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New analysis lays bare government’s failure to protect social care from COVID-19

New analysis by the Health Foundation reveals the devastating impact the pandemic has had on social care in England. The independent charity says the findings provide further evidence that the government acted too slowly and did not do enough to support social care users and staff, and that protecting social care has been given far lower priority than the NHS.

The Health Foundation finds that policy action on social care has focused primarily on care homes and that this has risked leaving out other vulnerable groups of users and services, including those receiving care in their own homes (domiciliary care). It also notes that the shortcomings of the government’s response have been made worse by longstanding political neglect and chronic underfunding of the social care system.

Since March there have been more than 30,500 excess deaths* among care home residents in England and 4,500 excess deaths among people receiving domiciliary care. While high numbers of excess deaths of people living in care homes have been well reported, the analysis shows there has been a greater proportional increase in deaths among domiciliary care users than in care homes (225% compared to 208%). And while deaths in care homes have now returned to average levels for this time of year, the latest data (up until 19 June) shows that there have continued to be excess deaths reported among domiciliary care users.

The Health Foundation says that decades of inaction by successive governments have meant that the social care system entered the pandemic underfunded, understaffed, and at risk of collapse.

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New algorithm will improve bowel-cancer patient care

An algorithm which can predict how long a patient might spend in hospital if they’re diagnosed with bowel cancer could save the NHS millions of pounds and help patients feel better prepared.

Experts from the University of Portsmouth and the Portsmouth Hospitals University NHS Trust have used artificial intelligence and data analytics to predict the length of hospital stay for bowel cancer patients, whether they will be readmitted after surgery, and their likelihood of death over a one or three-month period. 

The intelligent model will allow healthcare providers to design the best patient care and prioritise resources.

Bowel cancer is one of the most common types of cancer diagnosed in the UK, with more than 42,000 people diagnosed every year.

Professor of Intelligent Systems, Adrian Hopgood, from the University of Portsmouth, is one of the lead authors on the new paper. He said: “It is estimated that by 2035 there will be around 2.4 million new cases of bowel cancer annually worldwide. This is a staggering figure and one that can’t be ignored. We need to act now to improve patient outcomes.

“This technology can give patients insight into what they’re likely to experience. They can not only be given a good indication of what their longer-term prognosis is, but also what to expect in the shorter term. 

“If a patient isn’t expecting to find themselves in hospital for two weeks and suddenly they are, that can be quite distressing. However, if they have a predicted length of stay, they have useful information to help them prepare.

“Or indeed if a patient is given a prognosis that isn’t good or they have other illnesses, they might decide they don’t want a surgical option resulting in a long stay in hospital.”

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Source: University of Plymouth, 30 March 2022

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New AI tools could help save lives by spotting warning signs of bowel cancer earlier (20 November 2025)

Five smart technologies that act as a "second pair of eyes" during bowel examinations have been conditionally recommended by NICE for NHS use, potentially helping doctors spot harmful growths that could turn into cancer.

Patients having a colonoscopy – a camera test to look inside the bowel – could benefit from cutting-edge artificial intelligence (AI) tech that helps doctors spot small growths called polyps more easily. Some of these polyps can turn into bowel cancer if not found and removed early.

NICE's independent advisory committee has said five AI technologies can be used in the NHS whilst more evidence is collected over the next four years to understand their full benefits.

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Source: NICE News, 20 November 2025

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New AI tool offers insights to improve safety for mothers and babies in maternity care

Loughborough University researchers have developed an artificial intelligence (AI) tool that identifies the key human factors influencing maternity care outcomes, supporting ongoing efforts to improve safety for mothers and babies.

Developed by AI and data scientist Professor Georgina Cosma and human factors and complex systems expert Professor Patrick Waterson, the tool analyses maternity incident reports to highlight key human factors – such as communication, teamwork, and decision-making – that may have impacted care outcomes, providing insights into areas that could benefit from additional support.

When an adverse maternity incident occurs in England, detailed investigation reports are produced to identify opportunities for learning and enhancing safety.

Currently, experts must carry out manual reviews to extract human factor insights from incident reports. This process is resource-intensive, time-consuming, and relies on individual interpretation and expertise, which can lead to varying conclusions.

The AI tool addresses these challenges by identifying and categorising human factors in reports quickly and consistently. Its standardised approach allows it to analyse multiple reports and identify recurring factors, helping pinpoint areas that would benefit most from additional support.

The AI model was trained and tested on data from 188 real maternity incident reports. It successfully identified human factors in each report and analysed them collectively, providing insights into where extra support could improve outcomes.

"AI has transformed our analysis of maternity safety reports. We've uncovered crucial insights far quicker than manual methods," said Professor Cosma.

“This has enabled us to gather a comprehensive understanding of where there are areas for improvement in maternity care, and these insights can help identify ways to enhance patient safety and improve outcomes for mothers and babies."

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Source: Loughborough University, 20 November 2024

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New AI tool could speed up skin cancer diagnoses in remote parts of world

A researcher at a Scottish university has developed AI tools that could give people in remote areas of the world access to fast and potentially life-saving skin cancer diagnoses.

Tess Watt , the PhD student at Heriot-Watt University in Edinburgh who led the project to develop the technology, said it is intended to enable early detection of skin conditions anywhere in the world, and without the need for direct access to dermatologists.

The technology also works without internet access.

The system involves a patient taking a photograph of their skin complaint using a small camera attached to a Raspberry Pi device - a cheap, energy-efficient handheld computer that is capable of storing vast amounts of information.

The photograph is analysed in real-time using the latest state-of-the-art image classification, comparing it to an enormous dataset of thousands of images stored on the device to reach a diagnosis.

The findings are then shared with a local GP service to begin a suitable treatment plan.

The project is understood to be the first of its kind to combine AI medical diagnosis with the aim of serving remote communities.

Ms Watt explained: "Healthcare from home is a really important topic at the moment, especially as GP wait times continue to grow.

"If we can empower people to monitor skin conditions from their own homes using AI, we can dramatically reduce delays in diagnosis."

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Source: The Scotsman, 21 July 2025

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New AI tool could cut wasted efforts to transplant organs by 60%

Doctors have developed an AI tool that could reduce wasted efforts to transplant organs by 60%.

Thousands of patients worldwide are waiting for a potentially life-saving donor, and more candidates are stuck on waiting lists than there are available organs.

Recently, in cases where people need a liver transplant, access has been expanded by using donors who die after cardiac arrest. However, in about half of these donations after circulatory death (DCD) cases, the transplant ends up being cancelled.

That is because the time between the removal of life support and death must not exceed 45 minutes. If the donor does not die within the timeframe needed to preserve organ quality, surgeons often reject the liver because of the increased risk of complications to the recipient.

Now doctors, scientists and researchers at Stanford University have developed a machine learning model that predicts whether a donor is likely to die within the timeframe during which their organs are viable for transplantation.

The AI tool outperformed the judgment of top surgeons and reduced the rate of futile procurements – which occur when transplant preparations have begun but the donor dies too late – by 60%.

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Source: The Guardian (13 November 2025)

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New AI tool can predict a person’s risk of more than 1,000 diseases, say experts

Scientists have developed a new artificial intelligence tool that can predict your personal risk of more than 1,000 diseases, and forecast changes in health a decade in advance.

The generative AI tool was custom-built by experts from the European Molecular Biology Laboratory (EMBL), the German Cancer Research Centre and the University of Copenhagen, using algorithmic concepts similar to those used in large language models (LLMs).

It is one of the most comprehensive demonstrations to date of how generative AI can model human disease progression at scale, and was trained on data from two entirely separate healthcare systems.

“Medical events often follow predictable patterns,” said Tomas Fitzgerald, a staff scientist at EMBL’s European Bioinformatics Institute (EMBL-EBI). “Our AI model learns those patterns and can forecast future health outcomes.”

The tool works by assessing the probability of whether – and when – someone may develop diseases such as cancer, diabetes, heart disease, respiratory disease and many other disorders.

Named Delphi-2M, it looks for “medical events” in a patient’s history, such as when illnesses were diagnosed, together with lifestyle factors such as whether they are or were obese, smoked or drank alcohol, plus their age and sex.

The tool also looks at anonymised patient record data to predict what might happen over the next decade and beyond.

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Source: The Guardian, 17 September 2025

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New AI tool ‘can rapidly rule out heart attacks in people attending A&E’

A new artificial intelligence tool (AI) developed in the UK can rapidly rule out heart attacks in people attending A&E and help tens of thousands avoid unnecessary hospital stays each year, according to its creators.

Known as Rapid-RO, the AI tool has been found to successfully rule out heart attacks in over a third of patients across four UK hospitals during trials.

Professor James Leiper, associate medical director at the British Heart Foundation (BHF), which funded the study, said: “This research demonstrates the important role AI could play in guiding treatment decision for heart patients.

“By quickly identifying patients who are safe to be discharged, this technology could help people avoid unnecessary hospital stays, allowing valuable NHS time and resource to be redirected to where it could have the greatest benefit.”

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Source: The Independent, 3 June 2024

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New AI model could ‘predict disease’ before it happens using NHS data

A groundbreaking artificial intelligence (AI) model is being trained using NHS data from 57 million people in England in the hope it could predict disease and complications before they occur.

The world-first study, spearheaded by researchers at University College London (UCL) and King’s College London (KCL), has the potential to “unlock a healthcare revolution”, officials said.

The AI, known as Foresight, uses technology similar to that of ChatGPT, however, instead of predicting text, Foresight analyses a patient's medical history to forecast potential future health issues.

As part of the pilot, it will be trained using eight routinely collected datasets, including hospital admissions, A&E attendances and Covid-19 vaccination rates, which have been stripped of personal information.

“Foresight is a really exciting step towards being able to predict disease and complications before they happen, giving us a window to intervene and enabling a shift towards more preventative healthcare at scale,” Dr Chris Tomlinson of UCL said.

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Source: The Independent, 7 May 2025

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New AI initiative to transform urgent and emergency care in North East London

NHS North East London in collaboration with Health Navigator and UCLPartners have launched a new, three-year programme, providing preventative care for patients with long-term conditions. This comes at a time when urgent and emergency care services in North East London are facing unprecedented pressure and demand is at an all-time high.  

Through advanced AI screening technology and targeted, phone-based clinical coaching, patients at high risk of needing unplanned emergency care will be identified and offered personalised support from healthcare professionals trained in delivering preventative care and self-management techniques.   

The initiative is designed to identify and better support people with long-term conditions, like asthma, by taking a proactive and preventative approach to healthcare delivery.   

Forecasting models estimate that the programme will save 26,673 unplanned bed days in North East London hospitals across the three years of the programme, with an anticipated reduction of 13,000 A&E attendances annually.   

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Source: UCL Partners Health Innovation, 12 December 2025

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New A&E target branded ‘extremely unambitious’

The new national target to see 76% of A&E patients within four hours by March 2024 has been described as ‘extremely unambitious’ by senior emergency clinicians.

Adrian Boyle, president of the Royal College of Emergency Medicine, also told the Commons Health and Social Care Committee that the objective – included in NHS England planning guidance for 2023-24 and agreed with government  – could also drive “perverse incentives” for some emergency department managers.

The new target to admit, transfer or discharge 76% of patients by the end of 2023-24 is the first time a specific bar has been set against the four-hour standard for several years. In December, just three acute trusts were hitting the new 76% objective.

But Dr Boyle told MPs: “The aspiration from NHS England is that we return to a four-hour target performance of 76%. We think that is too unambitious, and we think that is going to create all sorts of perverse incentives, because it’s going to encourage managers and senior clinicians just to focus on people who can be discharged from hospital, without dealing with our problem, which is exit block [people who cannot be admitted as wards are full].

“We think the 76 per cent is an extremely unambitious target. It was 95% – I know that’s going to be a long way to go back to and we haven’t achieved it since 2015, but we would say we need to have a trajectory to a higher target.”

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Source: HSJ, 24 January 2023

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New A&E models may increase 'discrimination’ against some patients

The development of separate emergency units to help acute trusts manage demand during the covid pandemic may risk increasing “discrimination” against mental health patients, a royal college has warned.

In a report shared with HSJ, the Royal College of Psychiatrists said separate emergency assessment units being set up by mental health trusts offered a calmer environment for mental health patients and reduced pressure on emergency departments.

But the report, based on 54 survey responses from liaison psychiatry teams, also warned there was a “potential to increase the stigmatisation of mental illness by emergency department staff”.

It added: “Within a general hospital there is a risk that prejudicial attitudes amongst staff translate into discriminatory behaviour towards patients. The provision of a separate mental health emergency assessment facility on another site may reinforce the erroneous view that the assessment and management of mental health problems is not a role for an emergency department.”

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Source: HSJ, 11 August 2020

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New ‘unusual’ side effect of weight-loss drugs becoming more common, research suggests

A new “unusual” side effect of weight-loss drugs is becoming more common, research has suggested.

Weight-loss drugs such as Ozempic and Wegovy have soared in popularity. About one in eight U.S. adults said they’ve taken a GLP-1 drug, used to treat type 2 diabetes and obesity, according to a Kaiser Family Foundation poll published in May 2024.

But like with any other drugs, there are side effects, including a newly found one that could interfere with medical imaging.

Researchers from Alliance Medical, a European imaging service provider, reviewed oncologic FDG PET-CT scans in patients taking GLP-1 drugs.

Alliance Medical researchers found several abnormal patterns of FDG uptake in patients taking GLP-1 drugs, according to a September presentation at the Annual Congress of the European Association of Nuclear Medicine. These abnormal patterns could be misinterpreted by doctors if a patient’s medication history is not considered.

“We noticed unusual uptake in one of our patients on a GLP-1 agonist, which prompted a wider review across our network,” lead author Dr. Peter Strouhal, Medical Director at Alliance Medical, said in a statement published by the American Association for the Advancement of Science.

“We found that these altered patterns are increasingly common, yet there is currently no national or international guidance in the UK addressing this emerging issue.”

If patients’ scans are misinterpreted, it can lead to unnecessary tests, incorrect cancer staging and delays in treatment.

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Source: The Independent, 8 October 2025

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New ‘sponge’ cancer test to be trialled in high-street pharmacies

Hundreds of people experiencing persistent heartburn or acid reflux will soon be offered a “sponge on a string” test in high-street pharmacies.

NHS England is piloting a new way of preventing oesophageal cancer by identifying individuals with a condition called Barrett’s oesophagus, which occurs when stomach acid damages the lining of the oesophagus or food pipe.

Some cells may grow abnormally and then develop into oesophageal cancer.

From early next year, around 1,500 people in London and the East Midlands will participate in these new "heartburn health checks" to test for Barrett’s oesophagus.

During the test, the patient swallows a small capsule attached to a string. The capsule dissolves in the stomach and leaves a small sponge about the size of a 1p coin.

The sponge is then pulled out via the string by NHS staff after a few minutes, during which time it collects cells from the oesophageal lining for analysis in the lab.

This test is already used in hospitals and community diagnostic centres to help reduce the need for invasive endoscopies in Barrett’s patients.

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Source: The Independent, 9 July 2025

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Netherlands: First Long Covid legal cases involve healthcare staff

At least five people in the Netherlands who developed Long Covid through their jobs are planning to sue their employers for financial and emotional damage, according to RTL Nieuws. But lawyers, unions, company doctors and academics expect many more cases will arise and say they could take years to reach a conclusion, RTL said.

One case involves a residential care nurse who was told to take care of a patient without protective clothing. It later transpired that the unit manager knew the patient may have had coronavirus. The nurse has been at home for almost two years with Long Covid, and her salary has been reduced in line with sick pay regulations.

Ambulance worker Lenny Wagemans is also holding her former employer responsible for her illness. She picked up coronavirus in March 2020 after a patient coughed all over during a trip to hospital. She too did not have a face mask or other protection. 

Dealing with work related illnesses is often complex and with Covid it is difficult to establish exactly where an infection took place, said Utrecht University researcher Marlou Overheul. ‘You might have picked up coronavirus somewhere else and that can have an impact on a damages claim,’ she said.

The Federation of Dutch Trade Unions said last month over 500 healthcare workers face losing their jobs because they are suffering from Long Covid and have been on sick pay for the regulation two years.

MPs have voted in favour of a motion which calls on the government to formally recognise Long Covid as an illness and which will ensure all nursing staff are entitled to invalidity benefits. The government has asked the national health council to make recommendations about how to deal with Long Covid which will be published in the first quarter of this year.

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Source: Dutch News, 20 February 2022

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Neil Gray’s backroom deal with NHS unions ‘risks patient safety’

Patient safety has been put at risk by ministers striking a backroom deal with unions to cut the equivalent of 10,000 health service jobs by reducing the working week, NHS bosses have warned.

Briefings prepared by the chief executives of Scotland’s NHS boards reveal top management thrown into chaos after appearing to be blindsided by the new health secretary, Neil Gray.

Two weeks into the role, Gray, who replaced the scandal-hit Michael Matheson on 8 February met with unions without NHS staff present and signed off sweeping changes to working conditions, setting a deadline to implement them within five weeks.

The Scottish Conservatives have called the deal “deeply alarming”, while Labour accused the new health secretary of “standing idly by while chaos looms”.

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Source: The Times, 4 March 2024

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Neighbouring providers aid cyber attack victim

Two pathology networks are coming to the aid of a neighbour, still largely paralysed following an unprecedented cyber attack on its IT system earlier this month.

HSJ has learned that Australian-owned firm Health Services Laboratories, which operates mainly from two NHS trusts in north London, will take on some of the primary care tests in south-east London while the Synnovis systems, which were taken out by the attack, are down.

HSL will take on work from Lambeth and Southwark boroughs, while South West London Pathology, an NHS-run consortium based at St George’s Hospital, will take on similar work for GP practices in Bexley and Bromley.

SWLP was able to connect electronically to send results back to 70 surgeries in south east London within three days.

HSL confirmed it had been drafted in, but it gave no information on what tests it was performing or where, or how it was assuring itself that services in north London would not suffer as a result.

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Source: HSJ, 20 June 2024

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Neighbourhood plans ‘in danger’, says top five trust leader

The government’s neighbourhood health agenda is “in danger of not happening” amid a lack of clarity over governance structures and funding, the chair of England’s fourth-largest trust has claimed.

Ian Jacobs, who chairs the £2bn Barts Health Trust, said his organisation was committed to the development of neighbourhood health services. However, he added that  the work was “dependent on goodwill” from staff and partners and lacked a ”real structure to support it”.

His comments came at a public Barts Health board meeting during a discussion over how the trust will implement the national Neighbourhood Health Framework published in March.

The guidance set a number of targets for shifting acute care to the community, including that GPs must see 90% of clinically urgent patients on the same day by March 2027.

Professor Jacobs said: “It feels at the moment it’s dependent on goodwill and people setting up forums. It doesn’t seem very strong on structure that will ensure operational delivery… If there’s no formal structure, it’s in danger of being something that’s nice which disappears in a few years.”

He added: “The risk is that this is a nice idea which we’re all committed to, but unless there’s real structure that support it, it’s in danger of not happening.”

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Source: HSJ, 20 May 2026

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Neighbourhood health ‘can’t be line managed’

A government neighbourhood health lead has warned the service “can’t line manage organisations outside the NHS into change”, which will instead rely on “frontline involvement” organised in relatively small patches.

Sir John Oldham, a former GP who is chairing the government’s neighbourhood health implementation programme, launched a call three weeks ago for applications to join its first wave.

The “large-scale change programme” will be joined up with parallel national 10-Year Health Plan  delivery work, including developing two neighbourhood health provider contracts, and changing funding flows.

But Sir John told HSJ that successful implementation “requires the meaningful frontline involvement of partners at a neighbourhood level… You can’t line manage organisations outside the NHS into change, you have to engage and facilitate. Yet it is their contribution that will be needed [to achieve] the hard deliverables”. 

The senior adviser to health and social care secretary Wes Streeting also said the programme would not accept applications from multiple places working as one, because they would be too wide to properly engage local teams. “The connectivity between place and neighbourhood will be very important, which is why a single application from multiple places won’t be accepted,” he said. “The definition of a place is up to local people.

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Source: HSJ, 1 August 2025

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Negligence payouts ‘ridiculous’, says minister

The patient safety minister has criticised the “ridiculous” amount the NHS spends on compensation for harm, claiming it sometimes costs more than services themselves.

Baroness Gillian Merron told the Birth Trauma Association national conference today: “We pay out a ridiculous – sorry, I should be careful – of course, people should be compensated. But we’ve got to a system where we are paying out more in compensation than on services… that can’t be right, it’s not sustainable.”

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Source: HSJ, 18 November 2025

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Negligence legal costs can be three times as much as compensation

Legal costs in some lower-value medical negligence claims can be double or even triple the amount of compensation paid to patients. 

Figures in the Medical Defence Union’s (MDU’s) annual report for 2021 reveal the average sum paid in claimants’ legal costs on medical claims settled for up to £10,000 was in excess of £18,500. 

For claims settled between £10,000 and £25,000, the average was nearly £35,000. 

The not-for-profit indemnifier called on the Government to proceed quickly with the reforms needed to the clinical negligence system to make disproportionate legal costs a thing of the past. 

Its chief executive Dr Matthew Lee said: "Disproportionate legal costs are one of several defects in the current litigation system and particularly affect lower value claims. 

"It cannot be right for legal costs paid to claimants’ lawyers to regularly exceed the damages paid to claimants by double or triple the amount."

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Source: Independent Practitioner Today, 9 August 2022

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Negligence at Lancashire hospital caused boy permanent brain damage, court rules

An 11-year-old boy suffered permanent brain damage after birth because of negligence by hospital midwives who then fabricated notes, a high court judge has ruled.

Jayden Astley’s challenges in life include deafness, motor impairments, cognitive difficulties and behavioural difficulties, his lawyers said.

After a five-day trial at the high court in Liverpool, Mr Justice Spencer ruled that staff at the Royal Preston hospital in Lancashire were negligent in their treatment of Jayden in 2012.

The brain injury was caused by prolonged umbilical cord compression that resulted in acute profound hypoxia – lack of oxygen – sustained during the management of the birth, the court found.

Midwives failed to accurately monitor Jayden’s heart rate when he was born and failed to identify his bradycardic, or slow, heart rate during delivery. The judge also found that some entries in notes were fabricated.

In his judgment Spencer said it was agreed that all permanent damage to Jayden’s brain would have been avoided if he had been delivered three minutes earlier.

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Source: The Guardian, 2 August 2023

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Neglected NHS cancer hospital is unfit for purpose, says report

An NHS cancer hospital has such crumbling buildings, out-of-date equipment and staffing problems that patients’ safety and quality of care are at risk, a report for health service bosses has warned.

Patients at the Mount Vernon Cancer Centre who are acutely unwell or dying are receiving substandard care because it lacks the medical expertise and facilities needed to manage them properly, and its services need to be moved, an inquiry has found.

The group of experts who undertook the urgent review on behalf of NHS bosses have concluded that Mount Vernon has been neglected for so long that it can no longer operate safely as an important regional centre of cancer care, is unviable and as a result its services need to be moved and rebuilt from scratch elsewhere.

“Maintaining safety of patients cannot be guaranteed in the near future. Status quo is not an option. There is a need for urgent action. Current estate is not fit for purpose, particularly ward buildings for acutely unwell and end of life inpatients,” the report says.

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Source: The Guardian, 3 October 2019

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Neglect was one of biggest killers in care homes during pandemic, report finds

The pandemic has disproportionately affected people living in care homes, who accounted for an estimated 30% of all deaths from covid-19 across 25 countries despite making up only 1% of the world’s population, a report has estimated.

The analysis was carried out by Collateral Global, a research group that says it is dedicated to reporting on the effects of governments’ mandatory COVID-19 mitigation measures. The report said the pandemic had exacerbated long running problems in the care sector, such as chronic underfunding, poor structural organisation, staff undertraining, underskilling, and underequipping, and a “lack of humanity in dealing with the most vulnerable members of society.”

“Neglect, thirst, and hunger were—and possibly still are—the biggest killers,” the group said. They also said that care home residents faced barriers in access to emergency treatments during the pandemic.

The study authors suggested that undiagnosed COVID-19, poor testing, and inadequate staffing and infection control were the likely factors contributing to the excess deaths in care homes.

Martin Green, chief executive officer of Care England, said, “Adult social care and the NHS are two sides of the same coin and need to be treated as such. The government shouldn’t have placed such a myopic focus on the NHS without due consideration for social care too.”

He said that he was “phenomenally” proud of the care workforce and wanted to ensure that they were recognised as professionals with proper career pathways and commensurate funding.

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Source: The BMJ, 22 December 2021

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Neglect and serious failings contributed to death of vulnerable man in removal centre, inquest finds

Neglect and serious failures by the Home Office and multiple other agencies contributed to the death of a vulnerable man who died from hypothermia, dehydration and malnutrition in an immigration removal centre, an inquest has found.

Prince Fosu, a 31-year-old Ghanaian national, died in October 2012 when his naked body was found on the concrete floor of his cell in Harmondsworth, a detention centre near Heathrow. He had been experiencing a psychotic episode but he was not referred for a mental health assessment due to “gross failures” by all agencies to recognise the need to provide appropriate care to a person unable to look after himself.

Four GPs, two nurses, two Home Office contract monitors, three members of the Independent Monitoring Board (IMB) and countless detention custody officers and managers who visited him failed to take any meaningful steps, the inquest found.

Three doctors have since been referred to the UK’s medical watchdog for their alleged failures relating to the death of Mr Fosu on recommendation of the Prison and Probation Ombudsman (PPO), who said the care he received fell “considerably below acceptable standards”.

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Source: The Independent, 3 March 2020

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