Jump to content
  • articles
    6,966
  • comments
    73
  • views
    5,287,935

Contributors to this article

About this News

Articles in the news

Doctor shortages pushing Scottish NHS to ‘breaking point’

Doctor shortages are jeopardising patient safety and rota gaps are pushing the NHS to “breaking point”, Scottish physicians have warned.

A lack of doctors in NHS Scotland due to unfilled vacancies, sick leave and a shortage of staff is often putting patients’ welfare at risk, a survey of consultants has found. More than a third of Scottish doctors (34%) reported, in the Royal Colleges’ annual census, that trainee rota gaps occurred at least daily, while 16% warned they are causing “significant patient safety problems”.

A further 78% of those who responded said rota gaps potentially cause patient safety problems, but that there are solutions in place.

Read full story

Source: The Scotsman, 14 October 2019

Read more
 

More than half of A&Es provide substandard care, says watchdog

More than half of A&E units are providing substandard care because they are understaffed and cannot cope with an ongoing surge in patients, the NHS watchdog has said.

The Care Quality Commission (CQC) said 44% of emergency departments in England required improvement and another 8% were inadequate, its lowest rating. Last year 48% of A&Es fell into the two ratings brackets combined.

Prof Ted Baker, the CQC’s chief inspector of hospitals, said A&Es were getting overloaded because too few NHS services existed outside hospitals, meaning patients’ health could worsen. He said: “There needs to be a system-wide change: people need to get the care they need in the community… so they do not need to attend A&E unnecessarily,.."

Dr Katherine Henderson, the president of the Royal College of Emergency Medicine, said: “As well as more patients coming to emergency departments due to a lack of accessible alternatives, there are fewer and fewer staffed beds in hospitals to admit sick patients to, which results in long waits for patients and overcrowded emergency departments. It is little wonder just over half of urgent and emergency services are rated as needing to improve.”

Read full story

Source: The Guardian, 15 October 2019

Read more
 

AI can say when neurosurgeons are ready to operate

Machine learning algorithms can accurately assess the capabilities of neurosurgeons during virtual surgery before they step into an actual operating room, a new study shows.

Researchers recruited 50 participants from four stages of neurosurgical training: neurosurgeons, fellows and senior residents, junior residents and medical students. The participants performed 250 complex tumour resections using NeuroVR, a virtual reality surgical simulator. Using the raw data, the machine learning algorithm developed performance measures that could predict the level of expertise of each participant with 90% accuracy. The top performing algorithm could classify participants using just six performance measures.

As reported in the Journal of the American Medical Association, the findings show that the fusion of artificial intelligence (AI) and virtual reality neurosurgical simulators can accurately and efficiently assess the performance of surgeon trainees. This means that scientists can develop AI-assisted mentoring systems that focus on improving patient safety by guiding trainees through complex surgical procedures. These systems can determine areas that need improvement and how the trainee can develop these important skills before they operate on real patients.

“Our study proves that we can design systems that deliver on-demand surgical assessments at the convenience of the learner and with less input from instructors. It may also lead to better patient safety by reducing the chance for human error both while assessing surgeons and in the operating room,” said leading author, Rolando Del Maestro of McGill University.

Read full story

Source: FUTURITY, 5 August 2019

 

Read more
 

Mental health services: CQC warns of “perfect storm”

A shortage of skilled staff, coupled with rising demand, has created a “perfect storm” for patients using mental health and learning disability services, England’s healthcare regulator has warned.

In its annual State of Care report for 2018-19, the Care Quality Commission said that although quality ratings across health and social care, including community mental health services, had been maintained overall, this masked “a real deterioration” in some specialist inpatient services over the past 12 months.

Read full story (paywalled)

Source: BMJ, 14 October 2019

Read more
 

Patient safety Bill announced in Queen's speech

A Bill to fully establish the Healthcare Safety Investigation Branch (HSIB) as an arm’s-length body has been one of 26 proposed bills announced in the Queen’s speech at the State Opening of Parliament.

The Queen announced: “New laws will be taken forward to help implement the National Health Service’s long-term plan in England and to establish an independent body to investigate serious healthcare incidents.”

Keith Conradi, HSIB Chief Investigator, said: “This announcement marks the start of a significant change to our organisation that will result in us becoming an independent statutory body with significant legal powers.

The legislation will prohibit the disclosure of information held by the investigations body, except in limited circumstances. This will allow participants to be candid in the information they provide and ensure thorough investigations.

The Bill will also improve the quality and effectiveness of local investigations by developing standards and providing advice, guidance and training to organisations.

There will also be a pledge to update the Mental Health Act to reduce the number of detentions made under the act.

Read Queen's speech in full

Read HSIB's response

Read more

Gap in care for chronically ill prisoners

Prisoners are at risk of being transferred without crucial medication, according to the latest Healthcare Safety Investigation Branch (HSIB) report.

The report reveals errors and delays in the prison healthcare system. The investigation looks into the case study of Martin, a 43-year old inmate, who suffered multiple seizures after his epilepsy medication wasn’t transferred with him to a new prison.

Each day around 120 prisoners with ongoing medication needs are moved between jails. Martin’s case is just one example of a serious outcome when medication was missed. Prisoners may also need to be treated in the community at local hospitals, with prison security staff being taken away from planned duties to accompany them.

Dr Lesley Kay, Deputy Medical Director at HSIB and a Consultant Rheumatologist, has experience of working with prisoners that have long-term conditions: “I have seen first-hand the impact that the lack of medication management can have on patients, particularly when they have long-term conditions. This also places additional pressure on an already stretched NHS and prison service.

“With over 2,400 transfers a month where medication is needed, we recognise how busy prison healthcare staff are and how challenging it is to get medication to the right place at the right time. We know that the system needs to be better and the recommendations we have made are aimed at making the whole process smoother and safer for everyone.”

Read story and full report

Source: HSIB, 10 October 2019

Read more

New report reveals alarming shortage of country doctors

A new report reveals alarming shortage of country doctors. Just 15% of consultants take jobs in hospitals serving rural or coastal areas.

Hospitals in rural and coastal Britain are struggling to recruit senior medical staff, leaving many worryingly “under-doctored”, a major new report seen exclusively by the Observer reveals. Some hospitals in those areas appointed no consultants last year, raising fears that the NHS may become a two-tier service across the UK with care dependent on where people live.

Disclosure of the stark urban-rural split emerged in a census of consultant posts across the UK undertaken by the Royal College of Physicians (RCP), whose president, Andrew Goddard, has warned that patients’ lives may be at risk because some hospitals do not have enough senior doctors.

Read full story

Source: The Guardian, 13 October 2019

 

Read more
 

Boosting staff wellbeing improves NHS trusts’ CQC ratings, report finds

Initiatives to increase staff engagement and make leadership teams more approachable have helped to improve NHS trusts’ ratings from the health and social care watchdog, a report by NHS Providers has found.

Trusts’ performance has gradually improved, showed the results of inspections by the Care Quality Commission (CQC). In 2014, the year that the CQC began rating trusts, 24 of 35 trusts inspected (68%) were designated “requires improvement” or “inadequate.” Five years later, most of the 224 trusts inspected (59%) were rated “good” or “outstanding.”

Read full story (paywalled)

Source: BMJ, 10 October 2019

Read more
 

England sees 'worst summer on record' for A&E waits

This summer was the worst for A&E waiting times in England since the four-hour target was introduced.

Analysis by BBC Newsnight and the Nuffield Trust found an average of 86% of patients were admitted, transferred or discharged from A&E within four hours in the six months to September.

This is the worst performance in that period since the 95% target was brought in in 2004.

Doctors warned that the system was "running out of resilience" and that winter in A&Es was going to be "really difficult".

In September, there were 41,000 more people treated in A&Es within four hours, but there were 64,921 patients waiting more than four hours from decision to their actual admission to further care. Of these patients, 455 waited more than 12 hours. This is a 195.5% increase from the previous year. These are known as trolley waits, because patients are left on trolleys in temporary waiting areas while a bed is found.

"Lying on a trolley is not good for you in any way," said Dr Katherine Henderson, President of the Royal College of Emergency Medicine. "We know these patients can suffer harm because they're in the department for so long."

Read full story

Source: BBC News, 10 October 2019

Read more
 

'Unacceptable' delays in diagnosing secondary breast cancer

One in four patients with secondary breast cancer had to visit their GP three or more times before they got a diagnosis, a survey suggests.

The breast cancer charity, Breast Cancer Now, said there should be more awareness that the disease can spread to other parts of the body. In the UK, 35,000 people are living with the incurable form of the disease.

GPs said they were doing their best for patients but symptoms could be difficult to spot.

Breast Cancer Now said it was "unacceptable" that some people whose cancer had spread were not getting early access to treatments which could alleviate symptoms and improve their quality of life.

Prof Helen Stokes-Lampard, from the Royal College of GPs, called for GPs to have better access to the right diagnostic tools and training to use them.

Read full story

Source: BBC News, 11 October 2019

Read more
 

Only 15% of healthcare apps meet safety standards, research reveals

Only 15% of healthcare apps meet minimum safety standards, highlighting a “desperate need” for a proper review process, new research has concluded.

Health app evaluation organisation ORCHA evaluated more than 5,000 apps against 260 performance and compliance factors and found that majority do not meet the minimum safety requirements.

Liz Ashall-Payne, ORCHA’s Chief Executive, said: “We believe that digital health apps are one of the most important tools available to help tackle health issues in an ageing population that’s facing more complex, long-term problems. The fact that only 15% of apps that we review meet the minimum standards show there is a desperate need to regularly and properly assess the apps available to ensure that people are protected against the serious risks associated with downloading ineffective or even harmful apps.”

Helen Hughes, Chief Executive of Patient Safety Learning, which is working with ORCHA to improve the safety of apps, said the research reiterated the need for consistent regulatory standards and accreditation frameworks to be applied to healthcare apps.

“One of the areas we are beginning to explore with ORCHA is whether or not we can consider what patient safety would be in part of the review process,” she said. “Essentially what we want is patient safety embedded in all of the review processes so that we can inform and guide clinicians and inform and guide patients."

“And that there is appropriate research on their use and their impact so that information can feed the improvement of standards.”

Read full story

Source: Digital Health. 9 October 2019

 

Read more
 

NHS taskforce to drive improvements in young people’s hospital mental health, learning disability and autism care

NHS Chief Executive Simon Stevens has announced that a new taskforce will be set up to improve current specialist children and young people’s inpatient mental health, autism and learning disability services in England.

The NHS Long Term Plan sets out an ambitious programme to transform mental health services, autism and learning disability; with a particular focus on boosting community services and reducing the over reliance on inpatient care, with these more intensive services significantly improved and more effectively joined up with schools and councils.

The NHS Chief Executive said: “This taskforce will place a spotlight on services and care for some of the most vulnerable young people in our society, bringing together families, leading clinicians, charities, and other public bodies to help make these services as effective, safe and supportive as possible for thousands of families."

“The NHS Long Term Plan lays out a package of measures which will mean more than two million extra children and adults get the mental health care they need and while early intervention to stop ill health escalating is a priority, we are also determined to provide the strongest possible safety net for families living with the most acute conditions.”

Read full story

Source: NHS England, 10 October 2019

Read more
 

NHS bosses must tackle mental health crisis among doctors, says BMA

The British Medical Association (BMA) is calling on employers to sign up to a wellbeing charter to improve doctors’ working lives. 

The association commissioned qualitative research to establish which factors contributed to poor mental health among doctors. Researchers conducted 30 interviews with doctors from a range of specialties and levels of seniority, as well as two online focus groups with medical students and junior doctors.

Read full story (paywalled)

Source: BMJ, 10 October 2019

Read more
 

The grief over my daughter's suicide never ends, but I can help other junior doctors

As a doctor himself, Jonathan Phillips knows how isolating the job can be, which is why he is raising awareness of mental wellbeing at his trust.

Jonathan first heard of his daughter Lauren’s disappearance in the early hours of the morning on 1 March 2017. Her car was found abandoned near a beach in Devon after she had been reported missing from her job in the A&E department of a NHS trust.

Lauren was 26 and in her third year as a junior doctor in the south-west of England when she took her own life.

"From the moment they start, all newly qualified doctors encounter sexism, racism and verbal, physical and sexual abuse, as well as extremes of distress, rage and despair. They are in a highly stressful working environment where mistakes may prove fatal to their patients and career," says Jonathan. "Young trainees are individuals with differing life experiences, resulting in varying strengths and vulnerabilities; some will need shielding from certain situations at the start of their careers. If we are lucky enough to identify someone in a crisis we should not merely signpost the route to help, but guide and accompany them along the path to recovery."

Prompted by his own experience and other junior doctor suicides, Jonathan and colleagues constructed a wellbeing and resilience training day for foundation year doctors at his trust. It was delivered by senior doctors with a responsibility and interest in junior doctor training and supervision, and was quite separate from the already congested induction programme.

Read full story

Source: Guardian, 10 October 2019

 

Read more
 

World Mental Health Day 2019

Today is World Mental Health Day. An opportunity for all of us to raise awareness of mental health issues and advocate against social stigma. This year's theme, set by the World Federation for Mental Health, is suicide prevention. 

Every year close to 800,000 people globally take their own life and there are many more people who attempt suicide. Every suicide is a tragedy that affects families, communities and has long-lasting effects on the people left behind. It's the leading cause of death among young people aged 20-34 years in the UK and is the second leading cause of death among 15-29 year-olds globally.

Read more

Source: Mental Health Foundation, 10 October 2019

Read more
 

RCN: Campaign promotes equal treatment of mental and physical health

The Royal College of Nursing's (RCN) new parity of esteem initiative encourages members to take a holistic approach to patient care.

“Currently, people with severe mental illnesses die 15–20 years earlier than the general population,” said Tim Coupland, who leads the RCN parity of esteem project.
 
“We can all play our part in changing this by addressing people’s mental health with the same urgency as we do physical health and ensuring that people with complex mental health issues are supported to look after their physical well-being. We also need to consider how physical health issues affect our patients’ mental health.” 

Tim and the rest of our parity of esteem group have been looking at how mental and physical health feed into one another and what nursing staff can do to make parity a reality. Their week-long campaign shares key insights and actions to help you make changes in your workplace.

Read full story

Source: RCN, 7 October 2019

Read more
 

Jeremy Hunt launches charity to monitor patient safety

Former health secretary, Jeremy Hunt, has set up a patient safety charity which will establish data he can use to report on levels of avoidable harm in healthcare.

The charity, Patient Safety Watch, will commission research from leading universities on the scale of patient harm, with the aim to create an agreed methodology that will allow trends in the level of harm in healthcare to be tracked over time.

Mr Hunt said he wanted to fill a gap in hard data on safety issues: "The bit of the jigsaw that is missing is the hard data on the number of avoidable deaths, avoidable harm, is it going up is it going down, and taking a view across the whole system," he said.

"We intend the remit of the charity to be a narrow one which is about establishing credible data around patient safety issues".

Read full story (paywalled)

Source: HSJ, 9 October 2019

Patient Safety Learning's response:

We welcome today's announcement by Jeremy Hunt MP that he is setting up a new charity, Patient Safety Watch. At Patient Safety Learning we are committed to providing an independent voice for improving patient safety and collaborating with healthcare organisations, charities and patients to drive system-wide change. 

In our report, A Blueprint for Action, we set out the six foundations of safe care for patients and the practical actions needed to deliver these. Improved data and insight is one of these foundations and has a key role to play in helping to raise patient safety standards across health and social care. Highlighting examples of good practice and shortfalls in patient safety performance is needed not to blame, but to learn and improve. Patient Safety Watch's proposed focus on improving research and reporting into levels of patient safety incidents and avoidable harm in the NHS can play an important role in making the case for improvement and change. We look forward to working with Patient Safety Watch and on the actions needed to make the patient-safe future a reality.  

Read more
 

NHS whistle-blower support scheme to roll out across the country

The NHS in England is to roll out dedicated support for members of staff who raise the alarm on unsafe practice.

Following successful pilots, the NHS will soon offer practical support to any doctor, nurse, or other worker across the country who needs additional support to build their career after raising concerns at work, as part of the NHS Long Term Plan to improve care and treatment.

The move to ramp up support for whistle-blowers is part of a package of measures to put a renewed focus on the wellbeing of patients under NHS care and follows publication earlier this year of a world-first patient safety strategy, which included a requirement for every local health service to have a dedicated patient safety specialist.

Evidence shows that health services delivering a higher quality of patient care are more likely to have a positive speaking up culture.

Simon Stevens, NHS Chief Executive said: “NHS staff raise concerns because they care about our patients, and every member of our workforce – midwife, therapist, cleaner, surgeon or receptionist – who spots and reports poor practice should be supported to help put things right."

Read full story

Source: NHS England, 8 October 2019

Read more
 

MP calls on SRA to investigate law firm in NHS dispute

Liberal Democrat MP Sir Norman Lamb has called on the Solicitors Regulation Authority (SRA) to investigate national law firm Hill Dickinson over claims it failed to disclose a crucial document in a whistleblowing dispute involving the NHS.

The SRA said it had received “a number of reports” about the matter and would be “seeking further information before deciding on any next steps”.

Read full story

Source: Legal Futures, 2 October 2019

Read more
 

NHS chiefs fear hospitals will not cope amid growing social care crisis

Eight in ten hospital chief executives fear their wards will be unable to cope within a year, amid a growing social care crisis. 

A damning report today says most of those running NHS trusts are worried about short staffing and a lack of investment in services to keep the elderly out of hospital. Six in ten trust chief executives and chairmen said a lack of doctors and nurses is endangering decent patient care, with almost 100,000 staff vacancies across the NHS. Eight in ten of those running hospitals said they feared they would not be able to cope with demand within the next 12 months.

The report by NHS Providers, which represents trusts, warned of deteriorating performance across hospitals, with key targets repeatedly missed.

Read full story

Source: The Telegraph, 8 October 2019

 

Read more
 

Hospitals too often unsafe for Parkinson's patients, says charity

Many patients with Parkinson’s disease say they are not always given their drugs on time when in hospital, leaving some unable to walk or talk, according to the charity Parkinson's UK. Hospitals were too often unsafe for people with the disease, leaving them scared of ending up there.

Almost two in three people with Parkinson’s do not always get their medication on time while receiving inpatient care, according to the charity’s research.

Of the 700 patients questioned between May and July this year, 78% said their health had suffered as a result of poor medication management in hospital. Setbacks included tremors, anxiety and losing the ability to walk or talk.

Lloyd Tingley, the Parkinson's UK senior policy and campaigns adviser, said: “It’s clear that hospitals aren’t always the safest places for people with Parkinson’s, with many sharing with us that they’re terrified of ever having to be admitted.”

Read full story

Source: The Guardian, 8 October 2019

Read more
×
×
  • Create New...