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UK care homes still stopping family reunions months after Covid rules eased

Two and a half years after Boris Johnson announced the first UK lockdown, and seven months after the last domestic measures ended, some care homes in Britain are still denying people access to their elderly relatives due to Covid restrictions.

Grandchildren have been banned by some homes, which put age limits on visitors. Others exclude whole families except for one relative named as “essential caregiver”, something that was dropped from government guidance in April.

Support groups the Relatives & Residents Association (R&RA), and Rights for Residents also said there were homes not allowing people to see their parents, husbands or wives in their rooms, instead insisting that the visits take place in pods outside.

And some only allow limited timed-visiting slots. About 70% of older care home residents have dementia and often find it distressing to be moved, only settling by the end of the slot.

Campaigners have been calling for action to protect care home residents since the first lockdown, because relatives are often best able to help. Research from John’s Campaign shows that people who know someone with dementia are much better at interpreting their behaviour and giving comfort.

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Source: The Guardian, 25 September 2022

You may also be interested to read these two original blogs posted on the hub:

 

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UK cancer care in crisis and patients will die due to lack of strategy, experts warn

UK cancer care is in crisis and patients will die because of ministers’ decision to axe a dedicated plan to tackle the disease, leading cancer experts have warned.

Waiting times for NHS cancer treatment are at a record high and it is expected there will be 2,000 extra cancer patients a week by 2040. In January, the government scrapped its longstanding cancer plan and instead merged it into a wider “major conditions strategy” that also covers a range of other major diseases.

In a report published in the Lancet Oncology, 12 cancer experts said the decision could cause more people to die.

Prof Pat Price, an oncologist and visiting professor at Imperial College London and joint senior author of the report, said: “The dangerous reality is that cancer care in this country is fast becoming a monumental crisis and there appears to be no realistic plan. A cancer plan is not just a strategy, it is a lifeline for the one in two of us that will get cancer.”

Mark Lawler, a professor of digital health at Queen’s University Belfast, the chair of the International Cancer Benchmarking Partnership and a co-author of the paper, said: “Getting rid of a dedicated cancer strategy will cost lives. Abandoning a dedicated national cancer control plan in favour of a major conditions strategy is an incomprehensible decision not in the best interests of people with cancer.”

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Source: The Guardian, 15 November 2023

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UK blood supplies to be used to make life-saving drug

Plasma from blood donations in England will be used to make a life-saving drug whilst also helping to secure NHS plasma stocks to make the antibody-based medicines, called immunoglobulins. The service will begin roll-out in the coming months, with other parts of the UK potentially following suit. 

Gerry Gogarty, from NHS Blood and Transplant, welcomed the decision, calling it a huge step forward. "By recovering plasma from blood donations, we can improve long-term supplies of immunoglobulin medicine, and each generous blood donation will go even further in helping to save the lives."

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Source: BBC News, 17 August 2021

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UH partners with Masimo to pilot remote patient monitoring tool to aid COVID-19 response efforts

University Hospitals has partnered with medical technology company Masimo to pilot a telehealth solution, Masimo SafetyNet, that is designed to help clinicians care for patients remotely with a finger sensor and phone app.

The demand for remote monitoring and patient engagement in different settings has "significantly increased" during the COVID-19 pandemic. To help prepare for a surge in COVID-19 patients and protect other patients and providers, the tool allows University Hospitals and other hospitals to expand patient monitoring to the home or other locations (for instance, a skilled nursing facility or an under-utilised med-surg floor) that are temporarily set up to address increased demand.

Guidelines from the World Health Organization suggest monitoring the oxygen saturation, respiration rate and temperature of suspected or confirmed COVID-19 patients. Adapting this existing technology aims to offer a secure remote solution.

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Source: Crain's Cleveland Business, 23 March 2020

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Uganda’s Ebola outbreak ends, leaving relief and unanswered questions

No new Ebola infections have been detected in Uganda for 42 days, and so on Wednesday, the World Health Organization and the Ugandan Ministry of Health officially declared that the country’s most recent outbreak of the deadly virus is at an end.

Since the outbreak was officially recognised on September 20, 164 people have had confirmed or probable Ebola infections; there 55 deaths confirmed by lab testing, with another 22 deaths suspected of being caused by the virus.

Those who have recovered from the virus will receive ongoing support and will be closely monitored to help scientists understand the long term impacts of the Sudan strain of the virus, for which there are currently no treatment or prevention options.

The Ugandan government has also set a goal of finally identifying the animal reservoir for Ebola.

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Source: CNN, 11 January 2023

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UCLH awarded £6.8 million to conduct long Covid study

UCLH has been awarded £6.8m to conduct what has been regarded as the largest Long Covid clinical study and will focus on understanding the condition, how to diagnose it, manage it and improve the recovery process. 

The research will be a collaborative effort and will include 30 researchers, health professionals, patients and industry partners from more than 30 organisations and the project will be known as TIMULATE-ICP (Symptoms, Trajectory, Inequalities and Management: Understanding Long-Covid to Address and Transform Existing Integrated Care Pathways).

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Source: National Health Executive, 19 July 2021

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UCL researchers publish ‘Find, Test, Track, Isolate and Support’ Covid dashboard

Researchers at UCL-led collaboration i-sense, have published a dashboard to collate data on five stages, Find, Test, Track, Isolate and Support, with an aim to provide a complete picture of the pandemic.

The i-sense COVID Response Evaluation Dashboard (COVID RED) collates and presents data from the Office of National Statistics, Public Health England, and the NHS under five categories; Find, Test, Track, Isolate and Support for those asked to Isolate (FTTIS). It presents indicators of performance under each of these headings, and identifies areas where more data is needed.

Co-developer Professor Christina Pagel, UCL Mathematics & Physical Sciences, said: “Increasing volumes of data are being shown in the media and in government press conferences as a basis for local tightening of restrictions.”

“However, these data are often from disparate sources, and are not linked together to give a more complete picture of how we are doing. This was the motivation behind our dashboard development. We wish to contribute to the public understanding of COVID-19’s spread, and support policymakers in identifying current areas of the Find, Test, Trace, Isolate and Support structure requiring strengthening.”

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Source: Health Tech Newspaper, 30 October 2020

To access the dashboard, click here

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UB researcher developing algorithm to cut hospital readmissions for COPD patients

To lower hospital readmission rates for patients with chronic obstructive pulmonary disease (COPD), UB pharmacy researcher David Jacobs has received a $962,000 award from the US National Heart, Lung, and Blood Institute to develop a real-time readmission risk-prediction algorithm.

Through a five-year Mentored Patient-Oriented Research Career Development Award, Jacobs will combine social information with rich clinical data to build predictive models that will be integrated into patient-centric interventions and tested in clinical practices.

If successful, the research will help clinicians provide individualized treatment at the transition from hospital to home for COPD patients, who experience high rates of early hospital readmission, says Jacobs.

“Each year, 7.8 million hospital-discharged patients are readmitted, costing the United States $17 billion,” says Jacobs, assistant professor of pharmacy practice, School of Pharmacy and Pharmaceutical Sciences.

“High readmission rates are linked to several quality-of-care and patient-safety factors, such as medication-related problems, inaccurate information transfer, and lack of care coordination with primary care,” he says. “Our focus will be to apply innovative informatic techniques to the development of risk prediction models for hospital readmissions that ultimately personalizes care management interventions.”

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Source: UBNow, 21 May 2021

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U.S. News & World Report's best children's hospitals 2023-24 honor roll

U.S. News & World Report's Best Children's Hospital list for 2023-2024, released 21 June, said 11 children's hospitals are at the top of their game when it comes to 10 pediatric specialties. This year, 11 children's hospitals are included on this list due to a tie in the diabetes and endocrinology category.

U.S. News gathered subjective data from more than 15,000 pediatric specialists and clinical data from close to 200 children's hospitals to develop its Best Children's Hospitals 2023-2024 listings. 

For the first time, Cincinnati Children's Hospital Medical Center took the top spot on the list. The hospital has the only level 4 neonatal intensive care unit, which offers care to infants at all level 3 NICUs in the area. The hospital discovered a "super antibody" it believes will inform new vaccines and offered a specialized approach to reduce stays in the NICU for opioid-exposed newborns.

Steve Davis, MD, president and CEO: "This distinction only confirms what we have always known — that we have outstanding, talented team members who are unmatched in their dedication to ensuring that all children have access to exceptional care."

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Source: Becker's Hospital Review, 23 June 2023

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U.S. life expectancy falls again in ‘historic’ setback

The average life expectancy of Americans fell precipitously in 2020 and 2021, the sharpest two-year decline in nearly 100 years and a stark reminder of the toll exacted on the nation by the continuing coronavirus pandemic.

In 2021, the average American could expect to live until the age of 76, federal health researchers reported on Wednesday. The figure represents a loss of almost three years since 2019, when Americans could expect to live, on average, nearly 79 years.

The reduction has been particularly steep among Native Americans and Alaska Natives, the National Center for Health Statistics (NCHS) reported. Average life expectancy in those groups was shortened by four years in 2020 alone.

“Even small declines in life expectancy of a tenth or two-tenths of a year mean that on a population level, a lot more people are dying prematurely than they really should be,” said Robert Anderson, chief of mortality statistics at the NCHS.

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Source: The New York Times (31 August 2022)

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U-turn on mass expansion of covid care units as no funding available

Plans for a mass expansion of rehabilitation beds in new “Seacole centres” have been scrapped, with local leaders now told there is no capital funding to build them.

In late May, NHS England announced the “first” Seacole Centre in Surrey, for patients recovering from coronavirus, and asked other local systems to draw up proposals for similar units ahead of a possible second peak of the virus over winter.

The policy was designed to provide significant extra bed capacity to help get covid and other respiratory patients out of hospital more quickly, while offering effective rehab care.

But multiple well-placed sources have now told HSJ that capital bids for new Seacole units have been rejected.

In a statement, NHSE said: “Work with local NHS and social care providers suggests that these expanded rehab services can largely be provided in existing physical facilities as well as people’s own homes, so government has not allocated extra capital in year for this purpose.”

However, local leaders told HSJ that some of the plans to use “existing physical facilities” still required some capital funding to make them suitable for rehab care. One trust executive in the North West said: “If there’s no capital it means we can’t go ahead.”

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Source: HSJ, 5 August 2020

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Type 1 diabetes and COVID-19 link being investigated

A study is under way in the Southern Health Trust area to investigate possible links between Type 1 diabetes and COVID-19.

A consultant paediatrician said there has been an increase in the number of young people being diagnosed since the beginning of the pandemic.

Last year, the trust said there were 41 new cases, its highest yearly total on record. 

Dr Sarinda Millar specialises in Type 1 diabetes in children and young people.

"We are having more diagnoses, specially since the start of 2021 but more last year, as well," she said. "...in January we had nine new cases of Type 1 diabetes in children and young people in one week alone in our trust area," she said.

"In other years, we wouldn't even have had one every week. And regionally, we have all seen an increase in Type 1 diabetes which leads us to question is COVID-19 in some way related?"

Because of the increase in Type 1 diabetes over the past year, the Southern Trust is commissioning fresh research on the matter.

"It is quite a wide piece of research we are hoping to do," Dr Millar said. "As well as looking to see if these children have been exposed to Covid, looking at their antibody status, we also want to know what other implications COVID-19 has had. For example, have families delayed bringing their child to hospital? We have seen that children are presenting sicker."

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Source: BBC News, 8 March 2021

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Two-year waits for community mental health services revealed for the first time

HSJ analysis of the NHS England data also found that 19,000 adults with a serious mental illness are waiting for longer than 18 months for a second contact with community mental health services. This is seen as a more meaningful metric for adults than the first contact.

In total, almost 240,000 children and young people were waiting for treatment from community mental health services in August 2023, as well as more than 192,000 adults.

The data revealed the median, or typical, waiting time for children and young people from referral to first contact was 178 days. The median wait time for adults from referral to “second contact” was 120 days.

The NHS long-term plan set out proposals for a four-week waiting time standard for children and adults to access community mental health services. This approach was piloted and a consultation published, but the new standards are yet to be implemented.

Sean Duggan, chief executive of the mental health network at the NHS Confederation, said leaders would be concerned – although “not surprised” – that patients were waiting so long for community services.

He added: “We need access and waiting times standards for all mental health services, to help us improve national data and to direct and allocate resources effectively.”

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Two-thirds of women with physical disabilities unable to attend cervical screenings

New research released by Jo's Cervical Cancer Trust has revealed the extent to which women who have physical disabilities are discriminated against when attempting to undergo cervical screenings. The charity surveyed 335 women for the investigation who have health conditions including spinal muscular atrophy, Ehlers-Danlos syndrome, paraplegia and cerebral palsy. According to the study's findings, 88% of the participants felt that it is more difficult for a women with a physical disability to attend a cervical screening and just under half of the participants said that they had purposely chosen not to attend a smear test because of a negative, past experience they'd had due to their disability.

Robert Music, Chief Executive of Jo's Cervical Cancer Trust, said: ""It is not acceptable that women with a physical disability are often faced with additional hurdles or even being denied access to this potentially lifesaving test."

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Source: Independent, 8 August 2019

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Two-thirds of UK workers with Long Covid have faced unfair treatment, says report

UK ministers should act to ensure Long Covid sufferers receive the support they need from employers, with as many as two-thirds claiming they have been unfairly treated at work, a report argues.

The report, from the TUC and the charity Long Covid Support, warns that failing to accommodate the 2m people who, according to ONS data, may be suffering from long Covid in the UK will create, “new, long-lasting inequalities”.

The analysis is based on responses from more than 3,000 long Covid sufferers who agreed to share their experiences.

Two-thirds said they had experienced some form of unfair treatment at work, ranging from harassment to being disbelieved about their symptoms or threatened with disciplinary action. One in seven said they had lost their job.

The report makes a series of recommendations, including urging the government to designate Long Covid as a disability for the purposes of the 2010 Equality Act, to make clear sufferers are entitled to “reasonable adjustments” at work; and to classify Covid-19 as an occupational disease to allow people who contracted it through their job to seek compensation.

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Source: The Guardian, 27 March 2023

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Two-thirds of trusts failing to protect staff from violence

Around two-thirds of NHS providers were found to be breaking laws aimed at protecting staff from violence and aggression, when inspected by the Health and Safety Executive (HSE), information released to HSJ reveals.

The HSE has inspected 37 NHS organisations since April 2018, looking at how they manage risks to staff from violence and aggression, and found 25 of them (67%) were in breach of the law.

It comes amid concern about rising numbers of assaults on NHS and care staff. The HSE has identified that three staff members have been killed by patients or service users in the last five years.

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Source: HSJ, 6 January 2020

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Two-thirds of people administering cosmetic surgery injections are not qualified medical doctors, survey finds

More than two-thirds of people who are administering cosmetic surgery injections such as Botox in the UK are not qualified medical doctors, a new study suggests.

The study is the first survey of who is providing cosmetic injectable services, including botulinum toxin (Botox) and dermal fillers, in the country.

Dr David Zargaran, UCL Plastic Surgery, an author of the study, said: “There are well-documented, yet to-date unaddressed challenges in the UK cosmetic injectables market.

“Without knowledge of the professional backgrounds of practitioners, we cannot adequately regulate the industry.

“Our research highlights that the majority of practitioners are not doctors and include other healthcare professionals, as well as non-healthcare professionals such as beauticians.

“The range of backgrounds opens a broader question relating to competence and consent.

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Source: The Independent, 24 July 2023

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Two-thirds of homecare patient safety incidents linked to major provider

Two-thirds of patient safety incidents recorded during hospital trusts’ monthly reporting period for homecare medicine provision were for services provided by the company Sciensus, an investigation by The Pharmaceutical Journal has revealed.

In response to a freedom of information request sent to 131 hospital trusts in England in August 2023, 32 trusts recorded 417 patient safety incidents during their most recent monthly reporting period, which ranged from May to July 2023.

Some 66% of these incidents (277) related to services delivered by homecare provider Sciensus, despite providing medicines to fewer than half (44%) of the 96,849 patients covered in the data.

The findings come after the House of Lords Public Services Committee opened an inquiry into homecare medicines services in May 2023 following press reports of complaints from patient organisations and others about the service provided. The inquiry heard evidence from patient groups, regulators, homecare companies and the government during the summer and the committee will publish its report on 16 November 2023.

Sciensus was previously known as Healthcare at Home and is one of the UK’s largest homecare companies.  

The data also uncovered that Sciensus was a poor performer on “failed” deliveries, defined as those that did not arrive on the scheduled day.

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Source: The Pharmaceutical Journal, 9 November 2023

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Two-thirds of GPs refuse to register homeless patients

Two-thirds of GP practices from a sample of 100 in London declined to register a patient without an address, contrary to national rules which are meant to ensure homeless and excluded people can get healthcare, HSJ has found.

NHS England guidance states anyone can register with a GP without proof of address, and that people without a permanent address “can still register using a temporary address or the address of the GP surgery”.

Practices normally need to record an address, but the exception rule is meant to ensure people who are homeless, or living in unstable or short-term accommodation, are still able to access primary care or referrals for secondary services.

Despite this, when HSJ called 100 randomly selected practices in London (about 9 per cent of the total), 64 refused to register the caller.

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Source: HSJ, 19 June 2023

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Two-thirds of England’s maternity units dangerously substandard, says CQC

Almost two-thirds of maternity units provide dangerously substandard care that puts women and babies at risk, the NHS watchdog has said in a damning report.

The Care Quality Commission (CQC) has rated 65% of maternity services in England as either “inadequate” or “requires improvement” for the safety of care – up from 54% last year.

Services are beset by a host of problems, including serious staff shortages and internal tensions, which mean that too many mothers and their babies receive care that is not good enough, it said.

Women too often face delays in accessing care, do not receive the one-to-one care from a midwife to which they are entitled or experience communication problems with staff looking after them, including being shouted at by midwives.

The CQC judged overall quality of care to be inadequate or require improvement at 85 maternity units, almost as many at which it rated it to be either good or outstanding – 87. The number of units offering substandard care has soared by 30 in the last year, from 55 to 85.

It said that, having inspected 73% of all maternity units, “the overarching picture is one of a service and staff under huge pressure. People have described staff going above and beyond for women and other people using maternity services and their families in the face of this pressure.

“However, many are still not receiving the safe, high-quality care that they deserve.”

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Source: The Guardian, 20 October 2023

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Two-thirds of black Britons believe NHS gives white people better care, finds survey

Almost two-thirds of black Britons think the NHS does less to protect their health than that of white people, research has found.

That negative view of the health service is shared by a majority of black people of almost all ages, and is held especially strongly by black women, according to findings of a study commissioned by a parliamentary committee.

Overall, 64% of black people do not believe that their health is as protected by the NHS compared with white people’s. When asked if they thought it was, 34.3% disagreed and another 29.6% disagreed strongly, while just 19.9% agreed and a further 2.4% agreed strongly.

The survey was commissioned by MPs and peers on the joint committee on human rights as part of its inquiry into black people, racism and human rights in the UK. The report will be published and debated with the authors at an evidence session today.

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Source: The Guardian, 7 September 2020

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Two weeks to go until The Healthcare Show opens its doors to the entire healthcare community

CloserStill Media Announces: Tickets are still available for The Healthcare Show, taking place at the ExceL London on 18-19 May 2022.

London, United Kingdom

CloserStill Media, organisers of The Healthcare Show, taking place at ExceL London on 18-19 May 2022 are delighted to announce that over 3,000 healthcare professionals are registered to attend.

Don’t miss out on your chance to attend The Healthcare Show, two days full of opportunities to increase your industry knowledge through CPD accredited content and to network with both old and new peers and learn about the latest products and services. Bringing thousands of senior healthcare managers and clinicians together who are striving to transform care and improve quality against a backdrop of Covid-19, it’s an event not to be missed.

Healthcare professionals can secure their FREE tickets online here.

The Healthcare Show are extremely excited to open their doors again this year with a variety of new theatres and a fully booked exhibition hall. You will have ample prospects to develop professionally and examine the effects of Covid-19 within the healthcare sector.

Show highlights:

  • Louise Minchin, broadcaster and journalist, to chair the Healthcare Keynote Theatre.
  • Co-located with the Digital Healthcare Show and The Residential & Home Care Show.
  •  Incorporating The National Association of Link Workers Conference and Awards Ceremony.
  • Brand new theatres for The Healthcare Show 2022 include Transformation Theatre, Clinical Priorities Theatre and Care Quality and Efficiency Theatre.
  • Incorporating The Patient Safety and Infection Prevention Show.
  • Patient Safety Learning Partner Lounge will offer a platform to share a combination of tools, resources, case studies and best practice.  
  • Meet CQC inspectors across health and social care at their meet the inspector’s hub and put all your burning questions to them.
     

The programme is available to view here (subject to change).

Sponsorship is also now also open for the event. Should you wish to sponsor, speak or exhibit at The Healthcare Show please contact Mike Corbett on: m.corbett@closerstillmedia.com

For delegate enquiries, please contact Imogen Scott on i.scott@closerstillmedia.com

-ENDS-

CloserStill Media, specialise in global professional events within the healthcare and technology markets. The healthcare portfolio includes some of the UK’s fastest-growing and award-winning events, such as Health Plus Care, The Clinical Pharmacy Congress, The Dentistry Show, The Pharmacy Show and Acute & General Medicine.

It is a market leading innovator. With its teams and international events, it has won multiple awards, including Best Marketer – five times in succession – Best Trade Exhibition, Best Launch Exhibition, and Sunday Times Top 100 Companies to Work For – four years in series – among others.

CloserStill Media delivers unparalleled quality and relevant audiences for all its exhibitions, delivering NHS and private sector healthcare professionals from across occupational therapy, pharmacy, dentistry, primary and secondary care with more than £16m worth of free training.

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Two trusts to miss deadline for eliminating ‘distressing’ wards

At least two trusts are set to fall short on a high-profile pledge to eradicate ‘dormitory’ style wards in mental health facilities, with delays caused by cost pressures and shortage of materials and labour.

In 2020, ministers said more than 1,200 beds in mental health dormitories across more than 50 sites would be replaced with single, en-suite accommodation by March 2025. Around £400m was allocated to achieve this.

However, information gathered by HSJ via freedom of information requests suggests there will be at least 37 dormitory beds still in use beyond that date.

In 2018, the Care Quality Commission said: “In the 21st century, patients, many of whom have not agreed to admission, should not be expected to share sleeping accommodation with strangers, some of whom may be agitated”. Patients have told HSJ they felt “distressed”, “unsafe” and “intimidated” on dormitory style wards.

Leaders of trusts impacted by delays told HSJ of rising cost pressures, shortages of construction materials and availability of labour.

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Source: HSJ, 17 October 2023

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Two thirds of hospital’s transplant patients died after five years

Lung transplant patients in Birmingham are facing significantly worse survival rates as a “sobering” report has revealed two-thirds of patients have died within five years, The Independent has learned.

Survival rates for lung transplant patients at University Hospitals Birmingham Foundation Trust after five years are now almost 20 percentage points lower than the other main hospitals specialising in lung transplants.

The latest figures from NHS Blood and Transplant (NHSBT) have revealed Birmingham’s five-year survival rates decreased from 79% in 2015-16 to 31% in 2020-21, and have consistently been the lowest compared to the other four other transplant hospitals in Newscastle, Cambridgeshire, London and Manchester.

The latest NHSBT’s report showed of those patients who had a transplant in Birmingham between 2012 to 2016, 31 per cent survived. During the same period in Newcastle 47 per cent of patients survived, in Papworth and Manchester 51%, while London’s Royal Harefield recorded a 56 per cent survival rate.

Birmingham recorded the lowest patient survival rates 90 days after surgery and for one year after surgery between 2016-17 to 2020-21. Although for these measures the hospital was within the national average, unlike its five-year survival rates.

One transplant surgeon has raised concerns over the continued poor survival rates at Birmingham, claiming they showed the “staggering” failure for the programme in the city to improve.

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Source: The Independent, 23 November 2021

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Two thirds of GPs say ‘advice and guidance’ is blocking patients who really need a referral

Two-thirds of GPs feel ‘advice and guidance’ is preventing patients who really need a referral to secondary care from getting one, according to the findings of a snapshot survey of Pulse readers.

Advice and guidance (A&G) services, which involve GPs accessing specialist advice before making a referral, have become a major part of NHS England’s plans for clearing the pandemic backlog.

But of the 366 GP survey respondents in England who said they had used advice and guidance, 68% said they felt the pathway is blocking necessary referrals.

The survey also found that of those 366 GPs who had used A&G services:

  • Around half (49%) said A&G was reducing referrals;
  • More than three-quarters (78%) said it was increasing their workload;
  • Just over half (60%) said it was requiring them to work beyond their competence;
  • Two-thirds (68%) said A&G was resulting in patients complaining because their wish to see a consultant had been diverted.

One GP who wished to remain anonymous commented: "An increasing number of referrals are being rejected for secondary care service pressure reasons rather than clinical need. [This] often duplicates GP admin work as we need to re-refer, rewriting the referral and/or enclosing further information or tests results in order to get a referral accepted."

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Source: Pulse, 25 January 2023

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