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Nurses take to streets ahead of RaDonda Vaught sentencing

Nurses from across the country are heading to Washington, D.C., and Nashville, Tenn., this week to march for better working conditions and to show support for nurse RaDonda Vaught. 

Ms. Vaught, 38, was convicted of criminally negligent homicide and abuse of an impaired adult for a fatal medication error she made in December 2017 after overriding an electronic medical cabinet as a nurse at Vanderbilt University Medical Center in Nashville. Her case has spurred a national outcry from nurses who argue the ruling sets a dangerous precedent for the profession and will discourage nurses from speaking up about errors. 

Ms. Vaught's sentencing is scheduled for 13 May in Nashville, and she faces up to eight years in prison. Hundreds of nurses are planning to march in Nashville the day of the hearing to show their support for Ms. Vaught and to fight for better protection for nurses against criminal prosecution of errors. 

"We expect a large number of people to show up … just to show our strength in numbers and hope that the judge takes this into consideration and makes it slightly better by not sentencing her to any prison time," said Erica, a Las Vegas-based hospice nurse who is attending the sentencing.

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Source: Becker's Hospital Review, 13 May 2022

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Half of Covid-hospitalised still symptomatic two years on, study finds

More than half of people hospitalised with Covid-19 still have at least one symptom two years after they were first infected, according to the longest follow-up study of its kind.

While physical and mental health generally improve over time, the analysis suggests that coronavirus patients discharged from hospital still tend to experience poorer health and quality of life than the general population. The research was published in the Lancet Respiratory Medicine.

“Our findings indicate that for a certain proportion of hospitalised Covid-19 survivors, while they may have cleared the initial infection, more than two years is needed to recover fully,” said the lead author, Prof Bin Cao, of the China-Japan Friendship hospital in China.

Until now, the long-term health effects of Covid-19 have remained largely unknown, as the longest follow-up studies to date have spanned about a year. The absence of pre-Covid-19 health status data and comparisons with the general population in most studies also made it difficult to determine how well patients with Covid-19 have recovered.

“Ongoing follow-up of Covid-19 survivors, particularly those with symptoms of long Covid, is essential to understand the longer course of the illness, as is further exploration of the benefits of rehabilitation programmes for recovery,” said Cao. “There is a clear need to provide continued support to a significant proportion of people who’ve had Covid-19, and to understand how vaccines, emerging treatments and variants affect long-term health outcomes.”

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Source: The Guardian, 11 May 2022

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Waiting list jumps as A&E chaos persists

The NHS has recorded its largest monthly increase in the waiting list for 10 months, as unprecedented challenges in urgent and emergency care continue to disrupt recovery.

The elective figures published today for March presented mixed results, but much of the good news – a drop in the number of two-year waiters – had already been announced by NHS England in unvalidated figures for April.

Meanwhile, the system recorded its largest monthly rise in the overall list for 10 months, with the number of patients growing by 174,847 to hit a new record 6.36 million. This is the biggest month-on-month increase since the number jumped between April and May 2021 when it rose by 181,708 to hit 5.3 million.

The overall list has risen every month since May 2021, but the rises in the last four months have all been under 80,000.

The NHS warned in February it expects the waiting list to continue rising until March 2024, with patients now seeking care after various covid lockdowns.

Meanwhile, the number of patients waiting 12 hours from a decision to admit in accident and emergency departments reached a new high in data published today, covering April. 

Ambulance response times also improved slightly last month from March’s all-time low. Average category one performance – for immediately life-threatening conditions, such as cardiac or respiratory arrest - was 9:02 minutes against a seven-minute target, but still an improvement on last month’s 9:35 minutes. 

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Source: HSJ, 12 May 2022

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US overdose deaths hit record 107,000 last year, CDC says

More than 107,000 Americans died of drug overdoses last year, setting another tragic record in the nation’s escalating overdose epidemic, the Centers for Disease Control and Prevention (CDC) estimated Wednesday.

The provisional 2021 total translates to roughly one U.S. overdose death every 5 minutes. It marked a 15% increase from the previous record, set the year before. The CDC reviews death certificates and then makes an estimate to account for delayed and incomplete reporting.

Dr. Nora Volkow, director of the National Institute on Drug Abuse, called the latest numbers “truly staggering.”

The White House issued a statement calling the accelerating pace of overdose deaths “unacceptable” and promoting its recently announced national drug control strategy. It calls for measures like connecting more people to treatment, disrupting drug trafficking and expanding access to the overdose-reversing medication naloxone.

Experts say the COVID-19 pandemic has exacerbated the problem as lockdowns and other restrictions isolated those with drug addictions and made treatment harder to get.

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Source: AP News, 11 May 2022

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Covid inquiry broadens scope to include children

The scope of the UK public inquiry into the handling of the Covid pandemic has widened to include a focus on children.

When the draft terms were published in March, there was criticism that they failed to even mention the impact on children and young people. But after a public consultation, the final terms have been published and now incorporate the effect on the health, wellbeing and education of children.

The final terms of reference were decided following a four-week public consultation on the draft terms.

As well as expanding the terms to include the impact on the health, wellbeing and education of children and young people, the inquiry will also look at the wider mental health impact across the population.

The focus on inequalities will also be strengthened, the inquiry said, so that the unequal impact on different sections of society will be considered at all stages.

Alongside these issues, the UK-wide inquiry will also look at the following issues which were included originally:

  • the UK's preparedness for the pandemic
  • the use of lockdowns and other "non-pharmaceutical" interventions, such as social distancing and the use of face coverings
  • the management of the pandemic in hospitals and care homes
  • the procurement and provision of equipment like personal protective equipment and ventilators
  • support for businesses and jobs, including the furlough scheme, as well as benefits and sick pay.

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Source: BBC News, 12 May 2022

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Tougher cancer target considered by ministers

The Government is considering setting a tougher cancer diagnostic target as part of its declared ‘war on cancer’, HSJ  has been told.

Sajid Javid announced a “war on cancer” and launched a call for evidence on what could be done to improve services in February.

HSJ understands one of the measures being considered is increasing the existing target for cancer diagnosis, set in the 2019 NHS long-term plan.

The current target committed the service to diagnosing 75% of cancers at stages one and two by 2028.

At present, performance is around 54% and late stage diagnosis is a key factor behind the UK’s poor performance on cancer mortality, compared with other wealthy nations.

Cancer Research UK has asked for government, as part of the latest consultation, to set a target of at most 20% diagnosed at stage three and four – effectively, 80% or more at stages one and two – by 2032.

The Royal College of Radiologists pointed out in February that there was a shortfall of nearly 2,000 consultant radiologists and 20% fewer consultant oncologists to meet the existing gaps.

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Source: HSJ, 13 May 2022

 

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Dangerous staffing levels in Borders hospitals, says union

A trade union has written to every politician representing the Scottish Borders to highlight "dangerous staffing levels" in local hospitals.

Unison claims serious breaches of safety guidelines are occurring daily due to a lack of nurses, auxiliaries and porters. The letter says staff are unable to take proper rest breaks or log serious incidents in the reporting system.

NHS Borders said patient and staff safety was its number one priority.

Unison said working conditions in the area were regularly in breach of regulations.

Greig Kelbie, the union's regional officer in the Borders, said: "We are getting regular messages from our members to tell us about the pressure they are under - and that they can't cope.

"The care system was under pressure before Covid, but the pandemic has exasperated the situation, particularly at NHS Borders.

"The NHS has been stretched to its limits and it is now at the stage where it is dangerous for patients and staff - we're often told about serious breaches of health and safety, particularly at Borders General Hospital where there are issues with flooring and staff falling.

"We work collaboratively with NHS Borders to do what we can, but we also wanted to make politicians aware of how bad things have become.

"We need our politicians to step up and implement change - we want them to make sure the Health and Care Act is brought to the fore and that it protects our members."

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Source: BBC News, 13 May 2022

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Children’s lives ‘put at risk’ as eating disorder waits reach record high

Children’s lives are being put at risk, charities warn, as waiting times for eating disorder services soar to record highs.

The number of children waiting more than four months following an urgent referral for an eating disorder was more than seven times higher at the end of 2021-22 compared to the same period in the previous year.

Data showed that at the end of quarter four of 2021-22, 94 children were waiting more than 12 weeks following an urgent referral, the highest on record, compared to just 13 at the end of 2020-21.

The latest NHS data on waiting times for community eating disorder services for children also showed more than 1,900 children were waiting for treatment at the end of March. Of these, 24 were waiting to start urgent treatment - up from 130 last year.

Sophie Corlett, director of external affairs at Mind, said: “Our government is shamefully failing children and young people with eating disorders at the time when they need help most. Eating disorders have one of the highest mortality rates of any mental health problem. Children in need of urgent NHS treatment for eating disorders should always be seen within one week yet some children are still waiting for treatment after twelve weeks. This is irresponsible and disgraceful.”

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Source: The Independent, 12 May 2022

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Government watchdog: 1 in 4 older Americans on Medicare harmed during hospital stays

One in four older Americans covered by Medicare had some type of temporary or lasting harm during hospital stays before the COVID-19 pandemic, government investigators said in an oversight report published Thursday. 

The report from the U.S. Department of Health and Human Services Office of Inspector General said 12% of patients had “adverse events” that mainly led to longer hospital stays but also permanent harm, death or required life-saving intervention. Another 13% had temporary issues that could have caused further complications had hospital staff not acted.

Investigators reviewed the medical records of 770 Medicare patients discharged from 629 hospitals in 2018 to formulate a national rate on how often patients were harmed, whether preventable or not. An earlier Inspector General review found 27% of patients experienced some type of harm – an investigation that led to new patient safety efforts and incentives. 

The incremental improvement follows intense focus on patient safety since at least 1999 when the then-Institute of Medicine published To Err is Human, a landmark report that estimated up to 98,000 deaths per year could be due to medical errors. Initiatives have since sought to improve patient safety by limiting medical errors, reducing medication mix-ups and holding hospitals with a poor record of patient safety accountable through Medicare's program to dock the pay of the worst performers on a list of safety measures. 

While Inspector General investigators noted improvements in certain safety measures, officials said the 25% harm rate is concerning and deserves renewed attention from hospitals and two federal agencies that oversee patient safety: the Centers for Medicare and Medicaid Services and the Agency for Healthcare Research and Quality.

"We still have a significant way to go in terms of improving patient safety," said Amy Ashcraft, a deputy regional inspector general. 

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Source: USA Today News, 12 May 2022

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New report demonstrates the importance of working with patients to reduce digital health inequalities

A recent report based on research and case studies of good practice in combatting digital health inequalities demonstrates the importance in working with patients who are digitally excluded.

The report, Putting patients first: championing good practice in combatting digital health inequalities, is the second report by the Patient Coalition for AI, Data and Digital Tech in Health. 

This report focuses on digital health inequalities and the impact that digital exclusion is having on health in the UK. It highlights different reasons for disparities in a person’s ability to access and use digital health technology and provides insights into the severity of the UK’s digital inequalities.

The Coalition report concludes recommending that the Government and NHS should:

  • Engage with those digitally excluded
  • Ensure patients have a choice
  • Ensure the language is appropriate for all audiences
  • Learn from good practice.

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Source: The Patients Association, 9 May 2022

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Lack of drugs for use in pregnancy ‘resulting in needless deaths’ in UK

Women and babies in the UK are “dying needlessly” because of a lack of suitable medicines to use in pregnancy, according to a report that calls for a radical overhaul of maternal health.

A “profound” shortage of research and the widespread exclusion of pregnant and breastfeeding women from clinical trials means hardly any new drugs are approved for common medical problems in pregnancy or soon after childbirth, the report finds.

Meanwhile, scarce or contradictory information about the safety of existing medicines women may be taking for continuing conditions can make it impossible to reach a confident decision on whether or not to continue them in pregnancy, the experts add.

“While pregnancy in the UK is generally considered safe, women and babies are still dying needlessly as a direct result of preventable pregnancy complications,” the authors say. Each year, 5,000 babies in the UK are either stillborn or die shortly after birth, while about 70 women die of complications in pregnancy.

The Healthy Mum, Healthy Baby, Healthy Future report draws on evidence from patient groups, clinicians, researchers, lawyers, insurance specialists and the pharmaceutical industry, it proposes “urgent” changes to transform women’s access to modern medicine.

The report highlights the “profound lack of research activity” and up-to-date information that leaves pregnant women and their physicians in the dark about whether to continue with certain medicines in pregnancy. Some epilepsy drugs, for example, can increase the risk of birth defects, but coming off them can put the woman at risk of severe seizures, which can also harm the baby.

Lady Manningham-Buller said the situation “urgently needs to change”, with the report setting out eight recommendations to prevent needless deaths.

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Source: The Guardian, 12 May 2022

 

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Hundreds of organisations breached patient data rules, reveals BMJ

Hundreds of organisations, including drug companies, private healthcare providers and universities, have breached patient data sharing agreements but not had their access to patient data withdrawn, a report reveals.

“High risk” breaches were revealed to have occurred at healthcare groups, pharmaceutical giants and educational institutions including Virgin Care, GlaxoSmithKline (GSK) and Imperial College London, during audits by NHS Digital, according to an investigation by the BMJ.

This means these organisations were handling information outside the remit agreed in data contracts and may be failing to protect confidentiality, the journal said.

In one instance, local NHS commissioners allowed sensitive, identifiable patient data to be released to Virgin Care without permission from NHS Digital. When auditors tried to get access to Virgin Care to check their compliance, they were denied access for several weeks and the company refused to delete the patient data, the BMJ reported.

Records about mental health, including children and young people, those with learning disabilities, diagnostic imaging and other confidential patient data was being processed outside the scope of objectives agreed with NHS Digital, at an address that had not been agreed, and without a data sharing contract.

A spokesperson for Virgin Care said it had “robust data protection in place”.

“It is outrageous that private companies and university research teams are failing to comply,” said Kingsley Manning, the former chair of NHS Digital. “How is it that these organisations can be so lax with data?”

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Source: The Guardian, 11 May 2022

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NHS waiting list hits record 6.4 million

A new high of 6.4 million people in England were waiting for routine NHS treatment in March 2022, as 12 hours waits in A&E hit an all time high last month and ambulance services continued to struggle.

This is up from 6.2 million in February and is the highest number since records began in August 2007.

A new record of 24,138 people had to wait more than 12 hours in A&E after a decision to admit them had been made in April.

The figure is up from 22,506 in March, and is the highest for any calendar month in records going back to August 2010.

However the number of patients being seen within four hours in April improved compared to March, with 72.3% of patients seen in this time compared to 71.6%.

Professor Stephen Powis, national medical director for NHS England, said: “Today’s figures show our hardworking teams across the NHS are making good progress in tackling the backlogs that have built up with record numbers of diagnostic tests and cancer checks taking place in March, as part of the most ambitious catch up plan in NHS history.

“We always knew the waiting list would initially continue to grow as more people come forward for care who may have held off during the pandemic, but today’s data show the number of people waiting more than two years has fallen for the second month in a row, and the number waiting more than 18 months has gone down for the first time."

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Source: The Independent, 12 May 2022

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Senegal midwives convicted over mother's death

Three Senegalese midwives involved in the death of a woman in labour have been found guilty of not assisting someone in danger.

They received six-month suspended sentences, after Astou Sokhna died while reportedly begging for a Caesarean. Her unborn child also died.

Three other midwives who were also on trial were not found guilty

The case caused a national outcry with President Macky Sall ordering an investigation.

Mrs Sokhna was in her 30s when she passed away at a hospital in the northern town of Louga. During her reported 20-hour labour ordeal, her pleas to doctors to carry out a Caesarean were ignored because it had not been planned in advance, local media reported.

The hospital even threatened to send her away if she kept insisting on the procedure, according to the press reports.

Her husband, Modou Mboup, who was in court, told the AFP news agency that bringing the case to light was necessary.

"We highlighted something that all Senegalese deplore about their hospitals," 

"If we stand idly by, there could be other Astou Sokhnas. We have to stand up so that something like this doesn't happen again."

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Source: BBC News, 11 May 2022

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Nurse who filmed unconscious patients at hospital jailed for 12 years

A nurse who filmed up the gowns of unconscious women patients and recorded staff using the toilet at a large teaching hospital has been jailed for 12 years by a judge who said he had "brought shame on an honourable profession".

Paul Grayson, 51, was also told by the judge he must serve an extended licence period of 4 years when he is eventually released.

The judge described how four patients were targeted as they recovered from surgery at Sheffield's Royal Hallamshire Hospital – one of whom has never been identified from the footage.

Sentencing Grayson on Tuesday, Judge Jeremy Richardson QC said: "You have betrayed every ounce of trust reposed in you.

Earlier this week, the court heard one victim, who was secretly filmed in the shower by Grayson over a number of years, face him directly in court as she told him his "sick and disgusting perversions" and "evil actions" were crimes that "have torn me into pieces".

The court heard that one victim was unconscious after an eye operation when Grayson filmed her up her gown, and could be seen moving her underwear.

The woman told police she had "put her trust in staff at the hospital to keep her safe".

The victim said that she has since been due to have an operation at another hospital but she "can't bring myself to go".

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Source: Medscape UK, 11 May 2022

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Blowing whistle on trust CEO ‘hardest thing I’ve had to do’, says his successor

A trust chief who blew the whistle on her predecessor’s ‘aggressive’ behaviour and lack of interest in patient safety says it was the hardest thing she has had to do in her career.

Janelle Holmes, who is now chief executive of Wirral University Teaching Hospital Foundation Trust, was among four Wirral University Teaching Hospital Foundation Trust senior executives who wrote to regulators in 2017 about the behaviour of the trust’s then CEO David Allison.

They said he would react with “dismay and aggression” to concerns being raised about service quality, and staff were afraid to speak up as a result. The intervention led to Mr Allison’s departure and a subsequent independent investigation found “deep systemic cultural issues”. Mr Allison always denied his behaviour was inappropriate.

In an interview with HSJ, Ms Holmes talked of the difficulties in taking those actions, and the subsequent efforts to overhaul the trust’s culture.

She said: “From a personal integrity perspective, it was the right thing to do…and I [also] felt I had a personal responsibility to make it right afterwards.

“But yes, it was the most difficult thing I’ve ever had to do.”

She said: “I remember watching Sir David Dalton (the ex-Salford CEO) probably more than 10 years ago… say ‘we are harming patients’.. it was like ’you can’t say that’.

“But actually [there was a] complete sea change and [it became] an organisation where [speaking out] was the right thing to do. That’s the only way you can ensure you’re delivering good quality high standard services. If you’re acknowledging mistakes happen, you’re learning from them, you’re correcting things… I think that then starts to shape how our clinicians and staff feel.

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Source: HSJ, 12 May 2022

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‘Unfounded’ NHS criticism and investigation caused unnecessary deaths at London heart surgery unit

Heart surgery patients in London have died “unnecessarily” and faced increased risk of death as botched NHS investigations into dozens of deaths reduced a hospital’s ability to treat people, a coroner has warned.

“Unnecessary” patient deaths have occurred as a result of heart surgery at St George’s University Hospital Trust being restricted and emergencies diverted to other “over stretched” hospitals, following investigations by national NHS bodies.

The warning that deaths have occurred and may occur in the future, comes following the conclusion of a series of inquest hearings in March, during which it was found the NHS’ wrongly blamed a team of cardiac surgeons for the deaths of dozens of patients.

Coroner Fiona Wilcox, in a report published on Wednesday, has now said the “inadequate” NHS led investigations, which criticised the care of 67 patients, led to people being put increased risk of death.

The NHS’ investigations into the deaths of 67 patients ruled there were “shortcomings” in care. It led to complex operations being diverted elsewhere and doctors being referred to the General Medical Council. Two doctors have sinced been exonerated following GMC hearings.

According to the coroner’s findings, capacity within cardiac surgery at the unit is down by 60% and staff are becoming “deskilled.”

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Source: The Independent, 11 May 2022

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Concerns flagged over exploitation and poor treatment of overseas nurses

A “shocking” number of nurses from overseas are winding up “in trouble” or sanctioned within their first few months of working in the UK partly because of a lack of induction and support, a conference has heard.

The issue was raised during a panel session at the Unison health conference in April discussing the importance of ethical recruitment practices in nursing and midwifery.

According to Unison, it is supporting “many” overseas nurses who have been “exploited, unfairly treated and subject to racism” since their move.

Among the panel was Gamu Nyasoro, a clinical skills and simulation nurse manager in the NHS and an elected member of Unison’s nursing and midwifery occupational group committee.

Ms Nyasoro, who is from Zimbabwe and has been working in the NHS for the past two decades, said she herself had been discriminated against and had faced several challenges during her migration.

She raised concern that overseas nurses were not given enough information about how to live and work in the UK, including about how to access healthcare services themselves, or about country specific rules and regulations.

There was also the issue that UK employers “don’t look at their skills beforehand”, which means nurses were being put in roles or areas they were not confident in.

She cited examples of staff who had been specialising in neonatal services before moving, who were then being asked to work with older people, and those who had been practising as a midwife in their home nations and then being required to work in emergency departments in the UK.

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Source: Nursing Times, 28 April 2022

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‘Smart socks’ to keep dementia carers on their toes by tracking patients’ stress levels

“Smart socks” that track sweat levels, heart rate and motion are being given to dementia patients to alert carers if they are becoming distressed.

The unintrusive technology was developed by Dr Zeke Steer, of Bristol Universit. Dr Steer wanted to find a way to spot the early warning signs of distress, so carers or relatives could intervene with calming techniques to de-escalate the situation. 

The hi-tech hosiery - which look and feel like normal socks - use e-textiles to transmit data in real time to an app, which alerts carers when stress levels are rising.

The socks are now being trialled among mid to late stage dementia patients. Researchers think they will also help people with autism and other conditions that affect communication. 

Fran Ashby, manager from Garden House Care Home, in Bristol, said: “We were really impressed at the potential of assisted technology to predict impending agitation and help alert staff to intervene before it can escalate into distressed behaviours. 

“Using modern assistive technology examples, like smart socks, can help enable people living with dementia to retain their dignity and have better quality outcomes for their day to day life.”

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Source: The Telegraph, 9 May 2022

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Website to show NHS delays

A website that tells patients how long they are likely to wait for NHS treatment will be made available in Scotland this summer.

Humza Yousaf, the Scottish health secretary, said people queuing for tests and procedures and their doctors would be able to access information about any delays in their area using the software.

Many patients living in pain are waiting years to have common operations such as hip and knee replacements. In theory, the SNP guarantee hospital treatment within 12 weeks of patients joining the waiting list, but this law was broken extensively before the pandemic and has now been breached hundreds of thousands of times.

One orthopaedic surgeon, who did not wish to be named, said he was operating on patients whose joints had entirely collapsed after a two-year wait for a limb replacement made their case an emergency. Other patients who did not reach crisis faced even longer delays, he said.

Dr Sandesh Gulhane, a GP and health spokesman for the Scottish Conservative Party, asked Yousaf, during a meeting of the Scottish Parliament’s health committee yesterday: “Why can’t we have in the future, in the [recovery] plan, indicative waiting times which are relatively live so we can all go on a website and see how long we need to wait.”

Yousaf said it was fair for patients and NHS staff to expect to have information on waiting times, and that a website to provide this was being developed. 

“We are working closely with Public Health Scotland, we are working closely with boards to develop the infrastructure in order to collate and publish this data,” he said. “It’s an ambition of ours to have that available in a way that is easy to find, easy to understand, both for the patient but for the health professional too.”

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Source: The Times, 11 May 2022

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Crowded A&Es mean Scottish paramedics play the waiting game

Paramedic Moira Shaw is eyeing the frantic activity at the front doors of Edinburgh's emergency department.

She is waiting for the go-ahead to hand over her patients to medics and answer the next 999 call. It can be a long wait.

Last week, 1 in 10 ambulances across Scotland took more than 80 minutes to drop patients at an emergency department.

BBC Scotland joined Moira and colleague Blair Paul at the Royal Infirmary of Edinburgh where they were among seven ambulances waiting to drop off patients.

"At the moment we can be an hour waiting, we sit in the ambulance and we wait until there is a space to go in," explains Moira, who has been with the service for nearly a decade.

"This is pretty much an everyday occurrence now.

"It's that domino effect, so if patients are waiting to move to other areas, A&E gets clogged up and they can't take any more patients in because they are waiting to move people on."

Moira said she has noticed they are attending more calls where people have not been able to get through to their GP so phone 999 instead.

Another theme picked up by Moira and her colleague Blair is helping younger sicker patients who need urgent hospital treatment.

"I've seen actually quite a lot of people maybe in their 40 or 50s who have got now stage four cancer and they've just not been able to get access to any treatments or anything just due to the pressures on the NHS at the moment," explained Blair.

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Source: BBC News, 11 May 2022

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Staff warn of ‘worsening’ culture at beleaguered trust

The culture at a long-troubled ambulance trust is ‘worsening, not improving’, its staff have told a health watchdog.

Concerns about culture and patient safety at East of England Ambulance Service Trust (EEAST) were raised to inspectors at the Care Quality Commission (CQC) during an inspection of the trust last month, according to public documents.

In a feedback letter to the trust following the inspection, the CQC said staffing at EEAST’s control room was below planned levels, and the inspectors were “not assured that staffing levels met the demands within the service and this may impact on patient safety when managing the high volume of calls”.

The trust, which is in the equivalent of special measures and currently rated “requires improvement” by the CQC, has had long-standing cultural problems and last year signed a legal agreement with the Equality and Human Rights Commission on how it would protect staff from sexual harassment.

According to the feedback letter, staff described a “worsening, not improving, culture” and said the workforce was “tired” and not receiving mandatory training, one-to-ones with managers or appraisals.

The letter, published in the trust’s latest board papers, also reported inspectors raising concerns about potential risks to patients over the management of the trust’s call stack and a lack of consistency over “standard operating procedures”.

Additionally, some staff in the control room on an accelerated training programme were unable to undertake full patient assessments and had to call for assistance from others.

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Source: HSJ, 11 May 2022

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Covid vaccines are ‘safe for pregnant women and cut stillbirth risk’, study says

Covid-19 vaccines are safe for pregnant women to take and can even reduce the risk of stillbirths, according to a new study.

Researchers at St George’s University of London and the Royal College of Obstetricians and Gynaecologists collated data from studies and trials involving over 115,000 vaccinated pregnant women.

They found that pregnant women – who are more likely to become serious ill if they catch Covid-19 – are 15% less at risk of stillbirth if vaccinated.

“We wanted to see if vaccination was safe or not for pregnant women,” said Asma Khalil, professor of obstetrics and maternal fetal medicine at London’s St George’s Hospital in London to The Guardian.

“It is safe, but what’s surprising, and it’s a positive finding, is that there was a reduction in stillbirths.”

“So far, most of the data on vaccines in pregnancy have been about protecting the pregnant woman herself from Covid. Now we have evidence that the vaccines protect the baby too,” she added.

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Source: The Independent, 10 May 2022

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Chronic pain treatments are failing millions, say experts

Relentless. Unbearable. Overwhelming.

These are just some of the words used by the thousands of people who have revealed their battle with long-term, persistent pain.

An exclusive survey of over 4,000 adults aged 16-75 for BBC News, carried out by research company Ipsos, suggests that a quarter of people in the UK are living with chronic pain - an often hidden and misunderstood condition.

And pain specialists warn the health service is not set up to deal with such complex conditions. They say the treatments on offer are decades behind the science, leaving millions of patients without the support they need to manage their pain.

Jen Proudler says chronic pain has left her grieving for "the person she was".

It started four years ago with sporadic back pain. After several incorrect diagnoses, Jen was eventually told by a neurosurgeon that she had a "pretty massive" far lateral disc herniation in her spine. The pain has now spread around her body - Jen has burning pins and needles sensations down her leg, as well as sharp pain, as if being cut by a razor. Sometimes it's so bad, she can't even bear any fabric to touch it.

"Our nervous system becomes more and more protective, it feels danger and sends warning signals - and those warning signals contribute to the pain," explains Dr Chris Barker, clinical director of an NHS community pain service in Ainsdale, Merseyside.

He says such pain can be hard to diagnose, and the difficulty of getting the correct treatment can make things worse. "Incorrect diagnoses, delayed diagnoses, poor experiences in and out of the health system, not being believed - all of these can contribute to a more intense experience of pain."

Dr Barker says the NHS is not set up to deal with such a complex condition, despite the fact it is so common. "The prevalence of pain is huge. It dwarfs most other conditions."

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Source: BBC News, 11 May 2022

Further reading: Is pain a patient safety issue? Blog from Patient Safety Learning

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Families dismay at interim report plans despite review ‘chaos’

Families involved in a major review into maternity failings at Nottingham University Hospitals Trust (NUH) have criticised the decision of the review team to press ahead with the publication of an interim report, despite serious concerns about its terms of reference and methodology.

A “thematic review” into NUH was first announced last year after reports that dozens of babies died or were brain damaged after errors were made at the trust over the last decade. More than 460 families have since contacted the review team.

The review has been overseen by NHS England and local commissioners, but, in April, the families called for an independent inquiry and asked for it to be carried out by Donna Ockenden, the senior midwife who chaired the high-profile review of Shropshire maternity services, which reported in March.

Last month, NHSE chief operating officer Sir David Sloman wrote to families and said former strategic health authority chair Julie Dent would be brought in to chair the review. However, Ms Dent stepped down from the role weeks later, citing “personal reasons”. A new chair is yet to be appointed.

Despite these uncertainties, families have been told by the review team that an interim report will be issued shortly.

Gary Andrews, whose daughter Wynter died after being delivered by caesarean section at NUH’s Queens Medical Centre in 2019, said to issue an interim report “seems at odds with the current situation” and risked causing “significant distress” to families.

He added: “We need government to get to grips with this review. Put the brakes on, ensure its structure and design and objectives are fully supported by families, before any interim report can be issued.”

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Source: HSJ, 19 May 2022

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