Tuesday, 2 February 2016

Northampton psychiatric hospital care was ‘medieval’ says sister of woman who died from undiagnosed broken back

Northampton psychiatric hospital care was ‘medieval’ says sister of woman who died from undiagnosed broken back

The family of a woman whose broken back went unnoticed at Berrywood Hospital in Northampton say the treatment she received was “medieval.” 
Northampton Chronicle & Echo

Creating a workplace where NHS staff can flourish

Creating a workplace where NHS staff can flourish

Work-related stress is widespread among staff in the NHS; last year, according to the NHS Staff Survey, nearly 40 per cent of staff reported feeling unwell as a result of stress.

Chronic stress can have significant impacts on physical and mental health, being implicated in heart disease, early mortality, depression and a wide variety of psychosocial disorders. In effect, NHS staff are more likely than the rest of the working population to become patients, increasing demands on the system they work in.

Moreover, the Care Quality Commission says poor staff health and wellbeing in NHS provider organisations is associated with poorer-quality patient care, lower levels of patient satisfaction and high levels of absenteeism. The ability of staff to pay close attention to patients, to have empathic responses and take intelligent action to help is detrimentally affected by high and chronic levels of stress.

What are we to do? One solution is to introduce health and wellbeing strategies for stressed staff, offering massage, yoga, mindfulness, exercise and dietary advice. But although these are worthy interventions, they do not address the root causes of the problem.

Research has shown that the most important factor contributing to stress is workload, with staff simply being asked to manage too much work. Another is a lack of clear roles – knowing what the objectives, requirements and limits of their responsibilities are. Other factors include bullying and harassment (particularly by managers and other staff), discrimination, lack of resources, conflict, and dealing with pain and suffering. These core problems are to do with organisational culture and processes, so the solutions need to address organisational causes. We cannot just rely on health and wellbeing strategies as ‘fig leaves’ for inaction around management, structures and culture.

If we are to address the causes of stress at work then we need to nurture cultures that ensure a focus on providing the high-quality, compassionate care that NHS staff wish to provide. This means that leaders must have an unwavering focus on ensuring commitment to quality of care. As I have said before, absolutely key to this is developing, selecting, promoting and empowering leaders to nurture such cultures. But we also need to move swiftly away from unhealthy command-and-control cultures and this requires a comprehensive and wholesale change in the way in which leadership is developed and understood in the NHS.

It is not enough simply to aim to reduce staff stress levels. We should be promoting the idea that humans can flourish in the workplace, by ensuring that staff have opportunities for growth and development, the experience of supportive relationships at work, work environments that promote their physical health, and leaders who provide the resources that enable them to cope effectively with the demands of their work.

There are some organisations in the NHS that are making progress towards understanding how to reduce stress levels and promote staff wellbeing, and others should be striving to do the same. But NHS organisations must also look beyond the sector for outstanding examples of organisations – both nationally and internationally – that have shown how to create positive work environments and promote human health and wellbeing, rather than damage their staff. It is right that the NHS should aspire to be a model in this regard, rather than the bad example it currently is.

Kings Fund

See the presentations from our recent event 'Encouraging staff wellbeing in health and care'

NHS and health and care sector hit first target on climate change – but more testing goals are to come

NHS and health and care sector hit first target on climate change – but more testing goals are to come

The NHS and wider health and care sector is over the first hurdle in the race to reach carbon reduction targets and help limit the effects of climate change. 
NHS Networks

Making every contact count

Making every contact count

Making Every Contact Count (MECC) is an approach to behaviour change that uses day to day interactions that organisations and individuals have with other people to support them in making positive changes to their physical and mental health and wellbeing. 
NHS Networks

Equality information and equality analysis 2016

Equality information and equality analysis 2016


This report contains a breakdown of the Department of Health's workforce on all equality strands. It includes data on ethnicity, gender, disability, age group, working patterns, sexual orientation and religion or belief of the department's workforce. Department of Health (DH)
Report
Associated data

Next week's junior doctor strike on

Next week's junior doctor strike on

Next week's strike by junior doctors in England will go ahead as talks with the government have failed to reach a solution - but union leaders say medics will provide emergency cover.
BBC News

Care homes and the NHS: The silent scandal?

Care homes and the NHS: The silent scandal?

The problems care home residents experience getting health care.
BBC News

Autism waits 'should be monitored'

Autism waits 'should be monitored'


The amount of time it takes for autism to be diagnosed should be monitored by NHS England and targets set, the National Autistic Society (NAS) says.
BBC News

Zika declared global emergency by WHO

Zika declared global emergency by WHO


Zika poses a global public health emergency requiring a united response, says the World Health Organization.
BBC News

How and why do psychotherapies improve social support?

How and why do psychotherapies improve social support?


Mark Smith summarises a meta-analysis that explores the effects of psychotherapy for adult depression on social support.
Mental Elf

Simple test could predict Alzheimer's 'two years before symptoms show'

Simple test could predict Alzheimer's 'two years before symptoms show'


A simple memory test could be used to diagnose Alzheimer’s disease two years before symptoms start to show, according to a new study.

By helping to catch the disease early the test would enable doctors treat Alzheimer’s and delay its debilitating effects, scientists at the University of Cambridge believe.

In the UK over 850,000 have dementia – the umbrella term for cognitive disorders which Alzheimer’s falls under.

The research conducted by scientists at Cambridge University comes after the Alzheimer’s Society predicted that 1million people will have dementia by 2025.

The new “Four Mountains” test, which early data shows is 93 per cent accurate, assesses a person’s spatial memory, The Times reported.
Independent

Ageing Britain: two-fifths of NHS budget is spent on over-65s

Ageing Britain: two-fifths of NHS budget is spent on over-65s



Data produced for the Guardian shows how health spending is split across age groups, with costs set to rise as people live longer



More than two-fifths of national health spending in the UK is devoted to people over 65, according to estimates produced for the Guardian by the Nuffield Trust – a figure that is only likely to increase with the nation’s ageing demographic.



The data shows that an 85-year-old man costs the NHS about seven times more on average than a man in his late 30s. Health spending per person steeply increases after the age of 50, with people aged 85 and over costing the NHS an average of £7,000 a year. Spending on health services across all age groups is £2,069, according to Treasury analysis.

Guardian

Continue reading...

Monday, 1 February 2016

News: Media Statement re: Commentary on the inquest into the death of Claire Masters

News: Media Statement re: Commentary on the inquest into the death of Claire Masters

Ms Masters had received support for her mental health needs over a significant number of years from a number of different healthcare providers, including our trust. Regretfully, the treatment she received while in our care in 2014, fell below our usual standards.

The inquest determined that the cause of her death was a respiratory tract infection, secondary to a spinal fracture. It also identified there were some failures in the care provided by our trust and provided by others caring for Claire that unfortunately contributed to her suffering.

As a result, we have taken significant steps to meet all of the concerns arising from this inquest, whether raised by the family, the Clinical Commissioning Groups, by ourselves, or by the Coroner. Our investigation into the matter was reassuringly described as robust and thorough, by the independent expert consultant psychiatrist instructed by the Coroner to assist the inquest. Following a careful review of the changes we have put in place since, the Coroner was reassured by the measures the trust has taken to remedy all shortcomings identified.

Richard McKendrick, Chief Operating Officer, Northamptonshire Healthcare NHS Foundation Trust, said:

“We have undertaken an unprecedented amount of work since 2014 to improve standards of care, and we will continue to work with our partners in acute care to make further improvements where needed. While our senior management have been in regular contact with the family since 2014, as a Trust, we would like to take this opportunity to again offer our deepest condolences to Ms Masters’ family.”
Northamptonshire Healthcare NHS Foundation Trust

Quality of care at GP practice in Thrapston ‘inadequate’

Quality of care at GP practice in Thrapston ‘inadequate’


A GP practice in Thrapston has been placed in special measures by inspectors after the quality of care was found to be inadequate.
Evening Telegraph

Swine flu alert prompts vaccination call

Swine flu alert prompts vaccination call


Medical experts are encouraging people to get a seasonal flu vaccine, following cases of swine flu being reported across the country.
Northampton Chronicle & Echo

Influencing skills

Influencing skills


As NHS and other organisations increasingly have to work together to solve common problems, influencing skills are more important than ever. Influencing is a combination of persuasion and negotiation - being able to persuade others and negotiate to reach an agreement.
NHS Networks

Social work: improving adult mental health

Social work: improving adult mental health


Resources to improve, develop and sustain social work across the mental health sector.
NHS Networks

Alcohol infographic updated to new alcohol guidelines

Alcohol infographic updated to new alcohol guidelines


New recommended alcohol guidelines have been published by the Department of Health so we have updated our alcohol infographic.
Latest NHS Employers News

New nursing associate role consultation

New nursing associate role consultation


Health Education England has launched a consultation on the introduction of the proposed Nursing Associate role.
Latest NHS Employers News

Suffering alone at home: a UNISON report on the lack of time

Suffering alone at home: a UNISON report on the lack of time


This report is based on an online survey of 1,100 homecare workers and data obtained from a Freedom of Information (FOI) request to 152 local authorities in England that commission social care visits. It reveals that 74 per cent of councils in England are commissioning 15 minute home care visits, in contravention of NICE guidance which states that visits shorter than half an hour should only be made of visits are part of a wider package of support and allows enough time to complete tasks and check on patient wellbeing.