wednesday.
It comes as the number of UK people diagnosed with the virus reached 116, a rise of more than 30 in 24 hours. BBC News
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The Royal Berkshire NHS Trust said the patient, understood to be in her 70s, had been "in and out of hospital for non-coronavirus reasons".
She was admitted and tested positive for coronavirus on Wednesday.
It comes as the number of UK people diagnosed with the virus reached 116, a rise of more than 30 in 24 hours. BBC News
See also:
- Second coronavirus case in Northamptonshire is confirmed by health officials Northamptonshire Telegraph
- CMO for England announces first death of patient with COVID-19 Department of Health and Social Care
- Coronavirus (COVID-19) listed as a notifiable disease Department of Health and Social Care
- COVID-19: guidance for health professionals Department of Health and Social Care
- Detailed guide: Coronavirus (COVID-19): latest information and advice Department of Health and Social Care
- How we will continue to regulate in light of novel coronavirus (Covid-19): Joint statement from Chief Executives of statutory regulators of health and care professionals GMC, NMC et al
- Guidance: COVID-19: specified countries and areas Public Health England
- Coronavirus 'community transmission highly likely' BBC News
- Coronavirus: How wash your hands - in 20 seconds BBC News
- Coronavirus: UK moves to part two of virus plan as cases hit 90 BBC News
- Coronavirus: UK is most relaxed, least likely to take precautions The Daily Mail
- Coronavirus can survive on surfaces for three days, says NHS The Daily Mail
- The big danger of coronavirus is that we panic ourselves into a greater crisis The Daily Telegraph
- Medical students and recently retired doctors could help coronavirus response, says CMO GPonline
- CQC to continue inspecting practices despite coronavirus outbreak GPonline
- Why we need worst-case thinking to prevent pandemics The Guardian
- Coronavirus: Doctors and nurses told they can break rules during outbreak The Independent
- Coronavirus: ‘This is not a drill,’ WHO chief says as he warns some nations not grasping reality of disease threat The Independent
- Coronavirus: First person dies after testing positive for virus in UK The Independent
- Coronavirus: What should I do to avoid being infected? The Independent
- Pharmacists could be 'redeployed' to short-staffed areas under NHS COVID-19 plans Pharmaceutical Journal
- NHS England to distribute free coronavirus protective equipment to GP practices Pulse
Boris Johnson close to breaching 100-day promise on social care talks, warn councils
Boris Johnson close to breaching 100-day promise on social care talks, warn councils Next week’s Budget should be used to make urgent progress on the cross-party talk on adult social care which Boris Johnson promised within 100 days of the December election, local councils have said.
The budget falls just 10 days short of the prime minister’s self-imposed deadline, with no sign of the talks getting under way.
Council bosses warned that without a new settlement for social care, local services in England face a funding gap of almost £6.5bn by 2025. The Independent
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The budget falls just 10 days short of the prime minister’s self-imposed deadline, with no sign of the talks getting under way.
Council bosses warned that without a new settlement for social care, local services in England face a funding gap of almost £6.5bn by 2025. The Independent
See also:
- The lives we want to lead - towards change, towards hope Local Government Association
Shocking rough sleeper deaths show the NHS is failing those who need it most
Shocking rough sleeper deaths show the NHS is failing those who need it most | Richard Vize People on the streets are dying decades early, often of treatable conditions
People living on the streets are dying three decades early, but NHS intransigence is undermining attempts to improve services.
Official statistics reveal a shocking story of early, avoidable death. In 2018 the average age of people who died while homeless in England and Wales was around 44. In other words, these 726 souls typically died more than three decades too soon, losing 22,000 years of life between them.
Homeless people find multiple barriers in the health service. The Guardian
People living on the streets are dying three decades early, but NHS intransigence is undermining attempts to improve services.
Official statistics reveal a shocking story of early, avoidable death. In 2018 the average age of people who died while homeless in England and Wales was around 44. In other words, these 726 souls typically died more than three decades too soon, losing 22,000 years of life between them.
Homeless people find multiple barriers in the health service. The Guardian
'Not a single country' is on course to meet targets to REVERSE spiralling obesity rates by 2025
'Not a single country' is on course to meet targets to REVERSE spiralling obesity rates by 2025 Countries are 'worryingly off-track', World Obesity Federation report says. There is a less than a 10 per cent chance the world will meet targets, research suggests. The UK has 'zero per cent' chance. The Daily Mail
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See also:
- Obesity: missing the 2025 global targets (report) World Obesity Federation
- World Obesity Day: ‘All countries significantly off track to meet 2025 WHO targets on Obesity’ World Obesity Federation
NHS test used by GPs to detect adults with autism is UNRELIABLE, academics warn
NHS test used by GPs to detect adults with autism is UNRELIABLE, academics warn An autism test used by GPs to flag adults with the condition in adults is 'unreliable', academics have said.
The Autism-Spectrum Quotient (AQ10) screens adults who are suspected of having the condition but do not have learning disabilities.
They are asked 10 questions including 'do you notice small sounds others don't?' and 'do you find it hard to read people's emotions from their face?'.
British psychologists examined the effectiveness of AQ10 in measuring autism using data from over 6,500 people in the general population. The Daily Mail
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The Autism-Spectrum Quotient (AQ10) screens adults who are suspected of having the condition but do not have learning disabilities.
They are asked 10 questions including 'do you notice small sounds others don't?' and 'do you find it hard to read people's emotions from their face?'.
British psychologists examined the effectiveness of AQ10 in measuring autism using data from over 6,500 people in the general population. The Daily Mail
See also:
- Psychometric concerns with the 10-item Autism-Spectrum Quotient (AQ10) as a measure of trait autism in the general population (open access) Experimental Results
Thursday, 5 March 2020
Meet the Northampton nursing student who wants to go the extra mile to help children on mental health wards
Meet the Northampton nursing student who wants to go the extra mile to help children on mental health wards A student nurse who is making it her mission to help children who are on mental health wards in Northampton.
Jade Pancoust has worked in adult mental health care for nine years and is in her final year of studying for a mental health nursing degree at the University of Northampton. Northampton Chronicle and Echo
Jade Pancoust has worked in adult mental health care for nine years and is in her final year of studying for a mental health nursing degree at the University of Northampton. Northampton Chronicle and Echo
Guidance: E-cigarettes: use by patients in NHS mental health organisations
Guidance: E-cigarettes: use by patients in NHS mental health organisations Advice for commissioners, service providers and mental health trusts providing care to NHS patients who use electronic cigarettes. Department of Health and Social Care
NHS action saves 3,000 more babies’ lives
NHS action saves 3,000 more babies’ lives The NHS in England is saving hundreds more babies’ lives every year than a decade ago, with thousands more to be saved thanks to the Long Term Plan and ongoing action to make services safer.
Professor Jaqueline Dunkley-Bent, the first-ever NHS chief midwifery officer, has praised improvements to local maternity services which saw a reduction of the stillbirth rate by more than a fifth (21%) between 2010 and 2018 – meaning 2,900 fewer stillbirths. NHS England
Professor Jaqueline Dunkley-Bent, the first-ever NHS chief midwifery officer, has praised improvements to local maternity services which saw a reduction of the stillbirth rate by more than a fifth (21%) between 2010 and 2018 – meaning 2,900 fewer stillbirths. NHS England
State of child health in the UK
State of child health in the UK This report shows that for many measures of children’s health and wellbeing, progress has stalled, or is in reverse – something rarely seen in high income countries. The authors highlight that, even where there have been notable improvements in children’s health, the UK is often lagging far behind other countries. For example, although there has been a fall in the number of emergency asthma admission rates across all four nations, the UK still has one of the highest mortality rates in Europe for children and young people with asthma. Royal College of Paediatrics and Child Health
The NHS nursing workforce
The NHS nursing workforce Nurses are critical to the delivery of health and social care services, working across hospitals, community services, care homes and primary care. In 2019, around 519,000 people in England were registered to practise as a nurse, while the NHS employed 320,000 nurses in hospital and community services, making up about a quarter of all NHS staff.
In January 2019, the NHS Long Term Plan acknowledged the need to increase staff numbers, noting that the biggest shortfalls were in nursing. The NHS set up the People Plan programme to decide how it would secure the workforce it needed to meet its future service commitments. In this report, we define workforce planning as the analysis and plans required to ensure that the NHS has the number and type of staff it needs, now and in the future. National Audit Office
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In January 2019, the NHS Long Term Plan acknowledged the need to increase staff numbers, noting that the biggest shortfalls were in nursing. The NHS set up the People Plan programme to decide how it would secure the workforce it needed to meet its future service commitments. In this report, we define workforce planning as the analysis and plans required to ensure that the NHS has the number and type of staff it needs, now and in the future. National Audit Office
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Coronavirus: Will NHS buckle under the strain?
Coronavirus: Will NHS buckle under the strain? The UK is braced for an epidemic of coronavirus cases, with health officials warning widespread transmission is now "highly likely".
If this happens, many will need hospital treatment. Will the NHS be able to cope? BBC News
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If this happens, many will need hospital treatment. Will the NHS be able to cope? BBC News
See also:
- CMO for England announces 32 new cases of novel coronavirus Department of Health and Social Care
- Detailed guide: Coronavirus (COVID-19): latest information and advice Department of Health and Social Care
- On the origin and continuing evolution of SARS-CoV-2 (open access) National Science Review
- UK coronavirus cases jump to 85 BBC News
- Coronavirus: Keep it simple, stick to facts - how parents should tell kids BBC News
- Coronavirus readiness: Three technology-led steps the NHS is taking Computer Weekly
- Human trials of coronavirus vaccines could start next MONTH in the UK and US The Daily Mail
- Coronavirus will kill Britons, warns Britain's Chief Medical Officer The Daily Mail
- TWO strains of the killer coronavirus are spreading, study claims The Daily Mail
- Practice with 20,000 patients in two-week shutdown as UK coronavirus cases spike GPonline
- British public demands more information on coronavirus cases The Guardian
- Majority of retired NHS staff don't want to return to tackle Covid-19 crisis The Guardian
- PM: workers with coronavirus will get sick pay from day one The Guardian
- 'The public has a right to the truth': NHS staff speak out on coronavirus fears The Independent
- Coronavirus: UK cases jump to 87 in biggest single-day increase so far The Independent
- Coronavirus in the UK: NHS plan to increase video consultations 'needs careful thought', says BMA deputy chair iNews
- These numbers show how well the NHS can treat a coronavirus crisis Wired
East Kent baby deaths: 'Hospital did not learn from mistakes'
East Kent baby deaths: 'Hospital did not learn from mistakes' The parents of a baby who nearly died after a series of failings during his birth said they were "heartbroken" mistakes continued to be made
East Kent Hospitals told Harry Halligan's parents they would learn lessons from his delivery in 2012.
But similar failings recently came to light after the death of Harry Richford in 2017 and the trust is now being probed over up to 15 baby deaths. BBC News
East Kent Hospitals told Harry Halligan's parents they would learn lessons from his delivery in 2012.
But similar failings recently came to light after the death of Harry Richford in 2017 and the trust is now being probed over up to 15 baby deaths. BBC News
NHS 'failing' patients living with HIV
NHS 'failing' patients living with HIV The failure to address the mental-health needs of people with HIV could lead to an increase in infections, a cross-party group of MPs suggests.
People with HIV are twice as likely to experience mental-health difficulties.
And in those with depression, support raises adherence to medication by 83%.
But most HIV clinics have no mental-health professionals on staff, which, the MPs say, could be reversing progress made over the past decade toward ending the epidemic in the UK. BBC News
People with HIV are twice as likely to experience mental-health difficulties.
And in those with depression, support raises adherence to medication by 83%.
But most HIV clinics have no mental-health professionals on staff, which, the MPs say, could be reversing progress made over the past decade toward ending the epidemic in the UK. BBC News
Late diagnosis of ectopic pregnancy 'putting women at risk'
Late diagnosis of ectopic pregnancy 'putting women at risk' NHS figures show 30 ectopic pregnancies were missed, leading to serious harm in 2017/2018
Women are at risk of serious harm and death because hospitals are not always diagnosing ectopic pregnancies quickly enough, an investigation reveals.
About 12,000 women a year in the UK suffer an ectopic pregnancy – when a fertilised egg grows outside the womb – putting them at risk if a fallopian tube containing the foetus ruptures and causes potentially fatal heavy bleeding. The Guardian
Women are at risk of serious harm and death because hospitals are not always diagnosing ectopic pregnancies quickly enough, an investigation reveals.
About 12,000 women a year in the UK suffer an ectopic pregnancy – when a fertilised egg grows outside the womb – putting them at risk if a fallopian tube containing the foetus ruptures and causes potentially fatal heavy bleeding. The Guardian
400 diagnoses of cancer per DAY could be avoided if 'Britons lived healthier lives'
400 diagnoses of cancer per DAY could be avoided if 'Britons lived healthier lives' More than 400 diagnoses of cancer could be avoided every day if the nation was healthier, a charity has claimed.
The World Cancer Research Fund (WCRF) has estimated around 40 per cent of cases could be prevented if people stopped smoking and lost weight.
Both factors are leading causes of cancers, causing 15 per cent and six per cent of diagnoses respectively. The Daily Mail
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The World Cancer Research Fund (WCRF) has estimated around 40 per cent of cases could be prevented if people stopped smoking and lost weight.
Both factors are leading causes of cancers, causing 15 per cent and six per cent of diagnoses respectively. The Daily Mail
See also:
- Thousands of cancer cases avoidable in the UK World Cancer Research Fund
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