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More blood victims will die without compensation

More victims of the infected blood scandal will die without ever receiving full compensation, a government minister has said.

The paymaster general Nick Thomas-Symonds was giving evidence to a special session of the public inquiry into what's been called the worst treatment disaster in NHS history.

It's thought 30,000 patients in the UK were infected with HIV or hepatitis B and C after being treated with a contaminated blood clotting product or given a blood transfusion in the 1970s and 80s.

Mr Thomas-Symonds agreed it was "profoundly unsatisfactory" that just 106 final compensation awards have been paid, almost a year after a damning report into the scandal was published.

"I'm never going to think this is satisfactory until everybody has received the compensation that is due," the Cabinet Office minister said.

"The objective should be absolutely to pay [people] as soon as possible."

A final report into the scandal, published last year, found that the disaster could largely have been avoided if different decisions had been taken by the health authorities at the time.

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Source: BBC News, 7 May 2025

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Trump’s 2026 budget plan cuts healthcare funds

President Donald Trump unveiled his fiscal 2026 budget proposal on 2 May, cutting non-defense federal spending by $160 billion.

The budget provides resources to HHS to promote nutrition, physical activity, healthy lifestyles and more, according to the White House press release. The funds will also tackle “over-reliance on medications and treatments” as well as food and drug quality and safety.

The VA medical centers will receive additional funds for healthcare services. Qualified veterans can also receive care from local community providers to expand access for those who otherwise would have to drive hours for care.

The budget would cut funds nearly in half for the National Institutes of Health and CDC. 

The budget further would eliminate divisions for the CDC focused on disease and injury prevention, including gun violence. It would also cut the programmes for environmental health, global health and public health preparedness, according to The Times. The CDC’s focus would narrow to cover just infectious disease.

President Trump’s budget proposes $1 billion cuts from the Substance Abuse and Mental Health Services Administration.

The budget does not cut funding for Medicare or Medicaid.

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Source: Becker's Hospital Review, 2 May 2025

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NHS maternal mental health services slash funding despite soaring demand

Two-thirds of specialist mental health services for mothers planned funding cuts last year despite soaring demand.

An analysis of NHS spending by the Royal College of Psychiatrists (RCP) found 27 out of 42 areas in England planned cuts totalling £3.2 million in the 2024/25 financial year.

Some areas such as Norfolk and Waveney planned to slash their budget by £257,466 - almost 5%.

It comes as NHS figures show a surge in demand for people seeking help, with 63,858 women accessing perinatal mental health services in the year to February 2025, compared to 43,053 women in the year to February 2022.

Baroness Luciana Berger, chair of the Maternal Mental Health Alliance, told The Independent it was "deeply alarmed" by the findings.

"Our research shows that investing in perinatal mental health services is not only a compassionate choice but an economically sound one. Unaddressed perinatal mental illness takes a significant toll on families and costs the UK economy £8.1 billion a year.

"Cuts to these vital services risk devastating human consequences. Mental health remains the leading cause of maternal death. These tragedies will persist without continued investment and protection for specialist services.”

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Source: The Independent, 8 May 2025

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Children waiting more than two years for tooth extractions

Children needing a general anaesthetic for tooth extraction are waiting nearly three years in a hidden crisis that is not recorded on national waiting lists.

A national report on hospital dentistry found there were more children on locally held waiting lists for assessment than on the nationally reported waiting list – 27,285 compared to 22,474.

Some of the longest waits are thought to be in Kent and Medway, where 200 children are waiting for dental extractions – many of them with autism or learning disabilities. The longest wait is 143 weeks — about two years and nine months.

The issue is going under the radar because there is a lack of a consistent dataset for community dental services, which are responsible for dentistry for children with special care needs, such as physical or learning disabilities.

Children with additional needs often can’t have teeth extracted under a local anaesthetic and instead need to be admitted to a hospital with a paediatric intensive care unit where they can have a general anaesthetic.

Being on a locally held waiting list – typically when a community dental service is not part of an acute trust – can mean commissioners are unaware of the scale of children waiting.

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Source: HSJ, 6 May 2025

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‘The pain was worse than giving birth’: why are so many women separated from their babies in prison?

One by one, 29 women sat before Dr Laura Abbott in similarly small, nondescript rooms across five UK prisons, and described losing their babies. They were not bereaved in the conventional sense – although they were clearly holding in grief, as once the guards had left, they let rare public tears fall. Prisoners who had given birth in custody, they had been separated from their newborn children. In some cases this had happened within four or five days of becoming mothers.

“It was worse than giving birth,” said one woman. “That was the hardest pain of my life. I’ve never felt pain like it … It was in my chest, in my heart. Even in my belly.”

“It was as if my whole body craved him,” said another woman. “It’s like losing a limb, losing your sight,” a third explained. “It’s like losing any hope.”

Some of the mothers were still producing milk when Abbott and her assistants spoke to them. One said she was so reluctant to raise this in the prison that she was expressing manually into her cell sink.

Abbott, 54, a former midwife and senior lecturer in midwifery at the University of Hertfordshire, spoke to the women last year for the Lost Mothers Project, which will be launching at the British Museum in London on 8 May.

A collaboration between the university, the charity Birth Companions and an advisory team of women with lived experience, the report, which is the result of three years of research, examines the experiences and needs of an invisible cohort.

Anna (not her real name), 38, has endured this. She was six months pregnant when she was sent to prison nine years ago for her first offence. She was at full term when she finally stood before an MBU board. She is vocal about the horrors of giving birth in custody. She had to press her call bell “four or five times for an hour” when she felt labour pains. She says she was taken to hospital in handcuffs: “[The guard] told me to be grateful that she put me in long cuffs.” They were taken off before she was taken to the delivery suite – since 2022, it is mandated that restraints must not be used on pregnant women taken to appointments unless they are deemed essential.

But it is when she talks about her subsequent separation from her son that Anna momentarily loses her words. She was initially granted an MBU place, but when bailed before sentencing she had to go back to the beginning, and needed to reapply when she returned to prison. This bureaucratic delay resulted in a five-week separation.

Anna began to feel suicidal, and even stopped her mum bringing her son to visit. “It was just getting harder. Sometimes my legs felt heavy, as if they didn’t want to walk away,” she says. “Sorry, I’m getting upset …” She continues: “It was as if somebody was tearing my heart out.”

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Source: The Guardian, 6 May 2025

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East Kent Hospitals Trust pays out more than £4 million in compensation for negligence claims relating to medication errors since 2019

A Kent hospitals trust has paid out more in compensation for medication blunders than any other in England, new data suggests.

Since 2019, East Kent Hospitals - which runs the Kent and Canterbury Hospital, QEQM in Margate, and William Harvey in Ashford - has handed over almost £5 million to patients affected by errors in prescribing, dispensing, administering or advising on medicine.

According to figures released by NHS Resolution - the legal arm of the health service - the 10 negligence claims settled by the trust over five years cost it £4,723,658 in compensation.

This sum is the highest of any trust in the country where at least five claims have been settled, and does not include legal fees, meaning the full cost to taxpayers is even higher.

Medication errors, which the NHS defines as patient safety incidents involving mistakes with medicines, can include prescribing the wrong drug or dose, poor communication between hospitals and GPs, or failing to properly monitor patients on powerful medication.

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Source: Kent Online, 6 May 2025

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New AI model could ‘predict disease’ before it happens using NHS data

A groundbreaking artificial intelligence (AI) model is being trained using NHS data from 57 million people in England in the hope it could predict disease and complications before they occur.

The world-first study, spearheaded by researchers at University College London (UCL) and King’s College London (KCL), has the potential to “unlock a healthcare revolution”, officials said.

The AI, known as Foresight, uses technology similar to that of ChatGPT, however, instead of predicting text, Foresight analyses a patient's medical history to forecast potential future health issues.

As part of the pilot, it will be trained using eight routinely collected datasets, including hospital admissions, A&E attendances and Covid-19 vaccination rates, which have been stripped of personal information.

“Foresight is a really exciting step towards being able to predict disease and complications before they happen, giving us a window to intervene and enabling a shift towards more preventative healthcare at scale,” Dr Chris Tomlinson of UCL said.

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Source: The Independent, 7 May 2025

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Cut ‘board headcount’, ICBs told

A “blueprint” for integrated care board cost-cuts says “headcount should be reduced at board level”. 

The “model ICB blueprint” issued by NHS England says the organisations should “look to streamline boards to deliver [their] core role”. 

HSJ understands the biggest reductions in board members are expected to come from ”greater collaboration” such as shared roles, and “clustering” of integrated care board leadership in many regions – expected to involve sharing of chairs and CEOs.

Discussions about consolidation are already well underway in several regions, although NHSE understands formal mergers are likely to be delayed until at least next year.

The blueprint document indicates ICBs must also remove some board posts which are linked to functions being axed or transferred. These functions include performance management, workforce, and “digital leadership and transformation”. The guidance says ICBs should “streamline” boards “with the right roles and profiles to deliver core Model ICB functions”.

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Source: HSJ, 6 May 2025

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‘Concerning’ lack of female-only medical trials in UK, say health experts

Health experts are calling for more UK clinical trials to focus on finding new treatments for women, as “concerning” data reveals they are severely under-represented, with 67% more male-only studies than female-only.

Details of thousands of studies were collected by the Medicines and Healthcare products Regulatory Agency (MHRA) and the University of Liverpool. The evidence shows the UK is a hub for pioneering research, with one in eight trials testing humans for the first time, and cutting-edge treatments such as gene therapies becoming a new growth area.

But a review of the data by the Guardian found that women were significantly under-represented. Both sexes were included in most trials (90%), but male-only trials (6.1%) were nearly twice as common as female-only studies (3.7%). Pregnant and breastfeeding women were especially under-represented – involved in just 1.1% and 0.6% of trials respectively.

Women’s health experts expressed alarm over the figures, which they said meant women and their doctors were having to make decisions about whether to take a drug in a “vacuum of evidence”. Some areas of research are dominated by men at all levels – funders, researchers, consultants and patients – and as a result there could be a “reluctance” to fund female-only trials, the experts added.

Dr Amy Brenner, an assistant professor in the clinical trials unit at the London School of Hygiene & Tropical Medicine (LSHTM), said: “It is particularly concerning that there are more male-only trials than female-only trials as, while they may be disease-specific, it is certainly not true that there are more male-only than female-only diseases.”

The gender gap had serious implications, Brenner said. “This under-representation means there is a lack of evidence on the safety and effectiveness of many interventions in women.” There was an “urgent need” to correct the disparity in order to improve women’s health outcomes, she added.

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Source: The Guardian, 7 May 2025

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'The NHS at its worst', ex-ombudsman tells inquiry

A former health ombudsman has condemned mental health services for their handling of two vulnerable young men who died in their care.

Sir Rob Behrens, who was parliamentary and health service ombudsman (PHSO) from 2017 to 2024, spoke at the Lampard Inquiry, which is examining the deaths of more than 2,000 people under mental health services in Essex over a 24-year period.

Sir Rob said it was "a disgrace" how Essex Partnership University NHS Foundation Trust (EPUT) had failed in its care of 20-year-old Matthew Leahy, who died in 2012, and a 20-year-old man referred to as Mr R, who died in 2008.

"This was the National Health Service at its worst and needed calling out," Sir Rob said.

Sir Rob referred in his inquiry appearance to several reports made during his tenure, including "Missed Opportunities", which looked into the circumstances surrounding the deaths of Mr Leahy and Mr R.

Mr Leahy was found unresponsive at the Linden Centre in Chelmsford. He reported being raped there just days before he died.

Sir Rob told the inquiry the PHSO identified "19 instances of maladministration" in Mr Leahy's case by North Essex Partnership University NHS Foundation Trust - a predecessor to EPUT - including that his care plan was falsified.

The former ombudsman said there had been "a near-complete failure of the leadership of this trust, certainly before it was merged" with South Essex Partnership Trust to become EPUT.

"This was an indictment of the health service," he added.

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Source: BBC News, 6 May 2025

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States in America sue HHS over layoffs and restructuring

Nineteen states and the District of Columbia filed a lawsuit against the federal government on 5 May aiming to block the Trump administration’s large-scale restructuring of the Department of Health and Human Service (HHS).

In the lawsuit, New York Attorney General (AG) Letitia James and 19 other AGs argue the restructuring is an “unconstitutional and illegal dismantling of the department.” They contend the government has violated hundreds of laws and bypassed congressional authority by enacting the plan, which has erased decades of public health progress and left HHS unable to execute many vital functions.

The state AGs said the restructuring has significantly hindered mental health and substance use services, HIV/AIDS response efforts, maternal mortality monitoring and disability support, among other key services. 

HHS announced the restructuring 27 March, outlining plans to lay off 10,000 full-time employees and consolidate the agency from 28 divisions to 15. The agency defended the restructuring — and its legality.

“We are following the law, period,” an HHS spokesperson said. “Nothing has been rushed and multiple rounds of discussions between divisions and HHS occurred before the announcement. Every step taken has been deliberate, collaborative and consistent with federal personnel policy and civil service protections. To suggest otherwise is inaccurate and misrepresents the integrity and facts of the process.”

“The reforms are designed to strengthen the agency’s capacity to serve the American public, not weaken it. HHS remains confident that the process will withstand legal scrutiny and looks forward to a resolution that reflects the facts and the law.”

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Source: Becker's Hospital Review, 5 May 2025

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Care homes under threat as family visa crackdown blocks 100,000 workers

A government crackdown on visas for overseas workers could put overstretched care homes under threat of closure, with tens of thousands fewer staff coming to the UK, The Independent can reveal.

Applications for Britain’s health and care worker visa are at a record low after care workers were prevented from bringing children and other dependants with them in a bid to curb climbing migration numbers.

Between April 2023 to March 2024, when the new rules came in, there were 129,000 applicants, but that plummeted to just 26,000 in the year to March 2025, according to government figures.

The revelation comes as care homes struggle to retain staff, with more than 100,000 vacancies across England last year - a rate of 8 per cent and three times the national average.

Age UK warned that overseas recruits were “keeping many services afloat” and some care homes could be forced to shut if they could not find alternatives, piling more pressure on NHS hospitals.

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Source: The Independent, 6 May 2025

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Private providers costing ICB ‘three times more’ than NHS equivalent

NHS-funded access to private autism and ADHD services is “unsustainable” and “up to three times more expensive than our local provision”, according to an integrated care board’s review.

Northamptonshire ICB found the use of independent providers under “right to choose” rules for diagnosis and treatment of autism and ADHD was expected to cost it £3m in 2024-25, according to the document obtained by HSJ.

This represents an additional 66% on top of its £4.5m budget for its commissioned autism and ADHD services.

Extremely long waits, rocketing demand, and a growing market nationally have seen a big rise in people exercising choice rules, which require commissioners to pay for treatment if a provider has a contract with at least one other ICB.

In its review of community paediatric services, the ICB said its spending growth on the independent sector is “unsustainable” as “costs are up to three times more expensive than our local provision”. 

NHS funding of the same services is effectively capped as they are on “block” contracts. The review was completed in December and recently released after a Freedom of Information request.

Government has deprioritised tackling long waits for these services, but NHS England last year launched a national taskforce on the issue. The ICB’s review warned any “national solution will almost certainly involve greater use of the independent provider market”, which it said was less cost-effective than its commissioned services. 

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Source: HSJ, 6 May 2025

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Assisted dying bill to include protection for NHS staff not wishing to take part

NHS staff including doctors, nurses and pharmacists who do not wish to take part in assisted dying will have specific protection against discrimination under a new amendment from the bill’s sponsor Kim Leadbeater, backed by ministers.

Leadbeater, who is hoping to shore up support for the bill before a crucial Commons vote next week, will add the additional protections for any staff involved in the proposed process, including ancillary staff, who will not have to give any reason for their refusal.

The private member’s bill, which faces its next Commons stage next Friday (16 May), currently says doctors and health professionals may refuse to take part.

But the Guardian understands this will be extended to any person who may possibly be involved in the process and will be amended to say “no person is under any duty to participate in the provision of assistance”.

There will also be an amendment to the current Employment Rights Act that will specifically ban discrimination, dismissal or disciplinary action if a person chooses not to participate.

“Choice is at the heart of the bill,” Leadbeater said. “Assisted dying is not for everyone and nor should it be. But for those who do make that choice, the bill that MPs will be debating again in less that two weeks, contains even more protections and is more effective and workable than it was before.”

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Source: The Guardian, 5 May 2025

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Plan to modernise 1,000 GP practice buildings

Funding is being given to around one in six GP practices in England to help them improve their buildings, the government says.

Around £102m is being provided to expand and modernise surgeries, with work getting under way this summer. The government said it was the biggest public investment in facilities for five years.

It comes as satisfaction levels with GP service have hit record-low levels and figures suggest two in five GPs are reporting their practices are not fit for purpose.

Health Secretary Wes Streeting called it a "significant step", but warned it would not solve all existing problems overnight.

Under the plan, some of the projects will involve converting office space into clinical consulting rooms as well as building new practices.

Mr Streeting said: "These are simple fixes for our GP surgeries, but for too long they were left to ruin, allowing waiting lists to build and stopping doctors treating more patients."

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Source: BBC News, 6 May 2025

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US scientist who touted hydroxychloroquine to treat Covid named to pandemic prevention role

A proponent of using the drug hydroxychloroquine to treat Covid-19 despite scant evidence of its efficacy has been named to a top pandemic prevention role at the Department of Health and Human Services, the Washington Post reports.

Steven J Hatfill is a virologist who served in Donald Trump’s first administration, during which he promoted hydroxychloroquine to treat the virus in the early months of the pandemic, when vaccines and treatments were not yet available. He recently started as a special adviser in the office of the director of the administration for strategic preparedness and response, which prepares the country to respond to pandemics, as well as chemical and biological attacks.

The Trump administration embraced using the antimalarial drug hydroxychloroquine, along with other drugs such as ivermectin and chloroquine, as treatments against Covid-19, despite concerns over both their efficacy and potentially serious side-effects. In June 2020, just months after the pandemic started, the Food and Drug Administration warned against using hydroxychloroquine and chloroquine to treat Covid-19 over “reports of serious heart rhythm problems and other safety issues”, even after Trump approved the ordering of millions of doses of the drug from Brazil for US patients.

Last year, a study released at the onset of the pandemic that promoted hydroxychloroquine to treat Covid-19 was withdrawn by the publisher of the medical journal.

In an interview with the Post, Hatfill defended his support of hydroxychloroquine, which remains in use to treat diseases including lupus and rheumatoid arthritis. “There is no ambiguity there. It is a safe drug,” Hatfill said, noting that “they gave the drug to the president” in 2020.

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Source: The Guardian, 5 May 2025

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Doing nothing on social care 'untenable', MPs warn

A failure to fix England's social care system is costing the country in financial and human terms, cross-party MPs have warned.

Doing nothing to reform social care for older and disabled adults is an "active" and "untenable" decision, according to a report from Health and Social Care Select Committee.

It says successive governments have put too much emphasis on the cost of reforming the system, and future plans will be doomed to fail unless the government understands and measures the "cost of inaction".

The government, which has set up an independent commission which has just started work, said it had "hit the ground running" but acknowledged there was "much more to do".

"Taxpayers are currently paying £32 billion a year for a broken system" propped up by contributions from unpaid carers "equivalent to a second NHS", the report said.

The committee found that social care is consuming an increasing proportion of councils' budgets, crowding out spending on other services.

It added that social care makes up an integral part of the government's NHS reforms and cannot be a separate process.

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Source: BBC News, 5 May 2025

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NHS trust declined to refer nurse to regulator over sexual assault and harassment allegations

A senior nurse was struck off over allegations of sexual assault and harassment, after a colleague reported him to a regulator when a hospital refused to refer her case.

The colleague, also an NHS nurse, first raised a complaint against Niyi Okegbola with managers at South London and Maudsley NHS Hospital four years ago, alleging he sexually assaulted her on trust premises.

But after an 18-month investigation, the colleague, Holly*, was told the case against Mr Okegbola “did not meet the threshold”, and he would be returning to work.

She then referred the matter to the Nursing and Midwifery Council, which struck off Mr Okegbola after finding 35 different allegations proven against him over actions that were “sexually motivated” toward her and four other staff from 2019 to 2022.

The NMC tribunal found it was more likely than not that he had touched or attempted to touch the breasts of two people working at the trust.

The panel added he had “breached professional boundaries” on numerous occasions and “repeatedly [harassed] more than one colleague over a prolonged period of time”.

Speaking for the first time since Mr Okegbola was struck off, Holly has accused the trust of having a “culture of acceptance” and failing to protect female staff.

Holly, whose name has been changed, told The Independent: “There is a complete lack of awareness about these things happening in the NHS. It’s very much hidden under the carpet, I felt like they [the trust] didn’t know how to handle this."

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Source: The Independent, 5 May 2025

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Pharmacists face daily inappropriate demands for antibiotics, survey finds

Pharmacists are facing inappropriate demands for antibiotics every day, with some patients stockpiling them for holidays despite the threat posed by antimicrobial resistance, a report says.

Staff receive requests for the drugs to treat minor ailments such as coughs and colds even if they are not needed, according to the National Pharmacy Association (NPA), which represents 6,000 independent community pharmacies in England. Its survey found 79% of pharmacists were having to refuse requests for antibiotics from patients at least once a day.

A quarter of pharmacists said patients frequently returned partially used antibiotics, while 37% were aware of patients regularly hoarding them for a later date. Half-used courses of antibiotics were being posted on local social media groups, the NPA said.

Other issues include patients requesting antibiotics from their pharmacy before going on holiday just in case of illness, and people returning from abroad with huge quantities of antibiotics for conditions not treated by them in the UK.

Olivier Picard, the chair of the NPA, said: “These are concerning findings and shows there are widespread misconceptions about the role that antibiotics can play among some patients.

“Although antibiotics may be an appropriate course of treatment for some conditions, for other ailments like viral coughs and sore throats, they may not be effective. This could also mean antibiotics may not be effective for treating more serious conditions, posing a risk to patient safety."

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Source: The Guardian, 6 May 2025

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More than 1m older people in England waited over 12 hours in A&E last year

More than 1 million older people a year in England are forced to wait longer than 12 hours in A&E, with many having to endure “degrading and dehumanising” corridor waits on trolleys.

The number aged 60 and over waiting more than 12 hours to be transferred, admitted or discharged increased to 1.15 million in 2024, up from 991,068 in 2023. The figure was 305,619 in 2019, according to data obtained by the Royal College of Emergency Medicine (RCEM) under freedom of information laws.

A report by the RCEM also found the risk of a 12-hour wait in an emergency department in England increased with the age of the patient. People aged 60 to 69 had a 15% chance of waiting 12 hours or more. For those aged 90 and over, the likelihood rose to 33%.

“The healthcare system is failing our most vulnerable patients – more than a million last year,” said Dr Adrian Boyle, the president of the RCEM. “These people are our parents, grandparents, great-grandparents.

“They aren’t receiving the level of care they need, as they endure the longest stays in our emergency departments, often suffering degrading and dehumanising corridor care. It’s an alarming threat to patient safety. We know long stays are dangerous, especially for those who are elderly, and puts people’s lives at risk.”

As well as long waits, the RCEM report found many older people were missing out on vital checks in A&E. Of patients aged over 75, only 16% were screened for delirium – a reversible condition linked to an increased risk of death. Fewer than half (48%) of patients were screened for their risk of falls.

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Source: The Guardian, 6 May 2025

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NHSE could impose new cancer system on struggling trusts

Trusts failing to meet cancer standards may be encouraged to use a new tool on the federated data platform, HSJ understands.

NHS England today announced the launch of the Cancer 360 tool on the FDP, which it says will help clinicians to “identify and address delays immediately” in cancer treatment pathways. 

In a media briefing attended by HSJ, NHSE said no trust would be “forced” to take up the tool. It said there would be “no questions asked” if another system was already in place and the organisation was meeting performance targets, such as the faster diagnosis or 62-day referral-to-treatment standards.

However, there “would be a conversation” about the need to use Cancer 360 if a trust had another system in place and was not meeting standards, officials confirmed.

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Source: HSJ, 4 May 2025

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Trust investigated for manslaughter over three deaths

A trust is being investigated for manslaughter in relation to the death of three patients, HSJ has learned.

HSJ understands the three patients died by suicide while inpatients at Leicestershire Partnership Trust’s Bradgate Unit, in Glenfield Hospital, between September 2020 and July 2021.

Leicestershire Police confirmed it was investigating “offences relating to corporate manslaughter and gross negligence manslaughter” in relation to the deaths.

A police spokesperson told HSJ: “The investigation remains ongoing. No charges have been brought at this time.”

The trust said: “Leicestershire Partnership Trust is fully cooperating with the police. We are unable to comment any further while the investigation is ongoing.”

It comes as an employment tribunal brought by Mariam Benaris, previously a consultant at the unit, who is alleging wrongful dismissal, has heard concerns about safety on the unit during the peaks of the pandemic.

Dr Benaris told the tribunal she and other staff raised concerns with trust leaders and a healthcare regulator about unsafe practices at the Beaumont Ward of the Bradgate Unit at that time. The ward was being used for all new admissions as part of infection control procedures. 

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Source: HSJ, 2 May 2025

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Suppliers to help design Streeting’s ‘single patient record’

NHS England is asking suppliers for advice on designing the “single patient record” (SPR), which is seeking to create a “single version of the truth” across the NHS and social care.

It has launched a “pre-market engagement” on proposals for the SPR, which is intended to connect all individuals’ NHS and social care data.

Documents reveal NHS England envisages the new system should “make the most of the existing NHS technology estate”, such as electronic patient records, but also asks suppliers which current technology will be “no longer required” when the SPR is introduced.

It appears the SPR will effectively replace existing “summary care records”, which collate limited information from across various services, but will include significant extra functions.

It says summary care records are “not comprehensive” as they are “read only” and “present data from care settings in tandem rather than creating a single version of the truth”.

The SPR will also crucially go further by enabling staff and patients to write to the single shared record, rather than only reading from it.

According to NHSE it will enable services to “better coordinate care between providers, make discharge summaries electronic, build neighbourhood health systems and run national vaccination and other direct care programmes”.

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Source: HSJ, 2 May 2025

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Florida hospitals sue Leapfrog over safety rankings

Five hospitals that are part of Palm Beach (Fla.) Health Network have filed a lawsuit against The Leapfrog Group, alleging the patient safety organization’s rankings are based on flawed methodology. 

The complaint, filed April 30 in the U.S. District Court for the Southern District of Florida, claims the rankings unfairly damage the hospitals’ reputations. 

“Leapfrog fails to fairly evaluate hospitals that do not complete its hospital survey, and rather than indicating that there is insufficient data to issue a grade to non-participating hospitals, it instead assigns a score equivalent to the ‘Worst Hospital’s Score’ on several measures,” Palm Beach Health Network said in a statement. “This flawed methodology does not accurately reflect hospitals’ performance on patient outcomes.” 

The hospitals that filed the complaint are Delray Medical Center in Delray Beach; Good Samaritan Medical Center in West Palm Beach; Palm Beach Gardens Medical Center; West Boca Medical Center in Boca Raton; and St. Mary’s Medical Center in West Palm Beach. The complaint was filed a day before The Leapfrog Group published its latest round of hospital safety grades. Three of the hospitals that filed the complaint received an “F” grade and two earned a “D.” 

The complaint also alleges Leapfrog’s safety grades are “distorted by undisclosed financial incentives” and penalize hospitals that do not submit data for participation by assigning “artificially low ratings.” 

Leah Binder, president and CEO of Leapfrog, described the lawsuit as an attempt by hospitals to suppress critical safety information from the public.

“When we look at these hospitals’ results from CMS, we see preventable suffering and death far exceeding the national average, and even the national average is too high,” she said in a statement. “These hospitals may wish to withhold their hospitals’ Safety Grades from the community they serve, but Leapfrog intends to fully defend its expert, proven and long-standing methodology to prevent that from happening and publish Grades for all eligible hospitals, including these hospitals.”

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Source: Becker's Hospital Review

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US health agency’s ‘review’ advocates for therapy for youth gender dysphoria

The federal health department released what it described as a “comprehensive review” of pediatric gender dysphoria – advocating for therapy instead of medical care for youth whose gender identity does not match their assigned sex.

The 409-page report claimed that while the harms of such medical treatment are “sparse”, medical treatment should be avoided in favor of therapy for youth diagnosed with gender dysphoria.

“Our duty is to protect our nation’s children – not expose them to unproven and irreversible medical interventions,” said Dr Jay Bhattacharya, the National Institutes of Health (NIH) director. “We must follow the gold standard of science, not activist agendas.”

The report contradicts the guidance of America’s largest medical associations, including the American Medical Association, which urged state governments to “stop interfering in the healthcare of transgender children”. A study published this year found gender-affirming care is rare among US youth, with fewer than one in 1,000 children receiving hormones or puberty blockers.

The review is in response to one of the first executive orders signed by the president, titled: “Protecting children from chemical and surgical mutilation,” which called for a review of evidence by the health department within 90 days.

“Evidence for harms associated with paediatric medical transition in systematic reviews is … sparse, but this finding should be interpreted with caution,” the report states.

“Inadequate harm detection in paediatric gender medicine may reflect the relatively short period of time since the widespread adoption of the medical/surgical treatment model; the failure of existing studies to systematically track and report harms; and publication bias.”

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Source: The Guardian, 1 May 2025

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