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Man asks for anaesthetic review after wife's death

The family of a doctor who died after she was given too much anaesthetic during an operation want an urgent national review of how the drug is given to patients.

Rachel Gibson, 47, went into cardiac arrest following a hip replacement surgery at Spire Lea Hospital in Cambridge on 12 April 2022. She sustained irreversible brain damage and died at Addenbrooke’s Hospital three months later.

In a prevention of future deaths report to the Royal College of Anaesthetists (RCOA), Cambridgeshire coroner Philip Barlow said there was "inconsistency" with the way local anaesthetic was measured, increasing the risk of mistakes.

Dr Gibson's husband, Cliff, 49, said it was a "national problem" and "we need to put pressure on the college to make changes".

He previously worked in the pharmaceutical industry on a project on drug safety and medical labelling and said he knew "how strict they are with everything".

"So to see how little or no documentation is needed with the administration of a local anaesthetic in surgery with a drug known to be toxic and to cause cardiac arrest - I find the whole thing baffling," he said.

"We now know that there are major problems with basic record keeping, training, handover notes and communication."

Mr Barlow asked the RCOA to examine existing practices and see if improvements could be made, after it was revealed similar practices to those which occurred in Dr Gibson's operation were used nationally.

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Source: BBC News, 6 September 2024

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Malta to allow abortion but only when woman’s life is at risk

Maltese lawmakers have unanimously approved legislation to ease the strictest abortion laws in the EU, voting to allow terminations – but only in cases where a woman’s life is at risk.

Ahead of the vote on Wednesday, pro-choice campaigners withdrew their support, saying last-minute changes make the legislation “vague, unworkable and even dangerous”.

The original bill allowing access to abortion if a pregnant woman’s life or health is in danger was hailed as a step in the right direction for Malta, a majority-Catholic country. It was introduced last November after an American tourist who miscarried had to be airlifted off the Mediterranean island nation to be treated.

Under the amendments, however, a risk to health is not enough. A woman must be at risk of death to access an abortion, and then only after three specialists consent. The new legislation allows a doctor to terminate a pregnancy without specialist consultation only if the mother’s life is at immediate risk.

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Source: The Guardian, 28 June 2023

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Male workers should be able to carry out mammograms, experts say

Male health workers should be allowed to perform breast screening examinations to help relieve staff shortages, say experts.

X-rays called mammograms are offered to women between the age of 50 and 71 every three years to check for signs of cancer, but can currently only be performed by female staff.

The Society of Radiographers (SoR) has called for a change in policy due to "critical" staff shortages among radiographers who specialise in this area.

Sally Reed, 67, who had two mastectomies after mammograms revealed breast cancer, told the BBC that "if something can save your life you should go for it" - whether it's administered by a woman or man.

But Sally also admits women who already don't want to go for breast screening "would definitely be turned off by a man".

According to radiographers, the vacancy rate among mammographers who specialise in breast exams is 17.5%.

Changes to staffing were being discussed at the annual SoR conference, with discussions also taking place over whether transgender men should be included in the NHS breast screening programme.

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Source: BBC News, 29 April 2025

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Male GPs in England less likely to refer patients for IVF, report finds

Male GPs are less likely to refer eligible patients for IVF, research by a fertility charity suggests, raising concerns about access to NHS-funded treatment.

The Progress Educational Trust’s (PET) report highlights “utter confusion” and a lack of knowledge among GPs about eligibility criteria for NHS-funded treatment, which it says is exacerbating the so-called IVF postcode lottery. GPs typically make the initial referral to fertility clinics, meaning that they play a crucial role in access.

“For NHS treatment, GPs are the main initial gatekeeper. If you’re not getting pregnant, that’s who you go to for advice and support,” said Sarah Norcross, the director of PET. “It struck me that, when people have a known cause of infertility, male GPs still weren’t passing them on.”

The report is based on a survey of 200 GPs and commissioners across England, carried out by an independent research company, which investigated knowledge of national fertility guidelines and criteria they use for referral decisions.

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Source: The Guardian, 19 May 2023

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Malawi set to run out of TB drugs in a month after US, UK and others cut aid

Malawi is facing a critical shortage of tuberculosis drugs, with health officials warning that stocks will run out by the end of September.

It comes just months after the World Health Organization (WHO) revealed that the country had successfully reduced tuberculosis (TB) cases by 40% over the past decade.

In March, the WHO’s country representative, Dr Neema Rusibamayila Kimambo, announced that Malawi had also seen a high rate of success in treating TB and a significant reduction in the number of deaths.

But the health ministry, which was already badly hit by the cuts in aid from the US, UK and other donors, has been forced to warn the public of low stocks of first-line TB medicines across Malawi, which means patients may find their treatment disrupted or ended.

Dr Samson Mndolo, Malawi’s secretary for health, said the low stock was down to disruption in the global supply of pharmaceutical ingredients, worsened by declining international support and aid, and said newly diagnosed patients may be denied access to the standard drug regimens.

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Source: The Guardian, 28 August 2025

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Malaria cases rise for fifth year as disasters and resistance hamper control efforts

Malaria killed almost 600,000 people in 2023, as cases rose for the fifth consecutive year, according to a new report from the World Health Organization (WHO).

Biological threats such as rising resistance to drugs and insecticides, and climate and humanitarian disasters continue to hamper control efforts, world health leaders warned.

Globally, there were 263m cases last year, 11m more than the previous year; the vast majority (94%) occurred in Africa.

Officials said a $4.3bn (£3.4bn) annual funding shortfall was among further challenges, which also include the spread of a new insecticide-resistant species of mosquito, genetic mutations in the malaria parasite that stop tests working, and the emergence of a new type of malaria parasite in south-east Asia.

Dr Tedros Adhanom Ghebreyesus, WHO director general, said: “No one should die of malaria; yet the disease continues to disproportionately harm people living in the African region, especially young children and pregnant women.”

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Source: The Guardian, 11 December 2024

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Malaria booster vaccine could cut deaths in children, study suggests

 A malaria vaccine created by Oxford researchers “is really exciting” and could contribute towards drastically reducing the number of children who die from the infection, experts suggest.

A new study reports on the effectiveness of a malaria booster vaccine which shows long-lasting high efficacy in African children, meeting the World Health Organisation (WHO) specified 75% efficacy goal.

The research found that a vaccine booster dose one year after children received three doses as their primary vaccination regime maintained high efficacy against malaria.

Adrian Hill, director of the Jenner Institute and Lakshmi Mittal and Family Professor of Vaccinology, University of Oxford, said: “We think these data are the best data yet.

“And very importantly, this is a vaccine that we think can be manufactured and deployed, very widely.”

He added that the vaccine could be produced for a few dollars a dose, and together with existing measures, like mosquito nets and sprays, could help save children’s lives.

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Source: The Independent, 8 September 2022

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Makers of Wegovy and Ozempic issue warning over deadly weight-loss copycats

Healthcare giant Novo Nordisk has said it was aware of reports of 10 deaths and 100 people left in hospital who had taken compounded copies of its weight-loss and diabetes drugs.

U.S. regulations allow compounding pharmacies to copy brand-name medicines that are in short supply by combining, mixing or altering drug ingredients to meet demand.

Novo Nordisk’s popular weight-loss injection Wegovy and diabetes drug Ozempic, both known chemically as semaglutide, were until recently in shortage in the United States.

Given all the regulatory surveillance of Novo Nordisk’s production of the two drugs, CEO Lars Fruergaard Jorgensen said it was puzzling that people in the United States could inject themselves with a product that was not regulated, approved or inspected.

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Source: The Independent, 7 November 2024

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Maker of eyedrops linked to deadly infections couldn’t ensure factory was sterile, FDA says

The manufacturer of eyedrops recently linked to deaths and injuries lacked measures to assure sterility at its factory in India, according to U.S. health inspectors.

Food and Drug Administration officials uncovered about a dozen problems with how Global Pharma Healthcare made and tested its eyedrops during an inspection from late February through early March. The FDA released its preliminary inspection report Monday.

The company uses procedures that can’t actually ensure its products are sterile, FDA staff wrote. In particular, the inspectors found that the plant had used “a deficient manufacturing process” between December 2020 and April 2022 for products that were later shipped to the US.

The plant in India’s southern Tamil Nadu state produced eyedrops that have been linked to 68 bacterial infections in the U.S., including three deaths and eight cases of vision loss. Four people have had their eyeballs surgically removed due to infection. The drops were recalled in February by two U.S. distributors, EzriCare and Delsam Phama.

In a statement, the FDA's Jeremy Khan wrote, “We urge consumers to stop using these products which may be harmful to their health.”

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Source: NBC News, 4 April 2023

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Make publishing NHS workforce planning forecasts a legal duty

Despite workforce being the biggest challenge facing the health service, the Health and Care Bill provides no clarity on the numbers of staff this country needs, says Andrew Goddard in a HSJ article.

The Health and Care Bill returned to the Commons this week – as did the question of workforce planning. At the end of the spring term, MPs voted to reject an amendment to the bill which would have required the secretary of state to publish independent assessments of current and future workforce numbers every few years.

The following week, the House of Lords – led by Baroness Cumberlege, with support from Baroness Harding, Lord Stevens of Birmingham and other cross-party peers – voted to put a revised version of the amendment back in.

This particular game of ping pong about how we should plan the NHS and social care workforce is an important one. Workforce is not only a blindspot in the bill – it is a blindspot in the government’s ambitions for health and care.

A lack of staff risks undermining the true potential of the Health and Social Care Levy because there will be too few staff to carry out the additional checks and diagnostic procedures promised. The new diagnostic hubs are to be staffed with existing NHS colleagues.

Workforce shortages hampered our response to the pandemic and are already having a significant impact on our response to the backlog. They were also identified in the Ockenden Report as a driving factor in the avoidable deaths of 201 babies.

It is concerning then, that despite workforce being the biggest challenge facing the health service, the Health and Care Bill provides no clarity on the numbers of staff this country needs.

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Source: HSJ, 22 April 2022

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Make It Public – new strategy marks step-change in making health research findings available to the public

The Health Research Authority has launched a new strategy to ensure information about all health and social care research – including COVID-19 research - is made publicly available to benefit patients, researchers and policy makers.

The COVID-19 pandemic has highlighted the importance of sharing details of research taking place - to understand the virus and find the tests, treatments and vaccines - so that results can inform best quality care and preventive measures. This also means researchers do not duplicate efforts and can build on each other’s work while the public can see what research is going on. Now the new Make it Public strategy aims to build on this good practice and make it easy for researchers to be transparent about their work.

The strategy, delivered by the HRA in partnership with NHS Research Scotland (NRS), Health and Care Research Wales and Health and Social Care Northern Ireland, is about making transparency ‘the norm’ in research and making information more visible to the public. New measures set out in the strategy – will improve transparency and openness in health and social care studies, by:

  • expecting researchers to plan how they will let research participants know about the findings of the study from the beginning
  • introducing additional monitoring to check that researchers are reporting results and to collect information about study findings
  • making information on individual research projects – and their transparency performance - available to the public
  • introducing a system to consider past transparency performance when reviewing new studies for approval and in the future introducing sanctions. 
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Majority of women unaware menopause can trigger new mental illness

Four in five adults do not know menopause can trigger a new mental illness, a poll has revealed.

A YouGov poll, commissioned by the Royal College of Psychiatrists to highlight the lack of awareness and stigma associated with the menopause, also revealed that only 21% of adult women in the UK know a new mental illness can be linked to the menopause.

That’s in comparison to 81% of people associating the menopause with hot flushes, 74% with mood changes and 64% with a reduced sex drive.

Just over one in four women (28%) said they feel comfortable speaking to a male boss about menopause.

This lack of knowledge has meant many women are not seeking or receiving the vital help they need.

Royal College of Psychiatrists president Dr Lade Smith said: “Menopause can have a significant yet often overlooked impact on women’s mental health and wellbeing. Women account for 51 per cent of the population, and all will experience menopause at some point. This is a societal issue for everyone. Simply put, we must do better.”

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Source: The Independent, 2 March 2026

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Majority of US hospitals not meeting surgical safety standards, survey shows

The Leapfrog Group, an independent national healthcare watchdog organisation, today released Safety In Numbers: The Leapfrog Group’s Report on High-Risk Surgeries Performed at American Hospitals. The report analyses eight high-risk procedures to determine which hospitals and surgeons perform enough of them to minimise patient harm or death, and whether hospitals actively monitor to assure that each surgery is necessary. Findings on these measures pointed to alarmingly poor performance across the board and red flags for patient safety. The voluntary survey found that the vast majority of participating hospitals do not meet The Leapfrog Group’s minimum hospital or surgeon volume standards for safety. Rural hospitals are particularly challenged in meeting the standards. 

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Source: The Leapfrog Group, 18 July 2019

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Majority of people with long Covid ‘struggle to return to work after six months’

The MP leading an investigation into coronavirus fears Long Covid will be one of the biggest issues facing the UK for the next decade, after emerging research revealed most sufferers are still unable to work six months in.

Layla Moran branded the scale of the problem ‘enormous’, as various experts warned that even healthy young adults have been left struggling to function for months on end.

With hundreds of thousands of Brits now believed to have Long Covid, medics fear its impact on the world of work could herald another ‘massive economic crisis’. Workers in their 20s and 30s have told of a host of debilitating symptoms keeping them out of the office for much of last year and making simple tasks like walking to the toilet seem ‘like climbing a mountain’.  

Speaking exclusively to Metro.co.uk, Ms Moran – who chairs the All Party Parliamentary Group (APPG) on coronavirus – said: "The scale of this, in terms of the future prosperity of our country, is enormous. It is going to be, I think, one of the main issues that we are going to deal with not just in ten years but beyond."

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Source: Metro, 4 February 2021

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Majority of NHS trusts provide no dedicated training to prevent sexual harassment

Only one NHS trust in England provides dedicated training to prevent sexual harassment, according to research, raising concerns that the NHS is failing to adequately protect staff and patients.

According to health union figures, sexual harassment of staff is pervasive. A 2019 survey by Unison found that one in 12 NHS staff had experienced sexual harassment at work during the past year, with more than half saying the perpetrator was a co-worker. In a recent BMA survey, 91% of female doctors reported sexism, 31% had experienced unwanted physical contact and 56% unwanted verbal comments.

Yet research by the University of Cambridge, published in the Journal of the Royal Society of Medicine found that the vast majority of NHS trusts did not provide any dedicated training to prevent sexual harassment.

The report analysed data from freedom of information requests from 199 trusts in England and found that just 35 offered their workers any sort of active bystander training (ABT), while only one NHS trust had a specific module on sexual harassment.

ABT is designed to give individuals the skills to call out unacceptable behaviour, from workplace bullying to racism and sexual misconduct. It is widely used by the military, universities and Whitehall, including the Home Office.

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Source: The Guardian, 5 May 2023

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Majority of NHS targets ‘could be abolished in 2023 after review of health service’

The government could scrap a number of NHS targets after a review of the health service, it has been reported.

Chancellor Jeremy Hunt and health secretary Steve Barclay commissioned Patricia Hewitt, a former Labour health secretary, last month to review how the NHS’s new integrated care systems should work, as well as how the health service should work to “empower local leaders”, giving them more autonomy.

According to the i newspaper, the government could abolish a majority of health service targets as a result of the review, so it can be run along similar lines to schools. Ms Hewitt is set to publish her review next spring.

The newspaper said ministers believe the NHS has become “overly centralised”, with doctors and trusts having to meet many different targets - more than 70 for GPs - and forced to tailor their work to meet them.

Instead, the government would rather run the NHS “more like we do the schools system”, a senior government source told the i, giving local leaders increased responsibility on how to effectively meet NHS goals.

The idea of fewer targets was received positively by the Royal College of GPs, which described many of the targets as “tick box exercises”.

Professor Kamila Hawthorne, chair of the Royal College of GPs, told the newspaper that GPs are working under “intense workload” and pressure, with a “bureaucratic burden” adding to their workload.

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Source: The Independent, 26 December 2022

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Majority of GPs do not have sufficient coronavirus protective equipment

Two out of five GPs have still not received any personal protective equipment (PPE) against coronavirus, a Pulse survey suggests.

The poll of over 400 GPs saw 41% of respondents say they have not received any PPE, while a further 32% said they had not received enough. Just 15% of GPs said they have sufficient PPE, with the remainder unsure.

This comes despite NHS England promising last week that it would ship PPE free of charge to practices.

The Welsh Government made the same announcement this week, while in Scotland health boards should be distributing PPE.

A GP who has received no proper equipment, Dr Kate Digby, in Cirencester, said she feels "woefully underprepared".

She told Pulse: "I'm becoming increasingly concerned at the lack of resources being provided for frontline primary care".

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Source: Pulse, 2 March 2020

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Majority of avoidable patient deaths in the US occur in hospitals with 'C' grade or below according to Leapfrog report

Patients treated at US hospitals that earned 'D' or 'F' grades when it comes to patient safety face a 92% higher risk of death from avoidable medical errors than at hospitals with an 'A' grade, according to a new report from The Leapfrog Group, a national nonprofit healthcare watchdog. In Leapfrog's Annual Hospital Safety Grades, about 32% of the 2,600 hospitals evaluated received an 'A' grade for safety, 26% earned a 'B' grade and 36% earned a 'C' grade. The hospital safety group awarded a 'D' or an 'F' grade to about 7% of the hospitals it examined. Patients at hospitals with a "C" grade when it came to safety were 88% more likely to die from an avoidable error compared with patients treated at hospitals that received an 'A'.

"It was pretty shocking to us and should be pretty sobering to hospitals that are not getting an 'A.' It's really time to take this seriously. You know you can do better," said Leah Binder, president and CEO of The Leapfrog Group.

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Source: FierceHealthcare, 15 May 2019

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Majority of ‘last resort’ ambulance diverts reported by only two trusts

Two acute trusts account for almost two-thirds of emergency department ‘diverts’ reported over the last two months.

Between the start of December and the start of February, Worcestershire Acute Hospitals Trust and University Hospitals Sussex Foundation Trust implemented 122 temporary “diverts” between them – representing around 60% of the national total.

The measure is taken when a particular site, such as Worcestershire Royal or Royal Sussex County Hospital, comes under significant pressure and ambulances are temporarily directed to an alternative hospital, usually within the same trust.

NHS England guidance says diverts of emergency patients due to lack of physical or staff capacity to deal with attendances or admissions “should be an action of last resort” and that this “should only need to happen in exceptional circumstances, where internal measures have not succeeded in tackling the underlying problem”.

Helen Hughes, chief executive of Patient Safety Learning, said: “For ambulance services, the impact of A&E diverts is two-fold. It both increases the length of journeys that crews have to make once a divert is implemented, and increases the travel time required to get back to subsequent emergency calls."

“This has the potential to increase waiting times for patients, increasing the risk of avoidable harm, particularly for those who are seriously ill, frail or elderly.”

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Source: HSJ, 15 February 2022

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Major UK project launched to tackle drug-resistant superbugs with AI

The UK is to use artificial intelligence (AI) to tackle the rising numbers of infections that have become resistant to treatment.

The project - a collaboration between the Fleming Initiative and the pharmaceutical company GSK - is a battle between superbugs and supercomputers. The collaboration will spend £45m on six fields of research.

It aims to speed up the discovery of fresh antibiotics and deliver new ways of killing other threats, including deadly fungal infections. Overusing antibiotics drives bacteria to evolve resistance to infections, which means new drugs are a priority.

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Source: BBC News, 18 November 2025

 

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Major trust records fifth never event at troubled department

A fifth patient has been given the wrong blood at a major teaching hospital’s haematology department where patient safety concerns were raised by clinicians last year.

The incident, at University Hospitals Birmingham Foundation Trust, is the fifth never event involving patients being transfused with the wrong blood at the trust since April 2020.

Only 15 such never events have been recorded in England in the last two financial years, which means UHB accounted for a third of the total in 2020-21 and 2021-22.

HSJ revealed last year that several clinicians had raised safety concerns at the trust’s haematology specialty after most of its services at Heartlands Hospital were moved to Queen Elizabeth Hospital as part of the trust’s pandemic response.

The latest never event, which occurred in March, saw a patient being given an “unintentional transfusion of ABO-incompatible blood components” – according to papers provided to the trust’s council of governors.

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Source: HSJ, 14 June 2022

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Major trust forced to restrict chemotherapy amid staff shortages

A major acute trust in the East Midlands has been forced to restrict how much chemotherapy it is able to offer due to staff shortages.

Nottingham University Hospitals Trust confirmed in a statement its chemotherapy service has been affected by long-term staff sickness and staff vacancies. 

A trust spokeswoman said: “We continue to provide chemotherapy to patients who benefit most from the treatment and the small number of patients affected have been contacted directly by their specialist cancer team and offered support.”

She added: “We are recruiting to posts as well as working with neighbouring NHS and private providers to ensure that any delays are minimal.”

The trust added all its patient care decisions adhered to national guidance aimed at helping chemotherapy centres categorise and prioritise treatments when these situations arise.

The Nottingham Post first reported the difficulties facing the trust, suggesting the restrictions would specifically affect palliative care patients who receive chemotherapy at NUH’s City Hospital site.

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Source: HSJ, 23 September 2021

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Major trust faces bullying concerns from hundreds of senior doctors

Concerns over bullying and discrimination have been raised in a survey of hundreds of doctors at a major hospital trust, HSJ  can reveal.

University Hospitals of North Midlands Trust’s medical staff committee carried out a survey of its doctors earlier this year, after bullying concerns were raised by members of the British Association of Physicians of Indian Origin at the trust.

A summary of the survey findings, published in a newsletter sent to all doctors at the trust last week and seen by HSJ, showed more than two-thirds of the 348 respondents claimed to have experienced bullying, harassment or victimisation at work. Nearly 80% said they had witnessed bullying or harassment, while 50 per cent of respondents said the bullying and harassment was due to race or ethnicity.

Fifty-five per cent of those answering the survey also said they had not reported concerns as they had “no confidence in the investigative process within the organisation”.

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Source: HSJ, 2 June 2021

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Major trust diverts ambulances and cancels electives after covid surge

One of England’s largest hospital trusts has been forced to divert ambulances and cancel operations, after seeing a very steep increase in covid-19 admissions over the past week.

Whipps Cross Hospital in north east London, part of Barts Health Trust, declared a critical incident over the weekend, the trust has confirmed. The trust has also declared a “high pressure phase” of covid response.

A well placed source said Whipps Cross had been forced to divert ambulances in recent days, because of pressure on its emergency services, while a message to staff said it was deferring some planned operations, along with other steps aimed at protecting safety.

It is also understood to be attempting to further speed up discharges from hospital.

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Source: HSJ, 16 December 2020

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Major trust ‘weeks away’ from running short of blood collection tubes

According to reports, Barts Health Trust and most other providers in the north east London health system may run out of blood tube collection products by the end of August. Though, according to notes seen by HSJ, a “mitigation plan with demand management in place this may extend into September”.

After warning colleagues in north east London that the shortage of blood collection tubes made by Becton Dickinson affects “all NEL areas” except acute trust Barking, Havering and Redbridge University Hospitals Trust, Diane Jones, chief nurse of the NEL integrated care system has said “NHSE are looking at mitigations, but nothing confirmed as yet, and [they] may take a few weeks to come on stream. The mitigation may get us up to 50 per cent of usual supply in the short term.” 

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Source: HSJ, 13 August 2021

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