Documentary inside Northampton mental health hospital explores self-harming among teenage girls A BBC Two documentary is following the story of three girls inside a Northampton mental health hospital.
"Girls on the Edge" premieres later this month and takes viewers inside the town's own Fitzroy House, at St Andrew's Hospital, for a "raw and honest" look at the journey to recovery for three girls. Northampton Chronicle and Echo
Monday, 12 February 2018
Evidence review: adults with complex needs (with a particular focus on street begging and street sleeping)
Evidence review: adults with complex needs (with a particular focus on street begging and street sleeping) Public Health England South East has carried out an independent review of the literature on homelessness, looking particularly at people living or begging on the streets to support efforts to prevent and reduce homelessness and the adverse outcomes associated with this. This review is aimed at local authorities and other stakeholders who are developing strategies and interventions to prevent homelessness and support adults with complex needs. Public Health England
Spatial competition and quality: evidence from the English family doctor market
Spatial competition and quality: evidence from the English family doctor market This paper examines whether family doctor firms in England respond to local competition by increasing their quality. It measures quality in terms of clinical performance and patient-reported satisfaction to capture its multi-dimensional nature. It finds that increases in local competition are associated with increases in clinical quality and patient satisfaction, particularly for firms with lower quality. However, the magnitude of the effect is small. Centre for Health Economics
Take sick children to pharmacies first, parents told
Take sick children to pharmacies first, parents told Parents of young children with minor illnesses should take them to pharmacies rather than GPs or A&E, a new NHS England campaign says.
It follows a survey which found just 6% of parents with under-fives would go to a pharmacist first.
NHS England said visits to GPs and A&E for these "self-treatable" conditions, like stomach ache, cost £850m a year.
But parents should not be put off seeing a doctor, a patients' group said.
GPs' leaders said parents of children with a very high temperature that doesn't go away should still seek help from a medical expert. BBC News
See also:
It follows a survey which found just 6% of parents with under-fives would go to a pharmacist first.
NHS England said visits to GPs and A&E for these "self-treatable" conditions, like stomach ache, cost £850m a year.
But parents should not be put off seeing a doctor, a patients' group said.
GPs' leaders said parents of children with a very high temperature that doesn't go away should still seek help from a medical expert. BBC News
See also:
- Consider the pharmacist, but worried parents should trust their instinct, says College Royal College of General Practitioners
- Take your sick children to the pharmacy and not the GP, says NHS The Daily Telegraph
- Patients urged to think 'pharmacist first' to save millions of GP appointments GPonline
NHS: Alcohol related hospital admissions hit record high after addiction support services slashed
NHS: Alcohol related hospital admissions hit record high after addiction support services slashed The number of people being admitted to hospital due to problems with alcohol has hit a record high in England, new figures show, following steep cuts to addiction support services in recent years.
Alcohol-related admissions have risen by more than two-thirds in a decade, with the figure now standing at more than 1.1 million in 2017, according to data released by Public Health England (PHE).
Politicians and campaigners warn government cuts to public health infrastructure have “failed” thousands of vulnerable people as well as increasing pressures on hard-pressed frontline A&E departments. The Independent
Alcohol-related admissions have risen by more than two-thirds in a decade, with the figure now standing at more than 1.1 million in 2017, according to data released by Public Health England (PHE).
Politicians and campaigners warn government cuts to public health infrastructure have “failed” thousands of vulnerable people as well as increasing pressures on hard-pressed frontline A&E departments. The Independent
Liverpool NHS scandal shows how culture of denial harms patients
Liverpool NHS scandal shows how culture of denial harms patients If staff do not feel able to speak out about their concerns, something is rotten at an organisation’s core
The two most shocking revelations to emerge from the investigation into Liverpool community health NHS trust are that every part of the system failed, and it happened even as the trust was considering what it should learn from the Mid Staffordshire scandal.
The independent review by Dr Bill Kirkup into events at the trust between 2010 and 2014 shows the root cause of the trust’s problems was an inexperienced and bullying leadership obsessed with achieving foundation trust status, irrespective of the effect on patients. This toxic culture seeped into every part of the organisation, breaking the morale of frontline staff and inflicting serious clinical harm.
There was a climate of fear, intolerance, disbelief and insecurity Continue reading... The Guardian
The two most shocking revelations to emerge from the investigation into Liverpool community health NHS trust are that every part of the system failed, and it happened even as the trust was considering what it should learn from the Mid Staffordshire scandal.
The independent review by Dr Bill Kirkup into events at the trust between 2010 and 2014 shows the root cause of the trust’s problems was an inexperienced and bullying leadership obsessed with achieving foundation trust status, irrespective of the effect on patients. This toxic culture seeped into every part of the organisation, breaking the morale of frontline staff and inflicting serious clinical harm.
There was a climate of fear, intolerance, disbelief and insecurity Continue reading... The Guardian
GPs issuing thousands more fit notes for patients
GPs issuing thousands more fit notes for patients Rise of 9% in statements of fitness for work, with 13.5% increase in notes for mental and behavioural disorders
The number of fit notes issued by GPs has risen by nearly a tenth, with a larger increase for mental and behavioural disorders, research has shown.
A fit note is issued after the first seven days of sickness absence if the doctor assesses that the patient’s health affects their fitness for work. Continue reading... The Guardian
The number of fit notes issued by GPs has risen by nearly a tenth, with a larger increase for mental and behavioural disorders, research has shown.
A fit note is issued after the first seven days of sickness absence if the doctor assesses that the patient’s health affects their fitness for work. Continue reading... The Guardian
Almost two thirds of voters back extra 1p on income tax for the NHS
Almost two thirds of voters back extra 1p on income tax for the NHS Observer poll finds 65% support an extra penny in the pound ring-fenced for healthcare
Almost two thirds of voters back putting an extra 1p on income tax to solve the funding crisis engulfing the NHS and social care, a new poll for the Observer has found.
The Opinium survey found that 65% would be happy to pay an extra penny in the pound ring-fenced for health and social care, even after being shown what the increase would actually mean for their personal tax bill. Continue reading... The Guardian
Almost two thirds of voters back putting an extra 1p on income tax to solve the funding crisis engulfing the NHS and social care, a new poll for the Observer has found.
The Opinium survey found that 65% would be happy to pay an extra penny in the pound ring-fenced for health and social care, even after being shown what the increase would actually mean for their personal tax bill. Continue reading... The Guardian
Paraffin-based skin creams may be linked to hundreds of deaths, senior firefighter warns
Paraffin-based skin creams may be linked to hundreds of deaths, senior firefighter warns Paraffin-based skin creams may be linked to hundreds of deaths, a senior firefighter has warned.
Chris Bell, a watch commander with West Yorkshire Fire and Rescue Service, said the creams - used to treat a variety of skin conditions, including eczema and psoriasis - are safe to use.
But he warned they can become flammable when they soak into fabrics, clothing, bandages and dressings, then come into contact with a cigarette, naked flame or other heat source. The Daily Telegraph
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Chris Bell, a watch commander with West Yorkshire Fire and Rescue Service, said the creams - used to treat a variety of skin conditions, including eczema and psoriasis - are safe to use.
But he warned they can become flammable when they soak into fabrics, clothing, bandages and dressings, then come into contact with a cigarette, naked flame or other heat source. The Daily Telegraph
See also:
Don't say 'good girl' to women in labour because it is disrespectful, midwives are told
Don't say 'good girl' to women in labour because it is disrespectful, midwives are told Midwives should not say “good girl” to women in labour because it is disrespectful, according to new advice.
Other words to avoid include describing a baby as big or referring to a woman in labour as “she” in the guide published in the BMJ.
In the advice, the authors admitted some might think such caution was “political correctness gone mad” but said changes were needed to “instill a culture of respect” for mothers-to-be.
The advice drawn up by maternity experts, has been backed by the Royal College of Obstetricians and Gynaecologists. The Daily Telegraph
See also:
Other words to avoid include describing a baby as big or referring to a woman in labour as “she” in the guide published in the BMJ.
In the advice, the authors admitted some might think such caution was “political correctness gone mad” but said changes were needed to “instill a culture of respect” for mothers-to-be.
The advice drawn up by maternity experts, has been backed by the Royal College of Obstetricians and Gynaecologists. The Daily Telegraph
See also:
- Humanising birth: Does the language we use matter? The BMJ
- The language guide midwives should use The Daily Mail
Friday, 9 February 2018
Minister's £1.75 million top-up for Northamptonshire's vulnerable adults 'will have minimum impact', says county council
Minister's £1.75 million top-up for Northamptonshire's vulnerable adults 'will have minimum impact', says county council A Local Government Settlement meant to address the prospect of collapsing councils will barely help Northamptonshire, County Hall has said.
Council leaders have been unsuccessful in attempts to persuade local government secretary Sajid Javid to loosen the purse strings and give the county appropriate funds for its growing population.
Huge bills for adult social care - as well as fixing the historically troubled children's service - have helped bring it to the brink of bankruptcy.
But an anticipated announcement from Mr Javid about extra money for all councils to deal with adult social care has been given a response that is, at best, lukewarm by council bosses. Northamptonshire Telegraph
Council leaders have been unsuccessful in attempts to persuade local government secretary Sajid Javid to loosen the purse strings and give the county appropriate funds for its growing population.
Huge bills for adult social care - as well as fixing the historically troubled children's service - have helped bring it to the brink of bankruptcy.
But an anticipated announcement from Mr Javid about extra money for all councils to deal with adult social care has been given a response that is, at best, lukewarm by council bosses. Northamptonshire Telegraph
Priorities for the NHS in 2018/19 and beyond
Priorities for the NHS in 2018/19 and beyond The Budget on 22 November 2017 contained some obvious good news for the NHS: it provided more money, if not as much as we hoped. With more money comes the inevitable re-set of NHS plans and the new planning guidance came out on 2 February.
This is desperately late in the day given the new financial year starts on 1 April but was inevitable given the financial settlement for the NHS changed so significantly at the last minute. In theory, the government is supposed to issue its Mandate for the NHS first, which the planning guidance then translates into actions for the NHS. There has been no new Mandate. While this might appear to represent a risk – that the guidance may need to change once the Mandate is finally released – realistically its contents must have been agreed with both the Department and HM Treasury anyway.
I’ll run through some of the key changes around money, performance and reform. However, it is perhaps what the guidance did not say that really matters and I’ll cover this at the end. The King's Fund
This is desperately late in the day given the new financial year starts on 1 April but was inevitable given the financial settlement for the NHS changed so significantly at the last minute. In theory, the government is supposed to issue its Mandate for the NHS first, which the planning guidance then translates into actions for the NHS. There has been no new Mandate. While this might appear to represent a risk – that the guidance may need to change once the Mandate is finally released – realistically its contents must have been agreed with both the Department and HM Treasury anyway.
I’ll run through some of the key changes around money, performance and reform. However, it is perhaps what the guidance did not say that really matters and I’ll cover this at the end. The King's Fund
Learning from the vanguards: staff at the heart of new care models
Learning from the vanguards: staff at the heart of new care models This briefing looks at how the vanguards have broken down traditional organisational barriers across whole systems, how they have engaged staff in the programmes, communicated change and supported staff to work differently. Local Government Association, NHS Clinical Commissioners, NHS Providers and the NHS Confederation
Providing mental health support in UK schools
Providing mental health support in UK schools Almost half (45%) of school leaders have found it difficult to commission mental health support for their pupils, and over a third (34%) of counsellors and psychotherapists who work with children and young people said it was difficult to provide their services to schools.
A new report – Providing mental health support in UK schools – from Place2Be in partnership with BACP, NAHT and UKCP, provides a picture of the challenges faced by schools and school-based mental health professionals.
See also:
A new report – Providing mental health support in UK schools – from Place2Be in partnership with BACP, NAHT and UKCP, provides a picture of the challenges faced by schools and school-based mental health professionals.
See also:
The adult social care workforce in England
The adult social care workforce in England The Department of Health and Social Care is not doing enough to support a sustainable social care workforce. The number of people working in care is not meeting the country’s growing care demands and unmet care needs are increasing, according to today’s report by the National Audit Office (NAO).
Hip fracture patients waiting up to three months for rehab at home
Hip fracture patients waiting up to three months for rehab at home A major new audit conducted for the Chartered Society of Physiotherapy (CSP) reveals that hip fracture patients can wait up to 80 days before seeing a physiotherapist at home after being discharged from hospital.
Hip fracture is the most common cause of injury related death in adults. It costs the NHS and social care £1 billion per year. Hip fracture will affect one in three women over 50. Hip fractures are more prevalent than breast cancer.
The audit, which was conducted by the Royal College of Physicians reveals the average wait was 15 days, but some patients have to wait up to 80 days. The amount of rehabilitation patients received varied greatly, with some patients getting less than 1 hour per week.
NICE guidelines state after surgery, hip fracture patients should be offered rehabilitation at least once a day. The survey revealed four out of ten (43 per cent) missed a day’s therapy due to no physios being available.
See also:
Hip fracture is the most common cause of injury related death in adults. It costs the NHS and social care £1 billion per year. Hip fracture will affect one in three women over 50. Hip fractures are more prevalent than breast cancer.
The audit, which was conducted by the Royal College of Physicians reveals the average wait was 15 days, but some patients have to wait up to 80 days. The amount of rehabilitation patients received varied greatly, with some patients getting less than 1 hour per week.
NICE guidelines state after surgery, hip fracture patients should be offered rehabilitation at least once a day. The survey revealed four out of ten (43 per cent) missed a day’s therapy due to no physios being available.
See also:
Richard Handley: 'Gross failures' in constipation death
Richard Handley: 'Gross failures' in constipation death A "missed opportunity" for potentially life-saving treatment contributed to the death of a man from constipation complications, an inquest has found.
Richard Handley, 33, who had Down's syndrome, died at Ipswich Hospital on 17 November 2012.
Some 10kg (22lb) of faeces were removed from his body two days before.
Coroner Dr Peter Dean said there were "gross failures" in spotting Mr Handley was in a critical state after the surgery. BBC News
Richard Handley, 33, who had Down's syndrome, died at Ipswich Hospital on 17 November 2012.
Some 10kg (22lb) of faeces were removed from his body two days before.
Coroner Dr Peter Dean said there were "gross failures" in spotting Mr Handley was in a critical state after the surgery. BBC News
First human eggs grown in laboratory
First human eggs grown in laboratory Human eggs have been grown in the laboratory for the first time, say researchers at the University of Edinburgh.
The team say the technique could lead to new ways of preserving the fertility of children having cancer treatment.
It is also an opportunity to explore how human eggs develop, much of which remains a mystery to science.
Experts said it was an exciting breakthrough, but more work was needed before it could be used clinically. BBC News
See also:
The team say the technique could lead to new ways of preserving the fertility of children having cancer treatment.
It is also an opportunity to explore how human eggs develop, much of which remains a mystery to science.
Experts said it was an exciting breakthrough, but more work was needed before it could be used clinically. BBC News
See also:
Too few cancer patients are getting end of life care
Too few cancer patients are getting end of life care Over the past 20 years, there has been a rapid advancement in the treatment of cancer, leading to impressive survival rates for many and a general perception that we’re getting this cancer business cracked. But the stark reality is that half of all patients diagnosed with cancer in the UK still die of the disease.
The vast majority of research funding is directed towards developing new treatment options or towards strategies to improve early diagnosis – with less than 0.3 per cent of the £500m spent on cancer research allocated to palliative (end-of-life) care. The Independent
The vast majority of research funding is directed towards developing new treatment options or towards strategies to improve early diagnosis – with less than 0.3 per cent of the £500m spent on cancer research allocated to palliative (end-of-life) care. The Independent
Liverpool NHS trust 'dysfunctional' and unsafe, report finds
Liverpool NHS trust 'dysfunctional' and unsafe, report finds Patients suffered ‘significant harm’ and staff who raised concerns were bullied, inquiry concludes
Patients suffered “significant harm” because of multiple serious failings by a “dysfunctional” NHS trust, an independent inquiry has found.
Liverpool Community Health NHS trust (LCH) provided poor, unsafe and ineffective care to patients, including inmates at HMP Liverpool, the scathing report concluded. Continue reading... The Guardian
Patients suffered “significant harm” because of multiple serious failings by a “dysfunctional” NHS trust, an independent inquiry has found.
Liverpool Community Health NHS trust (LCH) provided poor, unsafe and ineffective care to patients, including inmates at HMP Liverpool, the scathing report concluded. Continue reading... The Guardian
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