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More pharmacies in England to prescribe medication from autumn

More pharmacists in England will be able to prescribe medications as part of an effort to speed up care and ease pressure on GP surgeries and hospitals.

As part of the Pharmacy First scheme, pharmacists can currently prescribe medication for a sore throat, earache, sinusitis, shingles, impetigo, infected bites and urinary tract infections.

From the autumn, the new £340m investment will see five common ailments added to this list, although it is not yet clear what these will be.

The Pharmacy First scheme in England was first launched in 2024, and allows patients to see their pharmacist for advice, over-the-counter treatments and prescription-only medicines.

According to the Department of Health and Social Care, more than 3.3 million consultations under the scheme were carried out between March 2025 and February 2026.

Health Minister Stephen Kinnock said the government is "making the most of our highly skilled pharmacists, while boosting access to services and giving patients more care right on their doorstep".

"Independent prescribing will play a major part in delivering this shift, easing pressures on GPs, cutting unnecessary red tape and helping patients get the right care closer to home," he said.

The NPA said that while the deal "points in the right direction", it did not address the "crippling" new costs hitting pharmacies.

"We remain concerned that it does very little to close the £2.5bn funding gap that the NHS itself identified a year ago," said NPA chairman Dr Olivier Picard, adding that the expanded scheme was "nowhere near ambitious enough to transform patient access to care, nor make full use of pharmacists' skills".

He went on: "We are also concerned that the current funding levels mean that many pharmacies will struggle to take this development forwards, risking its success. Pharmacies cannot sustain yet more loss-making work."

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Source: BBC News, 29 May 2026

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More people signed off sick with mental health problems during lockdown, analysis reveals

More people signed off sick with mental health problems during lockdown, analysis reveals. Millions of people expected to need help after effect of coronavirus on UK

A GP fit note is issued after the first seven days of sickness absence if a doctor agrees the patient is too ill to work

The proportion of people applying for fit notes from their GP for mental health reasons jumped 6% during lockdown in England, according to new research.

It adds to growing concern the UK will see a surge in mental health problems as a result of the pandemic and the impact on society and the economy.

It could be the first signs of increasing mental health illnesses since the pandemic started.

The Centre for Mental Health think tank has warned the government needs to prepare for the aftermath of COVID-19.

Its analysis, based on research into COVID-19 and the effects of other epidemics on mental health, predicts 8.5 million adults and 1.5 million children in England will need support for depression, anxiety, post-traumatic stress disorders and other mental health difficulties in the coming months and years. That is the equivalent of 20 per cent of all adults and 15 per cent of all children. A third of patients would need help for the first time.

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Source: Independent, 6 December 2020

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More people dying at home during COVID-19 pandemic – UK analysis

About 8,000 more people have died in their own homes since the start of the coronavirus pandemic than in normal times, a Guardian analysis has found, as concerns grow over the number avoiding going to hospital.

Of that total, 80% died of conditions unrelated to COVID-19, according to their death certificates. Doctors’ leaders have warned that fears and deprioritisation of non-coronavirus patients are taking a deadly toll.

Doctors’ leaders have warned that some sick people are too scared to go to hospital and are aware that much of the usual NHS care had been suspended in the pandemic. “These figures underline that the devastation wrought by Covid-19 spreads far beyond the immediate effects of the illness itself,” said Dr Chaand Nagpaul, the council chair of the British Medical Association.

“While all parts of the NHS have rallied round in a bid to meet the immediate rocketing demand caused by the pandemic, more than half of doctors in a recent BMA survey have told us that this is worsening the care of non-Covid patients.”

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Source: The Guardian, 8 May 2020

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More patients who died under neurologist's care to be reviewed

The health minister has announced that a further review of clinical records of 18 patients who died under the care of neurologist Michael Watt is to be carried out.

Mr Watt was at the centre of Northern Ireland's largest patient recall in 2018.

In 2022 a review of 44 patients' records found significant failures in their care and treatment under Mr Watt and poor communication with the families.

In a written statement to the assembly, Mike Nesbitt acknowledged "the exceptionally difficult circumstances which the families of deceased patients have experienced".

It is anticipated that this phase of the Neurology Deceased Patients Review (DPR) will be completed before the end of March 2025.

These reviews followed the 2018 recall of 2,500 outpatients who were in Dr Watt's care at the Belfast Health Trust.

About one in five patients had to have their diagnoses changed.

Mike Nesbitt said the work done to date as part of the Deceased Patients Review (DPR) has been "challenging and extensive".

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Source: BBC News, 3 July 2024

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More NHS hospitals leaving patients in corridors to free up ambulances

More and more UK hospitals are leaving patients in corridors due to a lack of bed space. NHS bosses say so-called corridor care is freeing up ambulances and saving lives, but BBC Newsnight has spoken to patients who say the growing practice is humiliating and degrading.

Gregory Knowles counted 13 other patients alongside him on a corridor at the Norfolk and Norwich University Hospital (NNUH) in March. Complications after an operation put him back in hospital and on to a ward but at 04:00 one morning he was moved.

The 68-year-old was wheeled in his bed to reception. "I was waking up with people around me. It was horrendous," he told the BBC. "I had no screens and no facilities for water or for really getting changed. My possessions were on the bottom of the bed. My daughter and partner were as horrified as I was," he said.

His partner Alicia Goulty described how staff had been too rushed to attend to him. "One day when we got there his catheter had leaked in the bed when he was on the corridor. He was wet with no covers or any screens and I had to take him to the bathroom to get him cleaned". Ms Goulty said her partner's medication had been missed. "We had to ask for water for him. We had to ask sometimes for his meals because he got forgotten."

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Source: BBC News, 15 May 2024

You can read a nurse's first-hand account of a corridor care shift in this blog on the hub: A silent safety scandal: A nurse’s first-hand account of a corridor nursing shift

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More hospital beds ‘squeezing out rehab and keeping people out of work’

Extra beds squeezed into hospitals as part of winter planning are crowding out space for rehab, pushing up length of stay and knock-on costs, and increasing the chance of readmission, NHS leaders have been warned. 

Systems and trusts were encouraged to staff thousands of additional ward beds in the run-up to last winter to try to ease emergency care pressures, and government and NHS England have since asked for many of them to be kept open through the year.

However, many of the additional beds are not in proper ward spaces, instead being located in gyms and other areas used for physiotherapy and other rehab. This followed on from some rehab areas already being lost during the pandemic, to be used for beds or storage.

NHSE has sent out a warning about the issue, following a commitment by ministers earlier this year. However, senior figures in physio and older people’s care remain concerned the spaces will not be restored without checks and enforcement, especially as acute trusts remain under pressure to increase general bed space.

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More hips replaced in private hospitals than in NHS

The number of NHS-funded hip replacements carried out last year remained well below pre-covid levels, while the total funded privately nearly doubled to cover the shortfall, new data reveals.

The National Joint Registry annual report, which tracks orthopaedic activity across the NHS, showed the number of NHS-funded elective hip replacements carried out at NHS facilities in 2022 was at its lowest level since 2007.

However, the number of procedures performed in independent hospitals – both funded by the NHS and funded privately – has increased sharply. 

Orthopaedics is the biggest single elective specialty, with 847,000 of the current waiting list of 7.7 million on a trauma and orthopaedics pathway. As of July, 43% of these patients had been waiting longer than 18 weeks. 

The NJR report said: “The independent sector provision has increased hugely [since 2007] particularly in the last few years of covid recovery and there are now more hip replacements carried out in the independent sector than in the NHS.

“Despite the cost-of-living crisis the number of hip replacements paid for privately has almost doubled since 2019.”

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Source: HSJ, 10 October 2023

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More failings discovered at maternity scandal trust

East Kent Hospital University Foundation Trust has been criticised for failures in services by the Care Quality Commission, after an unannounced inspection last month, years after major problems began to come to light.

The Care Quality Commission has highlighted:

  • Issues with processes for fetal monitoring and escalation at the William Harvey Hospital, Ashford. There had been “incidents highlighting fetal heart monitoring” problems in September and October, and the trust’s measures to improve processes were not “embedded and understood by the clinical team”;
  • Slow maternity triage, due to staffing problems, and infection control problems at the William Harvey. The trust is reviewing how issues with infection prevention and control and cleanliness were not identified or escalated; and 
  • Fire safety issues at the Queen Elizabeth, the Queen Mother Hospital, in Thanet with problems linked to fire doors and an easily accessible secondary fire escape route.

Three years ago issues with reading and acting on fetal monitoring were highlighted at the inquest into baby Harry Richford, whose poor care by the trust led to an independent inquiry into widespread failings in its maternity services, led by Bill Kirkup.

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Source: HSJ, 6 February 2023

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More diagnostic hubs to tackle NHS waiting lists in England

The government is setting up 19 more diagnostic centres in communities across England to help tackle the Covid backlog.

Ninety one are already open and have delivered more than 2.4 million tests, checks and scans since last summer, ministers say.

It is hoped the centres will speed up access to services for patients, thereby reducing waiting times.

Seven million people in England are now waiting for hospital treatment.

GPs can refer patients to community diagnostic centres so that they can access life-saving checks and scans, and be diagnosed for a range of conditions, without travelling to hospital.

Some are located in football stadiums and shopping centres and can offer MRI and CT scans, as well as x-rays.

In September, according to the government, the hubs delivered 11% of all diagnostic activity - and its ambition is for 40% to be achieved by 2025.

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Source: BBC News, 7 December 2022

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More deaths, worse care: inquiry opens into NHS maternity ‘systemic racism’

An urgent inquiry to investigate how alleged systemic racism in the NHS manifests itself in maternity care will be launched on Tuesday with support from the UK charity Birthrights.

The inquiry will apply a human rights lens to examine how claimed racial injustice – from explicit racism to bias – is leading to poorer health outcomes in maternity care for ethnic minority groups.

Data published last month by MBRRACE-UK (Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the country) showed black women were four times more likely than white women to die in pregnancy or childbirth in the UK while women from Asian ethnic backgrounds face twice the risk.

Barrister Shaheen Rahman QC, who will lead the inquiry, said: “In addition to these stark statistics there are concerns about higher rates of maternal illness, worse experiences of maternity care and the fact black and Asian pregnant women are far more likely to be admitted to hospital with COVID-19.

“We want to understand the stories behind the statistics, to examine how people can be discriminated against due to their race and to identify ways this inequity can be redressed.”

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Source: The Guardian, 7 February 2021

 

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More Brits going abroad for leg-lengthening surgery to get taller – but it comes with ‘serious complications’

British surgeons have issued a stark warning regarding individuals travelling overseas for leg-lengthening procedures, highlighting the significant burden placed on the NHS.

Hospitals across the UK are increasingly encountering patients who require extensive follow-up care, including complex corrective surgery, intensive physiotherapy, and long-term rehabilitation, following operations performed abroad.

Experts have detailed the "challenging" complications observed, such as implant failure, inadequate bone healing, and severe limb deformities.

This alert comes as MPs are set to debate medical tourism, alongside other cosmetic procedures like liquid Brazilian butt lifts, in a committee hearing this week.

The Royal College of Surgeons of England noted that these findings underscore a growing trend of patients seeking surgical and cosmetic treatments outside the UK.

A study led by specialist limb reconstruction surgeons at the Royal National Orthopaedic Hospital NHS Trust calculated that addressing complications from just seven such cases has already cost the NHS over £36,000, with warnings that the true financial impact is likely far greater.

Writing in the Annals of the Royal College of Surgeons of England, the team said they had seen a “recent increase in patients presenting for rehabilitation and treatment of complications following limb lengthening”, such as implant failure, poor bone healing and severe joint stiffness.

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Source: The Independent, 3 June 2026

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More breast cancer cases found when AI used in screenings, study finds

The use of artificial intelligence in breast cancer screening increases the chance of the disease being detected, researchers have found, in what they say is the first real-world test of the approach.

Numerous studies have suggested AI could help medical professionals spot cancer, whether it is identifying abnormal growths in CT scans or signs of breast cancer in mammograms.

However, many studies are retrospective – meaning AI is not involved at the outset – while trials taking the opposite approach often have small sample sizes. Important, larger studies do not necessarily reflect real-world use.

Now researchers say they have tested AI in a nationwide screening programme for the first time, revealing it offers benefits in a real-world setting.

Prof Alexander Katalinic, a co-author of the study from the University of Lübeck in Germany, said: “We could improve the detection rate without increasing the harm for the women taking part in breast cancer screening,” adding the approach could also reduce the workload of radiologists.

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Source: The Guardian, 7 September 2025

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More blood victims will die without compensation

More victims of the infected blood scandal will die without ever receiving full compensation, a government minister has said.

The paymaster general Nick Thomas-Symonds was giving evidence to a special session of the public inquiry into what's been called the worst treatment disaster in NHS history.

It's thought 30,000 patients in the UK were infected with HIV or hepatitis B and C after being treated with a contaminated blood clotting product or given a blood transfusion in the 1970s and 80s.

Mr Thomas-Symonds agreed it was "profoundly unsatisfactory" that just 106 final compensation awards have been paid, almost a year after a damning report into the scandal was published.

"I'm never going to think this is satisfactory until everybody has received the compensation that is due," the Cabinet Office minister said.

"The objective should be absolutely to pay [people] as soon as possible."

A final report into the scandal, published last year, found that the disaster could largely have been avoided if different decisions had been taken by the health authorities at the time.

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Source: BBC News, 7 May 2025

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More bereaved parents offered baby-loss certificate

More bereaved parents in England will now be able to apply for a certificate to formally recognise the loss of their baby.

The government has removed a cut-off date that had meant only those who had had a pregnancy loss or miscarriage since September 2018 were eligible.

Certificates are now available, external to anyone who lost their baby before 24 weeks of pregnancy (or 28 if the loss was before October 1992).

Applicants must be aged at least 16 and live in England. More than 50,000 of the certificates, which are optional and free to receive, have been issued so far.

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Source: BBC News, 9 October 2024

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More babies harmed in Letby’s care, files suggest

New evidence seen by the BBC suggests more babies in Lucy Letby’s care were harmed – and in one case poisoned with insulin.

The former nurse was found guilty of murdering seven babies and attempting to murder seven others - including trying to kill two with insulin at the Countess of Chester Hospital neonatal unit between June 2015 and June 2016.

BBC One's Panorama has seen documents which suggest a third baby may have also been poisoned within hours of Letby taking over the boy’s care.

Medical records reveal the infant’s blood sugar level plummeted and lab results indicated he had suspiciously high levels of insulin.

Panorama has also discovered that potentially life-threatening incidents involving infants occurred on almost a third of Letby’s 33 shifts while she was training at Liverpool Women's Hospital in 2012 and 2015.

The programme’s revelations follow months of criticism of the prosecution’s case in her first trial. A number of experts have challenged the medical evidence used to convict Letby, as well as the way statistics were put forward in court.

In August 2023, the 33-year-old was sentenced to life in prison, with no chance of parole. Letby was then found guilty of attempting to murder a seventh baby at a second trial in July this year, and sentenced to a 15th whole-life prison term.

Panorama has examined mounting questions from leading statisticians and medical experts about the safety of her convictions.

But as part of the programme, new evidence has also emerged of other sick and premature babies potentially being harmed while in Letby’s care.

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Source: BBC News, 21 October 2024

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More babies across the US are facing life-threatening bleeding as parents refuse simple shot, report says

More babies are suffering life-threatening bleeding across the U.S. as parents skip a basic injection for their newborns with vaccine skepticism rampant in today’s world, and doctors are sounding the alarm about the rising trend.

Medical experts say the decline in standard vitamin K injections for newborns is leading to preventable deaths and severe brain injuries. Data from a national study of more than 5 million births, published in the journal JAMA, found that the rate of infants not receiving the shot at birth reached 5% in 2024. This represents a 77% increase since 2017.

In some hospital systems, such as St. Luke’s Health System in Idaho, refusal rates have more than doubled since the start of the pandemic, with one facility reporting that 20% of families opted out of the procedure.

Medical records and autopsy reports reviewed by ProPublica show a recent string of infant deaths across several states, including Maryland, Alabama, Texas and Kentucky. Pathologists attributed these deaths to vitamin K deficiency bleeding, a condition where the blood cannot clot, causing internal haemorrhaging.

Research shows that infants who do not receive the shot are 81 times more likely to develop late-onset bleeding than those who do. According to the Centers for Disease Control and Prevention, one in five babies who develop the condition will die.

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Source: The Independent, 6 May 2026

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Monkeypox: WHO declares global emergency over

Monkeypox is no longer a global public health emergency, the World Health Organization (WHO) has said, almost a year after the threat was raised.

The virus is still around and further waves and outbreaks could continue, but the highest level of alert is over, the WHO added.

The global health body's chief Tedros Adhanom Ghebreyesus called on countries to "remain vigilant".

More than 87,000 cases and 140 deaths have been reported from 111 countries during the global outbreak, according to a WHO count.

But almost 90% fewer cases were recorded over the last three months compared with the previous three-month period, meaning the highest level of alert is no longer required, Tedros said.

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Source: BBC News, 11 May 2023

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Modified vaccines for new Covid variants to be fast-tracked in UK

The development of coronavirus vaccines tweaked to target new variants will be fast-tracked in the UK and four other countries, Britain’s regulator has said, adding that “robust evidence” on effectiveness and safety will still be required for authorisation.

The approach, similar to the regulatory process for the modified flu vaccine, will not need a brand new approval or “lengthy” clinical studies, the Medicines and Healthcare Products Regulatory Agency (MHRA) said on Thursday.

This will "significantly reduce" the length of time it takes for the vaccines to be ready, with concern mounting over the threat posed by the South African and Brazilian variants and their ability to partially evade the body’s immune response.

Under the new guidance, developers will need to provide clear evidence their adapted vaccines produce a strong immune response to the variant and meet the high safety standards outlined by the MHRA.

“This is based on scientific principles and does not cut any corners on safety or effectiveness,” said Dr Christian Schneider, chief scientific officer at the MHRA.

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Source: The Independent, 4 March 2021

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Modernisation Agency chief returns to lead improvement drive

The director of the Modernisation Agency in the early 2000s is returning to lead a new national service improvement drive, NHS England has announced, while asking systems and providers to “baseline” their improvement needs and capability.

NHSE is establishing a “national improvement board” to oversee a new improvement programme called NHS Impact, as recommended by a review last year of the current infrastructure.

NHSE announced the board will be chaired by David Fillingham, who was director of the NHS Modernisation Agency from 2001-2004 where, NHSE said, “he focused on developing new practices and fostering leadership development”. 

The national improvement board will choose a small number of improvement priorities to be followed across national bodies and the wider health service. It will “set the direction of system wide improvement” through “collaboration and co-design,” NHSE said.

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Source: HSJ, 19 July 2023

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Moderna combi flu and Covid jab gives better protection, study finds

A combined flu and coronavirus vaccine brings about a higher immune response to both diseases than when the vaccines are administered separately, a clinical trial has shown.

Moderna, the biotech firm behind the Spikevax vaccine used in NHS booster programmes, is trialling a two-in-one jab that can also protect from the flu. Initial results have shown it may be better at protecting against them than what is now being used.

The results showed that the antibody response in the participants brought about higher immune responses against flu and Covid-19 than when the vaccines were administered separately.

Stéphane Bancel, the chief executive of Moderna, said: “Combination vaccines have the potential to reduce the burden of respiratory viruses on health systems and pharmacies, as well as offer people more convenient vaccination options that could improve compliance and provide stronger protection from seasonal illnesses.

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Source: The Guardian, 10 June 2024

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Moderna becomes third Covid vaccine to be approved for use in UK

The Moderna COVID-19 vaccine has become the third to be approved by the UK.

The US pharmaceutical company’s jab was given the green light by Britain’s regulator and doses will be available in the spring.

The announcement comes as the rollout of the Pfizer and Oxford vaccines is scaled up to meet Boris Johnson’s target of immunising all care-home patients by the end of the month, with 1,000 vaccination centres expected to be operational by Sunday. 

The government has also purchased an additional 10 million doses of the Moderna vaccine on top of its previous order of 7 million, taking the total to 17 million.

Supplies will begin to be delivered to the UK once Moderna expands its production capability, the Department of Health and Social Care said.

The Medicines and Healthcare products Regulatory Agency (MHRA) accepted the recommendation of the Commission on Human Medicines and authorised the Moderna vaccine following months of rigorous clinical trials and extensive analysis of the vaccine’s safety, quality and effectiveness.

The jab is 94% effective in preventing disease, including in the elderly.

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Source: The Independent, 8 January 2021

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Mobilizing to Respond to COVID-19: Special IHI Virtual Learning Hour Today!

Join the Institute for Healthcare Improvement's (IHI's) President Emeritus and Senior Fellow, Donald M. Berwick MD, MPP, FCRP and IHI President and CEO, Derek Feeley for a special Virtual Learning Hour today on Mobilizing to Respond to COVID-19. 

In this hour-long call, Don and Derek will share key learnings, innovations, and revelations they’ve been gathering and gleaning from health care leaders and improvers across the globe.

The call will also serve as an opportunity for listeners to share the struggles, stories, and bright spots they are seeing in this unprecedented time.

Register

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Mobile robotic surgeons could treat more patients

Keyhole surgery can allow complicated procedures to be carried out with just a few access cuts, helping to reduce patient recovery times and potential risk of infection.

But the remote controlled robots that can perform this type of surgery are often very large, expensive and not widely available.

Now a new robo-surgeon with a modular design could be about to change that.

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Source: BBC News, 9 November 2020

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MMR jab uptake among young people in England up by 23% since 2023, says NHS

The number of young people receiving their MMR jab is up nearly a quarter from last year, official figures show.

A national campaign to boost uptake was launched in January amid concern over measles rates in England, when the UK Health Security Agency (UKHSA) declared a national incident after a major outbreak in the West Midlands. The growth in infections shows no sign of abating, with a 40% increase in reported cases in England since March.

The latest NHS England data shows more than 360,000 MMR jabs were administered in the 12 weeks to 24 March 2024, a 23% rise. 

The new campaign encourages parents and carers of children aged from six to 11 to make an appointment with their child’s GP practice so they can receive missed MMR vaccinations, and just over a million people aged 11 to 25 in London and the West Midlands have also been encouraged to catch up on missed jabs. In order to keep measles at bay, more than 95% of children should be vaccinated, but NHS figures from December suggest England is only at about 85%.

With an estimated 3.4 million under-16s at risk of getting the virus, the campaign sent more than a million parents letters and emails inviting them to get their child vaccinated. Pop-up MMR clinics have been held in wellbeing buses, libraries and schools, pharmacies and outside supermarkets.

But measles cases continue to rise. According to UKHSA figures released last week, there were 103 new cases in the past week. The number of laboratory confirmed cases since 1 October 2023 rose to 1,212 , an increase of 40% on March’s figures . In October 2023, there were just 17.

The biggest increases in vaccination numbers were in the north-west, London and the West Midlands.

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Source: Guardian, 28 April 2024

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Misuse of do-not-resuscitate orders risks undermining care, warn leading clinicians and charities

The unlawful or inappropriate use of “do not attempt cardiopulmonary resuscitation” (DNACPR) orders by some clinicians risks undermining the care of terminally ill patients, almost 40 leading doctors, nurses and charities have warned.

During the coronavirus pandemic repeated examples of unlawful decisions have emerged including widespread blanket orders on care home residents and patients with learning disabilities.

Now the charity Compassion in Dying along with Marie Curie, Hospice UK and Sue Ryder, as well as more than 30 GPs, nurses and doctors, are warning more must be done to listen to patients and their families.

In a joint statement, signed by more than 30 clinicians, they warn: “There have been examples of poor practice in relation to DNACPR decision-making during the pandemic, and the distressing impact this has had on patients and families cannot be underestimated. It is essential to thoroughly understand and learn from these cases to ensure that they do not happen again."

“We are aware that the benefits of DNACPR decisions can be easily undone if they are not accompanied by honest, open and sensitive communication with a person’s healthcare team. To ensure that everybody who encounters a DNACPR discussion has a positive experience, we need to do more to listen to individuals and their families; their wishes must be sought and documented, their questions answered and their feelings acknowledged.

“A DNACPR decision must always involve the person, or those close to them, and should be part of a wider conversation about what matters to that individual.”

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Source: The Independent, 8 March 2021

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