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'What do I have to lose?’ Desperate long Covid patients turn to ‘miracle cures’

Few of the 23 million Americans with lingering symptoms are getting answers – in this dangerous void, alternative providers and wellness companies have created a cottage industry of Long Covid miracle cures.

Some doctors ply controversial blood tests that claim to identify evidence of the elusive disease. Other practitioners speak assuredly about the benefits of skipping breakfast and undergoing ozone therapy, or how zinc can bring back loss of taste or smell. Some desperate patients have gone overseas for controversial stem cell therapy. Over the next seven years, the global complementary and alternative medicine industry is expected to quadruple in value; analysts cite alternative Covid therapies as a reason for growth.

Robert McCann, a 44-year-old political strategist from Lansing, Michigan, sleeps for 15 hours – and when he wakes up, he still finds it impossible to get out of bed. Sometimes he wakes up so confused that he’s unsure what day it is.

McCann tested positive for Covid in July 2020. He had mild symptoms that resolved within about a week. But a few months later, pain, general confusion and debilitating exhaustion returned and never fully left. 

He says he’s skeptical of “miracle cures”. But, after about 17 months of illness and no relief from doctor’s visits, he’s desperate. “I’ll just be frank,” he told me, “if someone has mentioned on the Subreddit that it’s helped them, I’ve probably bought it and tried it.”

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Source: The Guardian, 2 June 2022

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'We're right on track,' says Streeting as key target for hospital waiting times hit

The government has hit an interim target for speeding up hospital treatment in England.

The goal was for 65% of patients to be treated within 18 weeks by March 2026 – and it hit that, but only just, with the figure reaching 65.3%.

It was seen as the first stepping stone to hitting the 92% target by the end of the Parliament in 2029 – a key manifesto pledge of Labour's.

The news came just hours before Wes Streeting resigned as health secretary, saying there needed to be a leadership challenge as he had lost confidence in the Prime Minister.

Speaking before he resigned, he hailed the achievement – performance was below 59% when Labour came to power.

He said: "It means we are right on track to deliver the fastest reduction in waiting times in the history of the NHS.

"That is thanks to the government's investment, modernisation, and the remarkable efforts of staff right across the country.

"Lots done, lots more to do."

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Source: BBC News, 14 May 2026

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'We're behind on baby checks for serious condition'

A charity has met with the Health Secretary to argue that more checks are needed in infancy to find a serious condition that can cause brain damage.

Hydrocephalus is caused by excess spinal fluid or some call it "water on the brain".

Founder of Hampshire-based charity Harry's Hat, Caroline, said: "About one-in-770 babies get hydrocephalus. That is as common as Down's syndrome."

Health practitioners in England and Wales are currently expected to measure a baby's head shortly after birth and then six-to-eight weeks later to see if a baby's head is too big.

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Source: BBC online, 13 January 2025

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'We're attacked and abused as we try to save lives'

Violence and abuse against paramedics and emergency call handlers is on the rise, with reported cases up by more than a third since 2019, the BBC has found.

Almost 45,000 assaults were recorded by ambulance services across England over the last five years, with staff saying they had been punched, kicked, threatened with weapons and subjected to racist, homophobic and religious abuse.

Paramedic Nutan Patel-West, 41, said she had been racially abused "multiple times" while on shift and, during one call-out in 2021, narrowly avoided serious injury after a glass ashtray was hurled at her.

The government said there was a "zero-tolerance approach to this type of behaviour" and warned that those who assault emergency workers can face up to two years in prison.

Mrs Patel-West, who has worked for North West Ambulance Service (NWAS) for more than a decade, said: "I've been verbally abused, racially abused, punched and had a knife drawn on me.

"On one job a patient said 'you need to go back to your own country, you're not welcome here' before he threw an ashtray at my head. He missed by inches.

"I signed up to this job to help people, not this."

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Source: BBC News, 4 December 2024

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'We will live with this for years': virus expert on debilitating after-effects of Covid-19

One of the world’s foremost virus experts has said survivors will be living with the effects of Covid-19 for “years to come” after he was struck down by a severe infection, and called for added support for those who have recovered from the disease. 

Professor Peter Piot, who as director of the London School of Hygiene and Tropical Medicine has been at the forefront of the academic response to the pandemic, has spent his entire career studying viruses such as Ebola and HIV

Prof Piot spent a week at the Royal Free Hospital in London in early April after contracting the disease. “I spent a week in isolation on a ward with three other men. I couldn’t leave the room. When I came out the thing I remember most is seeing the sky. London was deserted - it was in acute lockdown,” he said.

The fever and splitting headache he had felt before being admitted were gone and apart from chronic exhaustion he was feeling better, he said. Getting out of bed was a struggle and he had to take rests when going up the many flights of stairs of his tall Georgian townhouse. But a week later he took a turn for the worse - he became breathless and his heart rate shot up to over 100. 

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'We will be in uncharted territory:' 4 leaders on the potential implications of Roe vs Wade reversal

The effects of the Supreme Court's proposed overrule of Roe vs Wade will touch health systems nationwide — leading some clinicians to urge industry leaders to start preparing for potential fallout prior to the decision. 

"Health systems that view abortion exclusively as a political or partisan issue, perhaps one they'd like to avoid, will soon bear witness to the reality that abortion care, or lack thereof, is a healthcare and health equity issue," Lisa Harris, MD, PhD, wrote in a 11 May for The New England Journal of Medicine. "Avoiding the issue will not be possible, short of abandoning care and equity missions altogether. Thoughtful preparation is needed now."

Four leaders at three systems share there insights.

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Source: Becker's Hospital Review, 23 June 2022

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'We wait too long for endometriosis diagnoses'

After seven years of doctors discounting my symptoms, Ellie Tutt joined the end of a fifty-five-week-long waiting list to find out whether she had endometriosis.

About 1.5 million women in the UK, external are thought to have the condition, which causes pain and extreme tiredness as a result of tissue similar to the womb lining growing elsewhere in the body. But for many of these women, it is taking a long time to get a diagnosis.

Endometriosis can cause chronic pain, heavy bleeding and, if untreated, organ damage, external and infertility.

Despite this, Dr Kate Dyerson, a GP from Berkshire, said it was taking some women four or five trips to their doctor before they were taken seriously.

She said: "I think there's a degree of ignorance among the medical profession as to how many women are affected."

Women's medical problems had long been dismissed, she said, adding many doctors would assume a teenager was just adjusting to period pains.

"I don't think it's sexist so much, I think it's that inbuilt sense that women have periods, periods are unpleasant, we don't want to talk about them, and if they hurt, well, take your pain elsewhere."

Dr Dyerson said it took an average of eight years for women to get a diagnosis and felt GPs needed to get better at making referrals.

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Source: BBC News, 16 April 2025

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'We try our best as nurses, but it's not enough'

Georgina Day works as an A&E nurse in a London hospital. Every shift, her team of just over 20 starts four nurses short because there are posts it cannot fill.

"It can be worse - if people are sick or agency staff don't turn up. It makes providing good patient care difficult."

She says the demands are huge - her department sees more than 400 patients a day. But the shortages mean patients face delays or have to be given care, such as intravenous antibiotics, in corridors instead of in cubicles.

She says that can make patients angry, recounting the experience of one father shouting at her and saying she didn't care about his sick son.

"I care massively," she says. "When patients are angry it makes me really sad. I want more for them."

Georgina's experience is not unique. A survey by the Royal College of Nursing found six in 10 nurses felt they could not provide the level of care they wanted to.

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Source: BBC News, 2 December 2019

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'We remortgaged to buy our kids' ADHD medication'

Nearly 400,000 private prescriptions for ADHD medication were issued last year as patients sought to bypass lengthy NHS waiting lists, with people spending millions of pounds on treatment.

Figures obtained by the BBC show the number of prescriptions for drugs rose from 28,439 in 2018-19 to 397,552 in 2023-24.

One family from West Yorkshire said they had chosen to remortgage their home to meet the costs, with research suggesting backlogs for ADHD assessments could take up to eight years to clear in some parts of the UK.

The Department of Health and Social Care said it was working to "bring waiting lists under control", adding that the NHS had recently launched an "ADHD taskforce" to help tackle the delays.

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Source: BBC online, 14 January 2025

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'We knew somebody would die': Teenage patients 'ignored' before fatal NHS trust failures

"We knew somebody would die… and nobody listened."

Laura Kenny is remembering her friend Christie Harnett.

Both were patients at a mental health unit in Middlesbrough when Christie took her own life.

Laura says she and other patients had expressed worries about their treatment at the unit - later described in an independent report as "chaotic and unsafe" - but she says nobody listened.

"We'd been warning everyone," says Laura. "We wrote letters to everyone we could think of saying one of us is going to die."

In fact, 17-year-old Christie was one of three young women who, within a few months of each other, took their own lives while patients in hospitals run by the Tees, Esk and Wear Valleys NHS Foundation Trust (TEWV) - which covers the whole of North Yorkshire, County Durham and Teesside.

In recent weeks The Independent has spoken to more than a dozen former patients, admitted as young people or as adults, who say they experienced failures in the standard of care at TEWV.

All have similar stories - describing a lack of compassion among staff and an absence of any meaningful treatment or therapy. Many fear mistakes are still being made.

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Source: BBC News, 26 May 2026

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'We feel bullied' say emergency department staff

In November last year, Unison and RCN raised concerns with NHS Forth Valley chief executive Cathie Cowan amid bullying claims made by emergency department staff at Forth Valley Royal Hospital. 

In light of the reports of bullying, a review was commissioned and leaked details revealed junior doctors were left unsupervised on shifts, nurses and doctors had said they are 'battle-weary', and many senior staff members have resigned their posts. 

Karren Morrison, Unison Forth Valley health branch secretary has said: ‘Last year, concerns were being raised by our members who worked in, or who had previously worked in the ED. Staff talked to us about feeling bullied and intimidated, being frightened to speak up, concerns about the delivery of safe patient care, high staff turnover and other issues.’

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Source: Nursing Standard, 12 July 2021

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'We desperately need safety-critical nurse-to-patient ratios enshrined in law'

The latest release of data from the Royal College of Nursing's Last Shift Survey shows the urgent need for investment in the nursing workforce and safety-critical nurse-to-patient ratios enshrined in law. New analysis finds more than 11,000 members reveals just a third of shifts had enough registered nurses.   

Chronic staff shortages mean individual nurses are often caring for 10, 12, 15 or more patients at a time. The RCN are now calling for safety-critical limits on the maximum number of patients a single nurse can be responsible for.   

Our survey found that 1 in 3 hospital shifts were missing at least a quarter of the registered nurses they needed. In A&E settings, significant numbers of nurses reported having more than 51 patients to care for. 

Across all settings, 80% of respondents said there aren't sufficient nurses to meet the needs of patients safely.   

RCN Acting General Secretary and Chief Executive Professor Nicola Ranger said: “Without safety-critical limits on the maximum number of patients they can care for, nurses are being made responsible for dozens at a time, often with complex needs. It is dangerous to patients and demoralising for nursing staff.   

“When patients can’t access safe care in the community, conditions worsen, and they end up in hospital where workforce shortages are just as severe. This vicious cycle fails staff and patients – it can’t go on.   

“We desperately need urgent investment in the nursing workforce but also to see safety-critical nurse-to-patient ratios enshrined in law. That is how we improve care and stop patients coming to harm.”  

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Source: RCN, 1 July 2024

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'We are absolutely full': This hospital is outperforming most - but it is still on its knees

Marina Strange is 90 and lives alone. She had a heart attack last week, her third in two years. It took two hours for an ambulance to reach her. Marina was impressed.

"I was surprised the ambulance came within two hours. I thought that was very good," she told Sky News.

Marina was one of 8,449 patients to arrive at the care of Royal Berkshire NHS Trust by ambulance so far this winter, where Sky News has spent the past few months speaking to patients, consultants and those responsible for running the hospital.

Chief Executive Steve McManus said:

"Our ward occupancy at the moment is running around 99% of our beds, so we are absolutely full," he said.

"Almost half of [our respiratory unit] has been given over for patients with flu - and we’ve got a lot of very unwell patients at the moment. Each morning over the last few days we’ve been starting the day with another 20-30 patients in the emergency department waiting for beds, so the pressures are really significant."

Dr Omar Mafousi, the clinical lead at the hospital explains how a lack of beds in the main hospital affects the emergency care his team can provide.

“We say every year it gets a little worse. This year has felt worse than any other year that I remember and I’ve been a consultant for 15 years in emergency medicine.

“We can’t [have patients in A&E long term]. We’ve only got 20 major cubicles but 25 waiting for a bed. Some are on chairs, some are in the waiting room, but we have no space to bring patients off an ambulance to see and examine them.”

“Almost every single bay is full, there’s just one free at the moment. There are patients waiting to be transferred to the wards, and while we’ve been here in the last couple of minutes two more patients have been brought in by ambulance. Things in the emergency department change very very quickly”.

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Source: Sky News, 13 February 2025

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'Vigilante treatments': Anti-vaccine groups push people to leave ICUs

Anti-vaccine Facebook groups in the United States have a new message for their community members: Don’t go to the emergency room, and get your loved ones out of intensive care units.

Consumed by conspiracy theories claiming that doctors are preventing unvaccinated patients from receiving miracle cures or are even killing them on purpose, some people in anti-vaccine and pro-ivermectin Facebook groups are telling those with COVID-19 to stay away from hospitals and instead try increasingly dangerous at-home treatments, according to posts seen by NBC News over the past few weeks.

Some people in groups that formed recently to promote the false cure ivermectin, an anti-parasite treatment, have claimed extracting Covid patients from hospitals is pivotal so that they can self-medicate at home with ivermectin. But as the patients begin to realize that ivermectin by itself is not effective, the groups have begun recommending a series of increasingly hazardous at-home treatments, such as gargling with iodine, and nebulizing and inhaling hydrogen peroxide, calling it part of a “protocol.”

The messages represent an escalation in the mistrust of medical professionals in groups that have sprung up in recent months on social media platforms, which have tried to crack down on Covid misinformation. And it’s something that some doctors say they’re seeing manifest in their hospitals as they have filled up because of the most recent delta variant wave.

Those concerns echo various local reports about growing threats and violence directed toward medical professionals in the US. In Branson, Missouri, a medical center recently introduced panic buttons on employee badges because of a spike in assaults. Violence and threats against medical professionals have recently been reported in Massachusetts, Texas, Georgia and Idaho.

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Source: NBC News, 24 September 2021

 

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'Utterly inhumane' hospitals still ban bedside visitors as Covid cases plunge

Hospitals are still banning patients from having bedside visitors in ‘immoral’ Covid restrictions. 

Last night, MPs, patient groups and campaigners criticised the postcode lottery that means some frail patients are still denied the support of loved ones. 

Nine trusts continue to impose total bans on any visitors for some patients, The Mail on Sunday has found. 

Almost half of trusts maintain policies so strict that they flaunt NHS England’s guidance that patients should be allowed at least two visitors a day. 

Shrewsbury and Telford Hospital NHS Trust, Sandwell and West Birmingham Hospitals NHS Trust and Royal Papworth Hospital NHS Foundation Trust are among those continuing total bans on visiting for some of their patients. 

University College London Hospitals NHS Foundation Trust (UCLH) has even been imposing its draconian restrictions on disabled patients who need special help for their care – only allowing visits on three days a week for a maximum of an hour each time. 

Tory MP Alicia Kearns said: ‘It is utterly unforgivable and immoral. There is no scientific evidence for any remaining inhumane restrictions on visiting. Trusts are breaching the rights of families. 

'Visitors save lives, they advocate and calm their loved ones. When will this madness end?’ 

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Source: MailOnline, 1 May 2022

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'Urgent' changes needed for child disability care

The mothers of two teenage boys who died after failures in their care have called on the government to make "urgent improvements" to how children with disabilities are assessed.

Sammy Alban-Stanley, 13, and 14-year-old Oskar Nash both died in 2020. Inquests for both boys recorded they had received inadequate care from local authorities and mental health services.

The calls were made in an open letter to the secretaries of state for health and social care, and education.

Patricia Alban and Natalia Nash asked Sajid Javid and Nadim Zahawi to make fundamental changes to several care areas to prevent future deaths.

The pair said they both experienced problems with support for disabled children and families.

Services lacked understanding of neurological conditions like autism, they said.

The pair also pointed to a lack of access to children and adolescent mental health services (CAMHS), and failure to assess or review the severity of a child's developing needs.

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Source: BBC News, 16 June 2022

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'Urgent action' over children's mental health care

A child was twice given double the "safe" dose of a rapid tranquilizer at a hospital run by a troubled NHS trust.

The child was put at "significant risk of harm" at Telford's Princess Royal Hospital, said inspectors.

Rating children's services inadequate, they said Shrewsbury and Telford Hospital NHS Trust (SaTH) must halt seeing under 18s for acute mental health needs. The trust, in special measures, was working to "urgently address concerns".

The Care Quality Commission (CQC) carried out a targeted inspection on 24 February prompted by "concerning information" about treatment at the service run by SaTH.

The trust is currently at the centre of the largest ever inquiry into NHS maternity care.

Staff told inspectors they had seen an increase in the number of young people with "significant mental health issues" and learning disabilities over the past year.

But the services, which were rated as "requiring improvement" in November 2019, were deemed "inadequate" in four of five areas tested - for being safe, effective, responsive and well-led.

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Source: BBC News. 19 April 2021

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'Urgent action' needed to protect A&E staff from violence

Accident and emergency staff at Bristol Royal Infirmary do not feel equipped to deal with the violence they face from the public, inspectors have found.

Health watchdog The Care Quality Commission (CQC) rated the department as "requires improvement" following an inspection in February. It said "urgent action" must be taken to protect staff and patients.

University Hospitals Bristol and Weston NHS Foundation Trust said it was working on improvements.

Amanda Williams, CQC's head of hospital inspections, said: "We were... particularly concerned to find high levels of violence and aggression against staff from patients in the department and to learn that staff did not feel adequately trained to deal with this."

"Staff need to be given the appropriate training and support to ensure they feel safe and to enable them to defuse tension and prevent violence from escalating."

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Source: BBC News, 17 March 2021

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'Urgent action' needed on hospital waiting times in Ireland

Urgent action is required to tackle hospital waiting times on both sides of the Irish border, according to the Economic and Social Research Institute (ESRI).

A report into the primary healthcare systems of Ireland and Northern Ireland found that both jurisdictions are experiencing similar problems.

These include workforce shortages and increasing expenditure.

On hospital waiting times the problem is worse in Northern Ireland. 

The proportion of people on the waiting list in Northern Ireland for more than one year increased from 20% to 60%. In the Republic of Ireland, during the same period between 2017 and 2021, the figure increased from 12% to 20%.

A key distinction between the healthcare systems is the absence of a universal healthcare system in Ireland, write the authors.

That means in Northern Ireland, all residents are entitled to a wide range of free health care services, while in Ireland, the majority pay to see their GP and for other services.

But despite this key difference, both systems are currently facing similar challenges, including shortages in key areas of the workforce and long waits for a range of healthcare services.

Cross-border collaboration in healthcare across the island is an interesting but contentious issue. At present, according to the ESRI report, that work is relatively limited.

It points to a 2011 report which identified the potential benefits to be gained from increased co-operation in healthcare including collaboration in cystic fibrosis, ear, nose and throat surgery, paediatric cardiac surgery and acute mental health services.

However, this 2022 report concludes that despite some notable exceptions such as the Congenital Heart Disease Network and the North West Cancer Centre at Altnagelvin Hospital in Londonderry, "collaboration has been relatively limited".

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Source: BBC News, 10 March 2022

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'Unprecedented': Coroner prohibits naming of surgeon in herpes deaths inquest

A surgeon who may have infected two new mothers with herpes has been granted anonymity during the inquests into their deaths in an "unprecedented" ruling.

Coroner Catherine Wood said she made the decision because the surgeon's "apprehension" about being named when he stands as a witness would "likely impede his evidence in court" and affect his health.

Mid Kent and Medway Coroners is investigating the cases of Kimberly Sampson, 29, and Samantha Mulcahy, 32, who both died in 2018 after the same obstetrician conducted their caesareans. They were treated 6 weeks apart in hospitals run by East Kent Hospitals University NHS Trust (EKHUT).

On February 26 – the day before the inquest was due to begin and 16 months after it was first announced – EKHUT made a last-minute bid for anonymity covering the surgeon and a midwife also involved in both cases. The trust said they should not be named unless the inquest concluded they had passed on the infection, because of the "reputational damage" they would suffer, and because the surgeon's health was already being impacted by reports.

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Source: Medscape, 9 March 2023

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'Uncoordinated' codeine use caused Ipswich woman's death

A coroner questioned the regulation of online pharmacies after a woman died as a result of her addiction to the painkiller codeine.

Debbie Headspeath, 41, collapsed at home in Ipswich in 2017. The inquest heard she had been prescribed the opiate for back pain by her GP in 2008 and had later bought more online without his knowledge. The inquest found Mrs Headspeath died from pneumonitis caused by acute pancreatitis which in turn was caused by chronic codeine use. An investigation by the coroner's office found she had been prescribed codeine from 16 online companies spending more than £10,000 - on top of her prescriptions from her local NHS surgery.

The Suffolk Coroner, Nigel Parsley, said he would ask the government to look at closing "regulatory gaps" in the system. He said Mrs Headspeath had been able to "manipulate" the system and he delivered a narrative conclusion that she died as a result of the "uncoordinated availability of codeine from multiple suppliers". The coroner said he would prepare a full prevention of future deaths report for the family and Department of Health.

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Source: BBC News, 12 November 2019

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'Unacceptable' drop in care at Kettering home with 12 COVID-19 deaths

A dramatic collapse in standards at a care home where a dozen people died from COVID-19 has been revealed by inspectors who discovered hungry and thirsty residents living with infected wounds in filthy conditions.

Infection control was inadequate, residents with dementia were left only partially dressed and one family complained of finding their loved one smeared in dried faeces at Temple Court care home in Kettering, which is operated by Amicura, a branch of Minster Care which runs more than 70 homes in the UK.

Amicura said the home had been “completely overwhelmed” by COVID-19 infections which it said arrived with 15 patients discharged from hospitals in the second half of March.

They were overrun,” one relative told the inspectors. “They were short-staffed and then with the influx of people, they couldn’t cope.”

Residents’ wounds had become necrotic and infected, requiring hospital treatment and several people had experienced falls, some of which resulted in injuries needing hospital treatment, the inspectors found.

The conditions discovered by the Care Quality Commission on 12-13 May were so poor that surviving residents were moved out immediately. The CQC report into the service, published on Friday, found multiple breaches of the health and social care act. Northamptonshire police have launched an investigation to identify whether any offences may have been committed.

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Source: The Guardian, 26 June 2020

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'Unacceptable' delays in diagnosing secondary breast cancer

One in four patients with secondary breast cancer had to visit their GP three or more times before they got a diagnosis, a survey suggests.

The breast cancer charity, Breast Cancer Now, said there should be more awareness that the disease can spread to other parts of the body. In the UK, 35,000 people are living with the incurable form of the disease.

GPs said they were doing their best for patients but symptoms could be difficult to spot.

Breast Cancer Now said it was "unacceptable" that some people whose cancer had spread were not getting early access to treatments which could alleviate symptoms and improve their quality of life.

Prof Helen Stokes-Lampard, from the Royal College of GPs, called for GPs to have better access to the right diagnostic tools and training to use them.

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Source: BBC News, 11 October 2019

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'Toxic culture' at NHS trust left staff suicidal

"It was toxic from start to finish – you tried to avoid certain people but because you work with them you couldn't, they were always there," says former NHS worker Harvey Cooper.

He is one of several former Portsmouth Hospitals University Trust (PHU) staff members who have spoken to the BBC as part of an investigation into an alleged culture of workplace bullying and harassment.

The allegations span the past decade and include a "flawed and unfair" internal investigation that contributed to A&E manager Sam Carter taking her own life in 2022.

Harvey says he resigned last May due to physical and mental distress he suffered at work.

He joined the trust in May 2022 as an Emergency Medical Assistant (EMA) at the Queen Alexandra Hospital (QA) in Cosham, a role which required moving patients around A&E.

He says he faced constant bullying from other EMAs - he claims he was called a homophobic slur, chanted at in corridors, prevented from taking patients to where they needed to go and was injured after a bed was shoved into him.

Emails seen by the BBC showed Harvey raised two grievances against some of the EMAs and managers were aware of alleged inappropriate behaviours and attitudes.

In November 2023, a year after his first grievance was submitted, he received a letter from the trust apologising for the way his complaints had been handled and the "unacceptable" length of time it had taken.

But by then Harvey says he was receiving counselling after feeling suicidal.

"It ended up ruining my health, my mental health, I had two heart attacks and diagnosed with PTSD and still to this day nothing ever got done," he told the BBC.

In response, the trust said it remained "committed to learning, improving, and fostering an inclusive and supportive environment".

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Source: BBC News, 23 April 2026

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'Tipping point' warning as strike-hit appointments near million mark

As junior doctors begin a four-day strike today with a two-day strike by consultants a fortnight later, Sir Julian Hartley, chief executive of NHS Providers, said:

"Trust leaders are very worried about six more days of severe disruption across the NHS this month.

"We could be close to a tipping point. Trusts and staff are pulling out all the stops to reduce waiting times for patients but with no end to strikes in sight the sheer volume of planned treatment being put back due to industrial action will make it almost impossible for trusts to cut waiting lists as much as the government wants.

"Waiting lists are now at a record high of 7.57 million, the pressure on urgent and emergency care services is relentless and an already stretched NHS is gearing up for another high-demand winter as pressure on tight budgets mounts.

"A string of strikes – which have led to more than 835,000 routine treatments and appointments being put back since December – is estimated to have cost the NHS around £1bn already including lost income and hiring expensive staff cover.

"The number of rescheduled appointments could be close to 1 million after this month's strikes and consultants have called another two-day strike in September. There will be a long-lasting effect on patients who have had treatment delayed and on already low staff morale.

"Concerns are mounting too over how patient safety will be maintained during August's strikes as many NHS services will be even more stretched as many staff are on much-needed summer holidays and cover is harder to secure.

"It's vital that the government and unions find a breakthrough urgently. Trust leaders understand the strength of feeling among striking staff and why they're taking action. Everyone in the NHS wants to concentrate on treating more patients more quickly rather than spend days making plans to cope with strikes.

"People can still rely on the NHS during strikes, calling 999 in an emergency. For less urgent cases people should use 111 online for help and advice."

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