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Canada: 6 Saskatchewan ICU patients with COVID-19 being transferred to Ontario

Saskatchewan will be transferring six COVID-19 patients to Ontario over the next 72 hours as the Prairie province struggles to deal with a record number of intensive care patients. 

One patient will be transferred Monday, with the other five expected by end of day Wednesday, according to the Saskatchewan Health Authority (SHA).

Premier Scott Moe said planning for transferring patients has been going on for "a number of days" and that patients will be transferred to ensure they receive "the very best possible care that they can."

Additional out-of-province support that may be required beyond Wednesday is being finalized, according to the SHA.

"We recognize the stress this will cause the families affected," SHA CEO Scott Livingstone said in a news release Monday morning.

"We continue to work every day to maximize capacity to provide care as close to home as possible, but this decision is necessary to maintain the quality of critical care services our patients need."

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Source: CBC News, 18 October 2021

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‘Safety for All’ white paper published to prioritise improvement in both patient and healthcare worker safety

Following the unprecedenFCII2YFWYAMUy58.thumb.jpg.77a9fcd6c1fe6f04a9ef4e40abd01cae.jpgted impact and strain that the COVID-19 pandemic has placed on the NHS and social care, both the public and the healthcare sector believe politicians must prioritise the improvement of both patient and healthcare worker safety.

The Safety for All white paper, Patient and Healthcare Worker Safety – Two sides of the same coin, is published today by the Safety for All campaign, set up by the Safer Healthcare and Biosafety Network (SHBN), an independent forum focused on improving healthcare worker and patient safety, including Patient Safety Learning and the Association of British HealthTech Industries.

The white paper sets out the symbiotic relationship between healthcare worker safety and patient safety and that you cannot have one without the other. The pandemic has shone a light on the interconnection of these two issues, from the importance of effective infection control to ensuring healthcare professionals feel safe to speak up about incidents of unsafe care. This white paper makes the case for a new focus and priority for improvements in, and between, patient and healthcare worker safety to prevent safety incidents and deliver better outcomes for all.

Dean Russell MP, a member of the Health and Social Care Select Committee, said:

“The NHS estimates that there are 11,000 avoidable deaths in the UK each year due to patient safety incidents. We must look at the issue of patient safety holistically. If we can change our approach then then we can reduce the number of serious safety incidents. Also, if we ensure, in the transition back to normality following the pandemic, that the safety of healthcare workers is a priority this will also impact positively on patient safety.”

Jonathan Hazan, chair of Patient Safety Learning, said:

“I welcome the publication of the Safety for All white paper with its focus on the relationship between patient safety and staff safety. At Patient Safety learning, we have always understood that improvements in one area reinforce safety in the other. We recognise that avoidable harm has complex causes and to address them, we must transform the system so that patient safety is core to the purpose of health and social care, not just one of many competing priorities. We are engaging with politicians, healthcare organisations, professionals and patients to push for the system-wide change which will result in the reduction of harm. Dean Russell and his colleagues in Parliament have a key role in improving safety and we look forward to working with them.”

Mike Fairbourn, Board Member of the Association of British HealthTech Industries, said:

“Today the Safety for All campaign is launching its white paper called “Patient and Healthcare Worker Safety – Two sides of the same coin”.  This makes the case for a new focus and priority for improvements in, and between, patient and healthcare worker safety to prevent safety incidents and deliver better outcomes for all. There needs to be a better understanding and advocacy of the mutual benefits to be accrued for patient safety by improving healthcare worker safety, and vice versa. Safety needs to be a core purpose for both the NHS and social care and for patient and workplace safety, with greater support for staff and for them to speak up following patient safety incidents.”

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Source: Safer Healthcare and Biosafety Network (20 October 2021)

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Doctors call on NHS to offer women more help after first miscarriage

Women who lose a baby during pregnancy should be offered help after having one miscarriage rather than the three currently needed to trigger NHS support, doctors say.

The Royal College of Obstetricians and Gynaecologists (RCOG) wants the NHS to overhaul its rules so that any woman who suffers a miscarriage receives some form of care, mainly information and guidance, to help them cope with their loss and plan future pregnancies.

Anyone who has two miscarriages should automatically be offered an appointment for an initial investigation at a specialist miscarriage clinic and a more in-depth exploration of their health after losing a child after conception three times, the college says in a new medical guideline.

“Miscarriage is a distressing, shocking and traumatic experience for many women and their partners. For too long the topic has been under-researched and the care for women and their partners under-resourced,” said Dr Edward Morris, the president of the RCOG.

“We believe women should access appropriate and standardised care after their first miscarriage and that is why we are endorsing the graded model for miscarriage care in this guideline.”

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Source: The Guardian, 19 October 2021

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Blunder sees dozens given only half of their third Covid vaccine

Scotland's booster jag rollout has hit a major snag after some of the country's most vulnerable people were given half their third vaccine.

In total, 140 people who were given their extra dose of the Moderna COVID-19 vaccine in the Gorebridge vaccine centre in Midlothian were affected by the error.

Health authorities have maintained there is no risk to individuals due to the error and that half a dose will provide sufficient protection.

The individuals affected were all immunosuppressed, the Midlothian Health and Social Care Partnership said, meaning they are more vulnerable to infection and at higher risk from serious complications caused by COVID-19.

The Midlothian Health and Social Care Partnership apologised for the mistake and any anxiety caused.

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Source: The Scotsman, 19 October 2021

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Cases of psychosis rise significantly over the past two years in England

Cases of psychosis have risen significantly in England during the pandemic, according to new NHS data.

The number of people referred to mental health services for their first suspected episode of psychosis increased by 75% between April 2019 and April 2021, figures showed.

The data, which has been analysed by the charity Rethink Mental Illness, showed that much of the increase in referrals has happened over the last year, after the first national lockdown.

The charity, Rethink Mental Illness, said that the data offers some of the first concrete evidence of the impact of the pandemic on the mental health of the population.

It is calling on the government to invest more in early intervention for psychosis to halt the further deterioration in people’s conditions.

The NHS defines psychosis as “when people lose some contact with reality”. This could involve seeing or hearing things that other people cannot see or believing things that are not actually true.

People experiencing symptoms of psychosis need to seek medical help very quickly and charity Rethink Mental Illness is campaigning to get people faster access to vital treatment.

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Source: The Independent, 18 October 2021

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Concern police will be able to ‘strong-arm’ NHS to hand over patient data under new plans

Police forces will be able to “strong-arm” NHS bodies into handing over confidential patient data under planned laws that have sparked fury from doctors’ groups and the UK’s medical watchdog.

Ministers are planning new powers for police forces that would “set aside” the existing duty of confidentiality that applies to patient data held by the NHS and will instead require NHS organisations to hand over data police say they need to prevent serious violence.

Last week, England’s national data guardian, Dr Nicola Byrne, told The Independent she had serious concerns about the impact of the legislation going through parliament, and warned that the case for introducing the sweeping powers had not been made.

Now the UK’s medical watchdog, the General Medical Council (GMC), has also criticised the new law, proposals for which are contained in the Police, Crime and Sentencing Bill, warning it fails to protect patients’ sensitive information and could disproportionately hit some groups and worsen inequalities.

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Source: The Independent, 18 October 2021

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West Suffolk Hospital: Midwives' critical letter right says boss

A whistleblowing letter sent by maternity staff to inspectors and a newspaper was "the right thing to do", the hospital's boss said.

Midwives at West Suffolk Hospital in Bury St Edmunds said they were "exhausted and broken" and claimed the unit was "consistently short-staffed".

The hospital had previously been criticised for its treatment of whistleblowers.

Its interim chief executive Craig Black said the letter was a "brave thing".

The anonymous letter was sent to the Bury Free Press, the Care Quality Commission (CQC) and the West Suffolk Foundation NHS Trust, in August. It claimed the midwives had spoken out because standards of care had fallen sharply.

Staff were "under extreme pressures all the time, which has left them fed up, exhausted and burnt out", it said.

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Source: BBC News, 19 October 2021

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UK lab investigated for false negative Covid tests is not fully accredited

The private laboratory that is under investigation for potentially issuing more than 40,000 false negative Covid tests was not fully accredited to perform the work, contrary to assurances made by health officials.

The UK’s independent accreditation service, Ukas, told the Guardian on Monday that neither Immensa Health Clinics Ltd nor its sister company, Dante Labs, had ever been accredited by the service, and that it had informed the Department of Health that statements suggesting otherwise were incorrect.

The UK Health Security Agency announced on Friday that it was suspending operations at Immensa’s laboratory in Wolverhampton pending an investigation into concerns that at least 43,000 people with coronavirus had been wrongly told their swabs tested negative for the virus.

Because many of the individuals would have believed the typically more accurate PCR tests performed by Immensa over simpler lateral flow tests, there is a substantial risk they unwittingly spread the virus on to thousands more people.

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Source: The Guardian, 18 October 2021

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24 children wait year for first cancer appointment in Northern Ireland

Twenty-four children in Northern Ireland with confirmed or suspected cancers had to wait over a year for a first appointment, a review has found.

The figure, for April, is in a review of child health waiting lists by the Northern Ireland Commissioner for Children and Young People.

More than 17,000 children were waiting more than a year to see a hospital consultant for the first time.

The commissioner said the waiting times were "terrifying".

The review examined official waiting list data for children's health services not published as part of the Department of Health's statistical bulletins.

Koulla Yiasouma said that waiting for any health service treatment can and does have a "profound impact on a child's health outcomes, emotional and mental well-being".

She said it was "shocking not only for the child but their families too".

"Each and every single one of them is a child and each and every single one of them is a child whose life has almost been put on hold, and a family whose life has been put on hold, because they are not getting the most fundamental right of healthcare that they deserve," she said.

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Source: BBC News, 19 October 2021

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NHS England hospitals having to rely on ‘obsolete’ imaging equipment

About a third of NHS trusts in England are using “technically obsolete” imaging equipment that could be putting patients’ health at risk, while existing shortages of doctors who are qualified to diagnose and treat disease and injuries using medical imaging techniques could triple by 2030.

According to data obtained through freedom of information requests by Channel 4’s Dispatches programme, 27.1% of trusts in NHS England have at least one computerised tomography (CT) scanner that is 10 years old or more, while 34.5% have at least one magnetic resonance imaging (MRI) scanner in the same category. These are used to diagnose various conditions including cancer, stroke and heart disease, detect damage to bones and internal organs, or guide further treatment.

An NHS England report published last year recommended that all imaging equipment aged 10 years or older be replaced. Software upgrades may not be possible on older equipment, limiting its use, while older CT scanners may require higher radiation doses to deliver the same image, it said.

Dr Julian Elford, a consultant radiologist and medical director at the Royal College of Radiologists (RCR), said: “CT and MRI machines start to become technically obsolete at 10 years. Older kit breaks down frequently, is slower, and produces poorer quality images, so upgrading is critical."

“We don’t just need upgraded scanners, though; we need significantly more scanners in the first place. The [NHS England report] called for doubling the number of scanners – we firmly support that call, and recommend a government-funded programme for equipment replacement on an appropriate cycle so that radiologists can diagnose and treat their patients safely."

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Source: The Guardian, 18 October 2021

 

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Care increasingly disrupted by building failures as NHS repair bill grows

The increase in estates-related problems disrupting clinical services comes despite the government handing out £600m to trusts last year to modernise their facilities, and at a time when the NHS is struggling to bring down elective waiting lists and handle high emergency demand.

Annual figures published by NHS Digital yesterday show nearly 7,000 “clinical service incidents caused by estates and infrastructure failure” in 2020-21. This marks a 15% increase on the previous year, although it is less than the level of growth in 2017-18 (25 per cent) and 2018-19 (22%).

The incidents are defined as infrastructure failures which cause delays, cancellations or other interference with clinical services. This includes issues like power outages, building defects, and even a lack of estates and facilities staff such as porters.

High-risk estate is defined as needing “urgent priority” to prevent “catastrophic failure, major disruption to clinical services, or deficiencies” in safety which are “liable to cause serious injury and/or prosecution”.

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Source: HSJ, 15 December 2021

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Pregnant women at risk from NHS workers’ mixed messages over safety of jab

Pregnant women are being advised by some health professionals not to have the Covid vaccine despite an edict from the NHS that they should encourage them to get the jab. One in six of the most critically ill Covid patients requiring life-saving care are unvaccinated pregnant women, figures released last week show.

Yet messages sent to the Vaccines and Pregnancy helpline, launched on 20 August to help pregnant women navigate information about the vaccine, suggest that some midwives are advising against the jab.

One said: “I was initially keen to have the vaccine and then advised by a midwife not to have it.” Another wrote: “I had my first dose before I knew I was pregnant. Now I’m pregnant I’ve been told I’m not allowed my second.” Another reported: “I’ve been advised by midwives not to get the vaccine due to the impact on ovulation and menstruation.”

The helpline was set up by the organisation Full Fact in partnership with the campaign group Pregnant Then Screwed. Many of those contacting it complained of conflicting advice while others were pushed from pillar to post. One said: “I’m pregnant and really confused about getting the vaccine. I’ve spoken to my health visitor, who said speak to your GP, the GP said speak to your midwife, and the midwife said they can’t advise me.”

Full Fact’s deputy editor, Claire Milne, said the helpline was established to counter misinformation about the vaccine. She explained: “It’s not right so many pregnant women have been left scared for their safety and that of their unborn children.

“Messaging around the safety of the vaccines in pregnancy has been, at times, confused. It’s vital that up-to-date information is available – especially when speaking with health professionals.”

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Source: The Guardian, 17 October 2021

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Trusts failing to report ‘concerning’ numbers of hospital-acquired covid cases

Some acute trusts have failed to report large numbers of hospital-acquired covid infections as patient safety incidents, despite NHS England describing this as ‘fundamental’. 

HSJ examined the numbers of “infection control” patient safety incidents reported to the national reporting and learning system in 2020-21, and compared this to separate NHS England data on covid infections most likely to have been acquired in hospital.

The number of incidents reported to the NRLS in the 12-month period should in theory be higher, as it covers all types of hospital-acquired infections, while the NHSE data only covered covid infections in the last seven months of the year. 

This appears to hold true nationally, with almost 59,000 incidents reported to the NRLS, compared to around 36,000 likely hospital-acquired covid infections suggested by the NHSE data. But for around a third of trusts, the incident numbers reported to the NRLS were smaller, with some appearing to report very low numbers.

Helen Hughes, chief executive of patient safety charity Patient Safety Learning, said: “The scale of the under-reporting set out in these findings is particularly concerning.”

“As this data informs assessment of performance at both organisational and national levels, it is possible that this could create a false assurance about the extent of harm in this period,” Ms Hughes said.

“Where organisations are now retrospectively completing serious incident reports, there are obvious questions as to whether key insights will have been lost as memories of incidents fade over time and their causes.”

“However, they rely on the capacity and commitment of staff behind them. The pandemic has placed an enormous strain on the health service and we have heard from staff the time constraints this has put on them to report patient safety incidents,” she added. 

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Source: HSJ, 15 October 2021

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Austerity since 2010 linked to tens of thousands more deaths than expected

Austerity measures introduced by David Cameron’s coalition government after 2010 can be linked to tens of thousands of additional deaths, according to a damning new study.

A paper published by researchers at the University of York concluded that reductions in funding to health can be linked to an extra 57,550 fatalities.

Researchers looked at the healthcare spending of the Conservative and Liberal Democrat government after 2010.

The researchers said the results of their paper confirmed what had been reported in previous studies.

But the conclusions of causal impact of social care, public health and healthcare expenditure on mortality in England, published in the BMJ Open journal, make “a major contribution by additionally estimating the effect of social care expenditure,” its authors said.

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Source: The Independent, 15 October 2021

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CQC criticises care scandal trust for 'unsafe staffing'

The trust at the centre of a maternity scandal does not have enough midwifery staff to keep women and babies safe, a Care Quality Commission (CQC)inspection has revealed.

East Kent Hospitals University Foundation Trust relied on community midwives to fill slots at its acute unit, with some of them working 20-hour days after being called in to help cover and feeling outside of their competence.

The trust had suspended a midwife-led unit and diverted women in labour to other hospitals – and when the CQC raised the understaffing issue at its inspection in July, it suspended its home birth service. But the CQC found that the number of midwives and maternity workers on duty rarely matched planned numbers and managers rarely calculated staffing numbers accurately, with some elements of the workload not being factored in.

Lack of staff meant there was a risk to the safe assessment and monitoring of women and babies at the trust’s William Harvey Hospital in Ashford. Unqualified staff were having to deal with telephone queries from women who needed advice and support.

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Source: HSJ, 15 October 2021

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Covid test lab suspended over wrong results

Around 43,000 people in England may have been wrongly told their Covid-19 test was negative because of errors at a lab.

Testing at the Wolverhampton laboratory has been suspended following an investigation by NHS Test and Trace.

It is now contacting those affected, mainly in the south west region, to ask them to take another Covid test.

Concerns were raised when people had positive lateral flow tests but negative PCR results from the lab.

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Source: BBC News, 15 October 2021

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White doctors in London are six times more likely to be offered jobs than black doctors

White doctors applying for medical posts in London are six times more likely to be offered a job than black applicants, figures released under the Freedom of Information Act show.

The new data also show that white doctors are four times more likely to be successful than Asian candidates or candidates from a mixed ethnic background.

The figures were uncovered by Sheila Cunliffe, a senior human resources professional who works in workforce transformation across the NHS and the wider public sector. Cunliffe sent freedom of information requests to all 18 NHS acute trusts in London asking for a breakdown by ethnicity for 2020-21 of the numbers of applicants for medical jobs, shortlisted candidates, and candidates offered positions. 

Twelve of the 18 trusts shared their full unredacted data with The BMJ on all grades of job applications. Across these 12 trusts, 29% (4675 of 15 853) of white applicants were shortlisted in 2020-21, compared with 13% (2041 of 15 515) of black applicants, 14% (8406 of 59 211) of Asian applicants, and 15% (1620 of 10 860) of applicants of mixed ethnicity.

Overall, 7% (1148) of white applicants were offered jobs, compared with 1% (188) of black applicants, 2% (1050) of Asian applicants, and 2% (188) of applicants of mixed ethnicity.

Cunliffe said that the findings were just one indicator of the barriers that applicants from ethnic minorities faced. “The racism some of these results point to will be replicated in the day-to-day lived experience of staff working within the trust,” she said. “NHSEI [NHS England and NHS Improvement] need to look at data in a more detailed way and, where needed, set out to trusts their clear expectations and targets for improvement.”

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Source: BMJ, 13 October 2021

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Charities say Covid booster rollout for immunosuppressed is ‘chaotic failure’

The programme of giving third Covid vaccinations to people with compromised immune systems has been a “chaotic failure”, charities have said, with fewer than half of those eligible contacted about a third jab before an NHS deadline this month.

Surveys by Blood Cancer UK and Kidney Care UK found that for both groups of patients, between 55% and 60% had yet to be invited to get a third injection, seen as particularly vital for conditions which affect people’s immune systems, as they are generally less protected by two jabs.

The charities said many of those who responded were desperately worried and were struggling to get information about a third vaccination. Some people with blood cancer had resorted to going to vaccination centres without an appointment, pleading for a third dose, Blood Cancer UK said.

Official figures show there were 45,066 confirmed new Covid cases in the UK on Thursday, the highest daily total since mid-July.

Kidney Care UK said the poor communication highlighted what seemed to be a “woeful lack of preparation” for the programme, the guidance for which was agreed on 2 September.

The third dose programme for people with compromised immune systems is separate to the wider rollout of booster jabs being offered to everyone over 50, and others with clinical vulnerabilities, which started on 15 September.

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Source: The Guardian, 15 October 2021

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Councillors call for NHS trust bosses to resign over maternity scandal

Senior managers at an NHS trust are facing calls to resign from local councillors after criticism of the trust’s culture and widespread bullying.

The chair of Nottinghamshire County Council's health scrutiny panel has called for the chair of Nottingham University Hospitals Trust Eric Morton to step down along with Keith Girling, the trust’s medical director.

Councillor Sue Saddington, chair of the council’s scrutiny committee, said she would be writing to health secretary Sajid Javid over concerns about leadership at the trust.

An investigation by The Independent and Channel 4 News earlier this year uncovered dozens of cases of negligent baby deaths and injuries costing millions of pounds in compensation. Families have accused the trust of trying to cover-up mistakes and not learning from errors.

More than 30 babies have died at the trust in the past decade with 46 children left with brain damage.

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Source: The Independent, 13 October 2021

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Dentist NHS targets can not be reached without putting patients and staff at risk

A patients' group says it is concerned over a lack of access to NHS dentists in South Gloucestershire after two surgeries turned private.

Frampton and Flaxpits surgeries say NHS targets can not be reached without putting patients and staff at risk. and they must go private to survive.

Vicky Marriott, of Healthwatch, an independent statutory body representing patients, said not having an option to have NHS care was a "real concern".

In a letter to patients, Dr Dimitri Haddjeri, dentist at Framptom and Flaxpits surgeries, said "target-driven, high-volume dentistry" was "not fit for purpose" and did not put the patient first.

He said NHS targets could not be reached without putting patients and staff at risk.

Ms Marriott said there were "enormous problems" for people trying to find NHS care across South Gloucestershire, Bristol and North Somerset.

"Between July and September this year, in Bristol alone, we've had 73 people contact us saying that they've been emailing or phoning every single dental practice to see if they can get treatment and haven't been able to," she said.

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Source: BBC News, 13 October 2021

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Plan to boost face-to-face GP consultations

GPs in England are being told to see more patients face-to-face as ministers unveil a £250m winter rescue package.

The emergency funding is being handed to GPs so they can recruit extra locum staff with an emphasis on providing more same-day appointments. Social distancing rules are also expected to be relaxed so that GPs can bring more people into their buildings. 

It comes amid mounting criticism about the fall in face-to-face appointments since the start of the pandemic.

Only 58% of patients were seen face-to-face in August - the first full month following the ending of restrictions. That compares with 54% in January and more than 80% before the pandemic.

Patients have also complained of long waits on phone lines to book an appointment.

The £250m funding is part of the extra £5bn Covid fund announced last month to help the NHS through to the end of the year, and comes on top of the £12bn set aside for GP services this year.

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Source: BBC News, 14 October 2021

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HEE tells trusts to prioritise training, or services will suffer

The quality and performance of services will suffer if medical training is not ‘prioritised and funded’ by trusts, Health Education England (HEE) has warned.

HEE has set out actions in its “Covid training recovery interim report” that must be done alongside NHS England, the Department of Health and Social Care and others to protect post-covid workforce recovery.

At the beginning of the pandemic, junior doctors’ training was severely disrupted because thousands of staff were redeployed to covid wards, while most routine elective operations and diagnostic procedures were stopped.

HEE says training has still not returned to pre-covid levels, and fears there could be further disruptions over winter if significant volumes of elective care are cancelled.

According to its report, if medical training is not “prioritised and funded”, the “long-term costs to service are significantly greater”.

“If delivery recovery is prioritised over training recovery there will be an initial increase in service delivery time and value, but this will be followed swiftly by a reduction in service delivery time and value,” it warned.

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Source: HSJ, 13 October 2021

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Hospitals trigger emergency measures as patients wait 13 hours in the back of ambulances

An NHS trust has spent more than two weeks running on emergency measures after skyrocketing demand since mid-September, while others have kept people waiting for more than a dozen hours in the backs of ambulances.

The Independent has learnt one patient in the West Midlands spent 13 hours waiting to be handed over to staff at the Shrewsbury and Telford Hospitals Trust.

Gloucester Hospitals Trust declared its internal incident on 19 September and only stood it down on 5 October, while London’s Barnet Hospital took similar extraordinary action on Monday due to high demand. And at North Middlesex Hospital staff saw more than 200 patients crowd into the emergency department on Monday afternoon.

Declaring an internal incident is designed to activate measures that help hospitals deal with a sudden peak of demand and should only last for a short time.

Such pressures are being felt across the country with NHS managers seriously concerned about what the coming months will look like as temperatures dip. One said they had not seen things as bad in more than a decade.

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Source: The Independent, 13 October 2021

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COVID-19: Government’s handling of pandemic had “big mistakes,” MPs say

The government’s actions in dealing with the COVID-19 pandemic have received a mixed review from MPs in a report that set out the successes and failures of the UK response.

Although the joint report from the House of Commons’ Science and Technology Committee and Health and Social Care Committee  praised the UK’s covid vaccination programme as highly effective, it also condemned serious errors, especially delayed lockdowns and how a test, trace, and isolate system was set up.

Overall, the MPs’ inquiry found that some government initiatives were examples of global best practice but that others represented “serious mistakes.” 

The UK’s pandemic planning was based too narrowly on a flu model that had failed to learn the lessons from the SARS, MERS, and Ebola epidemics, said the MPs, which meant that its covid planning was worse than in other countries.

Delays in establishing an adequate test, trace, and isolate system hampered efforts to contain the outbreak, said the MPs, and the government’s initial decision to delay a comprehensive lockdown had revealed its then “fatalistic” assumption that it was impossible to suppress the virus, which amounted, in practice, to accepting that herd immunity by infection was inevitable.

The report said that many thousands of deaths could have been avoided if the government had not let hospitals discharge people into care homes in the initial phase of the pandemic and that this showed the “longstanding failure” to give social care sufficient priority and the same attention as the NHS.

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Source: BMJ, 12 October 2021

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NHS faces beds crisis as care homes stop taking patients from hospitals

The NHS faces a mounting beds crisis as care homes suffering unprecedented staff shortages are forced to stop taking patients from hospitals, health and care leaders have warned.

Ministers are desperately trying to free up space in the NHS to tackle a backlog of 5.6 million people – equivalent to almost 10% of people in England – awaiting treatment.

But efforts to speed up the discharge of hospital patients into the community are being hampered by care worker shortages. Britain’s largest not-for-profit care home provider, MHA, has already had to close 1 in 10 of its homes to admissions from hospitals, its chief executive, Sam Monaghan, told the Guardian.

The warning comes as a comprehensive assessment on Wednesday reveals that care homes in England are facing the biggest staff shortage on record, with 105,000 positions unfilled according to the 2021 State of the Adult Social Care Sector and Workforce report by Skills for Care, an industry body.

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Source: The Guardian, 13 October 2021

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