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Derby maternity deaths may have been prevented

Three women who died under the care of a hospital's maternity unit may have survived if earlier recommendations had been implemented, a report has said.

The cases occurred at University Hospitals of Derby and Burton (UHDB) NHS Foundation Trust over 16 months.

A review by the Healthcare Safety Investigation Branch (HSIB) also found a culture of intimidation and bullying.

The report found that although there was no common theme to the deaths - and four other life-threatening cases that occurred in the same period - processes and leadership had been inconsistent and fragmented.

HSIB said "robust action planning and prompt addressing of the learning" from previous recommendations from other investigations "may have had an impact on the outcome for the women who received care during the seven events included in this thematic review".

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Source: BBC News, 22 February 2023

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Derby doctor who put patients at risk has eighth tribunal in nine years

A Derby doctor who has been the subject of eight tribunals in less than nine years has been sanctioned for a further four months. Dr Anatta Nergui was originally found guilty of misconduct in 2014 and has been found to have not fully reflected on the severity of his offending in six different hearings since.

The psychiatrist was suspended by the Medical Practitioner Tribunal Service (MPTS) in 2014 for running a website and blog which offered incorrect medical advice to those who got in contact with him. In 20 of 22 cases, he was found to have failed to recommend that the patient saw a doctor or psychiatrist, and failed to recommend a counselling or psychotherapy course in 30 cases, among other complaints, which put patients at "significant risk of harm".

The latest tribunal aimed at assessing his fitness to practice, held in March 2022, has imposed a further four months of conditions on him, after the MPTS found that "despite there being a low risk of repetition, the remediation had not yet been completed", according to the chair of the tribunal, Jetinder Shergill.

In the MPTS determination, released on Thursday (March 17), Mr Shergill said: "While the tribunal was satisfied that there is sufficient evidence Dr Nergui is a competent and safe doctor, there remains a lingering concern that he did not appreciate the findings made against him from the patient’s perspective and/or did not express this in a clear, cogent manner. The tribunal considered that Dr Nergui might have benefitted from seeking feedback from a trusted colleague or mentor, reflecting on what went wrong and setting out his thought processes on avoiding similar risk.

"In short, the self-reflection has led Dr Nergui down a restricted path of understanding, leading him to focus on the legal aspects of the process and semantics rather than the primary issue which was one of patient safety. If he had sought the input of a third party, it may have led to him developing an alternative view rather than the binary approach that he has adopted. This left the tribunal with the view that whilst there has been some insight, remediation is not yet complete."

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Source: Derbyshire Live, 18 March 2022

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Derby and Burton's maternity services among 'most challenged in England'

Derby and Burton’s maternity services are now among the “most challenged in England”, requiring national involvement to boost improvements. The University Hospitals of Derby and Burton NHS Foundation Trust joins 31 other NHS trusts across England which are now under closer scrutiny aimed at improving the quality of maternity services.

A report from the trust details that it asked to be added to the national NHS England Maternity Safety Support Programme (MSSP) "voluntarily". Midwifery and obstetric improvement advisors have now been allocated to the trust to spend two days a week on the trust’s sites and also to provide “virtual” assistance.

A letter to Stephen Posey, the trust’s chief executive, sent by Sascha Wells-Munro, the deputy chief midwifery officer for NHS England, details that the organisation’s addition to the national support programme comes after a number of concerning reports – not just its request. It references the Healthcare Safety Investigation Branch report, published in February, which highlighted the cases of seven women and their babies between January 2021 and May 2022, with three mothers and a baby dying and four mothers suffering extreme consequences.

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Source: Derbyshire Live, 13 September 2023

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Depth of NHS crisis is revealed by coroners’ courts reports

NHS waiting times, staff shortages and service backlogs have been flagged as concerns in relation to dozens of patient deaths across England and Wales since the start of last year, the Observer can reveal, with coroners facing a succession of inquests concerning ambulance delays.

Coroners issue prevention of future deaths reports (PFDs) when they believe preventive action should be taken, and send them to relevant individuals or organisations, which are expected to respond.

Among 55 cases identified by the Observer are 24 patient deaths where coroners raised concerns about ambulance delays – all of them occurring before this winter’s ambulance crisis, when response times rocketed to their worst-ever levels.

Wes Streeting, shadow health and social care secretary, said: “The NHS is in the biggest crisis in its history – and the crisis has a cost in lives. Patients are waiting for far longer than is safe, with terrible consequences.”

But the issues highlighted by coroners in relation to patient deaths are wider than ambulance delays. They include: lengthy elective surgery backlogs; high referral thresholds and long waiting times for children’s mental health services; a national shortage of neurologists; long waiting times for psychological therapies; a lack of mental health beds and unfilled mental health staff vacancies; and a shortage of cardiologists compounded by a shortage of theatre capacity and beds.

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Source: The Guardian, 26 February 2023

Further reading on the hub - see a selection of Prevention of Future Deaths reports in our dedicated coroner's report section of the hub.

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Deprivation linked to higher second cancer risk among England breast cancer survivors

Female survivors of breast cancer living in the most deprived areas have a 35% higher risk of developing second, unrelated cancers, compared with those from the most affluent areas, research shows.

Breast cancer is the most commonly diagnosed cancer in the UK, with about 56,000 people being told they have it each year. Improved diagnosis and treatments mean that five-year survival rates are now 86% in England. People who survive breast cancer have a greater likelihood of second primary (unrelated) cancer, but until now the exact risk has not been clear.

A team of researchers led by the University of Cambridge analysed NHS data from almost 600,000 patients in England and found, compared with the general female population, women who had survived breast cancer had an increased risk of developing 12 other primary cancers. Compared with the most affluent, the least well-off female survivors of breast cancer had a 166% greater chance of developing lung cancer, a 78% higher risk of stomach cancer, more than 50% increased risk of bladder and oesophagus cancers, 48% higher risk of head and neck cancer and 43% increased risk of kidney cancer.

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Source: Guardian, 24 April 2024

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Depression in British adults doubles during pandemic, new data shows

The number of adults experiencing depression has almost doubled during the pandemic, according to new figures.

Data from the Office for National Statistics showed that almost one in five adults (19.2 per cent) were likely to be experiencing some form of depression in June. This had risen from around one in 10 (9.7%) between July 2019 and March 2020, before the imposition of the nationwide lockdown.

Dame Til Wykes, a professor of clinical psychology and rehabilitation at King’s College London, warned of a looming “mental health crisis” once the pandemic passes.

“This study tells us, yet again, that we might have a mental health crisis after this pandemic. The social effects of distancing and isolation for some affects their emotional wellbeing.

Dr Billy Boland, chairman of the General Adult Faculty at the Royal College of Psychiatrists, said the UK’s mental health services would be faced with a “tsunami of referrals” in the coming months.

“Isolation, bereavement and financial insecurity are some of the reasons why the nation’s mental health has deteriorated since the start of the pandemic.

“The government must speed up the investment to mental health services if we are to treat the growing numbers of people living with depression and other mental illnesses.”

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Source: The Independent, 18 August 2020

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Department of Education updates National Framework for Children’s Social Care

The Department of Education has recently provided an update to the national framework for Children’s Social Care. The key point to be aware of is the increased focus on sharing responsibility and strengthening multi-agency working to safeguard children.

This change is likely to impact a wide variety of stakeholders involved in children’s care, including NHS Trusts, ICBs, education partners, local authorities, voluntary, charitable and community sectors and the police. 

The focus continues to be on a child-centred approach with the intention of keeping children within the care of their families wherever possible; this collaborative working may include working with parents, carers or other family but the wishes and feelings of the child alongside what is in the child’s best interests remain paramount. Joined up working is to be viewed as the norm.

For health professionals, you will be expected to have lead roles for children with health needs, such as children who are identified as having special educational needs or disabilities. 

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Source: Bevan Brittan, 23 January 2024

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Departing NHSE boss ‘calls out’ A&E variation

NHS England’s outgoing chief operating officer has claimed there is too much unwarranted variation in the service’s emergency care performance.

Dame Emily Lawson made the comment at last week’s NHSE board meeting ahead of her departure from the organisation yesterday.

She told the board that she “wanted to call out variability” in the spread of 12-hour A&E waits across the county.

Dame Emily said: “If we look at the last six months of data, 17.6 per cent of trusts have deteriorated in 12-hour breaches, 25.8 per cent have improved, and the rest have sustained their 12-hour performance.

“When we look at headline numbers, we often miss both the improvement that’s going on, but also some of the tensions that are happening and needing to be managed locally.”

Dame Emily added that emergency care “still has some opportunity” to improve its productivity, adding that long A&E waits for people in mental health crisis “remain too common”.

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Source: HSJ, 1 April 2025

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Departing chief spells out ongoing NMC challenges

Andrea Sutcliffe revealed in May that she would be resigning as chief executive and registrar of the Nursing and Midwifery Council (NMC) due to ill health.

Marking the end of her tenure at the NMC, Ms Sutcliffe spoke to Nursing Times about some of her key achievements while leading the organisation over the last five years, and the challenges that lie ahead for her successor and the important work that must be prioritised in the coming months.

Ms Sutcliffe’s departure comes at a tricky time for the regulator, which has come under fire for alleged failures in its regulatory processes and concerns about its internal culture.

A series of articles were published by The Independent last year, which raised serious concerns about the inner workings of the NMC, the way it treats staff and how it handles whistleblowing.

The newspaper reported that there was a “culture of fear” at the NMC that meant staff were afraid to speak out, while also claiming that there were issues of racial discrimination and sexism within the organisation.

Ms Sutcliffe said the articles raised “really serious concerns” about the internal workings of the NMC and stressed the necessity of the independent reviews to “thoroughly scrutinise” what has been going wrong.

“We’re trying to do things, but we’re clearly not doing enough and it’s not making the difference it needs to,” explained Ms Sutcliffe.

“Some people’s experience within the organisation is not acceptable, and we’ve got to get that right.”

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Source: Nursing Times, 28 June 2024

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Dentists warn of permanent damage from clear braces ordered online

Dentists have told the BBC that demand for Instagram smiles has left people with damage from wearing clear braces or "aligners" ordered online.

One man said aligners weakened his front teeth, leaving him unable to bite into an apple.

Smile Direct Club, the largest company selling clear aligners remotely, says they straighten teeth faster and cheaper than traditional braces. Its aligners have been successful for the majority of users, it says.

But some dentists and orthodontists believe customers of so-called remote dentistry are unaware of harm that can be caused by aligners if not fitted by a dentist in person.

The General Dental Council (GDC), responsible for regulating UK dentists, says for some cases remote dentistry can be "provided safely". It urges consumers to consult its guidelines.

However, Dr Crouch of the BDA believes such guidelines are insufficient compared with "rules and regulation to protect patients". Otherwise, dentists will be left picking up the pieces when "patients have undergone wholly inappropriate treatment".

The UK's health watchdog, the Care Quality Commission (CQC) announced last summer any company providing remote orthodontic services will have to register with it.

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Source: BBC News, 20 January 2023

 

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Dentists warn of looming dental and mouth cancer crisis after months of lockdown measures

Dentists are warning of a looming dental and mouth cancer crisis after months of delays and patients being unable to get check-ups and repair work.

It comes as surgeries begin to reopen more widely but dentists are still facing significant restrictions on how they can operate, with rooms having to be vacated for an hour after any treatment is done using a drill.

For Maezama Malik, who is the principal dentist of her surgery in Croydon, south London, this has caused a big backlog of patients.

She said the biggest worry is that a patient might have "something minor that could progress in a few months" without them seeing a dentist.

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Source: Sky News, 18 July 2020

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Dentists return £900m for not seeing NHS patients

Dentists in England are returning hundreds of millions of pounds a year to the government for unfulfilled NHS care, the BBC has learnt.

Over the last two years, more than £900m has been handed back - £1 out of every £7 they have been paid - as dentists instead prioritise private work.

The findings help explain why despite record sums being set aside for NHS dentistry, so many patients are struggling to get one - more than a fifth of people report not being able to access care when they need it.

The government said improvements were being made this year and any money returned was reinvested into services.

Nikita Jenkins, 27, from Cornwall, is one of millions of people who has struggled to access NHS dental care.

She has not seen one for 14 years and has been forced to pay privately for her two young daughters to get treatment as she was told waiting lists locally were seven years long.

"I tried every dentist in and around my area, but it was near impossible.

"We were waiting and, in the end, I felt like we had no choice but to take the jump and pay to go private, to ensure that our children had the right health care."

"Dentistry feels like a luxury, not a necessity, because it's just so inaccessible, which shouldn't be the case - especially for children," she told the BBC.

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Source: BBC News, 5 March 2026

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Dentists in England to be paid more for emergency NHS appointments

Dentists in England will be paid more to ensure patients have easier access to emergency appointments under government plans, but experts have expressed doubt that it will improve care.

The changes, which will be introduced from April next year, will include dentists being incentivised to provide emergency and complex treatments through the introduction of a standardised payment package, ministers said.

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Source: Guardian, 16 December 2025

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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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Dental practices to reopen

Dental practices in England have been told they can reopen from Monday 8 June, if they put in place appropriate safety measures. All routine dental care in England has been suspended since 25 March.

The British Dental Association (BDA) has welcomed the announcement but says key questions remain.

Currently, any patient with an emergency dental problem is supposed to be referred to an Urgent Dental Care (UDC) hub for treatment.

In a letter to all practices, NHS England's chief dental officer, Sara Hurley, said: "Today, we are asking that all dental practices commence opening from Monday, 8 June for all face-to-face care, where practices assess that they have the necessary IPC and PPE requirements in place."

The BDA said that while dentists would be relieved by the announcement, the ability of practices to reopen would depend on the availability of personal protective equipment (PPE).

"It is right to allow practices to decide themselves when they are ready to open. Dentists will be keen to start providing care as soon as is safely possible, but we will need everyone to be patient as practices get up and running," said BDA chairman Mick Armstrong.

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Source: BBC News, 28 May 2020

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Dental patients 'might never' get 6-month check-ups again

Dentists may never catch up with the backlog of patients waiting for check-ups, a leading dentist has warned.

Dr Russell Gidney said around 6,000 of his patients had not been given a routine check-up in the past year because of Covid restrictions.

NHS Wales figures show courses of dental treatment dropped by over three quarters in 2020-21. The Welsh government said dental services would get an extra £3m this year to support pandemic recovery.

Dr Gidney said fatigue among colleagues and recruitment problems threatened the return of regular appointments.

At his practice in Chepstow, Monmouthshire, he said check-ups have not been going ahead because patients who need urgent treatment were prioritised. 

Dentists are limited in number of patients they treat because of increased safety measures - such as wearing more PPE and cleaning between patients.

New operating procedures were announced last week, relaxing the safety measures for patients who show no signs of respiratory illness, such as colds and flu. But Dr Gidney said although new guidelines may increase patient volumes, they will "barely make a dent" into the "unprecedented backlogs".

Wales' Health Minister Eluned Morgan said there have been "long-standing issues" with access to dentistry, due to practices experiencing difficulties with recruitment and retention of dentists.

She said these issues were "impacting on the provision of NHS dental services".

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Source: BBC News, 2 December 2021

 

 
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Dental checkups to become less frequent in England and Wales

The decades-old routine of visiting an NHS dentist for a six-month checkup is being scrapped across England and Wales for most adults as part of changes designed to address the dire lack of access to dental care for many people.

Wales has announced that most adults now only need to see their dentist once a year, which the government in Cardiff says will free up NHS dentists’ time and allow them to take on more than 100,000 extra patients annually.

The Labour-controlled Welsh government also hinted it wanted to recruit disillusioned dentists from England by offering chances to develop skills such as carrying out more complex surgery within their practices.

Its announcement came after the UK government wrote to NHS dentists last week saying that under the first changes to the dental contract in 16 years, healthy people will only need a checkup every two years. It said this complied with guidance from the National Institute for Health and Care Excellence (Nice), which says dental teams should see patients for a checkup based on their health risk, which can be once every two years instead of every six months.

Both governments claimed the moves would allow more people to find NHS care but dentists’ representatives in England and Wales described the changes as “tinkering” and “marginal tweaks”.

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Source: The Guardian, 27 July 2022

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Dementia village in Warwick is a pioneer in person-centred care

Woodside Care Village in Warwick is staged like a town centre in miniature, with benches and a fountain, cafe tables and front doors to homes styled as either “town”, “country” or “classical”. But none of the places are quite what they seem, because here everything has a greater purpose: to improve the wellbeing of people with dementia.

Modelled on a groundbreaking Dutch experiment in looking after people with Alzheimer’s disease, the purpose-built facility, which opened in 2019, is quietly breaking new ground for a better kind of dementia care.

“Everything is dressed and staged to look familiar,” said Jo Cheshire, the communications manager for the home’s operator, WCS. “We try to make sure people aren’t severing their links with the past. We have one lady who works in the launderette with a badge, because that’s what she did before. It feels like they are contributing to the community.”

“The idea is you have freedom,” said Cheshire. “If you come upon a locked door it can increase agitation, that’s unsettling for the other residents and it makes the carer’s job harder.”

Staff ratios are higher than normal, at two staff for every five or six people rather than the usual one. This means staff can spend more time interacting with the residents.

Staff are briefed with a “this is me” document, which details the likes and dislikes of each person with dementia and has photos through their lives, the time they like to get up, when they like to eat. 

A clinical trial of such “person-centred” dementia care in 69 care homes in London and Buckinghamshire published in 2020 showed that it improved quality of life for people with dementia and reduced agitation and the burden of depression or aggression. It also reduced hospital and GP visits.

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Source: The Guardian, 30 December 2022

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Dementia set to become Australia’s leading cause of death

Dementia is on the brink of overtaking heart disease as the leading cause of death in Australia, according to the Australian Bureau of Statistics, which says the 250 deaths between the two conditions are “the closest they have ever been”.

In 2023, which recorded 183,131 deaths nationally, the five leading causes of death were heart disease, dementia (including Alzheimer’s), cerebrovascular disease, lung cancer and chronic lower respiratory disease, ABS data revealed.

Covid fell to the ninth leading cause of death, from third in 2022.

If mortality trends continue to follow expected trajectories, dementia will be the leading cause of death in Australia “in coming years”, the report said.

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Source: The Guardian, 10 October 2024

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Dementia patients not allowed to use toilet

Heather Lawrence was shocked at the state she found her 90-year-old mother, Violet, in when she visited her in hospital.

"The bed was soaked in urine. The continence pad between her legs was also soaked in urine, the door wide open, no underwear on. It was a mixed ward as well," Heather says.

"I mean there were other people in there that could have been walking up and down seeing her, with the door wide open as well. My mum, she was a very proud woman, she wouldn't have been wanted to be seen like that at all."

Violet, who had dementia, was taken to Tameside General Hospital, in Greater Manchester, in May 2021, after a fall. Her health deteriorated in hospital and she developed an inflamed groin with a nasty rash stretching to her stomach - due to prolonged exposure to urine. She died a few weeks later.

Heather tells BBC News: "I don't really know how to put it into words about the dignity of care. I just feel like she wasn't allowed to be given that dignity. And that's with a lot of dementia patients. I think they just fade away and appear to be insignificant, when they're not."

New research, shown exclusively to BBC Radio 4's File on 4 programme, has found other dementia patients have had to endure similar indignity.

Dr Katie Featherstone, from the Geller Institute of Ageing and Memory, at the University of West London, observed the continence care of dementia patients in three hospitals in England and Wales over the course a year for a study funded by the National Institute for Health and Care Research.

She found patients who were not helped to go to the toilet and instead left to wet and soil themselves.

"We identified what we call pad cultures - the everyday use of continence pads in the care of all people with dementia, regardless of their continence but also regardless of their independence, as a standard practice," Dr Featherstone says.

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Source: BBC News, 21 June 2022

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Dementia patients in England facing ‘national crisis’ in care safety

Families of people with dementia have said there is a national crisis in care safety as it emerged that more than half of residential homes reported on by inspectors this year were rated “inadequate” or requiring improvement – up from less than a third pre-pandemic.

Serious and often shocking failings uncovered in previously “good” homes in recent months include people left in bed “for months”, pain medicine not being administered, violence between residents and malnutrition – including one person who didn’t eat for a month.

In homes in England where standards have slumped from “good” to “inadequate”, residents’ dressings went unchanged for 20 days, there were “revolting” filthy carpets, “unexplained and unwitnessed wounds” and equipment was ”encrusted with dirt”, inspectors’ reports showed.

Nearly one in 10 care homes in England that offer dementia support reported on by Care Quality Commission inspectors in 2022 were given the very worst rating – more than three times the ratio in 2019, according to Guardian analysis.

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Source: 29 December 2022

 

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Dementia patients being 'dumped in hospital'

Dementia patients are being dumped in hospitals in England because of a lack of community care, a charity says.

The Alzheimer's Society called for action, highlighting data showing one in 10 dementia patients spends over a month in hospital after being admitted.

The figures also suggested the overall number of emergency admissions among people with dementia is rising - with some patients yo-yoing back and forth.

Ministers said they were "determined" to tackle the problems. Central to this, the government said, would be plans for reforming the social care system, which encompasses care home places and support in people's homes.

Alzheimer's Society Chief Executive Jeremy Hughes said people were falling through the "cracks of our broken social care system".

"People with dementia are all too often being dumped in hospital and left there. Many are only admitted because there's no social care support to keep them safe at home. They are commonly spending more than twice as long in hospital as needed, confused and scared."

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Source: BBC News, 22 January 2020

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Dementia patient’s family feel let down over death

The daughter of a man with dementia who died after being pushed by another patient in a care facility, has said her family has been let down by authorities.

John O'Reilly died a week after sustaining a head injury at a dementia care unit in County Armagh. The 83-year-old was pushed twice by the same patient in the days leading up to the fatal incident. His family were not made aware of this until after his death.

On 4 December 2018, Mr O'Reilly was pushed by another dementia patient causing him to hit his head off a wall. His family have said he was pushed with such force that it left a dent in the wall. He was admitted to Craigavon Area Hospital with severe head injuries and died a week later.

Last week, an inquest heard that the dementia patient who pushed Mr O'Reilly had a history of aggressive behaviour linked to dementia.

The Southern Trust is carrying out as Serious Adverse Incident (SAI) investigation into Mr O'Reilly's death.

Maureen McGleenon said: "Our experience of the SAI process has been dreadful. In our view it allows the trust to park the fact that something catastrophic has happened to a family. We were told it would be a 12-week process. It's over a year now and we've expended so much energy trying to figure out this process and find things out for ourselves."

She added: "The system just knocks you down and makes you want to give up."

"We'll never get over what happened to dad and we can't give up on trying to understand it."

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Source: BBC News, 20 January 2020

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Dementia diagnoses in England reach record high

Record numbers of people in England are being diagnosed with dementia, new figures have revealed.

The data from NHS England, which cover people of all ages, showed that 487,432 people were diagnosed with dementia in June this year. This was almost 5% more than the figure of 465,516 for the same time last year, and 0.65% more than the figure of 484,277 for May 2024.

Dementia diagnosis rates are currently the highest they have been since the start of the COVID-19 pandemic, according to NHS England. It acknowledged that the NHS has more to do to meet its ambition to diagnose 66.7% of the total number of people estimated to be living with some form of the disease.

However, dementia diagnosis rates have yet to return to prepandemic levels. The estimated dementia diagnosis rate fell by 5.4% between March 2020 and February 2023, from 67.4% to 62%.

Dr Jeremy Isaacs, national clinical director for dementia, NHS England said, "NHS staff have worked hard to recover services with the number of people with a diagnosis rising significantly over the last year, and now at a record level."

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Source: Medscape, 23 July 2024

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Dementia diagnoses in England hit a record high, NHS data reveals

The number of people in England being diagnosed with dementia is at a record high as the NHS begins to recover from a post-pandemic dip, according to figures.

The latest data shows a record 487,432 people had a diagnosis in June – up from 77,112 in the same month last year.

While diagnosis rates are at their highest since the start of the pandemic at 65 per cent, the health service said it still has more to do to meet its ambition of diagnosing 66.7 per cent of the total number of people estimates suggest are living with a form of the disease.

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Source: Independent, 22 July 2024

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