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NHS hospital at centre of cover up claims after woman died following repeated paracetamol overdose

The family of a woman who died after being repeatedly overdosed with paracetamol in an NHS hospital have demanded action over her death amid allegations of an NHS cover up.

Laura Higginson, a trainee solicitor and mum of two, died after seeking medical help for sickness and pneumonia. She died two weeks later from multi-organ failure and sepsis.

Whiston Hospital, in Merseyside, has admitted to the overdose but denied it caused her death and rejects any suggestion of wrong doing.

But expert reports, seen by The Independent, including from a liver specialist, questions the trust’s account of what happened, the quality of its post-mortem and concludes the mother-of-two – who only weighed 36kg – suffered liver failure after too much paracetamol in April 2017.

The overdose mistake was recognised by staff on the third day but Laura’s family were never told.

The trust did not record the error as an incident and only started an investigation 14 months later when concerns were raised by Laura’s family. Her husband Antony Higginson says the subsequent investigation report is “littered with inaccuracies.”

He told The Independent: “We just want justice; we don’t care about money. Laura died needlessly and all these institutions charged with ensuring safe care and accountability have point blank failed and have rendered Laura’s life as essentially worthless and that she didn’t matter, when she did matter.”

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Source: The Independent, 21 November 2021

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NHS hospital and manager to stand trial for manslaughter of 22-year-old woman

An NHS trust will become the first ever to be tried for the corporate manslaughter of a mental health patient after being charged over the death of a 22-year-old woman.

Alice Figueiredo died at Goodmayes hospital, run by North East London NHS Foundation Trust (NELFT), in July 2015.

Last year the Crown Prosecution Service announced it was charging NELFT with corporate manslaughter as well as a health and safety breach.

The ward manager at the time, Benjamin Aninakwa, will also stand trial for manslaughter by gross negligence and health and safety breaches for actions related to her death.

The trial opens on 29 October and is expected to last for nine weeks.

NEFLT will be the second ever NHS trust to be charged with corporate manslaughter after Maidstone and Tunbridge Wells Trust was charged following the death of a woman who underwent an emergency Caesarean in 2015.

However, it is the first mental health trust to be charged over the death of a patient in a psychiatric unit.

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Source: The Independent, 24 October 2024

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NHS hit by Covid disruption as cancer referrals plunge

The Covid pandemic is casting a wide shadow over the nation’s health, according to new data revealing a dramatic drop in urgent referrals for suspected cancers in England, and a plummeting quality of life among patients awaiting hip and knee surgery in the UK.

The crisis has caused huge disruption to healthcare services: in November NHS England revealed that the number of people waiting more than a year for surgery had reached its highest level since 2008, while patients have reported that their procedures, from cancer surgery to hip replacements, have been repeatedly cancelled.

It has also been linked to a fall in MRI and CT scans, while among other consequences breast screening programmes were paused last year. Experts have warned the pandemic may also have led to people avoiding GPs and hospitals, meaning they may have missed out on crucial care.

Now an analysis of NHS England data by Cancer Research UK has found that the number of people urgently referred for suspected lung cancer fell by 34% between March 2020 and January 2021 compared with the same time period in 2019/2020 – adjusted for working days. That, they say, equates to about 20,300 fewer people being urgently referred.

Declines were also found for other suspected cancers including urological cancer and gynaecological cancer, with about 51,000 fewer patients urgently referred for the former, a 25% drop, and 19,800 fewer patients urgently referred for the latter, a 10% drop, compared with the year before.

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Source: The Guardian, 24 March 2021

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NHS hires diversity staff on double the salary of junior doctors

NHS trusts are hiring equality and diversity staff on twice the salary of a junior doctor as the health secretary attacked “misguided” agendas, The Times can reveal.

Wes Streeting said that “ideological hobby horses need to go” after stating that one NHS staff member had boasted of holding an “anti-whiteness” stance.

There have been a slew of recent job postings offering roles in equality, diversity and inclusion (EDI) at salaries that exceed specialist junior doctors.

They include an NHS England EDI secondment position covering the southwest of England offering a pro rata salary of £122,000 per year, and a head of EDI role at a London trust with a salary of £91,336.

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Source: The Times, 15 February 2025

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NHS Highland slammed over three year wait for bowel op

A report by the Scottish Public Services Ombudsman (SPSO) said the health board's own investigation into the patient's complaint was of "poor quality" and "failed to acknowledge the significant and unreasonable delays" suffered.

The delays led 'Patient C' to develop a severe hernia which left them unable to work, reliant on welfare benefits, and requiring riskier and more complex surgery than originally planned.

The watchdog criticised NHS bosses for blaming Covid for the delays when the patient had been ready for surgery since December 2018, and said there had been "no sense of urgency" despite "the gravity of C's situation".

The report said: "It is of significant concern that the Board has failed to fully acknowledge the consequences of the delays and the adverse effects upon C's physical and mental health as a result.

"The consequences for C of these delays cannot and should not be underestimated."

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Source: The Herald, 24 November 2022

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NHS Highland set to go public with plan to tackling bullying

NHS Highland has revealed that it will have “clear milestones” prepared for its November board meeting as part of its action plan to deal with bullying within the organisation. That is according to Human Resources Director Fiona Hogg, on the long-awaited plan that was called for in an independent report by John Sturrock QC into bullying allegations.

The human resources department will soon share details of how the board will deal with the issue. Ms Hogg said: “Our plan from the November board meeting onwards is that it will contain an update on progress, but it will also include the revised action plan.

The move is likely to be welcomed by whistle-blowers and victims of bullying who have been calling for it for more than a year.

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Source: Strathspey & Badenoch Herald, 26 September 2019

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NHS Highland reprimand for HIV patient email data breach

NHS Highland has been reprimanded for a data breach which revealed the personal email addresses of people invited to use HIV services.

The health board used CC (carbon copy) instead of BCC (blind carbon copy) to send an email to 37 people.

The Information Commissioner's Office (ICO) said the error amounted to a "serious breach of trust". It called for improvements to be made to data protection safeguards for HIV service providers.

The mistake meant all recipients of the email could see the personal addresses of the others receiving it.

One person said they recognised four other individuals, one of whom was a previous sexual partner.

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Source: BBC News, 30 March 2023

 

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NHS Highland pays out millions to bullied staff

NHS Highland says it expects to pay £3.4m in settlements to current and former staff who have complained of bullying.

Whistleblowers exposed a "culture of bullying" at NHS Highland in 2018. 

A Scottish government-commissioned review suggested hundreds of health workers may have experienced inappropriate behaviour. So far 150 cases have been settled since the start of a "healing process", costing the health board more than £2m.

Whistleblower Brian Devlin told BBC Scotland the scale of settlements made so far was "heartening", but he added that he continued to have concerns about bullying at the health board.

A group of Highlands GPs first complained of a culture of bullying at NHS Highland in September 2018.

Staff said they had not felt valued, respected or supported in carrying out "very stressful work". Others told of not being listened to when raising matters regarding patient safety concerns and decisions being made "behind closed doors".

The review also said that "many described a culture of fear and of protecting the organisation when issues are raised".

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Source: BBC News, 28 September 2021

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NHS hearing units misdiagnosed thousands of children and ‘did nothing’

Watching from the side of the school playing field, Amy and Noel Denman were worried about Scarlet, their three-year-old daughter.

While other children ran around laughing, enjoying their first sports day at the Lincolnshire nursery school, Scarlet seemed vacant. When the teachers told her to run she stood still … then burst into tears.

Amy Denman now knows why her daughter was acting so strangely. Recalling that day six years ago, she is furious over how the NHS has failed her family.

Scarlet, she has learnt, is partially deaf. She could not understand what was happening or what was expected of her. She is one of thousands of children misdiagnosed by NHS audiology units across England.

Leaked internal documents from NHS England reveal a nationwide failure in child hearing services. They suggest that 1,540 children have been misdiagnosed since 2019. Some, like Scarlet, were given the all-clear when they had significant problems. Others were told they were deaf — but hearing aids could have helped them.

Some 480 children suffered moderate or severe harm, the papers say. For some infants this will mean permanent delays in speech and language development as well as their educational abilities.

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Source: The Times, 28 September 2024

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NHS health information available through Amazon's Alexa

The NHS has teamed up with Amazon to allow elderly people, blind people and other patients who cannot easily search for health advice on the internet to access the information through the AI-powered voice assistant Alexa. The health service hopes patients asking Alexa for health advice will ease pressure on the NHS, with Amazon’s algorithm using information from the NHS website to provide answers to health questions. Matt Hancock, Health Secretary, said the move will help patients, especially the elderly, blind and those who are unable to access the internet in other ways, take more control of their healthcare and help reduce the burden on the NHS.

However, despite welcoming the move, the Royal College of GPs warned that independent research must be carried out to ensure the advice given is safe. Professor Helen Stokes-Lampard, Chairwoman of the Royal College of GPs, said: “This idea is certainly interesting and it has the potential to help some patients work out what kind of care they need before considering whether to seek face-to-face medical help... However, it is vital that independent research is done to ensure that the advice given is safe, otherwise it could prevent people seeking proper medical help and create even more pressure on our overstretched GP service.”

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Source: The Independent, 10 July 2019

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NHS health chiefs demand an ‘urgent’ plan to tackle the social care crisis

Healthcare leaders have called for an urgent plan to tackle the social care crisis, warning Rishi Sunak there is “clear concern” over an ongoing failure to tackle staff shortages.

The warning from Matthew Taylor, chief executive of NHS Confederation which represents hospitals and community services, comes after the publication of the long-awaited £2.4bn NHS workforce plan, which committed to 300,000 extra nurses and doctors in the coming years.

Mr Taylor said any benefits to improve NHS staffing will be “limited” without an equivalent strategy for the social care sector, which currently has 165,000 vacant posts.

Health bosses, represented by NHS Confederation, have now written to the prime minister asking for “urgent intervention” and calling for a clear plan for improving pay and conditions to attract staff.

Martin Green, chief executive for Care England that represents care homes, warned that the sector “is in the midst of a workforce crisis, which is going to get worse not getting better”.

He welcomed the NHS Confederation’s letter and said unless similar improvements were made within social care, there would be more “cancelled operations, more people languishing in hospital when they don’t need to and the whole breakdown of the system”.

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Source: The Independent, 2 July 2023

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NHS health checks in England to have questions on menopause for first time

NHS health checks are to include questions about the menopause for the first time, ministers have announced, with millions of women in England expected to benefit.

Adults aged from 40 to 74 who do not have a pre-existing long-term health condition are eligible for an NHS health check every five years. The checks are intended to identify those at higher risk of heart and kidney disease, type 2 diabetes, dementia and stroke.

The checks will also include questions about the menopause, which the Department of Health and Social Care (DHSC) estimates could help as many as 5 million women. The questions will be written over the next few months and ministers hope the change will take effect from 2026.

The health secretary, Wes Streeting, said the change would give women “the visibility and support they have long been asking for.”

“Women have been suffering in silence for far too long,” he said, and they are “left to navigate menopause alone, with very little support – all because of an outdated health system that fails to acknowledge how serious it can be.

“No one should have to grit their teeth and just get on with what can be debilitating symptoms or be told that it’s simply part of life.”

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Source: The Guardian, 23 October 2025

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NHS health board Cwm Taf Morgannwg 'prioritised targets over safety'

A health board criticised for severe maternity failings put too much emphasis on targets instead of patient safety, according to a new review of quality governance arrangements at Cwm Taf Morgannwg University.

It found wider failings in Cwm Taf Morgannwg health board's governance. Healthcare Inspectorate Wales (HIW) and the Wales Audit Office (WAO) also found a high level of risk to patient safety was accepted as the norm in some departments. The health board said work was under way to address the issues raised.

The report was not an assessment of frontline care, but spoke to staff about procedures for reporting and learning from problems.

It found Cwm Taf Morgannwg health board had not given enough attention to the safety of its services, in contrast to a strong focus on targets and financial controls.

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Source: BBC News, 19 November 2019

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NHS having to ‘pick up pieces’ of medical tourism ‘boom’, say doctors

The NHS is having to provide emergency care to rising numbers of patients suffering serious complications following weight loss surgery and hair transplants abroad amid a “boom” in medical tourism, doctors have warned.

Medics said they were being left to “pick up the pieces” as more Britons seeking cheap operations overseas return with infections and other issues. In some cases, patients are dying as a result of botched surgeries performed in other countries.

Hospitals have even had to cancel elective procedures for patients because beds were being taken up by someone who needed an overseas procedure fixed.

There were also concerns over patients buying weight loss drugs, including Wegovy, abroad without receiving the necessary “wraparound” care, doctors said.

The British Medical Association’s annual meeting in Belfast heard there had been a “boom” in surgical tourism, which was “leading to a rise in serious post-surgery complications and deaths”.

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Source: The Guardian, 25 June 2024

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NHS has lost ‘muscle memory’ on corridor care, minister says

The NHS has lost “muscle memory” about how to tackle corridor care, a health minister has said.

Karin Smyth said the problem was an “issue of clinical leadership and managerial leadership”, telling MPs she was a “strong supporter of managers… recognising what should be pretty basic and is known but doesn’t happen now”.

Ms Smyth made the comments during a Commons health and social care committee session  about corridor care on Wednesday. Last year,HSJ  revealed  that around one million accident and emergency patients had been placed on corridors or in other temporary spaces across a 12-month period.

The minister said: “I think we can’t underestimate what [is] sometimes called muscle memory loss about how to do things right.”

Last week, NHS England said trusts could “virtually eliminate” corridor care  with the right leadership, ordering executives to take personal charge of the problem.

Labour MP Danny Beales told the committee this week that the recommendations, which include executives walking corridors and senior leadership being present at discharge meetings, were “quite basic”.

Professor Tim Briggs, a surgeon and national director for clinical improvement, said: “The big thing that’s going to be required is cultural leadership change.”

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Source: HSJ, 12 March 2026

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NHS has ‘hollowed out’ community care, says government adviser

The NHS has “hollowed out” community and primary care and become a “national hospital service”, according to the influential lead of a government review of social care.

Baroness Louise Casey, who is chairing an independent commission on reforming social care reporting to the prime minister, made her comments during a speech at the Nuffield Trust’s annual summit today. 

During her address she also criticised integrated care boards for paying private firms “to find ways to cut how they pay out Continuing Healthcare budgets” and allowing them to take a profit if they were successful. She said this was “quite astonishing”.

The respected Whitehall trouble-shooter warned ministers she would be “watching” them to make sure Continuing Healthcare funding was not “sucked up into the world of acute hospitals”.

She said: “It is my belief that we really have a national hospital service, not a national health service, and that may feel tough and may feel unfair, but that’s what it looks like to me…

“As the NHS has evolved, it has withdrawn from the community, reducing the number of beds they offer other than for acute or specialised care, putting many more staff into hospitals whilst hollowing out the staff numbers in community and primary care provision.”

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Source: HSJ, 5 March 2026

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NHS has ‘broken’ its promise to the public over the ambulance service

The NHS has broken its “fundamental promise” to the public that life-saving emergency care will be available when they need it, a top NHS doctor has said, as ambulances continue to lose tens of thousands of hours waiting outside hospitals.

Katherine Henderson, the president of the Royal College of Emergency Medicine, said that what she described as the fundamental promise of the NHS to provide an ambulance in a real emergency has been “broken”.

Her comments come as the West Midlands Ambulance Service (WMAS) University NHS Trust predicted it would lose 48,000 ambulance hours waiting outside A&E departments in July. This would make it the worst month on record.

In papers published on Thursday, WMAS said the impact of handover delays means that patients are waiting longer than needed for an emergency response, including patients in category one, which includes those needing immediate life-saving care.

It added: “This means that patients who are immediately time-critical medical emergencies do not get the response they need and may suffer significant harm or death.”

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Source: The Independent, 26 July 2022

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NHS guidance ‘too long to read,’ say hospital staff as safety watchdog exposes systemic risks to patients

NHS guidance ‘too long to read,’ say hospital staff as safety watchdog exposes systemic risks to patients.

The Healthcare Safety Investigation Branch (HSIB) revealed some NHS staff had admitted not reading official guidance on how to avoid the ‘never event’ error as part of a new report identifying deeper systemic problems that it said left patients at an increased risk.

The independent body warned patients across the NHS remained vulnerable to being injured or even killed by the error that keeps happening in hospitals despite warnings and safety alerts over the last 15 years.

HSIB launched a national investigation into the problem of misplaced nasogastric (NG) tubes after a 26-year-old man had 1,450ml of liquid feed fed into his lungs in December 2018 after a bike accident.

The patient recovered but the error was not spotted, even after an X-ray.

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Source: The Independent, 17 December 2020

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NHS gowns 'suspended' from use due to packaging concern

The use of ten million surgical gowns, bought by the UK government, has been suspended for frontline NHS staff because of how the items were packaged.

Sterile gowns were bought for £70m from a US firm last year, but safety concerns were raised when they arrived in one layer of protective packaging.

The contract had not requested double packaging, as used in sterile settings.

The government says all personal protective equipment (PPE) is quality assured, but Labour has called for an inquiry into the awarding of contracts.

The BBC has been investigating the purchase of PPE - or personal protective equipment - for NHS staff since the beginning of the pandemic. It has already been revealed how millions of face masks bought by the UK government cannot be used in the NHS as intended.

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Source: BBC News, 8 February 2021

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NHS going into winter with 5,500 fewer beds than last year

The NHS is going into this winter with 5,500 fewer general acute beds than last year, NHS England data has revealed.

The numbers of general and acute beds open overnight from July to September this year was 94,787 compared with 100,370 for the same period in 2019, a fall of 5.6% or 5,583 beds. 

The reduction in bed numbers is thought to be partly because of covid infection control measures, such as creating more distance between beds. HSJ reported this week that Cambridge University Hospitals Foundation Trust had taken nearly 100 beds out of use to allow for better social distancing.

The figures showed significant regional differences. London had 8% fewer beds available compared with last year, while the East of England and the North East only had 3.4% fewer. The North West, which has been badly affected by the second wave of covid, had 6.6% fewer beds than last year. 

NHS Providers deputy chief executive Saffron Cordery said: “We have been arguing for some time that the NHS is short of beds as we head into winter… This is a real problem as trusts deal with pressures posed by the virus, growing demand for urgent and emergency care and the work to recover the backlog of routine operations.”

Nuffield Trust deputy director of research Sarah Scobie said: “This drop in the number of beds available bears out our warning that infection control will mean a loss of capacity even between waves of the virus. Many of these will have been beds too close to others for physical distancing. This is why it will be so difficult to return to previous rates of activity while the virus remains at large, worsening waiting times and forcing difficult decisions about who gets priority."

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Source: HSJ, 19 November 2020

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NHS given warning about infection control as Covid cases rise

The Royal College of Nursing has warned of an increase risk of Covid among hospital staff and patients due to the NHS’s failure to follow World Health Organization advice about infection control during a current spike in cases.

The most recent figures showed one in 24 people in England and Scotland had Covid on 13 December, up from one in 55 two weeks before.

Last week WHO expressed concern about a new subvariant of Omicron, labelled JN.1, after its rapid spread in the Americas, western Pacific and European regions. To tackle the increase, the WHO advised that all health facilities “implement universal masking” and give health workers “respirators and other PPE”.

Now the RCN has written to the four chief nursing officers in England, Wales, Scotland and Northern Ireland asking why this guidance has not been introduced across the NHS.

The letter, seen by the Guardian, points out that existing guidance in the national infection prevention and control manual (NIPCM) does not mandate hospital staff to use masks. It also leaves decisions about respirators to local risk assessors.

The RCN says this guidance to UK hospitals is “inconsistent” with WHO advice.

The letter by Patricia Marquis, the RCN’s director for England, calls for urgent revision to the NIPCM guidance to ensure the “universal implementation” of masks and respirators for health workers.

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Source: The Guardian, 22 December 2023

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NHS given its 10 priorities for 2022

NHS England has set out 10 priorities for 2022-23 in its annual planning guidance.

NHSE chief executive Amanda Pritchard makes clear in an introduction that many of its goals remain contingent on covid, stating: ”The objectives set out in this document are based on a scenario where covid-19 returns to a low level and we are able to make significant progress in the first part of next year.”

The 10 priorities are:

  • Workforce investment, including “strengthening the compassionate and inclusive culture needed to deliver outstanding care”.
  • Responding to COVID-19.
  • Delivering “significantly more elective care to tackle the elective backlog”.
  • Improving “the responsiveness of urgent and emergency care and community care capacity.”
  • Increasing timely access to primary care, “maximising the impact of the investment in primary medical care and primary care networks”.
  • Maintaining “continued growth in mental health investment to transform and expand community health services and improve access”.
  • Using data and analytics to “redesign care pathways and measure outcomes with a focus on improving access and health equity for underserved communities”.
  • Achieving “a core level of digitisation in every service across systems”.
  • Returning to and better “prepandemic levels of productivity”.
  • Establishing integrated care boards and collaborative system working, and “working together with local authorities and other partners across their ICS to develop a five-year strategic plan for their system and places”.

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Source: HSJ, 24 December 2021

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NHS gets £750m boost to fix crumbling buildings

The government has allocated £750 million to the NHS in England for tackling long-term maintenance problems. The Department of Health and Social Care (DHSC) said the money could be used by hospitals, mental health units, and ambulance services to mend leaky pipes, improve ventilation, and solve electrical issues. 

The investment aims to prevent operations and appointments being cancelled because of crumbling infrastructure. However, healthcare leaders said the cash injection is a “drop in the ocean” and just a fraction of the estimated £14 billion maintenance backlog across the health service estate.

More than £100 million will be put aside for maternity units to replace outdated ventilation systems in neonatal intensive care units and create better environmental conditions for vulnerable babies and their families.

Hospital services were disrupted more than 4000 times in 2023-2024 due to poor quality buildings, according to England’s Health Secretary Wes Streeting. 

Streeting highlighted the severity of the problem, noting that burst pipes had flooded emergency departments, faulty electrical systems had shut down operating theatres, and mothers had been forced to give birth in substandard facilities.

A recent UNISON survey revealed NHS hospitals were plagued by rats, cockroaches, and sewage leaks. The survey also flagged problems with leaky roofs and out-of-order toilets.

Simon Corben, director for NHS estates and facilities at NHS England, said repairs were overdue. “Fixing the backlog of maintenance at NHS hospitals will help prevent cancellations,” he stated.

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Source: Medscape UK, 30 May 2025

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NHS gender identity service for children can’t cope with demand, review finds

The only NHS gender identity service for children in England and Wales is under unsustainable pressure as the demand for the service outstrips capacity, a review has found.

The interim report of the Cass Review, commissioned by NHS England in 2020, recommends that a network of regional hubs be created to provide care and support to young people with gender incongruence or dysphoria, arguing their care is “everyone’s business”.

Led by the paediatrician Hilary Cass, the interim report explains that the significant rise in referrals to the Gender Identity Development Service (GIDS) at the Tavistock and Portman NHS foundation trust in London has resulted in overwhelmed staff and waiting lists of up to two years that leave young people “at considerable risk” of distress and deteriorating mental health. 

Last spring, the Care Quality Commission demanded monthly updates on numbers on waiting lists and actions to reduce them in a highly critical report on GIDS.

Differing views and lack of open discussion about the nature of gender incongruence in childhood and adolescence – and whether transition is always the best option – means that patients can experience a “clinician lottery”, says the new review, which carried out extensive interviews with professionals and those with lived experience.

It notes that the clinical approach used by GIDS “has not been subjected to some of the usual control measures” typically applied with new treatments.

Another significant issue raised with the review team was that of “diagnostic overshadowing”, whereby once a young person is identified as having gender-related distress, other complex needs – such as neurodiversity or a mental health problem that would normally be managed by local services – can be overlooked.

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Source: The Guardian, 10 March 2022

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NHS gender identity clinics for children are ‘nowhere near ready’

The new NHS gender identity clinics for young people are “understaffed” and “nowhere near ready”, it was claimed on Monday as they officially started taking on patients.

A London hub, alongside a second in the northwest, will begin to see patients this week as they replace the Gender Identity Development Service (Gids) at the Tavistock and Portman NHS Foundation Trust.

The Gids clinic was ordered to close after a review by Dr Hilary Cass found it was “not a safe or viable long-term option”.

However, whistleblowers described as senior staff at Gids have expressed concerns about the preparedness and expertise of the new hubs, just as they open.

One, who spoke to the i newspaper under the condition of anonymity, said: “It’s been shoddy, disorganised, messy and unclear. And at times, it’s felt unsafe.”

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Source: The Times, 1 April 2024

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