Friday, 12 April 2019

Woman, 78, died after nine-hour ambulance wait

Woman, 78, died after nine-hour ambulance wait Faster treatment could have saved the life of a 78-year-old woman who waited more than nine hours for an ambulance, a coroner has said.

Diana Gudgeon died on 25 May 2018, two days after calling 111 with symptoms of a water infection and sepsis.

A Northampton coroner has raised concerns over how her emergency call was graded and an ambulance shortage.

East Midlands Ambulance Service said it was recruiting more staff to plug the "fundamental gap" in its resources. BBC Northampton

Context matters: the contrasting effect of enhancing support in residential and nursing homes

Context matters: the contrasting effect of enhancing support in residential and nursing homes The NHS Long Term Plan commits to improving NHS support to all care home residents over the next five years. This includes stronger links with primary care networks to help keep care home residents healthy and out of hospital wherever possible. The Health Foundation

Meeting the challenge of reducing stress and building resilience in the NHS workforce

Meeting the challenge of reducing stress and building resilience in the NHS workforce A new framework aimed at helping health and social care employers improve the mental wellbeing of their employees has been launched by Health Education England (HEE).

The Workforce Stress and the Supportive Organisation – A framework for improvement through reflection, curiosity and change encourages employers to take a closer look at the systems they currently have in place for managing staff wellbeing, it challenges them to give greater consideration to the impact workforce stress has on staff and look at the role they can play in providing better support to staff who may need it.

Fewer people injured in violent attacks - A&E data study

Fewer people injured in violent attacks - A&E data study Overall levels of violence in England and Wales are on the decline, in spite of an increase in knife crime, a study of A&E data suggests.

Analysis by Cardiff University found admissions of patients injured in violent attacks dropped 1.7% in 2018.

Its indicates a rise in knife crime, gun crime and homicide recorded by police is not part of a wider upsurge. BBC News

Give women more consistent abortion service, NHS told

Give women more consistent abortion service, NHS told Abortion services in England must provide a more consistent service to women, the NHS says.

The call comes from the National Institute of Health and Care Excellence (NICE) - the official NHS advisory body - in its first abortion guidance.

The draft proposal says women should be offered an appointment within a week and a termination a week after that.

All services should also accept self-referrals rather than expecting women to see a GP first, it adds. BBC News

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Doctors call for transparency over no-deal drug risk

Doctors call for transparency over no-deal drug risk Doctors' leaders have raised concerns over a lack of clarity about drug availability highlighted by no-deal Brexit planning.

The British Medical Association (BMA) warns "a culture of secrecy" could undermine the ability of medics to plan care and deliver treatment.

Confidential NHS England files, seen by Newsnight, suggest supply chain issues mean some drugs "cannot be stockpiled".

The government said it has been "as transparent as possible". BBC News

Brexit uncertainty affecting mental health of 1 in 3 UK adults, study shows

Brexit uncertainty affecting mental health of 1 in 3 UK adults, study shows Uncertainty about the future of Brexit is affecting the mental health of a third of UK adults, a new survey has found.

Around 33 per cent of people said Britain's departure from the European Union has had a negative effect on their wellbeing, according to a poll by the British Association for Counselling and Psychotherapy (BACP). The Independent

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A&E patients waiting more than four hours reaches record high

A&E patients waiting more than four hours reaches record high Almost 3 million people not dealt with in target time last year, NHS England data shows.

Almost 3 million patients in England waited more than four hours to be dealt with by A&E last year, the highest number since records began 16 years ago.

Figures from NHS England show 88% of patients were dealt with in four hours or less in 2018-19, the lowest-ever level, down from 88.3% in 2017-18. The Guardian

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Hospital inspections 'bad for patients'

Hospital inspections 'bad for patients' Hospital inspections are bad for patients because they divert staff away from giving basic care, a new study indicates. A major review of NHS trusts found the rate of potentially dangerous falls and bedsores tends to be worse in the aftermath of a visit by the Care Quality Commission (CQC) than they otherwise would be.

Since 2013, the watchdog has undertaken longer and more complex inspections of hospitals at least once every three years. The Daily Telegraph

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More than 71,000 'frail' patients were rushed back to hospital after just one day

More than 71,000 'frail' patients were rushed back to hospital after just one day More than 71,000 patients were taken back to hospital last year just a day after they were sent home, figures have revealed.

The number of readmissions soared by a third in four years, figures revealed, with experts blaming a severe shortage of hospital beds.

They are concerned patients are being sent home before they have recovered to create room for others arriving from A&E. The Daily Mail

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