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Government urged to address the shortage of specialist nursing staff

A new report by the Royal College of Nursing shows the number of learning disability nurses working in NHS Hospitals, NHS hospital and community services in England has risen by only 22 in three years.

Worryingly, there is estimated to be only 17,000 learning disability specialist nurses on the NMC register in the UK. 

The Royal College of Nursing is urging the government to address the shortage of specialist nurses for learning disabilities. 

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Source: Royal College of Nursing, 22 June 2021

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Calls to make the term 'nurse' a legally protected title amid fears over patient safety

The government is being urged to make the term 'nurse' a protected legal title as it has now been found people are calling themselves a nurse despite not being registered or qualified. 

Recently it has emerged that even in the NHS, unregistered staff have been using the term 'nurse', meaning patients cannot be sure the person treating them is qualified raising concerns for patient safety. 

Currently, only the term 'registered nurse' is a protected legal title. 

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Source: The Independent, 21 June 2021 

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Patient safety threat: A&E swapped by record high numbers

Hospitals around the UK are facing record numbers of patients coming into A&E, overwhelming the service. New records have been set, surpassing that of the worst days in the winter of 2019. 

Concerns over patient safety have been raised amid fears lives may be lost. It has been revealed by doctors working in A&E that patients are waiting to be seen as long as nine hours and the increased influx of people needing urgent treatment is putting more pressure on hospital beds. 

There are also reports of growing levels of violence towards medical staff from frustrated public. Dr Adrian Boyle has said "there is no quick fix" and that the increased pressure and violence from members of the public have created a "toxic work environment". 

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Source: The Independent, 20 June 2021

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Medical treatment denied to sick and disabled people in hotel quarantine

It has been reported that people in quarantine due to having flown in from overseas, were denied medical treatment when they needed it.

Among them, included a baby needing urgent treatment and was stopped from going to Accident and Emergency and a man who had suffered a heart attack. 

In what has been described as a breach of the law, people quarantined in the hotels in the London area were denied basic facilities and medical treatment. After legal intervention, the government has issued an order to release certain individuals from the hotel after it was found their health was impacted by the quarantine. 

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Source: The Independent, 20 June 2021

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Hospital ban on visits described as 'soul-destroying'

Margaret Evans, 86, from Nefyn, Gwynedd describes the ban on visitors as 'soul-destroying'. 

Ms Evans, who had been in hospital for more than 10 weeks describes her experience as like being "torn away from the world".  Betsi Cadwaladr University Health Board have said they understood the impact of having no visitors and is set to make changes to the restrictions this week by allowing visits by appointment. 

Other hospitals around Wales have already implemented this change, including those run by Cwm Taf Morgannwg University Health Board, Powys Teaching Health Board, and Swansea Bay University Health Board.

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Source: BBC News, 20 June 2021

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Contaminated blood inquiry: NHS treatment disaster

From 1974 to 1987, children from Treloar's College, a boarding school for children with physical disabilities, were offered treatment for haemophilia.

However, more than 120 children were given contaminated drug which infected many with HIV and viral hepatitis, with at least 72 having died as a result. 

Treloar's College had a specialist NHS haemophilia centre on site, however, the blood plasma used to make the drug had been imported from overseas. 

Only 32 out of the 122 children with haemophilia are still alive today. 

It is hoped that the public inquiry may shed some light on what happened. 

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Source: BBC News, 21 June 2021

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£52 million investment to fast track online maternity records

England's Chief Nurse has announced every pregnant woman will be able to access their maternity records from their smart phone. 

The move has been made so that pregnant women will be able to have more control over their pregnancy and will be able to see all the decisions and information made via a smart phone. 

GPs and health professionals will also be able to access this information, it is hoped that by doing so, it will mean pregnant women will no longer have to repeat information to different clinicians they see whilst pregnant, which may also help improve safety.  

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Source: NHS England, 17 June 2021

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Surgery disruption during pandemic may affect millions

Millions of people may be affected for years to come by the disruption to surgery across England and Wales, possibly for many years ahead. 

It has been reported that hospitals have performed around 1.5 million fewer surgeries which may also be in part because people have not attended for their operation or treatment. 

Those who have not come forward for their surgeries or treatments it had been found, could be due to fear of contracting COVID-19, or that there were fewer accidents that caused significant injury requiring surgery. 

Findings showed surgeries that involved gall bladders, burn reconstructions and hip and knee replacements were among those that experienced the shortest fall. 

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Source: BBC News, 18 June 2021

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Rise in sharps injuries among nurses

New research shows a rise in sharps injuries among healthcare workers around Europe over the last year.

Respondents of the research said the rise in sharps injuries may be due to staff shortages and higher pressures and stress on healthcare staff. 

The survey, which covered more than 300,000 healthcare workers, found workers were being put at unnecessary risk of contracting deadly diseases such as HIV, Hepatitis B or Hepatitis C, with nurses being the ones primarily affected by the sharps injuries. 

The article concludes that more interventions need to be done to protect healthcare workers.

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Source: The Brussels Times, 15 June 2021

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'Moral distress' experienced by 8 in 10 doctors during pandemic

A new survey by the BMA was conducted throughout the UK on moral distress from 18 March 2021 to 12 April 2021. 

It was found that those doctors who worked with Covid-19 patients and doctors who were from ethnic backgrounds, were more likely to say moral distress was a feeling they had experienced. It was also found  doctors from ethnic backgrounds were also more likely to say moral injury resonated with their experiences.

 The results of the survey has raised concerns for staff wellbeing with the BMA asking that the government increase staffing to the NHS, and provide emotional and psychological support for healthcare workers. 

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Source: BMJ, 16 June 2021

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Two more NHS maternity units downgraded

Two more NHS maternity units have been downgraded by the care watchdog amid safety concerns. 

The services at Colchester Hospital and Ipswich Hospital were downgraded from good, to 'requires improvement', finding staff shortages at both hospitals.

Moreover, it was also found handovers were not sufficient meaning staff were not sharing the proper information about the women and babies.  

Among the concerns and issues raised, there were problems with team-working, properly recording patient information, and inefficient information systems. 

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Source: The Independent, 16 June 2021

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NHS Wales under pressure

As services return to normal, Chief executive of NHS Wales has warned the Welsh NHS is under "substantial pressure".

As safety measures are needed to remain in place, the resuming of normal services has created a challenge, with patient waiting lists becoming longer and A&E attendance returning to pre-pandemic levels. 

There is now some concern the new Delta variant may increase hospital admissions, adding more strain to the already strained system. 

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Source: BBC News, 17 June 2021

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WHO warns UK aid cuts could risk millions of lives

The World Health Organisation has said cuts to the UK budget may put millions of lives at risk of dying from "neglected tropical diseases", leaving some of the poorest people in the world exposed. 

The diseases listed included elephantiasis, trachoma and Guinea Worm. According to the WHO, the UK was able to provide funding to at least 19 countries before the aid cut.

There are now fears that vital medicine, an estimated at 277 million tablets used to treat tropical diseases would now expire.

The financial impact of the pandemic, according to the The Foreign Office, meant the aid cuts were necessary. 

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Source: BBC News, 17 June 2021

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Council-run children's social care in urgent need of investment and reform.

An independent review has found that children's services are not providing enough early support and are too focused on investigating families in crisis. 

The system was found to be under significant strain with the review suggesting that under the current system, it was not sustainable long-term. 

For those families in crisis who ask for help, it was reported that the process to apply for support caused more added stress and strain. At present, the service is failing young people and families in need of help and support. 

The review is to be published in Spring 2022 along with any suggestions for change. 

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Source, BBC News, 17 June 2021

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Private surgery costs to be paid by Scottish Government to women affected by mesh scandal

Women who have had transvaginal mesh removed privately are to be reimbursed by the Scottish Government it has emerged. 

Maree Todd, Women's Health Minister, has told MSPs that a new bill will be brought forward to allow money to be paid to women affected by the implantation of the transvaginal mesh. 

It has been found that of the 20, 000 women who have had the mesh surgery, 600 still suffer from the effects and complications. 

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Source: The Scotsman, 16 June 2021

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Safety concerns raised after junior doctors found seeing acute inpatients alone

A regulator has warned a trust to take immediate action after it was found junior doctors were seeing acute inpatients alone.

The warning comes after a serious safety concerns were raised when a doctor was stabbed by a patient. 

Health Education England has ordered Central and North West London Foundation Trust to ensure doctors are always accompanied by another member of staff with appropriate qualifications after safety concerns were raised regarding patient and staff.

Read full story. (Paywalled)

Source: HSJ, 15 June 2021

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IT systems called to be changed after two suicides

After two cases where men took their own lives, coroners have called for changed to be made to GP IT systems. 

Coroner Emma Brown has raised concerns that a fault in the EMIS system can cause a GP to miss appointments due to consultation lists not being updated properly. The problem was reported in July 2020 and has still not been fixed. 

According to an inquest, one man who took his own life had been described as ' extremely anxious' after attending Accident and Emergency for a physical ailment and became very concerned about his health. Mr Pardeep Singh Plahe, an NHS pharmacist, was scheduled to have a telephone consultation, however, due a fault in the system, he was unable to have the call. It is believed that had he been able to have the call, he would still be alive today. 

Another case found that 21 year old Dyllon Milburn took his own life. He been found to be non-compliant with regards to taking his medication and the current EMIS system is not set up to remind patients to request and collect their repeat prescription, which may have helped encourage him to take his medication. Changes to the IT system could be set up to do this, but so far, no alerts have been set-up. 

A spokesperson for EMIS has said they acknowledge the coroners comments and will respond to them directly. The EMIS spokesperson believes the issue would also be best addressed through a practice’s standard safety medicine management process. 

Read full article. (paywalled).

Source: HSJ, 14 June 2021 

 

 

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New digital documentation system to be implemented across Wales

A new nursing digital documentation service is expected to roll out across Wales. 

Nurses will soon be able to use a mobile tablet to help perform their assessments in adult inpatient settings with the hope the new system will be more time efficient and improve accuracy. 

The project, led by NHS Wales and funded by the Welsh Government, will see nurses replacing paper documentation with digital ones. As part of the new digital implementation, a clinical nursing informatics lead is now employed in each health board. 

Hospitals in Hywel Dda University Health Board, followed by Swansea Bay University Health Board and Velindre University NHS Trust have been the first to adopt the new system. 

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Source: Nursing Times, 14 June 2021

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New NHS long COVID service for children

NHS England are set to launch a new service for children suffering from long COVID.

Although data has suggested that children are less likely to suffer from severe disease, there have been an increasing number of reports of continued symptoms. 

The new service will consist of 15 new paediatric hubs with experts to treat young people and advise their families and carers or refer them to specialist services. 

The NHS has invested £100m in specialist services to help meet the needs of the possible hundreds of thousands who are expected to experience long COVID with symptoms ranging from breathing difficulties to fatigue.

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Source: Sky News, 15 June 2021

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Figures show 10,000 fewer people starting breast cancer treatment

It has been found there are 10,000 fewer patients starting treatment for breast cancer over the past year in England. 

Experts are advising patients to go to their GP if they notice anything unusual and not to wait to get screened or checked. 

Although breast cancer deaths were found to be at an all time low during the pandemic, experts are worried there may be more to the low figures than previously thought. 

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Source: Sky News, 15 June 2021

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Writer Wayne Brown welcomes new blood donation rule change

Oxford writer Wayne Brown describes how he tried donating blood in the middle of the pandemic last year but was turned away due to his same-sex marriage of 14 years. 

However, since the ban has been lifted, he has already booked his appointment to donate. 

Wayne Brown discusses how since the ban has been lifted, it may now mean more progress and positive changes are happening for gay men. 

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Source: BBC News, 13 June 2021

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Landmark rule change to allow more gay and bisexual men to donate blood

More gay and bisexual men will now be allowed to donate blood after rule change. 

The new rules which came into effect on World Blood Day mean that men who have sex with other men will now be able to donate blood without being asked about their sexual behaviours. 

Under the new rules, anyone who has had the same sexual partner for the past three months will be eligible to donate blood, but it will also be based on an individual case by case basis.

However, the rules state that anyone who has had anal sex or multiple partners, been exposed to an STI, used pre-exposure prophylaxis (PrEP) or post-exposure prophylaxis (PEP) within the last three months will not be eligible to donate. 

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Source: Evening Standard, 14 June 2021

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