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Botched 'Turkey teeth' op victim warns of dangers

A woman who needs reconstructive surgery after dental work in Turkey failed says she is being kept going by a need to warn others of the dangers.

Leanne Abeyance, 41, from Telford - who underwent a so-called "Turkey teeth" operation - was left unable to breathe through her nose, which then collapsed days before she underwent an implant removal operation.

She remains in constant pain, which she controls with sleeping tablets and morphine every day, and feels too self-conscious to go outside.

"It doesn't get any easier, but I'm glad that it's touched so many people," Abeyance said. "I just want to chop my head off and start again."

She had started using a prosthetic nose but had to stop after suffering an allergic reaction.

In the week before the implant-removal operation at Guy's Hospital in London, she said her septum "came apart" and would not stop bleeding.

"I got my mum round, I got everyone round. I actually said goodbye to my little girls, because I thought I was going to die, I thought I was going to get sepsis and die," Abeyance said.

The failed dental work has also led her to develop auto-immune conditions that are causing damage to her face and have made it painful to eat.

Advice from the NHS for people who are considering going abroad for dental work, external is that while it might be cheaper than the UK, the risks of the surgery need to be weighed against the savings.

Patients should consult their NHS dentist first, it says, as standards vary in different countries.

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Source: BBC News, 21 January 2026

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Boris Johnson announces £300m for A&Es ahead of potential winter spike

Boris Johnson has said the government will allocate £300m to NHS trusts to upgrade A&E facilities ahead of a potential spike in coronavirus cases this winter.

The funding, which will be split between 117 trusts, comes alongside attempts to reassure members of the public that it is safe to visit A&E departments during the COVID-19 pandemic.

“Thanks to the hard work and tireless efforts of NHS staff throughout the pandemic, our A&Es have remained open for the public,” the prime minister said in a statement.

“It is vital that those who need emergency treatment this winter access it, and for those who remain concerned about visiting hospitals, let me assure you that the NHS has measures in place to keep people safe.”

Hospitals will be able to use the funding to expand waiting areas and increase the number of treatment cubicles to boost A&E capacity, while social distancing rules and hygiene measures are in place to protect patients from COVID-19.

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Source: The Independent, 10 August 2020

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Boots recalls paracetamol over labelling error

The UK High Street pharmacy chain Boots is asking customers to return packs of 500-milligram paracetamol tablets because a labelling error incorrectly states they are a different painkiller, aspirin.

More than 110,000 packs, with the batch number 241005 and expiry date "12/2029" on the bottom, are affected.

Customers can receive a full refund without a receipt.

Boots and the supplier, Aspar Pharmaceuticals Limited, have begun a full investigation.

The outer cardboard packaging is correctly labelled: "Paracetamol 500mg Tablets" but the inner foil blister pack of pills instead reads: "Aspirin 300mg Dispersable Tablets".

The affected packs should not be used or kept, even if the error is known, as this could lead to an incorrect dose.

Dr Stephanie Millican, from the Medicines and Healthcare Products Regulatory Agency (MHRA), said: "Patient safety is always our priority.

"It is vitally important that you check the packaging of your Boots Paracetamol 500mg Tablets 16s - and if the batch number is 241005, you should stop using the product and return it to a Boots store for a full refund.

"If you are unsure which pack you have purchased or have taken Boots Paracetamol 500mg Tablets and experienced any side effects, seek advice from a healthcare professional.

"Please report any suspected adverse reactions via the MHRA's Yellow Card scheme.

"If you have any questions or require further advice, please seek advice from your pharmacist or other relevant healthcare professional."

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Source: BBC News, 4 March 2025

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Boots criticised over pill boxes for the elderly

Some pharmacies run by the High Street chain Boots have been criticised for telling some patients on multiple drugs that they can no longer have blister pack boxes, known as dosette boxes or multi-compartment compliance aids (MCCAs).

Weekly pill organisers can help users keep track of their daily medication and stay safe. Pharmacists put the tablets into individual boxes in the trays, each one indicating when they should be taken.

The NHS says boxes are not always available for free on the NHS and they're not suitable for every type of medicine.

Tracey Hobbs' mother, Pat Garner, lives at home with care visits. For several years, she has had her MCCAs provided by her local Boots pharmacy. She takes more than 15 pills each day.

Tracey says she was phoned by Boots and told that from one month later her mother would receive all the drugs in the original packaging, rather than organised into morning and night doses for each day of the week.

Tracey told the BBC: "I pointed out that the blister packs were the only way we could know she had taken her medication at the right time. Handing seven individual boxes with different instructions on each one was totally unworkable and - quite frankly - dangerous".

A Boots spokesperson said: "The latest Royal Pharmaceutical Society guidance indicates that the use of multi-compartment compliance aids is not always the most appropriate option for patients that need support to take their medicines at the right dose and time."

"Pharmacists are speaking with patients who we provide with MCCAs to discuss whether it is the right way to support them, depending on their individual circumstances and clinical needs."

Prof Gill Livingston, an expert in elderly medicine at University College London, said she was concerned to hear that some patients and their families were being told the boxes were being scrapped.

She said: "Blister packs enable people with mild dementia or some memory problems to take their own medication and remain independent. They can check that they have taken it and they know they have taken the right thing, as it is already sorted out.

"Later on in dementia or with other disabilities, it enables paid carers and families to help them take their medication and remain in the community and remain as well as possible."

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Source: BBC News, 21 June 2022

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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.”

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Source: BMJ, 10 October 2019

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Bone-on-bone agony: the cruel reality of facing a three-year waiting list for a new knee

When Alexandra McTeare was told she might have to wait three years for knee replacement surgery, she felt desperate. “Because of how miserable your life is, how small it has become,” she says.

The problems with her knee started in 2017. “It was painful and would swell up, particularly in the heat.” She would take painkillers and keep her leg elevated when she was sitting down, and did stretching exercises for her muscles. But over the next few years, “it gradually got worse, the intervals between swelling episodes reduced and the pain increased”. It reached a point where it was no longer bearable.

Ten years ago, McTeare could get a GP appointment within a week. “Now, you phone up and you’re lucky if you get an appointment within a month, and nine times out of 10 it’ll be a nurse practitioner.” McTeare has nothing against nurse practitioners; she used to be a nurse herself and she was working for the NHS when they were introduced to GP practices. “But they’re not appropriate for everything,” she says. “People do need to be able to see a GP.”

Her knee didn’t get better. The opposite happened. “I didn’t believe it was a torn meniscus, it was going on and on, so I decided: to hell with it, I’ll pay and see somebody privately.” In March 2023, she saw an orthopaedic consultant, got an X-ray, was told she had arthritis in her knee and needed a total knee replacement. It took no more than half an hour and cost her £400. McTeare says she is lucky she could raise the money for a private consultation. But she wants to make something clear: “I have always despised private medicine.”

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Source: The Guardian, 27 November 2024

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Bodyform reveals #PainStories to break silence around endometriosis and women’s pain

Bodyform, known as Libresse outside the UK, has created a campaign to support earlier diagnosis of endometriosis and break the silence about the pain that many women endure throughout their lives. 

#PainStories, by Abbott Mead Vickers BBDO, launched Tuesday (2 March) during Endometriosis Awareness Month. It tackles the “gender pain gap” by sharing stories and helping to articulate experiences of pain, with a focus on endometriosis. 

An estimated one in 10 women of reproductive age – about 176 million women globally – suffers from endometriosis, a condition resulting from the appearance of endometrial tissue outside the uterus and causing pelvic pain. Despite the prevalence of the condition, however, it takes an average of seven-and-a-half years to diagnose it. 

These delayed diagnoses are partly down to the perception that severe period pain is “normal”, according to the Essity brand. “[Endometriosis] is ever present but not out in the open. It is quite a suppressed thing,” Lauren Peters, one of the AMV creatives behind #PainStories, said. 

#PainStories features the “Pain Dictionary”, a collection of new words and definitions for pain that are drawn from real descriptions from people with endometriosis. Each definition is brought to life by an artist to create a verbal and visual language for endometriosis pain, with the aim of helping people recognise and articulate their pain and to shorten long diagnostic delays. 

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Source: Campaign Live, 2 March 2021

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Bodies of Nottingham mother and daughter found almost four months after 999 call

A woman who was found dead alongside her “entirely dependent” teenage daughter had called 999 saying she “could not move” almost four months before her body was found but no ambulance was sent to her, an inquest has heard.

Alphonsine Djiako Leuga, 47, suffered from sickle cell anaemia and died from pneumonia, and her 18-year-old daughter, Loraine Choulla, had learning difficulties and Down’s syndrome, relying on her mother for food and hydration.

Nottingham coroner’s court heard that Leuga called 999 on 2 February last year saying she was cold and could not move, and gave details of her address before hanging up.

The hearing was told that during the call Leuga groaned, requested an ambulance, and said: “I need help to my daughter” and: “I’m in the bed, I feel cold and can’t move” before cutting off the line.

She also gave details of her address in Radford, Nottingham, where her body and that of her daughter were found on 21 May last year, almost four months later.

Giving evidence at an inquest into their deaths, East Midlands ambulance service’s head of patient safety, Susan Jevons, said the call should have been referred to the control room dispatch officers.

She said attempts had been made to call Leuga back and that “the call should have been left for an ambulance to attend once we had got the address, which we had.

“The ambulance didn’t go to the address because the emergency medical adviser, thinking it was an abandoned call, closed the call down. So it wasn’t visible to anybody within the emergency operations centre.”

The coroner said she would have to consider the possibility that sending an ambulance to the address “might have been the difference between life or death” for Choulla.

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Source: The Guardian, 21 July 2025

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Boards urged to ‘take ownership’ to avoid corridor care

Trust boards can “virtually eliminate” corridor care with “the right leadership ambition and focus”, including more walking wards and corridors, NHS England has said.

National leaders held a meeting last week with execs from the 30 trusts with the biggest corridor care problem. 

In a letter to all trusts CEOs and chairs today, NHSE said those at the meeting had agreed that a concerted approach, and several actions in particular, could allow the practice to be largely wiped out.

This includes boards taking “formal ownership” of corridor care as an organisational risk, requiring approval by executive directors, reporting it as an “incident”, and discussing it at each board meeting. NHSE plans to revise its escalation and reporting rules accordingly. 

NHSE’s letter stressed that “the right leadership ambition and focus” could avoid the practice, which has risen steeply in the past two years, as hospitals have been pressured to off-load ambulances more quickly even when they are very busy. Twelve-hour A&E waits hit a record high in January.

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Source: HSJ, 4 March 2026

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Boards told to rate their own ‘capability’

Trust leaders have been told to rate their own boards’ “capability” under new rules that could influence which providers are put in a new special measures regime.

Trusts must complete the provider capability self-assessment – which is part of the new NHS Oversight Framework – by 22 October, according to guidance published by NHS England this week.

HSJ understands the requirement is intended to help boards prepare for the governance standards required to achieve the “new” foundation trust status promised in the 10-Year Health Plan, as well as feeding into NHSE’s day-to-day regulation.

The principles behind the new self-assessment were broadly welcomed by trust leaders, but NHS Providers said it was “concerned returns may not capture the actual quality of leadership seen across the trust sector”.

The lobby group said this was because of the format of the assessment. It also called for more clarity to ensure the process was “transparent and that providers feel the rating given is fair”.

The guidance says provider boards must assess their capability against expectations in six areas: strategy, leadership and planning; care quality; culture; access and delivery of services; productivity and value for money; and financial performance and oversight.

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Source: HSJ, 29 August 2025

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Boards must take their responsibility for cyber security more seriously

Cyberattacks keep crippling NHS services not due to missing technology, but predictable board-level governance failures that leave known vulnerabilities unaddressed

The Synnovis ransomware attack in June 2024 cancelled 10,000 appointments and forced hospitals to rely on manual blood-test processing for weeks – cost: £32.7m. Seven years earlier, WannaCry paralysed 80 NHS trusts – cost: £92m.

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Source: HSJ, 21 November 2025

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Board to get anti-racism training as CQC orders cultural improvements

Regulators have told the agency that supplies blood to the NHS to develop a more inclusive culture, after hearing multiple reports of ethnic minority staff being ‘disrespected’ and discriminated against.

“Many staff” at NHS Blood and Transplant also expressed fear of reprisal for raising issues and concerns, the Care Quality Commission (CQC) said.

The CQC carried out a “well-led” inspection of the agency over the summer, after receiving concerns about its culture and the behaviour of some senior leaders.

Chief executive Betsy Bassis resigned after the inspection, although the CQC report does not refer to any specific allegations made against her.

NHSBT has acknowledged it needs to improve its culture, particularly around diversity and inclusion issues. An internal memo sent to staff last week, seen by HSJ, said executives and board members would receive one-to-one training in “inclusive leadership and understanding racism”.

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Source: HSJ, 27 October 2022

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Board director ‘talent pipeline’ needs ‘refreshing’, claims NHS England

NHS England is launching a recruitment campaign to attract trust and integrated care board non-executive directors (NEDs) in the face of an increasing number of retirements and resignations.

A tender notice published by NHS England says the service has “experienced difficulty in recruiting NEDs” and therefore needs to “refresh” its “talent pipeline”.

It adds this is particularly important as “a large number of NEDs are coming to the end of their terms of office”, while others are “stepping down” for other reasons.

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Source: Health Service Journal, 15 August 2025

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BMA writes to trust chiefs over ‘concerns about doctors’ safety’

The British Medical Association has written to trust chief executives warning of ‘concerns regarding the safety of our members and the patients they serve’ due to flawed concrete beams.

The BMA has written to trust chiefs, copying in their medical committee leads, in the wake of a wave of publicity around reinforced autoclaved aerated concrete in recent weeks.

The letter said: “The HSJ has reported that many NHS hospital buildings have been constructed with RAAC, which is in some cases reaching the end of safe use and causing danger to staff and patients.

“Unfortunately, your trust may be one of the affected hospitals. We have concerns regarding the safety of our members and the patients they serve, and would appreciate answers to the following.”

It also requested the trusts provide answers, under the Freedom of Information Act, to questions including whether they had identified RAAC, what assessments they had made, what mitigations were planned or in place, and emergency plans such as evacuation.

It is thought the letter was sent to all or most provider trusts.

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Source: HSJ, 12 September 2023

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BMA urges plan to tackle backlog of patients awaiting non-covid treatment

The government urgently needs to set out a plan to reduce the huge backlog of patients waiting for NHS treatments unrelated to COVID-19 in the wake of the pandemic, the BMA has said.

The call came as the BMA released the results of its latest survey of over 8000 doctors. It found that more than half (3754 of 7238) were either not very confident or not confident at all that their department would be able to manage patient demand as NHS services resumed.

“The government must be honest with the public about the surge to come and start meaningful conversations with frontline clinicians about how we can, together, begin to tackle the backlog,” said the BMA’s chair of council, Chaand Nagpaul. “Covid-19 has brought with it the worst health crisis in a century. The NHS must not return to its previous perilous state.”

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Source: BMJ, 4 June 2020

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BMA urges GPs to move to 15-minute consultations and close patient list

The BMA has advised practices to immediately start offering consultations of 15 minutes or more; and apply to close their patient list, as part of the fightback against the Government’s new GP access plan.

It set out a range of measures GPs should take to protect their staff and patients and ‘prioritise’ core work amid pressure to return to pre-pandemic ways of working.

In an email bulletin sent to GPs on Friday, the BMA’s GP Committee said that practices ‘should not feel pressured to return to a traditional 10-minute treadmill of face-to-face consultations that are neither good for patients nor clinicians’.

It said: ‘Instead, they should offer patients consultations that are 15 minutes or more [and] apply to close the practice list to focus on the needs of existing patients.’

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Original source: Pulse

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BMA stance on physician associates impacting patient confidence, warns Health Education England

Health Education England (HEE) and NHS England have warned BMA that its stance on medical associate professionals (MAPs) is impacting NHS relationships and patient confidence.

HEE published an open letter to the BMA in response to the union’s call to halt recruitment of MAPs – which includes physician associates (PAs) working in general practice – until regulation is in place.

The BMA Council passed a motion calling for a halt to recruitment of MAPs two weeks ago, on the grounds of patient safety. This followed a previous motion to that effect from its GP committee for England earlier this month.

Proposing to bring forward a planned meeting with the BMA to discuss the matter, HEE’s letter said: "This continuing public discourse around MAPs is impacting relations between your members and their MAP colleagues, the health and wellbeing of MAPs already working in the NHS, and potentially the confidence of patients."

HEE chief workforce, training and education officer Dr Navina Evans and NHS England medical director Sir Stephen Powis argued in the letter that evidence shows "MAPs are safe", and that they "increase the breadth of skill, capacity and flexibility of teams" and reduce workload pressure on other clinicians.

‘Any issues of patient safety identified resulting from MAPs ‘must be addressed in the same way we would any other profession’, the letter added.

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Source: Pulse, 27 November 2023

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BMA sets out vision for reforming ‘unsafe, underfunded’ NHS

The British Medical A has outlined its vision for an ‘unsafe’ NHS with a culture of bullying.  

According to the BMA, doctors are working in hospitals and GP Practices that are hugely understaffed, where bullying and a culture of blame is the norm and where patient care is often unsafe. These are the findings of a year-long study – ‘Caring Supportive Collaborative: Doctors Vision for Change‘ – into the state of the NHS.

The chair of the BMA Council, Dr Chaand Nagpaul said: “Nine in 10 doctors tell us that staffing levels are inadequate and that they work in environments where they fear the toxic combination of ever-increasing demand for services and lack of staff capacity will lead to mistakes."

“They tell us there is a persistent culture of fear across the NHS, where blame stifles learning, contributing to the vicious cycle of low morale so staff leave and then there’s a problem of recruitment."

“This unsafe, underfunded environment is as damaging for patients as it is for doctors. Radical change is clearly needed.”

From the report comes a manifesto, which has today been sent to MPs, as well as the secretary of state for health and social care.

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Source: Practice Business, 17 September 2019

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BMA says government is ‘wilfully negligent’ for ruling out Plan B despite Covid surge

The government is being “wilfully negligent” by not introducing measures to suppress the recent rise in coronavirus cases, the chair of the British Medical Association (BMA) has said.

Dr Chaand Nagpaul made the comments after the health secretary ignored NHS leaders’ pleas for the implementation of ‘Plan B’, which could see the return of mandatory mask wearing in indoor spaces and the need to work from home where possible.

Speaking at a No 10 press conference on Wednesday afternoon, Sajid Javid said the current pressure on the NHS was not “unsustainable”, noting that the contingency plan would only be introduced if hospitals were at risk of being “overwhelmed”.

However, Dr Nagpaul disagreed with the minister’s assessment, suggesting that the NHS was already reaching breaking point and that the government should follow through on its promise to protect the health service.

“By the health secretary’s own admission we could soon see 100,000 cases a day and we now have the same number of weekly Covid deaths as we had during March, when the country was in lockdown,” he said.

Dr Nagpaul described the government’s decision not to take further preventative action as “wilfully negligent”, branding the current rate of coronavirus infections and deaths as “unacceptable”.

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Source: The Independent, 21 October 2021

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BMA must continue to oppose assisted suicide

The British Medical Association (BMA) should not allow itself to become a campaign tool for vested interest groups seeking a dangerous change in the law, writes Dr Matthew Davis in the Guardian.

"Doctors have a responsibility to first do no harm... Even when it may feel uncomfortable, doctors must continue to exercise their Hippocratic duty", says Dr Davies.

"The BMA must remain opposed to assisted suicide if the medical profession it claims to represent is to have any credibility in safe, caring and trustworthy expertise. It must not allow itself to become a campaign tool for vested interest groups seeking an extreme and dangerous change in the law that has, even very recently, been rejected by parliament."

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Source: The Guardian, 25 February 2020

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BMA junior doctors leader joins Jeremy Hunt’s patient safety charity

A key player in the junior doctor disputes with Jeremy Hunt has now joined the former health secretary’s patient safety charity.

Jeeves Wijesuriya, former chair of the British Medical Association’s junior doctors committee, is among the nine people who will serve on the advisory board of the Patient Safety Watch charity.

Mr Hunt has also announced that Sir Robert Francis, who led the Mid Staffs inquiry; England’s former chief medical officer Dame Sally Davies; former medical director of the NHS, Sir Bruce Keogh; and Dame Marianne Griffiths, chief executive of Western Sussex Hospitals Foundation Trust, will also serve on the advisory board.

Mr Hunt announced Patient Safety Watch last year to establish data to report on levels of patient safety and avoidable harm in healthcare, and commission research from leading universities. He has previously said he will invest hundreds of thousands of pounds in the charity over several years. 

He told HSJ: “Patient safety has moved massively up the agenda because of the issue of nosocomial infections that have affected both staff and patients during covid."

“This high powered advisory board will help Patient Safety Watch make measured but decisive interventions so that we get better at learning from what inevitably goes wrong - not just in a pandemic but in normal times as well.”

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Source: HSJ, 8 October 2020

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BMA demands investigation into vaccination programme ‘mismanagement’

The BMA’s GP Committee (GPC) has demanded an investigation into the Government and NHS England’s ‘mismanagement’ of this year’s vaccination programmes.

A motion was passed at the GPC England meeting today which called for a review of the ‘circumstances which led to muddled and mismanaged communications’ and for reflection on how to ‘prevent a repeat occurrence’.

Last month, there was confusion over the start date for the adult flu and Covid vaccination programmes, which usually start in September.

NHS England said the programmes would start in October this year – a move which the BMA said would cause ‘serious disruption’.

But the Government then announced that vaccination will begin on 11 September, in what the BMA has called a ‘u-turn’, following the identification of a new Covid variant.

GPs were asked to vaccinate ‘as many people as possible’ by the end of October.

The GPC has said today that these ‘conflicting instructions’ led to confusion among GPs while also impacting on patient safety.

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Source: Pulse, 21 September 2023

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BMA chief warns Scotland's GPs are at 'tipping point'

GP surgeries across Scotland are at risk of collapsing because of staff shortages and increased demand, a senior doctor has warned.

Dr Andrew Buist, chairman of the British Medical Association's (BMA) Scottish GP committee, told the BBC many practices were at "tipping point".

More than a third of surveyed surgeries reported at least one GP vacancy – up from just over a quarter last year.

About half of the GP surgeries in Scotland took part in the BMA survey.

It showed 81% of practices said demand was exceeding capacity - with 42% saying demand substantially exceeded capacity.

Dr Buist told BBC Scotland: "I worry that we're reaching a tipping point for some practices.

"They lose one or maybe two doctors out of three, and the remaining doctors cannot continue so they return the contract and the practice may cease to exist.

"That is a real concern in some parts of Scotland that that is happening and it's going to happen increasingly as the situation develops over this winter."

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Source: BBC News, 15 November 2022

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BMA challenge to GMC on 'medical professionals' term goes to court

A legal challenge brought by leading doctors against the medical regulator amid rising concerns over the use of physician associates is due to reach court. 

The British Medical Association (BMA) is bringing a case at the High Court in London against the General Medical Council (GMC), accusing the regulator of abandoning its responsibilities to patients' safety by blurring the lines between doctors and non-doctors.

The BMA claims the GMC has been using the term "medical professionals" to describe all those it regulates – doctors as well as physician and anaesthesia associates (PAs and AAs). The association says the term should only be used to refer to qualified doctors. The BMA maintains that PAs and AAs are neither doctors nor medically qualified, with the distinction crucial to patient safety.

It says there is evidence of widespread confusion in the public as to the roles of associates.

The GMC has stated that each profession type is prominently labelled on its public-facing registers, and in search functions, meaning that when patients search its registers it will be clear whether someone is a doctor, a PA, or an AA.

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Source: Medscape, 12 February 2025

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BMA calls for legislation to stop doctors being blamed when under “unmanageable pressure”

The BMA has written to the government to call for new legislation to ensure accountability for safe staffing levels and that “individual clinicians are not blamed when the system places them under unmanageable pressure.”

The call came as the BMA published a year long study looking at the changes needed to improve care of patients and the working lives of doctors in the NHS, alongside a “manifesto for change” outlining all the recommendations.

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Source: BMJ, 13 September 2019

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