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As a paramedic in England, I’m shocked at assaults on ambulance staff during Covid

We have been coughed on and shouted at by people refusing to wear face masks. We need more protection, says NHS paramedic Jake Jones.

The outpouring of appreciation for NHS staff during the COVID-19 crisis has been extraordinary. Yet reports of a recent rise in attacks on emergency workers, including ambulance crews, in England and Wales suggests the Thursday evening applause was hiding a less positive reality. Abuse of emergency workers is a growing issue: a 2018 survey found that 72% of ambulance staff have been attacked on duty, and figures have repeatedly pointed to an upward trend. As an NHS paramedic for 10 years, this aligns with Jake's own experience.

The consultation on increasing sentences for assaults on emergency workers seeks to discourage attacks on them. Jake's hope is that it will also challenge what has become an ingrained view – that being abused and assaulted somehow goes with the territory.

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Source: The Guardian, 1 September 2020

Read Jake's book 'Can you hear me? An NHS paramedics encounters with life and death'

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As a nurse in the US faces prison for a deadly error, her colleagues worry: Could I be next?

Four years ago, inside the most prestigious hospital in Tennessee, nurse RaDonda Vaught withdrew a vial from an electronic medication cabinet, administered the drug to a patient, and somehow overlooked signs of a terrible and deadly mistake.

The patient was supposed to get Versed, a sedative intended to calm her before being scanned in a large, MRI-like machine. But Vaught accidentally grabbed vecuronium, a powerful paralyser, which stopped the patient’s breathing and left her brain-dead before the error was discovered.

Vaught, 38, admitted her mistake at a Tennessee Board of Nursing hearing last year, saying she became “complacent” in her job and “distracted” by a trainee while operating the computerized medication cabinet. She did not shirk responsibility for the error, but she said the blame was not hers alone.

“I know the reason this patient is no longer here is because of me,” Vaught said, starting to cry. “There won’t ever be a day that goes by that I don’t think about what I did.”

If Vaught’s story followed the path of most medical errors, it would have been over hours later, when the Board of Nursing revoked her RN license and almost certainly ended her nursing career. But Vaught’s case is different: This week she goes on trial in Nashville on criminal charges of reckless homicide and felony abuse of an impaired adult for the killing of Charlene Murphey, a 75-year-old patient who died at Vanderbilt University Medical Center on the 27 December 2017.

Prosecutors do not allege in their court filings that Vaught intended to hurt Murphey or was impaired by any substance when she made the mistake, so her prosecution is a rare example of a health care worker facing years in prison for a medical error. Fatal errors are generally handled by licensing boards and civil courts. And experts say prosecutions like Vaught’s loom large for a profession terrified of the criminalization of such mistakes — especially because her case hinges on an automated system for dispensing drugs that many nurses use every day.

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Source: Kaiser Health News, 22 March 2022

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As a black man I wasn't included in cancer stats

What started as a shoulder ache led to a whirlwind diagnosis of stage four cancer and a rare genetic mutation for Spike Elliott.

But his journey also highlighted a worrying ethnicity data gap in our health system.

It comes as research by one charity shows just how few patient records include ethnicity information in Wales.

The Welsh government said it was working to improve the diversity of data collection and health research.

One oncologist said it meant assumptions were made about how patients will respond, despite there being "clear differences" in how certain cancers affect different racial groups.

"I was given a life expectancy of 6 to 12 months. That was statistically supported.

"But I was alarmed when I was made aware that the statistics don't include the BAME (Black, Asian and Minority Ethnic) community.

"Because what was my outcome then?"

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Source: BBC News, 21 June 2023

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Artificial pancreas trialled in type 2 diabetics

An artificial pancreas has been successfully trialled in patients with type 2 diabetes, a university said.

Scientists at the University of Cambridge developed the device which combines a glucose monitor and insulin pump with an app.

The app uses an algorithm that predicts how much insulin is required to keep glucose levels in the target range.

Average glucose levels fell while patients trialled the device, the university said.

The researchers have previously shown that an artificial pancreas run by a similar algorithm is effective for patients living with type 1 diabetes, where the body's immune system attacks and destroys the cells that produce insulin.

Dr Charlotte Boughton from the Wellcome-MRC Institute of Metabolic Science at the University of Cambridge, who co-led the study, said: "Many people with type 2 diabetes struggle to manage their blood sugar levels using the currently available treatments, such as insulin injections.

"The artificial pancreas can provide a safe and effective approach to help them, and the technology is simple to use and can be implemented safely at home."

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Source: BBC News, 19 January 2023

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Artificial pancreas to revolutionise diabetes care in England

Nearly 900 patients with type 1 diabetes in England are testing a potentially life-changing artificial pancreas.

It can eliminate the need for finger prick tests and prevent life-threatening hypoglycaemic attacks, where blood sugar levels fall too low.

The technology uses a sensor under the skin. It continually monitors the levels, and a pump automatically adjusts the amount of insulin required.

Six-year-old Charlotte, from Lancashire, is one of more than 200 children using the hybrid closed loop system.

Her mother, Ange Abbott, told us it has made a massive impact on the whole family.

"Prior to having the loop, everything was manual," she said. "At night we'd have to set the alarm every two hours to do finger pricks and corrections of insulin in order to deal with the ups and downs of Charlotte's blood sugars."

Prof Partha Kar, NHS national speciality adviser for diabetes, said: "Having machines monitor and deliver medication for diabetes patients sounds quite sci-fi like, but technology and machines are part and parcel of how we live our lives every day.

"It is not very far away from the holy grail of a fully automated system, where people with type 1 diabetes can get on with their lives without worrying about glucose levels or medication."

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Source: BBC News, 1 April 2022

Further reading on the hub

How safe are closed loop artificial pancreas systems?

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Artificial Intelligence plan to reduce harm to pregnant black women

Researchers are to use artificial intelligence (AI) in the hope of reducing risk to pregnant black women.

Loughborough University experts are to work with the Healthcare Safety Investigation Branch (HSIB) to identify patterns in its recent investigations.

Research has suggested black women are more than four times more likely to die in pregnancy or childbirth than white women in the UK.

The researchers plan to look at more than 600 of HSIB's recent investigations into adverse outcomes during pregnancy and birth.

The research team will develop a machine learning system capable of identifying factors, based on a set of codes, that contribute to harm during pregnancy and birth experienced by black families. These include biological factors, such as obesity or birth history; social and economic factors such as language barriers and unemployment; and the quality of care and communication with the mother.

It will look at how these elements interact with and influence each other, and help researchers design ways to improve the care of black mothers and babies.

Dr Patrick Waterson, from the university, who is helping to lead the project, said: "Ultimately, we believe the outcomes from our research have the potential to transform the NHS's ability to reduce maternal harm amongst mothers from black ethnic groups."

He added that in the longer term, the research could improve patient safety for all mothers.

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Source: BBC News, 17 November 2021

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Artificial Intelligence models to analyse cancer images take shortcuts that introduce bias

Artificial intelligence (AI) tools and deep learning models are a powerful tool in cancer treatment. They can be used to analyse digital images of tumour biopsy samples, helping doctors quickly classify the type of cancer, predict prognosis and guide a course of treatment for the patient. However, unless these algorithms are properly calibrated, they can sometimes make inaccurate or biased predictions.

A new study led by researchers from the University of Chicago shows that deep learning models trained on large sets of cancer genetic and tissue histology data can easily identify the institution that submitted the images. The models, which use machine learning methods to "teach" themselves how to recognise certain cancer signatures, end up using the submitting site as a shortcut to predicting outcomes for the patient, lumping them together with other patients from the same location instead of relying on the biology of individual patients. This in turn may lead to bias and missed opportunities for treatment in patients from racial or ethnic minority groups who may be more likely to be represented in certain medical centres and already struggle with access to care.

"We identified a glaring hole in the in the current methodology for deep learning model development which makes certain regions and patient populations more susceptible to be included in inaccurate algorithmic predictions," said Alexander Pearson, one of the authors of the study.

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Source: Digital Health News, 22 July 2021

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Artificial Intelligence may diagnose dementia in a day

New research has emerged that may be able to diagnose dementia after a single brain scan. 

Scientists have begun testing a new artificial intelligence system that could identify the condition and predict predict whether it will remain stable for many years, slowly deteriorate or need immediate treatment.  

Prof Zoe Kourtzi, of Cambridge University and a fellow of national centre for AI and data science The Alan Turing Institute, said "If we intervene early, the treatments can kick in early and slow down the progression of the disease and at the same time avoid more damage". 

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Source: BBC News, 10 August 2021

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Artificial Intelligence is rushing into patient care

Health products powered by artificial intelligence, or AI, are streaming into our lives, from virtual doctor apps to wearable sensors and drugstore chatbots.

IBM boasted that its AI could “outthink cancer.” Others say computer systems that read X-rays will make radiologists obsolete.

Yet many health industry experts fear AI-based products won’t be able to match the hype. Many doctors and consumer advocates fear that the tech industry, which lives by the mantra “fail fast and fix it later,” is putting patients at risk and that regulators aren’t doing enough to keep consumers safe.

Early experiments in AI provide reason for caution, said Mildred Cho, a professor of pediatrics at Stanford’s Center for Biomedical Ethics.

Systems developed in one hospital often flop when deployed in a different facility, Cho said. Software used in the care of millions of Americans has been shown to discriminate against minorities. And AI systems sometimes learn to make predictions based on factors that have less to do with disease than the brand of MRI machine used, the time a blood test is taken or whether a patient was visited by a chaplain. In one case, AI software incorrectly concluded that people with pneumonia were less likely to die if they had asthma an error that could have led doctors to deprive asthma patients of the extra care they need.

“It’s only a matter of time before something like this leads to a serious health problem,” said Steven Nissen, chairman of cardiology at the Cleveland Clinic.

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Source: Scientific American, 24 December 2019

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Artificial intelligence could soon diagnose illness based on the sound of your voice

Voices offer lots of information. Turns out, they can even help diagnose an illness — and researchers in the USA are working on an app for that.

The National Institutes of Health is funding a massive research project to collect voice data and develop an AI that could diagnose people based on their speech.

Everything from your vocal cord vibrations to breathing patterns when you speak offers potential information about your health, says laryngologist Dr. Yael Bensoussan, the director of the University of South Florida's Health Voice Center and a leader on the study.

"We asked experts: Well, if you close your eyes when a patient comes in, just by listening to their voice, can you have an idea of the diagnosis they have?" Bensoussan says. "And that's where we got all our information."

Someone who speaks low and slowly might have Parkinson's disease. Slurring is a sign of a stroke. Scientists could even diagnose depression or cancer. The team will start by collecting the voices of people with conditions in five areas: neurological disorders, voice disorders, mood disorders, respiratory disorders and pediatric disorders like autism and speech delays.

This isn't the first time researchers have used AI to study human voices, but it's the first time data will be collected on this level — the project is a collaboration between USF, Cornell and 10 other institutions.

The ultimate goal is an app that could help bridge access to rural or underserved communities, by helping general practitioners refer patients to specialists. Long term, iPhones or Alexa could detect changes in your voice, such as a cough, and advise you to seek medical attention.

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Source: NPR, 10 October 2022

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Artificial intelligence could ‘transform’ heart attack diagnosis, scientists say

Artificial intelligence (AI) could be “transformational” in improving heart attack diagnosis to reduce pressure on emergency departments, a new study suggests.

Doctors could soon use an algorithm developed using AI to diagnose heart attacks with better speed and accuracy than ever before, the research from the University of Edinburgh indicates.

It could also help tackle dangerous inequalities in diagnosing the condition, scientists suggest.

Researchers found that, compared to current testing methods, the algorithm called CoDE-ACS was able to rule out a heart attack in more than double the number of patients, with an accuracy of 99.6%.

Nicholas Mills, British Heart Foundation (BHF) professor of cardiology at the Centre for Cardiovascular Science, University of Edinburgh, who led the research, said: “For patients with acute chest pain due to a heart attack, early diagnosis and treatment saves lives.

“Unfortunately, many conditions cause these common symptoms, and the diagnosis is not always straight forward.

“Harnessing data and artificial intelligence to support clinical decisions has enormous potential to improve care for patients and efficiency in our busy emergency departments.”

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Source: The Independent, 11 May 2023

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Artificial intelligence can accurately diagnose brain tumours within minutes

Artificial intelligence can diagnose brain tumours more accurately than a pathologist in a tenth of the time, a study has shown.

The machine-learning technology was marginally more accurate than a traditional diagnosis made by a pathologist, by just 1%, but the results were available in less than 2 minutes and 30 seconds, compared with 20 to 30 minutes by a pathologist.

The study, published in Nature Medicine, demonstrates the speed and accuracy of AI diagnosis for brain surgery, allowing surgeons to detect and remove otherwise undetectable tumour tissue.

Daniel Orringer, an Associate Professor of Neurosurgery at New York University's Grossman School of Medicine and a senior author, said: “As surgeons, we’re limited to acting on what we can see; this technology allows us to see what would otherwise be invisible to improve speed and accuracy in the [operating theatre] and reduce the risk of misdiagnosis."

“With this imaging technology, cancer operations are safer and more effective than ever before.”

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Source: The Independent, 6 January 2020

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Arthritis drug cuts Covid deaths, scientists discover

A drug used to treat rheumatoid arthritis could cut the number of Covid deaths and speed up recovery, a new scientific trial has found.

The drug, tocilizumab, could save the lives of one in 25 coronavirus patients in hospital and reduce the need for ventilators in intensive care.

Researchers say around half of the people admitted to hospital with coronavirus could benefit from the treatment.

Scientists from the nationwide Recovery trial said when tocilizumab was given alongside the steroid dexamethasone, it reduced the absolute risk of mortality by four percentage points. The medicine was already being used by the NHS to treat some coronavirus patients after early results last month showed it reduced the risk of death as well as time spent in hospital by up to 10 days.

As a result of the latest findings, the health secretary said the drug would be made more widely available on the NHS to help treat Covid patients.

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Source: The Independent, 11 February 2021

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Arrests after woman dies following Brazilian butt lift procedure

Two people have been arrested on suspicion of manslaughter following the death of a woman believed to have undergone a non-surgical Brazilian butt lift (BBL).

Alice Webb, 33, died after being taken to Gloucestershire Royal Hospital in the early hours of Tuesday after falling unwell.

Gloucestershire Police said it had been called by the ambulance service at 11:35 BST on Monday and an investigation, led by the major crime team, was ongoing.

The two arrested people have been released on police bail.

Save Face, a national register of accredited practitioners who offer non-surgical cosmetic treatments, said this was the "first case of a death caused by a non-surgical BBL in the UK".

While non-surgical BBLs are not illegal in the UK, last year Wolverhampton City Council barred a company from carrying out the procedure after identifying risks associated with their processes, including blood clots, sepsis, and the potential for the death of body tissues.

Save Face’s director Ashton Collins said the organisation had supported 500 women who had suffered complications from the procedure.

Ms Collins said: “Liquid BBL procedures are a crisis waiting to happen. They are advertised on social media as ‘risk-free’, ‘cheaper’ alternatives to the surgical counterpart and that could not be further from the truth.”

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Source: BBC News, 25 September 2024

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Army supporting ambulance services in England

Almost 100 members of the army have been brought in to help four ambulance trusts amid staff shortages in the South Central, South West, North East and East areas of England, with Unison saying it was a sign "things were not right".

Vicky Court, assistant chief operating officer at North East Ambulance Services has said "It will ensure everyone continues to get the care they need by freeing up paramedics to be more available to attend potentially life-threatening incidents."

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Source: BBC News, 21 August 2021

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Armed police sent to heart attack patients as crisis-hit NHS buckles under surging demand

Armed police are being sent to save the lives of people in cardiac arrest because ambulances “can’t cope” with demand, The Independent has revealed.

Officers are spending up to a third of their time on non-policing matters, a watchdog has warned, including responding to mental health crises and transporting patients to A&E as ambulance services face a “chronic crisis situation”.

Andy Cooke, HM chief inspector of constabulary, said that firearms officers have been responding to pleas from struggling NHS colleagues to respond to cardiac arrests.

He told The Independent that police are becoming the “first, last and only resort” as NHS services buckle under strain, taking them away from tackling crime at a time when recorded offences are at a record high in England and Wales.

Mr Cooke, the former chief constable of Merseyside Police, added: “Recently, officers in armed response vehicles (ARVs) were being sent to reports of people who were having cardiac arrests because the ambulance service couldn’t cope with the demand, because they’re trained in first aid and to use defibrillators."

“The ambulance service contacted the police to say ‘we’ve got this heart patient and we haven’t got anyone to send’."

“Being first, last and only resort, the police will go. It’s right that they did go but that hides the problems we’ve got in the rest of the system.”

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Source: The Independent, 8 August 2022

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Arm skin patch system could warn of organ rejection

Some people having a lung transplant on the NHS will receive a skin patch graft from their donor too as a way of spotting organ rejection sooner.

Rejection could show as a rash on the donated skin patch, say experts, allowing early treatment to stop problems escalating.

The trial, by University of Oxford and NHS Blood and Transplant, will enrol 152 patients in England.

It follows earlier success with some other transplant patients, including Adam Alderson, 44, who received a donor skin graft on his abdomen in 2015 when he had eight organs replaced – including a pancreas, stomach and spleen – after treatment for a rare cancer.

He says the graft has already helped guide his treatment a few times to prevent his body rejecting his many new organs.

He said: "It's a really comforting thing to have - I feel safer knowing that I have a tool available to tell if something is going wrong before it becomes too serious. It's almost like an oil warning light on your car. Plus, having that visible reminder of how lucky I am is really special."

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Source: BBC News, 16 April 2024

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Areas of England to get extra NHS funding announced

NHS funding will be diverted to working-class communities, the health secretary is set to announce.

Wes Streeting is expected to announce the measure as part of the upcoming NHS 10-year plan, set to be focused on closing health inequalities, during a speech in Blackpool today.

About £2.2bn will be spent on staff, medicines, new technology and equipment in rural communities, coastal towns and working-class regions, according to the Department of Health.

The money, which was previously set aside to plug financial holes in the health service, can now be reinvested where it is "most needed", the department said.

It added that NHS leaders have spent months cutting "wasteful" spending, such as on "back office" functions and agency staff, while reducing forecast deficits by health trusts.

GP funding will be reviewed under the new plan, as surgeries serving working-class areas receive an average of 10% less funding per patient than practices in more affluent areas.

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Source: Sky News, 25 June 2025

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Are we failing young people with cancer?

When you think of cancer, a glamorous mum in her mid-30s is not the first image that springs to mind.

But You, Me and the Big C podcaster Dame Deborah James was just 35 when she found out she had bowel cancer. Blood and stool tests had come back normal and her GP had laughed "not once, but three times over the course of six months" at the idea she could possibly have a tumour in her bowels. The diagnosis came only when she paid to have her colon examined privately.

Her experience has raised questions about how good we are at spotting and treating cancer in the under-40s. Simply - are we failing young people with cancer?

Overall, around 4.3% of cancers diagnosed in the UK are in the under-40s, while those over 75 make up more than a third of all cancer cases, which poses a challenge for us and the doctors who treat us.

When we are young, we're less likely to attribute any ill health to cancer. Changes to our bowel movements could just be stress, blood in the toilet after we poo could be inflammatory bowel disease or haemorrhoids. Because, for most people, cancer is something that happens to our parents or grandparents.

Your doctor should be alert to major warning signs of cancer, but there is a medical saying: "When you hear hooves, think horses, not zebras". It's a call to look for the most common or likely explanation, and the younger you are, the less likely cancer is to be behind your symptoms. This helps channel the health service's limited resources to those most likely to need them.

But that means some younger people aren't being seen quickly enough, although the problem can affect older people too. Bowel Cancer UK's Never Too Young report in 2020 found that four in 10 people surveyed had to visit their GP three or more times before being referred for further tests to see if they had cancer.

"I don't think GPs are a problem," says Genevieve Edwards, chief executive of Bowel Cancer UK. "It [bowel cancer] is rare in younger people... It will usually be something else."

The question is - what if you are the zebra, that relatively rare case who does have cancer at a young age?"

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Source: BBC News, 14 May 2022

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Are these Britain's most sexist surgeons? Offensive comments made to mesh surgery victims

Carole Davies and her partner, Malcolm, looked at each other in shocked silent horror as her surgeon spoke to them. 

Carole, 76, from Stevenage, Hertfordshire, had endured weeks of agony after an NHS surgeon had inserted a polypropylene mesh implant to treat a slight incontinence problem. The mesh was meant to act as a scaffold to support her leaking bladder.

Carole, then 60 and a recently retired personnel administrator, had returned to see the surgeon with her partner seven weeks after the surgery. She was in tears as she explained her debilitating pain.

'I told the surgeon that I could feel the mesh cutting into me, which was agonising,' Carole told Good Health.

'But he ignored this and said everything was OK. He told me: 'I just don't understand how you could be in pain. I will refer you to a psychiatrist.' Then he turned to Malcolm and said: 'I've made her nice and tight for you.' '

It was lewd and inappropriate but, as we can reveal, is shockingly by no means an isolated example — an insult, literally, not just to Carole but for many others, among the tens of thousands of British women who have suffered agonising complications from mesh-tape operations since they were first introduced in the late 1990s to treat incontinence or prolapse.

To add insult to injury, these women often struggled for years to have their complaints taken seriously, while surgeons dismissed the idea that there was anything wrong.

The Mail joined forces with campaigning group Sling The Mesh to highlight the issue, the Government set up an inquiry, led by Baroness Cumberlege, in July 2018.

This led initially to a pause in the use of surgical mesh for the treatment of urinary incontinence. The inquiry has since called for this pause to be extended until strict requirements on safety and recompense are met.

Nevertheless, an investigation by Good Health last month found that not only is mesh still being surgically implanted in women, but also that its use could well be on the rise again.

Sling The Mesh has received dozens of messages from women detailing similarly appalling responses, the majority in the past five years, that surgeons had made to deny, belittle and denigrate their agonising pain, emotional trauma and — in some cases — ruined sex lives.

You can read all the messages on the hub's community thread.

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Source: Mail Online, 18 July 2022

Further reading

Doctors’ shocking comments reveal institutional misogyny towards women harmed by pelvic mesh - a Patient Safety Learning blog

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Archie Batten: Inquest hears baby's mother was turned away from maternity unit

The parents of a baby boy who lived for just 27 minutes have told an inquest they were "completely dismissed" throughout labour.

Archie Batten died on 1 September 2019 at the Queen Elizabeth the Queen Mother Hospital (QEQM) in Margate, Kent.

His inquest began on Monday at Maidstone Coroner's Court. The East Kent Hospitals University NHS Foundation Trust has already admitted liability and apologised for Archie's death.

The coroner heard Archie's mother Rachel Higgs was frustrated at being turned away from the maternity unit in the morning, when she had gone to complain of vomiting and extreme pain.

She was told she was not far enough into labour to be admitted. 

She returned home to Broadstairs with her partner Andrew Batten, but continued to feel unwell so phoned the hospital. She was told the unit was now closed.

Instead, two community midwives were sent to their home, where they attempted to deliver the baby but could not find a heartbeat.

Andrew Batten told the inquest the midwives looked "terrified," and that there was "an air of panic", with the midwives whispering in the hallway instead of telling him and Ms Higgs what was happening.

Under examination from the family's barrister Richard Baker, Victoria Jackson, the midwife who had originally seen Ms Higgs, admitted the high number of patients she was having to deal with had affected her ability to spend time with her.

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Source: BBC News, 14 March 2022

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Approachable managers linked to better error reporting, analysis finds

There is a “strong association” between staff experience of senior management and whether an organisation acts on error reporting, exclusive analysis for HSJ of the staff survey data suggests.

Analysis by health and social care charity Picker Institute examined statistical relationships between responses to staff survey questions regarding staff communication with managers and those relating to error reporting.

The analysis, which included all trust types, looked at the relationships between statements such as “communication between senior managers and staff is effective” and “I know who the senior managers are here” to “When errors, near misses or incidents are reported, my organisation takes action to ensure they do not happen again” and other similar indicators.

A high correlation to the questions does not categorically prove a direct causal relationship but the data suggested “strong associations”, Picker Institute chief statistician Steve Sizmur told HSJ.

He said: “There are a number of strong associations in the latest staff survey data, to the extent that there is likely to be a link between staff experiences of senior management and their views about error reporting and whether the organisation addresses their concerns.”

Read full story (paywalled)

Source: HSJ, 27 February 2020

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Approach to tackling violence raises concern among NHS England staff

There has long been an acknowledgment by ministers and NHS leaders that violence against staff by patients was an issue that needed addressing, with a strategy to tackle it announced nearly five years ago.

The health service’s 2019 long-term plan included a pilot for the use of body-worn cameras by paramedics in a bid to “de-escalate” situations. The following year the Crown Prosecution Service announced an agreement with the police and NHS England to “secure swift prosecutions” of those who assault staff, and the maximum penalty for assaulting emergency workers, including doctors and nurses, was also doubled to two years.

Despite these measures, there have been internal disagreements within NHS England about the best approach to the problem, which affected almost 15% of staff last year, according to the latest national survey of the health service workforce.

The Guardian understands that senior managers in NHS England told staff in its violence prevention and reduction (VPR) team last April that prosecutions of those who assaulted healthcare workers and dismissals of abusive staff should be a last resort. Instead, the focus should be on improving the culture of the NHS and staff wellbeing.

It is also understood that managers cautioned against using the term “zero tolerance” because they said it did not take into account that some people who abuse NHS staff might lack capacity, an apparent reference to mentally ill patients.

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Source: The Guardian, 23 May 2023

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Applications are now open for DigitalHealth.London’s Accelerator programme

DigitalHealth.London is helping health and care professionals turn the idea of digital innovation into tangible improvements in experience and outcomes for patients. Our work is instrumental in giving health and care stakeholders across London insight into the best digital health interventions and tools on the market.

DigitalHealth.London is a collaborative programme delivered by MedCity, and London’s three Academic Health Science Networks – UCLPartners, Imperial College Health Partners, and the Health Innovation Network.

Closing date: Midnight, Sunday 5 July 2020

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