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Hospices warn of cuts after 'difficult' 2025

Some hospices in the West are warning they will have to reduce their services, if the government-agreed funding they receive from the NHS does not increase.

Hospices have differing funding arrangements, but many receive around a third of their money from the NHS and the rest through donations.

Jessie May Hospice in Bristol, which provides palliative care for children at home, told the BBC its costs had risen 17% in 2025, with donations and statutory funding failing to match this.

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Source: BBC News, 5 January 2026

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Hospices in England to receive £100m funding boost

Hospices in England are to receive £100m of government funding over two years to improve end-of-life care, Health Secretary Wes Streeting has announced.

Another £26m is going to hospices for children and young people, which is a continuation of money previously given through a grant.

It comes after hospice leaders warned they were forced to close beds due to increasing financial pressures.

Only about a third of hospice funding comes from the NHS – the rest has to be raised from donations, fundraising and charity shops.

Around 170 hospices provide end-of-life care for adults and around 40 provide hospice care for children and young people in England, with some hospices providing care for both.

The government said funding announced today was "the biggest investment in a generation" and would go towards improving buildings, equipment and accommodation.

Health and Social Care Secretary Wes Streeting said: "Hospices provide the care and support for patients and families at the most difficult time so it is only right they are given the financial support to provide these services.

"This package will ensure they will be able to continue to deliver the compassionate care everyone deserves as they come to the end of their life in the best possible environment."

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Source: BBC News, 19 December 2024

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Hospice receives outstanding CQC rating

The Care Quality Commission (CQC) has awarded 'Outstanding' ratings to St Giles Hospice in Walsall and Whittington. 

The CQC, an independent regulator of health and social care services in England, has recently introduced a new regime holding hospices to the same level of scrutiny as hospitals, making this outstanding rating all the more impressive.

St Giles hospice, founded in 1983, started as a charity caring for local people dying from cancer and now supports people living with incurable illnesses and their families for free.

Care providers from the hospice work on-site and in patients’ own homes, and their level of care has made them one of only a handful of hospices to ever have been awarded this accolade.

In the CQC report inspectors complimented the hospice for its “compassionate” range of speciality services. 

Inspectors added: “People were truly respected and valued as individuals. They were empowered as partners in their care, practically and emotionally, by an exceptional and distinctive service.”

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Source: National Health Executive, 16 January 2020

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Hospice leaders warn hundreds of beds out of use

About 300 hospice inpatient beds are currently closed or out of use in England, hospice leaders have warned.

They say a lack of funding and staff are the primary reasons why some of England's 170 hospices have had to close beds permanently or take them out of use.

Hospice UK, which represents the sector, is now calling for an urgent package of government funding to prevent further cuts. The Department of Health said it was looking at how to financially support hospices to ensure they are sustainable.

Annette Alcock, Hospice UK's director of programmes, said the way that hospices are funded and commissioned by the NHS is "acting as a huge cap on what they can do", while also blaming "underlying pressures like staff shortages".

She added: "If the government can act in both the short and long term to resolve these problems, these figures are clear evidence that hospices can do a lot more for patients, and a lot more for the NHS.

"That's true out in the community too, where most of hospice care is actually delivered.

"With better funding and commissioning, hospices could provide so much more care where people most want it - at home."

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Source: BBC News, 4 December 2024

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Horror as women are facing major medical procedures without anaesthetic, warn experts

Hysteroscopy Action says thousands of women are in extreme pain during and following the invasive procedures to treat problems in the womb, with many suffering for days.

It says some are left with symptoms of post-traumatic stress and subsequently feel unable to have intimate relationships with partners. Others avoid important examinations such as smear tests.

The group has written to Women’s Minister, Maria Caulfield, to raise its concerns.

In its letter, it claims women are not always given the choice of intravenous sedation or general anaesthetic to reduce pain because of an NHS drive to cut costs. 

Some are given local anaesthetic which is often painful and doesn’t work. Others are given no drugs at all and expected to cope with distraction techniques  - known as “vocal locals.”

Hysteroscopy Action has urged Ms Caulfield to open more theatre space for women to have procedures under general anaesthetic as well as offering women the choice of intravenous sedation. 

Yet Hysteroscopy Action, which has been in touch with thousands of patients who have undergone such examinations, says women are not made aware of this.

Last week RCOG President Dr Edward Morris, said it was “working to improve clinical practice around outpatient hysteroscopy”.

He added: “No patient should experience excruciating pain and no doctor should be going ahead with outpatient hysteroscopy without informed consent.”

"Hysteroscopy Action has collated more than 3,000 accounts of “brutal pain, fainting and trauma during outpatient hysteroscopy.”  

Hysteroscopy Action's spokeswoman, Katharine Tylko said: “We are counselling hundreds of patients with PTSD, who for various medical reasons find the procedure extremely painful, some even find it torturous."

“This does not happen for other invasive procedures such as colonoscopy. We urge the Women’s Minister to act and are demanding an end to this gender pain-gap.”

The letter, which has over 20 signatories, including Helen Hughes, Chief Executive of the Patient Safety Learning charity, Baroness Shaista Gohir, civil rights campaigner, and women’s rights activist, Charlotte Kneer MBE, calls for women to be given informed consent and choice about whether and what type of sedation they want.

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Source: Express, 6 November 2022

Read hub members experiences of having a hysteroscopy in the Community thread and Patient Safety Learning's blog on improving hysteroscopy safety.

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Hormone replacement therapy: Northern Ireland shortage 'distressing' for women

The shortage of hormone replacement therapy (HRT) in Northern Ireland is distressing for women and challenging for pharmacies trying to access it, according to a community pharmacist.

Loretto McManus advised women to leave plenty of time for ordering their prescriptions.

The Health and Social Care Board said there were "some treatments which are currently experiencing supply issues".

HRT helps many women control their often difficult menopausal symptoms. There is a national shortage of HRT with officials citing several reasons including manufacturing delays, an increase in demand and possibly Brexit.

Ms McManus said certain products were out of stock in pharmacies across Northern Ireland and that this was "distressing" for women who have become used to particular treatments.

"As a community pharmacist the utmost care of our patients is premium to us," she said. "Trying to source the prescribed product in a timely manner for the patient can be challenging."

Several women have told BBC News NI that they were being offered substitutes or had to source the medication themselves.

Kathryn Schreuder, part of a Northern Ireland menopause support group, said: "For a lot of women, their concern is, if their medication isn't available and they have just maybe spent six months to a year getting the right level of what they need, for that suddenly to be changed because of the limitation of what is available is very distressing."

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Source: BBC News, 7 November 2021

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Hormone replacement therapy to be offered over the counter in UK

Hormone replacement therapy is to be offered over the counter for the first time in the UK after the medicines watchdog gave the green light.

Millions of women go through the menopause every year, with the majority experiencing some symptoms that can be severe and have a negative impact on everyday life.

In a landmark move hailed as a “huge step forward” for women’s health, the first type of HRT to become available at pharmacies without a prescription will be Gina 10 microgram vaginal tablets (containing estradiol).

The Medicines and Healthcare products Regulatory Agency (MHRA) said the vaginal tablets would be available for post-menopausal women from September after a safety review.

Maria Caulfield, the minister for women’s health, said: “Menopause affects hundreds of thousands of women every year, but for some its symptoms can be debilitating and for many they can be misunderstood or ignored.

“Making Gina available over the counter is a huge step forward in enabling women to access HRT as easily as possible, ensuring they can continue living their life as they navigate the menopause.”

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Source: The Guardian, 20 July 2022

 

 

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Hormone replacement therapy could be made available over the counter

Hormone replacement therapy (HRT) could be made available to buy over the counter.

Health watchdogs are proposing a re-classification of the medication so women would be able to buy it in pharmacies without a prescription, it’s claimed.

HRT is mainly used to treat menopause symptoms but it is not yet known which version of the medication will be a part of the proposal, the Daily Telegraph reports.

Symptoms can include hot flushes, reduced sex drive and mood swings and usually pass after a few years.

More than one million women a year are believed to suffer each year but treatment is currently only available after consultation with a GP or a specialist.

A spokesperson for the Department of Health and Social Care said: "We understand that for some women menopause symptoms can have a significant impact on their quality of life, and we are committed to improving the care and support they receive.

"That’s why we’re developing the first ever government-led Women’s Health Strategy, informed by women’s lived experience. Menopause, including improving access to Hormone Replacement Therapy, will be a priority under the Strategy."

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Source: The Independent, 2 February 2022

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Hopes for changes in surgical menopause care

Hundreds of women who are "plunged into surgical menopause" are "being failed by the NHS", says a menopause support campaigner.

Diane Danzebrink, 58, from Norfolk, has called for an urgent review of surgical menopause care to ensure all clinicians know how to prepare their patients.

Ms Danzebrink, who founded Menopause Support, said awareness had improved significantly, but "we haven't seen change fundamentally to ensure every woman has access to good quality care at the time that she needs it".

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Source: BBC, 28 December 2024

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Hope for cancer patients as NHS tracking system could prevent treatment delays

Cancer patients could be spared the devastating consequences of their tissue samples being lost thanks to a new tracking system being tested in the NHS.

The loss of tissue samples can mean vulnerable patients are forced to redo biopsies, therefore delaying diagnosis and treatment. Lost samples cost the NHS an estimated £157m in claims every year.

However, losing samples could soon be a thing of the past in the NHS, as one of the UK’s largest health trusts tests a new tracking system its inventors hope will lead to a rollout in hospitals worldwide.

Leeds Teaching Hospitals NHS Trust, which deals with tens of thousands of cancer cases every year, will trial a real-time tracking system for cancer tissue samples.

The system is based on radio frequency identification (RFID) technology that is widely used in the retail and logistics industry to track assets and has been specially adapted to help improve treatment for people with serious and life-threatening conditions.

Dil Rathore, the trust’s biomedical scientist and pathology innovation lead said, "The stress and anxiety felt by patients awaiting a potential cancer diagnosis can be made much worse if they are told their sample has been lost. Unfortunately, this ‘never-event’ happens more often than is acceptable. That’s why we came up with a real-time system to track the precise location of each sample and its movement through our histopathology department. The interpretation of changes in tissue forms the foundation of successful cancer treatment.”

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Source: inews, 21 July 2024

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Homeless prioritised for Covid vaccine alongside at-risk adults, Hancock says

Homeless people will be prioritised for coronavirus vaccinations alongside adults in at-risk groups, the government has said.

Matt Hancock, the health secretary, said the decision would “save more lives among those most at risk in society”.

It comes after the Joint Committee on Vaccination and Immunisation, which said those experiencing rough-sleeping or homelessness were likely to have underlying health conditions and should be offered vaccinations alongside those in priority group six.

"People experiencing homelessness are likely to have health conditions that put them at higher risk of death from COVID-19.

He added: "This advice will help us to protect more people who are at greater risk, ensuring that fewer people become seriously ill or die from the virus."

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Source: The Independent, 11 March 2021

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Home-birth system is a ‘risk to patient safety’, audit finds

The current home-birth system in Ireland creates a “risk to patient safety”, an internal health audit has found.

The Health Service Executive (HSE) audit reached this finding as there is no agreed maximum safe travel time to the nearest maternity unit or self-employed community midwife (SECM).

In February 2022, the home-birth service was moved from community operations to acute operations and is now integrated into the 19 maternity services nationwide.

In light of this, the HSE conducted an audit to establish the “adequacy and effectiveness of governance and risk management” of the home-birth service.

The auditors examined three sites – Cork University Maternity Hospital, Rotunda Maternity Hospital and the Coombe Maternity Hospital – and reviewed 30 midwifery notes relating to home births that occurred from March 1st, 2023, until February 29th, 2024.

It found weaknesses in the system of governance across all three sites that the audit said created a “significant risk that the system will fail to meet its objectives”.

According to the audit report, there is “no national governance structure in place” for home births as acute operations no longer has oversight due to the reorganisation of the HSE into the six health regions.

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Source: Irish Times, 23 September 2025

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Home menopause tests are waste of time and money, say doctors

Women are wasting their time and money buying do-at-home menopause testing kits, doctors have warned.

The urine tests are not predictive enough to tell whether a woman is going through the phase when her periods will stop, doctors have told the BBC.

The tests, which give a result within minutes, accurately measure levels of follicle-stimulating hormone (FSH), which helps manage the menstrual cycle. But experts say it is not a reliable marker of the menopause or perimenopause.

Dr Annice Mukherjee, a leading menopause and hormone doctor from the Society of Endocrinology, told the BBC the FSH urine tests were “another example of exploitation of midlife women by the commercial menopause industry, who have financial conflicts of interest”.

“It’s not helpful for women to access [FSH] directly,” she said. “It is not a reliable marker of perimenopause and can cause more confusion among women taking the test. At worst, misinterpretation of results can cause harm.”

The Royal College of Obstetricians and Gynaecologists (RCOG), along with other leading experts in women’s health, said the tests could be unhelpful and potentially misleading.

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Source: The Guardian, 10 June 2022

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Home blood test kits ‘piling work on NHS’

Private companies are offering “misleading” home blood-testing kits that fuel health anxieties and pile pressure on the NHS, a report has suggested.

There has been a boom in sales of the kits, which promise to reveal everything from cancer risk to how long patients can expect to live.

But an investigation by the BMJ found these “unnecessary and potentially invasive tests” can be misleading and generate false alarms. The NHS is then left to “clear up the mess” as worried patients see GPs for reassurance or extra tests, piling more pressure on the overstretched service.

One GP described patients coming in “clutching the results of private screening tests”, with doctors asked to review the results.

The companies have been criticised for not providing sufficient follow-ups after the “poor quality and overhyped” tests, and for misleading results such as wrongly telling people their test levels are outside the “normal” range.

Bernie Croal, president of the Association for Clinical Biochemistry and Laboratory Medicine, said: “Most of the online [tests] will send the results to the patient with at best a sort of asterisk next to the ones that are abnormal, with advice to either pay some more money to get some sort of health professional to speak about it or go and see your own GP.”

Doctors are calling for the tests to be more tightly regulated by the health watchdog, the Care Quality Commission.

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Source: The Times, 27 October 2022

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Home blood pressure checks could reduce risks after hypertensive pregnancy

New mothers who had hypertension in pregnancy could reduce their risk of heart attack, stroke and potentially early death through daily blood pressure checks at home, research suggests.

Women who regularly monitored their blood pressure in the weeks after giving birth, and had doctors tailor their medication if needed, had better functioning arteries nine months later than those who received routine care, scientists found.

When the medication was adjusted to account for blood pressure changes, the women ended up with less stiff arteries, an effect that researchers at the University of Oxford estimate could reduce the future risk of heart attack or stroke by 10%.

Paul Leeson, a professor of cardiovascular medicine who led the study, said the findings suggested that the weeks after birth provided a “powerful and often overlooked opportunity” to protect women’s future health.

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Source: The Guardian, 27 April 2026

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Home births at risk as midwife service collapses

Hundreds of mothers-to-be have lost access to their midwives after a community service was forced to close. Women across the north-west of England and in Essex have been affected after One to One announced it was withdrawing the services it provided for the NHS. 

One to One specialises in home births, which means some women may have to give birth in hospital against their wishes. A spokesman for the NHS said emergency protocols had been put in place and women affected would be contacted by a dedicated team. He said the "priority" was ensuring those affected were provided with support, but he said he could not guarantee that they would be able to have a home birth.

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Source: BBC News, 31 July 2019

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HMPV: Virus cases on the rise in UK as doctors issue ‘mask up’ warning

The rate of positive tests for a virus that swept hospitals in China is on the rise in the England, according to official figures.

Latest UK Health Security Agency data show one in 20 (5 per cent) of hospital swabs for respiratory infections in England came back positive for human metaphneumovirus (HMPV) in the week ending January 19.

It’s the highest recorded rate of the virus so far this winter season, and above the 4.18 per cent of cases recorded at the start of 2024 - but still well below the 10 per cent recorded in 2021.

UKHSA, which does not publish case numbers, said the level of HMPV in England is currently “medium” based on the almost 8,000 samples tested. Doctors have urged people with symptoms of a respiratory illness to wear a face mask when out in public.

The age group with the highest proportion of HMPV cases was those aged 80 and over, soaring to 7.3 per cent and well above pre-Christmas levels. Cases have also risen to about 7 per cent in children up to the age of five.

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Source: The Independent, 28 January 2025

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HIV testing: Free DIY home kit offered in England

Free HIV tests that can be done at home are being offered this week to people in England.

It is part of a government drive to improve diagnosis, which dropped off during the Covid pandemic.

The kit is small enough to fit through the letterbox and arrives in plain packaging through the post.

It gives a result within 15 minutes by testing a drop of blood from a finger prick. A "reactive" result means HIV is possible and a clinic check is needed. Support and help is available to arrange this.

About 4,400 people in England are living with undiagnosed HIV, which comes with serious health risks.

HIV medication can keep the virus at undetectable levels, meaning you cannot pass HIV on and your health is protected.

Most people get the virus from someone who is unaware they have it, according to the Terrence Higgins Trust (THT) charity which campaigns about and provides services relating to HIV and sexual health.

HIV testing rates remain a fifth lower than before the Covid-19 pandemic - with heterosexual men in particular now testing far less than in 2019.

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Source: BBC News, 5 February 2023

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HIV blood tests to be rolled out to more hospitals

Opt-out blood tests for HIV, Hepatitis B and Hepatitis C will be rolled out to a further 46 hospitals across England, the government has announced.

Health Secretary Victoria Atkins said the new £20m programme would lead to earlier diagnoses and treatment.

Under the scheme, anyone having a blood test in selected hospital A&E units has also been tested for HIV, Hepatitis B and Hepatitis C, unless they opted out.

The trials have been taking place for the last 18 months in 33 hospitals in London, Greater Manchester, Sussex and Blackpool, where prevalence is classed by the NHS as "very high".

Figures released by the NHS earlier show those pilots have identified more than 3,500 cases of the three bloodborne infections since April 2022, including more than 580 HIV cases.

Ms Atkins said: "The more people we can diagnose, the more chance we have of ending new transmissions of the virus and the stigma wrongly attached to it."

She added that rolling out the tests to more hospitals would help ensure early diagnoses so people "can be given the support and the medical treatment they need to live not just longer lives but also higher quality lives".

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Source: BBC News, 29 November 2023

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Hitting elective target ‘not in NHS’s control’, Sunak warned

The NHS Confederation chief says he will this week demand clarity about Rishi Sunak’s flagship waiting list reduction target, warning it may not be ‘the most sensible target [or] within the service’s control’.

Matthew Taylor also reflected in an exclusive interview with HSJ about a “pretty bruising” recent planning round for 2023-24.

Speaking ahead of the conference, which starts this week, he said he would ask Steve Barclay for “clarity” about “what exactly the government means when it talks about reducing waiting lists”.

The prime minister’s waiting list pledge is one of his frequently-referenced five priorities, which when he set them out in January stated: “NHS waiting lists will fall and people will get the care they need more quickly.”

But Mr Taylor said yesterday: “It’s a bit unclear to me… Does it mean the overall waiting list? Does it mean long waiters? And what about the other waiting lists that we don’t talk about [like psychiatric care for children]?”

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Source: HSJ, 13 June 2023

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HIT teams to be sent into trusts to improve efficiency

The government will send in teams of clinical experts to 20 trusts to improve theatre productivity, the health and social care secretary has announced.

High-intensity theatre (HIT) lists have been used by Guys and St Thomas’  Foundation Trust to significantly increase the number of operations carried out each day.

An article in the journal Nature last year explained: ”This increase is achieved by meticulous planning and parallel processing of patient care on the day of surgery, aiming to minimise or eliminate turnaround time, minimise non-operative time and maximise operating time.” 

Mr Streeting said the trusts would receive visits from the HIT teams but said they would be “in areas with the highest numbers of people off work sick.”

The support will be led by the national Getting It Right First Time team and extend beyond HIT to include other measures such as reducing missed appointments, which are higher in deprived areas, and identifying local capacity in the private sector, NHSE said.

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Source: HSJ, 25 September 2024

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Historical sexual harassment claims not acted on by doctors’ watchdog

More than 1 in 10 sexual harassment complaints against doctors are not investigated by the General Medical Council because of an “arbitary” rule, the Observer has revealed.

According to data obtained under the Freedom of Information Act, 13% of sexual misconduct complaints made between the years 2017-18 and 2021-22 were closed without investigation because the GMC is prevented from considering alleged incidents more than five years after the event.

As part of the council’s remit to protect patient safety and improve medical education and practice across the UK it investigates any kind of complaint against doctors.

The figures show the GMC refused to investigate 170 complaints relating to sexual assault, attempted rape, and rape in the period analysed. In 22 of those cases the five-year rule was cited. It received 566 sexual harassment complaints in the same period.

Anthony Omo, the GMC’s general counsel and director of fitness to practise, told the Observer: “We can and do waive the five-year rule where there are grave allegations involving sexual assault or rape. In many cases involving sexual allegations, the GMC’s position will be that such serious misconduct is incompatible with continued registration.”

A government consultation in February heard that the five-year-rule was “arbitrary” and “a barrier to public protection” as it allowed doctors who may be guilty of inappropriate behaviour to continue practising. However, despite commitments from the Department of Health and Social Care to scrap the limitation as a “top priority”, no date has been set.

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Source: The Guardian, 30 September 2023

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Historic go-ahead for malaria vaccine to protect African children

Children across much of Africa are to be vaccinated against malaria in a historic moment in the fight against the deadly disease.

Malaria has been one of the biggest scourges on humanity for millennia and mostly kills babies and infants. Having a vaccine - after more than a century of trying - is among medicine's greatest achievements.

The vaccine - called RTS,S - was proven effective six years ago.

Now, after the success of pilot immunisation programmes in Ghana, Kenya and Malawi, the World Health Organization says the vaccine should be rolled out across sub-Saharan Africa and in other regions with moderate to high malaria transmission.

Dr Tedros Adhanom Ghebreyesus, director-general of the WHO, said it was "a historic moment".

"The long-awaited malaria vaccine for children is a breakthrough for science, child health and malaria control," he said. "[It] could save tens of thousands of young lives each year."

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Source: BBC News, 6 October 2021

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HIQA publishes first overview report on significant events of accidental or unintended medical exposures reported in 2019

The Health Information and Quality Authority (HIQA) has today published an overview report on the lessons learned from notifications of significant incident events in Ireland arising from accidental or unintended medical exposures in 2019. 

In 2019, HIQA received 68 notifications of significant events of accidental or unintended medical exposures to patients in public and private facilities, which is a small percentage of significant incidents relative to the total number of procedures taking place which can be conservatively estimated at over three million exposures a year.

The most common errors reported were patient identification failures, resulting in an incorrect patient receiving an exposure. These errors happened at various points in the patient pathway which, while in line with previous reporting nationally and international data, highlights an area for improvement.

John Tuffy, Regional Manager for Ionising Radiation, said “The overall findings of our report indicate that the use of radiation in medicine in Ireland is generally quite safe for patients. The incidents which were reported to HIQA during 2019 involved relatively low radiation doses which posed limited risk to service users. However, there have been radiation incidents reported internationally which resulted in severe detrimental effects to patients so ongoing vigilance and attention is required."

John Tuffy, continued “As the regulator of medical exposures, HIQA has a key role in the receipt and evaluation of notifications received. While a significant event is unwanted, reporting is a key demonstrator of a positive patient safety culture. A lack of reporting does not necessarily demonstrate an absence of risk. Reporting is important, not only to ensure an undertaking is compliant but because it improves general patient safety in a service and can minimise the probability of future preventative events occurring.”

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Source: HIQA, 9 September 2020

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Hip surgery could halve waiting times

Changes to hip and knee surgery could halve waiting lists at one hospital within a year, say doctors.

Tweaks to surgeries at the Princess of Wales hospital in Bridgend have allowed more patients to be sent home on the same day. Therefore, a shortage of hospital beds is not a barrier for them.

It comes as over 37,000 orthopaedic patients are waiting over one year for surgery in Wales.

Consultant orthopaedic surgeon Keshav Singhal said a number of "minor tweaks" were made to the procedure "but all of them add up to a huge effect".

He said the anaesthetic and pain medication given to patients is "fine-tuned" to reduce pain and nausea after the operation and extra time is spent pinpointing any potential area of bleeding and cauterising it to "prevent wound leakage".

"In day surgery we are not constrained by beds - there are no beds here," said Mr Singhal.

"Patients can come in, be very well cared for in a state of the art day-surgery unit, and go home in the evening, and that totally cuts down on the inpatient beds."

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Source: BBC News, 10 February 2023

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