Thursday, 11 April 2019

What principles should underpin the funding system for social care?

What principles should underpin the funding system for social care? While there may not be one perfect way to fund social care, Camille Oung and Laura Schlepper describe four principles that should be central to any approach. Nuffield Trust

Health and wellbeing at work

Health and wellbeing at work This is the nineteenth annual survey from the Chartered Institute of Personnel and Development (CIPD) exploring trends and practices in health, well-being and absence management in UK workplaces. Overall, the findings reflect employers' growing recognition of their critical role in improving the health of the workforce. But the survey highlights some cause for concern, including an increase in stress-related absence and a lack of support for managers, who are increasingly expected to take responsibility for their team's well-being. The CIPD is calling on employers to invest in more training and development for managers and have published some top tips to support managers to minimise stress in their teams.

Spring brings no respite for NHS in England

Spring brings no respite for NHS in England The start of spring has brought little respite for the NHS in England, with A&E departments still struggling.

One in seven patients spent longer than the four-hour waiting target figure in A&E in March - only marginally better than the situation seen during winter.

It comes amid mounting concern about the pressure in cancer care. BBC News

'Dismantling cancer' reveals weak spots

'Dismantling cancer' reveals weak spots Scientists have taken cancer apart piece-by-piece to reveal its weaknesses, and come up with new ideas for treatment.

A team at the Wellcome Sanger Institute disabled every genetic instruction, one at a time, inside 30 types of cancer.

It has thrown up 600 new cancer vulnerabilities and each could be the target of a drug.

Cancer Research UK praised the sheer scale of the study. BBC News

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‘Three-person’ baby boy born in Greece

‘Three-person’ baby boy born in Greece Fertility doctors in Greece and Spain say they have produced a baby from three people in order to overcome a woman's infertility.

The baby boy was born weighing 2.9kg (6lbs) on Tuesday. The mother and child are said to be in good health.

The doctors say they are "making medical history" which could help infertile couples around the world.

But some experts in the UK say the procedure raises ethical questions and should not have taken place. BBC News

I'm an A&E doctor. It's not my job to report the victims of knife crime

I'm an A&E doctor. It's not my job to report the victims of knife crime I’m concerned about the impact this new legislation could have on victims seeking my care. We risk losing their trust

While working a night shift in A&E last New Year’s Eve, I looked after a 17-year-old stab wound victim, Ben. It had been a busy night, our usual winter pressures exacerbated by the flurry of drunken injuries and cocaine-induced panic attacks. Ben had been booked in by our reception team as a “wrist injury” and had been sitting in the waiting room for a long time before I saw him. He followed me into a cubicle, cradling his wrist in a tea towel under his T-shirt.

Based on his booking information I was expecting a sprain, a quick consultation, an x-ray, and then to give him painkillers to take away. Instead he unwrapped his arm to show me a 10cm gash from his wrist up his forearm. It was thankfully not too deep and I was able to stop the bleeding with a few stitches and a pressure dressing. He responded vaguely to my questions that it had been “a friend” at a party and was “no big deal”. The Guardian

Therapy over phone or online could help people with IBS – study

Therapy over phone or online could help people with IBS – study CBT recommended for condition with symptoms of abdominal pain, bloating, constipation and diarrhoea

Talking therapies delivered remotely over the phone and internet could help people living with irritable bowel syndrome, research suggests.

About 10-20% of the UK population are thought to have IBS, a condition with symptoms including abdominal pain, bloating and problems with constipation and diarrhoea. The Guardian

30 per cent of child asthma cases due to pollution in parts of UK

30 per cent of child asthma cases due to pollution in parts of UK Three in ten child asthma cases in some parts of Britain are caused by traffic pollution, a major international study has found.

The new research reveals hundreds of thousands of cases of the potentially fatal respiratory condition could be avoided with cleaner air.

The study found that, overall, 19 per cent of new childhood asthma cases each year are attributable to nitrogen dioxide pollution. The Daily Telegraph

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Wednesday, 10 April 2019

Over a third of local areas in England reduce real terms spending on low level children’s mental health services

Over a third of local areas in England reduce real terms spending on low level children’s mental health services Anne Longfield, the Children’s Commissioner for England, has published a report looking at the amount spent on “low-level” mental health support for children in England.

The Children’s Commissioner’s research is the first time any organisation has collected data to show how much is being spent by areas in England on low level mental health. It reveals that local areas, which included both local authorities and NHS spending, allocated a total of £226 million for low-level mental health services in 2018/19, just over £14 per child.

The report shows there were wide variations between areas in how much funding is available: the top 25% of local areas spent at least £1.1 million or more, while the bottom 25% spent £180,000 or less. This postcode lottery comes at a time when the Government has made more funding available for children’s mental health nationally as the number of children in need of support and treatment from children’s mental health services has increased over the last decade.

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Research and analysis: Child sexual exploitation: prevention and intervention

Research and analysis: Child sexual exploitation: prevention and intervention This report summarises the emerging evidence from the UK on the issue of child sexual exploitation. It provides practice examples to support local public health leaders to establish a public health framework for prevention and intervention.

The literature search is a summary of the latest international research about effective interventions to prevent child sexual abuse and child sexual exploitation. Public Health England

Guidance on planning of better MSK services

Guidance on planning of better MSK services The Arthritis and Musculoskeletal Alliance has published guidance for commissioners and providers on provision of better musculoskeletal (MSK) services. Better MSK services are a priority of the NHS Long Term Plan.

Averting the AMR crisis: what are the avenues for policy action for countries in Europe?

Averting the AMR crisis: what are the avenues for policy action for countries in Europe? This policy briefing summarises some of the key policy avenues for tackling antimicrobial resistance (AMR). Following the widely accepted ‘One Health’ approach to combating AMR, the brief aims to support the implementation of national action plans on AMR, drawing on numerous examples of effective policies implemented by European Union member states and involving the human, animal and environmental health sectors. European Observatory on Health Systems and Policies

Independent hospitals must report same patient safety and outcomes data as NHS to prevent another Ian Paterson, warns RCS

Independent hospitals must report same patient safety and outcomes data as NHS to prevent another Ian Paterson, warns RCS The Royal College of Surgeons (RCS) is calling for independent hospitals to collect and publish equivalent data to that which the NHS routinely provides on patient safety and clinical audits. The RCS has published a position statement today (10 April) setting out the changes to standards in the independent sector it believes are required to prevent a repeat of the harm caused by rogue breast surgeon, Ian Paterson.

While progress has undoubtedly been made to improve the collection and publication of data in the independent sector, key issues remain. Further regulatory alignment is needed to bring independent sector hospitals’ reporting requirements for patient safety and outcomes data in line with the NHS.

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Epilepsy and cancer drugs on record-high shortage list amid Brexit uncertainty

Epilepsy and cancer drugs on record-high shortage list amid Brexit uncertainty Medicines vital for managing epilepsy, cancer and life-threatening asthma attacks are among a record number of products which are currently facing shortages made worse by Brexit uncertainty.

The number of drugs which the government is having to subsidise through the “concession” pricing list for short supply medicines has more than doubled since October. The Independent

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Doctor struck off over boy's death allowed to return to work

Doctor struck off over boy's death allowed to return to work Hadiza Bawa-Garba, convicted over death of Jack Adcock, will be supervised for two years.

A doctor who was struck off the medical register after the death of a child and then reinstated after a battle through the courts has been told she can return to work under supervision.

Hadiza Bawa-Garba has not worked since November 2015 when a jury convicted her of gross negligence manslaughter over her treatment of six-year-old Jack Adcock, who developed sepsis and died of cardiac arrest at Leicester Royal Infirmary in February 2011. The Guardian

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Biggest volunteer recruitment drive since WW2 to help boost mental health in same way as exercise

Biggest volunteer recruitment drive since WW2 to help boost mental health in same way as exercise The nation’s biggest volunteer recruitment drive since the Second World War has been launched by a charity with the aim of boosting people’s mental health and giving them a “high”.

The Royal Voluntary Service (RVS) said that challenges facing the UK are "acute" with “unprecedented” pressure on public services. However today it has launched a major call up for the public to volunteer in a bid to boost people's' mental health. The Daily Telegraph

Health chiefs to tell hospitals how to treat a deadly fungus amid fears it is spreading globally 

Health chiefs to tell hospitals how to treat a deadly fungus amid fears it is spreading globally Public health bosses will advise hospitals on how to cope with a deadly fungus that has become resistant to most drugs.

Candida auris was first identified in 2009 and has since struck hundreds in Britain and the US, among other countries.

Hospitals are now struggling to deal with the little-known fungus, prompting health officials in England and Wales to step in. The Daily Mail

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Government's plan to ban junk food adverts before 9pm 'will cut just TWO calories a day'

Government's plan to ban junk food adverts before 9pm 'will cut just TWO calories a day' Banning junk food adverts before the watershed will only cut two calories from a child's diet a day, research shows.

The Government revealed plans in March to restrict advertising of foods high in salt, fat and sugar on television and social media until after 9pm.

They hoped the strict rules would curb soaring childhood obesity rates, which are already at a record high in Britain. The Daily Mail

Tuesday, 9 April 2019

Northampton hospice wants to show patients how they can find their independence again

Northampton hospice wants to show patients how they can find their independence again When so much can change in a person's life with the news of a serious illness, it can feel like an old way of life has been lost.

But now a Northampton hospice is offering a new service to help people with life-limiting illnesses find their independence again.

Yesterday (April 8) marked the launch of the Wellbeing Service at the Cynthia Spencer's Hospice Charity, off Kettering Road. Northampton Chronicle and Echo

Hepatitis C deaths fall by 16 per cent between 2015 and 2017

Hepatitis C deaths fall by 16 per cent between 2015 and 2017 Deaths from serious hepatitis C related liver disease fell from 380 to 319, thanks to new curative treatments. But while England has exceeded the World Health Organization’s (WHO) target to reduce hepatitis C related mortality by 10% by 2020, challenges still exit to eliminate the disease in this country. Public Health England