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New NHS programme to reduce brain injury in childbirth 

Expectant mothers will receive safer maternity care as a new NHS programme to help prevent brain injury during childbirth is rolled out across the country. 

The Avoiding Brain Injury in Childbirth (ABC) programme will help maternity staff to better identify signs that the baby is in distress during labour so they can act quickly.

It will also help staff respond more effectively to obstetric emergencies, such as where the baby’s head becomes lodged deep in the mother’s pelvis during a caesarean birth.

The government programme, which will begin from September and follows an extensive development phase and pilot scheme, will reduce the number of avoidable brain injuries during childbirth – helping to prevent lifelong conditions like cerebral palsy.

The national rollout is only one step the government is taking to improve maternity services under its Plan for Change to fix the health service, as it reforms the NHS to ensure all women receive safe, personalised and compassionate care.   

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Source: Department of Health and Social Care, 12 May 2025

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Fake nurse crackdown to boost public safety

Anyone misleading the public and describing themselves as a nurse without the relevant qualifications and registration will be committing a crime, under new measures announced by the government to protect the title ‘nurse’ in law. 

The move will help to boost protections and safety for both patients and staff, driving up standards and improving patient experience across the NHS through the government’s Plan for Change. 

Currently, anyone – including those struck off by the Nursing and Midwifery Council (NMC) for serious misconduct or criminal convictions – can call themselves a nurse. This can result in the public thinking they’re getting advice and care from an expert professional like a nurse when they aren’t.   

Previous reported examples of the job title being misused include someone calling herself a nurse at a large public event after being struck off and another reportedly masquerading as an aesthetic nurse.

There will be exemptions for relevant professions like veterinary nurse, dental nurse and nursery nurse, where the title ‘nurse’ is legitimately used. 

The government is listening to nurses and recognises they are the backbone of the NHS, and today’s announcement follows campaigning by unions for the government to act on the issue, as well as by Dawn Butler MP who introduced a Ten-Minute Rule Bill earlier this year to protect the title ‘nurse’.  

Paul Rees MBE, Interim Chief Executive and Registrar at the Nursing and Midwifery Council, said:

"The public should always feel confident that anyone using the title ‘nurse’ is a registered professional with all the safeguards that brings.

We look forward to working with the government and our stakeholders to deliver on it. In the meantime, it is already an offence for somebody to hold themselves out as a registered nurse when they are not."

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Source: Department of Health and Social Care, 12 May 2025

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Parliament to nominate Scotland’s first Patient Safety Commissioner

Next week (Thursday 15 May) the Scottish Parliament will be invited to nominate Karen Titchener to His Majesty for appointment as Scotland’s inaugural Patient Safety Commissioner.

The role of the Patient Safety Commissioner will be to advocate for systematic improvement in the safety of health care in Scotland and promote the importance of the views of patients and other members of the public in relation to the safety of health care.

Karen Titchener is currently serving as Vice President of Hospital at Home Operation in the USA and brings over two decades of senior leadership experience within the NHS, having also previously worked at Guys and St Thomas NHS Trust. Mrs Titchener is expected to take up post on 1 September 2025 for a fixed term of eight years.

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Source: The Scottish Government, 9 May 2025

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ISMP to develop first community pharmacy medication error reporting programme for the State of California

The Institute for Safe Medication Practices (ISMP), a world leader in improving medication safety, is building a medication error reporting program and portal for community pharmacies licensed by the California Board of Pharmacy. This will be the first state-mandated medication error reporting program in the nation focused specifically on community pharmacy.

The creation of the California Medication Errors Reporting Program is a result of the enaction of Assembly Bill 1286 (Haney, Chapter 470, Statutes of 2023) in 2023 to improve patient safety and address staffing and workplace conditions in community pharmacies.

ISMP has decades of experience collecting and analysing medication error reports to identify risks and guide safety improvements across care settings. ISMP runs the only national voluntary, practitioner-based reporting system, the ISMP National Medication Errors Reporting Program, as well as the ISMP National Vaccine Errors Reporting Program and ISMP Consumer Medication Errors Reporting Program. 

Building upon the experience with existing ISMP reporting programmes, analysis, and error prevention efforts, ISMP will use submitted medication error reports to identify key trends, patterns and safety issues. ISMP will also provide the California Board of Pharmacy with an annual report based on aggregate data that includes reduction strategies and other actionable recommendations for safety improvements.

“The California Medication Errors Reporting Program will produce data-driven insights about preventable adverse events that can drive broad systemic change,” says Rita K. Jew, president of ISMP. “Reporting errors and near misses is essential to ensure the success of efforts to reduce risk in the community pharmacy setting. We applaud California for being a national leader in taking this forward-thinking step to safeguard patients and hope other states will implement similar programs.”

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Source: ECRI, 8 May 2025

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At least 216 children died in first high-severity US flu season in seven years, CDC says

At least 216 children have died of influenza in the US during the last flu season in what the US Centers for Disease Control and Prevention (CDC) said was classified as the first high severity season overall and for all age groups since 2017-2018.

That number marks the highest pediatric death toll in 15 years; the previous high reported for a regular (non-pandemic) season was 236 pediatric deaths in the 2009-2010 season, according to the CDC. More recently, 207 paediatric deaths were reported during the 2023-2024 season.

The high number of paediatric fatalities reported for the past flu season comes as health authorities in New York said that 25 children in the state had succumbed to influenza-associated paediatric deaths – the highest recorded amount ever in New York.

“As we begin to analyze the data from the 2024-2025 influenza season, we see this flu season was a challenging flu season for all, yet particularly for children,” said New York state’s health commissioner, Dr James McDonald.

The health commissioner warned that “misinformation around vaccines has in recent years contributed to a rise in vaccine hesitancy and declining vaccination rates”. Of the 25 pediatric deaths attributed to flu, only one involved a vaccinated child and five were below six-month age minimum to receive the flu vaccine.

“We live in a challenging time, where honest objective information is sometimes blurred by misinformation – therefore, it remains the department’s goal to continue to provide as much education and information as possible about flu and other vaccines that remain our best protection against many viruses and preventable diseases,” McDonald said.

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Source: The Guardian, 8 May 2025

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Medical errors claim lives of 18-20% hospitalised patients in Pakistan

A staggering 18-20% of hospitalised patients in Pakistan lose their lives due to medical errors, negligence, misadministration of drugs, and deadly hospital-acquired infections, experts have warned.

Speaking at a press conference ahead of the Patient Safety and Quality Healthcare Conference hosted by Aga Khan University (AKU) in April and organised by Riphah Institute of Healthcare, leading healthcare professionals called for urgent reforms to improve patient safety in hospitals across the country.

The press conference was addressed by Executive Director of Riphah International, Asadullah Khan, Executive Director of NICVD, Prof Dr Tahir Saghir, Chairman of Patient Safety, Dr Zakiuddin, and Sayed Jamshed Ahmed.

Dr Zakiuddin pointed out that several errors occur during medical treatment, including wrong drug prescriptions, incorrect injections, surgical complications, and hospital-acquired infections.

“The World Health Organization (WHO) has been consistently raising awareness about patient safety, yet many developing countries, including Pakistan, continue to struggle with high rates of medical errors,” he said.

He stressed the need for specialized training for medical staff and the adoption of modern patient safety systems to curb preventable mistakes. “There must be a culture where doctors and nurses acknowledge their errors and work toward rectifying them rather than concealing mistakes,” he added.

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Source: Business Recorder, 3 March 2025

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UK woman who took pills during lockdown cleared of illegal abortion

A woman has been cleared of illegally terminating a pregnancy, after taking abortion pills during lockdown.

Nicola Packer took the pills at home in November 2020. She had been prescribed mifepristone and misoprostol after a remote consultation.

She later delivered a foetus, which the court heard was estimated to be about 26 weeks in gestation, which she brought with her to Chelsea and Westminster hospital, Isleworth crown court heard.

She was arrested in hospital and later charged with “unlawfully administering to herself a poison or other noxious thing” with the “intent to procure a miscarriage”.

Packer had been prescribed the medication under emergency pandemic legislation – later made permanent – that allows for pills to be dispatched by post after a remote consultation in pregnancies up to 10 weeks.

The prosecution had alleged that she believed she was more than 10 weeks pregnant at the time she took the pills.

But she denied the charges, and was found not guilty by a jury of nine women and three men, who returned a unanimous verdict, after the two-week trial.

Katie Saxon, the chief strategic communications officer at the British Pregnancy Advisory Service, said: “A woman who sought medical attention after experiencing a traumatic event has had to endure a protracted police investigation and public trial, her private life picked apart by prosecutors and reported in the national press, at a huge emotional and financial cost.

“Prosecuting women for ‘illegal’ abortion is never in the public interest, and no woman should ever have to go through this again.”

Dr Ranee Thakar, the president of the Royal College of Obstetricians and Gynaecologists, said: “As a doctor, I am acutely aware of how vital it is that women can access essential healthcare in a safe and supportive environment.

“Restrictive abortion laws in England and Wales nurture an environment of fear, stigmatisation and criminalisation. They needlessly subject women to prolonged investigation, criminal charges, and custodial sentences for ending their own pregnancy.”

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Source: The Guardian, 8 May 2025

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Hospitals in England reducing staff and services as part of NHS ‘financial reset’

Hospitals in England are cutting staff, closing services and planning to ration care in order to make “eye-watering” savings demanded by NHS bosses.

Rehabilitation centres face being shut, talking therapies services cut and beds for end-of-life care reduced as part of efforts by England’s 215 NHS trusts to comply with a “financial reset”.

Sir Jim Mackey, NHS England’s new chief executive, has ordered them to make unprecedented savings during 2025-26 to avoid a projected £6.6bn deficit becoming a reality.

But trust bosses are warning that delivering what for some equates to 12% of their entire budget in “efficiency savings” will affect patients and waiting times.

“These [savings targets] are at eye-wateringly high levels”, said Saffron Cordery, the interim chief executive of NHS Providers, which represents trusts. “It’s going to be extremely challenging.”

Trusts have to make, in some cases, deep cuts in order to stay in the black this year, despite the government having given the NHS an extra £22bn for last year and this one.

A survey it conducted among trust leaders found that diabetes services for young people and hospital at-home-style “virtual wards” were among the areas of care likely to be scaled back.

Trusts are planning to shrink their workforce by up to 1,500 posts each to save money, even though they fear that could damage the quality or safety of care provided.

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Source: The Guardian, 9 May 2025

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Significant variation and gaps found in Patient Safety Incident Response Plans, says charity

An analysis by the charity Patient Safety Learning has found significant differences in approach and critical information gaps in healthcare providers Patient Safety Incident Response Plans.

In a new report published, Patient Safety Learning has analysed a sample of NHS Trusts Patient Safety Incident Response Plans, looking at what these tell us about the implementation of PSIRF to date.

Based on its findings, the report identifies five recommendations intended to improve the approach to creating, implementing and reviewing Patient Safety Incident Response Plans. Central to this is a recommendation to develop a national standardised framework for evaluating these plans.

Commenting on the report, Patient Safety Learning Chief Executive Helen Hughes said:

Too often in the NHS we see examples of patient safety investigations not resulting in learning and improvement. This is a theme that emerges time and time again in cases of avoidable patient harm and major patient safety inquiries.

The introduction of PSIRF presents a significant opportunity to improve the approach to patient safety incident investigation in England. However, if this is to live up to its ambitions, it must have a clear focus on turning insights and learning into action and improvement. The content of early Patient Safety Incident Response Plans suggests that greater work is needed in this area. Plans should have details on how safety recommendations will be monitored and evaluated, as well as including provisions for sharing good practice as widely as possible.

PSIRF is intended to be flexible, with NHS guidance on the creation of Patient Safety Incident Response Plans reflecting this. However, from our analysis we have found that the lack of uniformity in these plans has the potential to complicate cross-organisational comparisons. This in turn could hinder the identification of best practices as Trusts approaches diverge. If we are to understand the impact that PSIRF, we believe a standardised framework for evaluating individual Patient Safety Incident Response Plans is essential.

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Source: Healthcare Newsdesk, 8 May 2025

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Earlier C-section could have saved baby

A baby who died three days after birth would have survived if her mother had been offered a caesarean section, a coroner has said.

Emmy Russo was delivered at Princess Alexandra Hospital in Harlow but died on 12 January 2024.

Mother Bryony Russo told an inquest at Essex Coroner's Court that her requests for a C-section were "laughed off" during the hours she was there in labour.

Assistant coroner for Essex, Thea Wilson, said there were five missed opportunities to offer Ms Russo a C-section, and that Emmy's chances would have been different had she been born an hour earlier.

"She would have been born in a better condition and on the balance of probabilities she would have survived," she said.

"There was a failure to respond adequately to the request for a C-section"

Independent expert obstetrician Teresa Kelly had told the coroner there was enough evidence "this baby wasn't coping with labour" and staff should have acted sooner.

Giving evidence, midwife Megan Fletcher defended her decision not to escalate concerns to a more senior doctor, saying she was trying to avoid any further "invasive procedures".

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Source: BBC News, 7 May 2025

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Tech is helping GPs and clinicians see more patients

New figures from the NHS reveal that 31.4 million GP appointments were delivered in March 2025, a 6.1% increase on the same period last year and nearly 20% more than before the pandemic.

This increase, the NHS claims, is due to GP practices adopting digital services to help meet growing demand while ensuring patients are directed to the right care more efficiently.

Starting in October, all GP surgeries will be required to offer online appointment requests throughout working hours as part of a new contract, which aims to ease phone line pressure and allow smarter triaging based on medical need.

Currently, 99% of GP practices in England have already upgraded their phone systems, expanding capacity and reducing long waits for patients. Professor Bola Owolabi, NHS England’s director of healthcare inequalities, said in a statement: “GP teams are delivering over 30 million appointments a month, up nearly 20% on pre-pandemic levels. Patients can also manage repeat prescriptions and view test results through the NHS App, making care more convenient.”

The NHS has also announced that AI is enabling GPs and clinicians to cut the time spent on admin and increase the time and effort expended on patients. Data from AI trials shows an increase in patients seen by A&E, shorter appointments and more time by clinicians spent with the patient.

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Source: UK Authority, 30 April 2025

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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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ICB functions radically reduced in national ‘blueprint’

More than a dozen functions have been earmarked for “transfer” out of integrated care boards, including workforce planning, primary care, and digital leadership.

Several of them will transfer to emerging “neighbourhood health providers”, according to NHS England’s new “model ICB blueprint”, which is meant to help the boards cut 50% from their overheads.

The document also orders integrated care boards to reduce their board-level headcount to focus on ”core model ICB priorities”.

The document names 18 functions and activities which ICBs should “transfer [out] over time”, six they should “selectively retain and adapt”, and 11 which should “grow”.

NHSE financial reset and accountability director Glen Burley, who has been overseeing the work so far, told HSJ it was a “first step in a joint programme of work to reshape the focus, role, and functions of ICBs”. 

“We are seeking to reduce the management costs of the NHS so that more money can be spent on the frontline,” he said. “This won’t be achieved by simply moving functions to different organisations – instead ICBs need to be working together to merge functions to cut duplication.”

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Source: HSJ, 6 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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