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Ambulance strike cover must be sufficient, says health secretary

Unions must ensure there will be "sufficient" staffing during this week's ambulance strike to protect patients, the health secretary says.

Workers in England and Wales will walk out on Wednesday in a dispute over pay, but life-threatening emergencies will be responded to.

Unions say discussions were still taking place with ambulance trusts to draw up detailed plans for cover.

Steve Barclay said there is a lack of clarity about what is being offered.

He said it was for the unions to ensure they "meet their obligations" for emergency cover so that people in crisis get the care they need.

But Unite leader Sharon Graham, whose union is co-ordinating the ambulance strikes with Unison and GMB, said Mr Barclay will "have to carry the can if patients suffer".

The ambulance walkouts will involve paramedics as well as control room staff and support workers.

The action by the three main ambulance unions - Unison, GMB and Unite - will affect non-life threatening calls, meaning those who suffer trips, falls or other injuries may not receive treatment.

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Source: BBC News, 19 December 2022

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Only half of new virtual beds occupied, internal figures reveal

Just over half of the 7,000 new virtual ward beds opened under the new national programme are occupied by patients, according to recent internal figures seen by HSJ.

NHS England director for community transformation Stephanie Sommerville told a recent NHSE webinar that occupancy stood at around 52%.

Although it is understood programme directors are pleased with the 43% growth in virtual beds since May, Ms Sommerville said it “demonstrate[s] we have a way to go to make sure our virtual wards are really well utilised. Of course, one of the big contributions to delivering more activity to our virtual wards is getting the referrals and admissions process right.”

While the concept of remotely monitoring patients at home has been around for more than 20 years, NHSE has made expanding remotely monitored care a key ambition in order to tackle the capacity and demand challenges facing the NHS.

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Source: HSJ, 16 December 2022

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Pandemic collaboration ‘no longer exists’ between NHS and private hospitals

The collaboration seen between the independent sector and the NHS during the peaks of the pandemic “doesn’t exist any more”, the boss of one of the UK’s largest private hospital companies has said.

Mr Justin Ash, chief executive of Spire Healthcare and a member of the government’s recently convened elective recovery task force, whose purpose is to ”focus on how the NHS can [better] utilise independent sector to cut the backlog’.”

He told the Westminster Health Forum earlier this week: “In spirit there is collaboration but in practice, it doesn’t exist anymore. There is no more commissioning by trust[s]”.

Mr Ash told the conference Spire had previously had administrative teams working at 39 different NHS hospitals examining which NHS patients could be treated at one of its facilities. That number was now three, a decline which he described as “a shame”.

He said: “There has to be a mindset change. We have people say ‘you have our nurses and consultants working for you’.

“[But] just like patients, nurses and consultants should be able to move around the system [as] one workforce.”

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Source: HSJ, 16 December 2022

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'Keep mums and babies safe by improving digital medical records'

With the distressing spate of news reports about mums and ­babies who weren’t kept safe in hospital, an initiative in the Midlands to improve patient safety in maternal and acute care settings comes as a relief.

The newly announced Midlands Patient Safety Research Collaboration will bring together NHS trusts, ­universities and private business to evaluate how digital tools can help clinical decision making and reduce danger for patients.

Problems can arise if communication is poor between medics when patients move between departments.

Professor Alice Turner of Birmingham University said: “The power of new technology available to us means that we can address one of the ongoing areas of risk for patients, which is effective communication and clinical decision making.

“The new collaboration will be looking at how digital tools can make a real difference to reduce risks and support patient safety in the areas of acute medicine and maternal health.”

Digital decision-making tools could improve prescribing and personalised management for patients needing emergency care.

Importantly, these tools should provide a smoother flow of information between healthcare professionals in acute care between hospitals, doctors and the West Midlands Ambulance Service, and hopefully reduce risks of patient harm at key points during acute care.

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Source: The Mirror, 18 December 2022

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‘Four in five Britons concerned about patient safety during NHS strikes’

Four out of five Britons are worried about the NHS’s ability to provide safe care for patients during strikes by nurses and ambulance workers, a new poll has found.

While around half of those surveyed said they support the planned industrial action, the majority expressed concern about the impact on patient safety.

The Ipsos poll of 1,100 adults found that 80% were very or fairly concerned about the ability of the NHS to provide safe care for people during the nurses’ strike, which began on Thursday.

Meanwhile, 82% of those questioned in the survey said they are very or fairly concerned about patient safety during the ambulance workers’ industrial action, with the first strike planned for 21 December.

The new poll comes as the NHS continues to face high demand and widespread staffing gaps, with health leaders fearing this winter will be the most difficult in the health service’s history.

Ambulances have been struggling to meet response times targets, while new data published on Thursday shows handover delays at hospitals in England have hit a new high.

But the Ipsos survey suggests that, nevertheless, more people are supportive of the industrial action than are opposed to it.

Some 50% of those questioned said they either strongly support or tend to support the industrial action by nurses, while 47% are supportive of the ambulance worker strikes.

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Source: The National, 15 December 2022

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Life Sciences Council Joint Statement on Medical Devices Regulatory Reform

The reform of the UK’s Medical Device regulation offers a golden opportunity to drive innovation and growth in the UK’s Life Science sector while ensuring patient safety remains at the heart of the regulatory approach. But there is an urgent need for action to ensure we do not lose this opportunity.

Senior members of the Life Sciences Council, Will Quince MP, Minister of State at the Department of Health and Social Care, Dr June Raine, CEO, Medicines and Healthcare products Regulatory Agency (MHRA) and Peter Ellingworth, CEO, Association of British HealthTech Industries (ABHI) have today announced a new agreement to accelerate the delivery of the future UK HealthTech regulatory system.

Acknowledging the Chancellor’s priorities of stability and growth supported by regulatory reforms, and the importance of the success of the system to UK patients and the Life Science sector, they have formed an advisory group on behalf of the Life Sciences Council to drive the delivery of the ambition of the Life Sciences Vision to have a best in class regulatory system.

The advisory group has agreed that aligned proposals will be published on three priority areas:

  • international recognition
  • routes for innovation
  • system capacity.

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Source; Gov.UK, 16 December 2022

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Republic of Ireland: 'Unsafe' A&Es criticised as doctors warn of GP crisis

Patients are not safe from harm in three out of seven emergency departments, a damning new Hiqa inspection report has revealed. 

The report was released on the same day as an Oireachtas committee was warned of a growing crisis in primary care, with patients in some parts of the country unable to access basic GP services. 

Emergency Departments in Cork University Hospital (CUH) and University Hospital Limerick (UHL) were among seven EDs assessed by the health watchdog.

In three EDs, including Cork and Limerick, inspectors found failures to ensure “service providers protect service users from the risk of harm.” 

Inspectors also found patients’ “dignity, privacy and autonomy” was not respected in UHL, while CUH was only partially compliant in this area.

The report also highlighted lengthy waiting times, including one patient who spent 116 hours on a trolley at UHL.

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Source: The Irish Examiner, 15 December 2022

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ER doctors in the US misdiagnose patients with unusual symptoms

As many as 250,000 people die every year because they are misdiagnosed in the emergency room, with doctors failing to identify serious medical conditions like stroke, sepsis and pneumonia, according to a new analysis from the US federal government.

The study by the Agency for Healthcare Research and Quality estimates roughly 7.4 million people are inaccurately diagnosed of the 130 million annual visits to hospital emergency departments in the United States. Some 370,000 patients may suffer serious harm as a result.

Researchers from Johns Hopkins University analysed data from two decades’ worth of studies to quantify the rate of diagnostic errors in the emergency room and identify serious conditions where doctors are most likely to make a mistake.

While these errors remain relatively rare, they are most likely to occur when someone presents with symptoms that are not typical.

“This is the elephant in the room no one is paying attention to,” said Dr. David E. Newman-Toker, a neurologist at Johns Hopkins University and director of its Armstrong Institute Center for Diagnostic Excellence, and one of the study’s authors.

The findings underscore the need to look harder at where errors are being made and the medical training, technology and support that could help doctors avoid them, Dr. Newman-Toker said. “It’s not about laying the blame on the feet of emergency room physicians,” he said.

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Source: New York Times, 15 December 2022

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One in eight UK adults using private medical care due to NHS delays

One in eight adults in the UK have paid for private medical care in the last year because of long delays in getting NHS treatment, renewing fears that the NHS is becoming “a two-tier system”.

“Around one in eight (13%) adults reported they had paid for private medical care, with 5% using private insurance and 7% paying for the treatment themselves,” according to a new report by the Office for National Statistics (ONS).

Patients also say that waiting for tests or treatment is badly affecting them, including making their illness worse.

The ONS survey of 2,510 adults across the UK found that one in five were waiting for an appointment, test or treatment at an NHS hospital. Of those in that situation:

  • Three-quarters said their delay had had either a strongly (34%) or slightly (42%) negative impact on their life
  • 36% said waiting had made their condition worse
  • 59% said it had damaged their wellbeing
  • A third said long waits had affected either their mobility (33%) or ability to exercise (34%)

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Source: The Guardian, 16 December 2022

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Flu hospitalisations in England soar as NHS braces for severe outbreak

Flu hospitalisations in England have jumped by more than 40 per cent in a week as the NHS braces for one of the worst outbreaks of the virus in recent years.

Analysis of NHS data by The Telegraph shows that rates are more than eight times higher than expected at this time of year.

On the current trajectory, admissions next week could pass the peak of the 2017-18 outbreak – one of the worst of the last 20 years – which led to nearly 30,000 deaths.

Flu hospitalisations are so high that they have overtaken Covid admissions for the first time since the start of the pandemic.

The rise could not come at a worse time for the NHS. It is already suffering the biggest treatment backlog in its history, which is set to be exacerbated by strikes by nurses and ambulance paramedics.

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Source: The Telegraph, 15 December 2022

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Strep A kills three more children as UK activates alternative medicines plan

Three more children have died from strep A, it has emerged, and pharmacists in the UK have been told they can supply alternative antibiotics to those originally prescribed, in a bid to ease shortages of certain forms of penicillin.

The UK Health Security Agency (UKHSA) data shows at least 19 children have now died across the UK, while there are 7,750 cases of scarlet fever so far this season. This is more than treble the 2,538 at the same point in the year during the last comparably high season in 2017 to 2018.

The Department of Health and Social Care (DHSC) has issued serious shortage protocols (SSPs) for three penicillin medicines amid increased demand for the antibiotics.

Pharmacists and GPs in the UK have faced serious difficulties in securing supplies of penicillin and amoxycillin, antibiotics used to treat infections including strep A. As a result, parents have reported having to visit a string of pharmacies to obtain medicines prescribed for their sick children, while the price of some antibiotics has risen sharply – a situation pharmacists say has left them facing losses.

The health minister Will Quince said: “The increased demand for the antibiotics prescribed to treat strep A has meant some pharmacists have been unable to supply the medicine shown on the prescription.

“These serious shortage protocols will allow pharmacists to supply an alternative form of penicillin, which will make things easier for them, patients, and GPs.

“We are taking decisive action to address these temporary issues and improve access to these medicines by continuing to work with manufacturers and wholesalers to speed up deliveries, bring forward stock they have to help ensure it gets to where it’s needed, and boost supply to meet demand as quickly as possible.”

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Source: The Guardian, 15 December 2022

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No timetable for infected blood victims' compensation

There is a "moral case" for compensation to be paid to people affected by the contaminated blood scandal, the government has said.

But Paymaster General Jeremy Quin told MPs he could not commit to a timetable.

In August, the government announced that 4,000 UK victims would receive interim payments of £100,000.

Tens of thousands of people contracted HIV or hepatitis C in the 1970s and 80s after being given infected blood. 

In September, modelling by a group of academics commissioned by the public inquiry estimated that 26,800 people were infected after being given contaminated transfusions between 1970 and 1991.

The study calculated that 1,820 of those died as a result, but that the number could be as high as 3,320.

The inquiry, chaired by retired High Court judge Sir Brian Langstaff, began taking evidence in 2018.

The interim compensation announcement in August came after Sir Brian argued there was a compelling case to make payments quickly - saying victims were on borrowed time because of their failing health.

Payments have been made to those whose health is failing after developing hepatitis C and HIV, and partners of people who have died.

But families have complained that many people affected, such as bereaved parents, missed out.

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Source: BBC News, 15 December 2022

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‘Constructive’ first ambulance strike agreement revealed

Elderly people who fall may only be sent an ambulance after they have spent four hours on the floor, and some category 2 calls may not be responded to under one of the first agreements with ambulance unions about next week’s strikes.

But the deal between South East Coast Ambulance Service and the GMB union will see many union staff continue to work on ambulances and in control rooms – and others may be asked to come off the picket line if operational pressures escalate.

HSJ has seen the details of the deal – thought to be one of the first agreed before next Wednesday’s strike. Some other trusts are hoping to conclude negotiations shortly, but for several — such as in the North West and London — it is thought no strike “derogations” (exceptions) have so far been agreed, and managers are concerned that unions are resistant. Trusts have been pushing for more cover on strike days – especially around category 2 calls.

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Source: HSJ, 15 December 2022

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Ambulance strike threatens ‘different magnitude of risk’

The ambulance staff strike next week represents a far higher risk to patient safety and services than the nurses’ strike, but a blanket elective ban will only be used as “an absolute last resort”, a senior NHS England director said today.

However, NHSE elective recovery chief Sir Jim Mackey’s comments come despite several local leaders telling HSJ significant amounts of elective activity are likely to need to be postponed due to the ambulance staff walkout on 21 and 28 December, to free up capacity to deal with emergency care pressure.

Speaking at a King’s Fund conference this morning, Sir Jim said: “The ambulance strike is a completely different order of magnitude of risk [than the nurses’ strike]. I think that’s the main thing people are worried about because of the complexity and fragility of urgent care.”

However, he added: “If we were to give [national guidance on what elective activity to cancel] today, the only guidance we could give would be to cancel absolutely everything, and that’s really not going to help anybody…

“I think we’ll just have to take it day-by-day and keep learning from each other and sharing intelligence… and then, if at some point, there is a case for blanket order, we’ll consider that… But, we really want to do that as an absolute last resort.”

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Source: HSJ, 15 December 2022

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‘Every chemist has a backroom’: the rise of secret FGM in Kenya

In Kisii town, south-west Kenya, a rundown roadside building houses a pharmacy. Like many others in the area, the pharmacy doubles as a clinic.

Lilian Kemunto (not her real name), a former surgical nurse, set it up after she retired in 2018. She mainly does health check-ups but has also offered female genital mutilation (FGM) services on request.

Kemunto has performed cuts since the 90s, after receiving training in basic surgical techniques from male colleagues in the local hospital where she worked. She would do the cuts in the hospital at night, but it was risky, she says, because management didn’t approve. “They would tell us: ‘Just do it, but if you’re caught, you’re on your own.’”

She preferred cutting girls in a private home, in the middle of the night, saying it was much easier: “By 6am, the girls are back in their own homes, like nothing happened.”

In Kisii county, medicalisation is standard. Two out of three cases of cutting are performed by health practitioners, in contrast to much of the country, where 70% of FGM cases are performed by traditional practitioners.

Kemunto says she tries to avoid mishaps, and at a minimum requires some anaesthesia, a surgical blade, sterile towels, and cleaning solution to proceed.

She also claims to use a non-invasive procedure: a small incision of the clitoris that practitioners call a “signature”. Kisii’s FGM practice is considered less severe than other areas, and anti-FGM campaigners are concerned that there’s a growing acceptance of the practice as more safe, hygienic and cosmetic.

FGM rates in Kenya have gone down significantly over the past decade. The country passed strong laws in 2011, imposed hefty fines on practitioners, and stepped up surveillance and enforcement. But medicalisation is posing a new challenge for the east African nation, which has a 15% medicalisation rate: one of the highest in Africa.

Earlier this month, Kenyan president William Ruto backed the country’s chief justice who said that FGM “should not be a conversation we are having in Kenya in the 21st century”, and reiterated his administration’s commitment to eradicating the practice.

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Source: The Guardian, 15 December 2022

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Nottingham placenta error hampered baby death probe - coroner

A coroner says an investigation into the death of a newborn baby at a hospital was compromised by the way the placenta was dealt with.

Quinn Lias Parker was born at Nottingham's City Hospital in July 2021 but died two days later from multiple organ failure.

It later emerged the placenta was dissected by pathology staff when it should have been preserved.

Hospital bosses said procedures had since been revised.

An inquest into Quinn's death, held in April, returned a narrative verdict. 

After Quinn's birth, Ms Studencki's placenta was sent from the hospital's maternity unit to pathology, where it was dissected - meaning it was cut up for examination. 

But Dr Elizabeth Didcock, assistant coroner for Nottinghamshire, said the dissection meant the post-mortem examination was compromised.

In a prevention of future deaths report, she detailed how Quinn was born in a "poor condition" and there was a "high probability that he would not survive" and therefore "thought needed to be given to the preservation of the placenta" to ensure it could be used in an examination.

"It is not clear to me exactly how the placenta was cut into after Quinn's death without discussion with the coroner," she said.

"What is clear is that the outcome has been highly detrimental to the independent investigation by the coroner and other agencies investigating the circumstances of this case.

"This death follows a number of similar early neonatal deaths in Nottingham, where the placenta has not been retained, and therefore key information regarding placental pathology has been lost."

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Vulnerable patients facing long delays for beds amid funding rows

Vulnerable patients, including some children, have faced long delays for a suitable bed as organisations argue over whose responsibility it is to fund and deliver their care, HSJ understands.

In a letter outlining winter arrangements, NHS England has warned trust leaders and commissioners against delaying emergency mental health admissions – typically needed when a patient is away from home, and understood to be more common over the Christmas period – while determining which area has which responsibility.

National mental health director Claire Murdoch wrote: “It is not acceptable to delay an emergency mental health admission while determining which area has clinical and financial responsibility for the care of an individual.”

She added such admissions should be arranged “as quickly as possible, and without delay caused by any financial sign-off process”. 

It comes as HSJ has been told patients can often end up waiting for several days in emergency departments or in “inappropriate” out of area or acute beds when disputes occur over who is responsible for their care.

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Source: HSJ, 15 December 2022

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‘Deadly cancer timebomb’ as thousands more than expected killed by the illness since pandemic

Nearly 8,900 more people have died of cancer than expected in Britain since the start of the pandemic, amid calls for the Government to appoint a minister to deal with the growing crisis. 

In an essay in The Lancet Oncology, campaigners and medics said the upward trend of cancer deaths is likely to continue, with 3,327 in the last six months alone. 

They urged the Government to tackle the crisis with the same focus and urgency given to the Covid vaccine rollout, and called for a cancer minister to get on top of the backlog.

NHS data from November showed that in the last 12 months, 69,000 patients in the UK have waited longer than the recommended 62-day wait from suspected cancer referral to start of treatment.

Professor Gordon Wishart, a former cancer surgeon and chief medical officer of Check4Cancer, said: “The Covid-induced cancer backlog is one of the deadliest backlogs and has served to widen the cracks in our cancer services". 

“Now we face a deadly cancer timebomb of treatment delays that get worse every month because we don’t have a sufficiently ambitious plan from policymakers. I urge the Government to work with us.”

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Source: The Telegraph, 15 December 2022

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Antibiotic supply gone from bad to worse, say pharmacists

Pharmacists say supplies of key antibiotics to treat strep A have "gone from bad to worse" in the past week.

The Association of Independent Multiple Pharmacies (AIMP) said the situation was "unacceptable" and it was time for the government to get a plan in place.

Four antibiotics, which treat different conditions, have been added to a list of products that the UK cannot export.

The UK government says it is working urgently with manufacturers and wholesalers to speed up deliveries.

However, Leyla Hannbeck, chief executive of the AIMP, which represents 4,000 pharmacies in the UK, said the supply of antibiotics to treat bacterial infections including strep A and scarlet fever was "very poor".

She said the problem had been highlighted a week ago, but it was now getting worse, making it very difficult to get hold of any antibiotics.

"People are having to go from one pharmacy to another - it's chaos," she said.

"Supplies are not coming through to us and it feels like no-one cares."

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Source: BBC News, 14 December 2022

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Largest nursing strike in NHS history starts

Nurses in England, Wales and Northern Ireland have started a nationwide strike in the largest action of its kind in NHS history.

Staff will continue to provide "life-preserving" and some urgent care but routine surgery and other planned treatment is likely to be disrupted.

The Royal College of Nursing said staff had been given no choice after ministers refused to reopen pay talks.

RCN general secretary Pat Cullen has called on the government to "do the decent thing" and resolve the dispute before the year ends.

Ms Cullen told BBC Breakfast the strike marked "a tragic day in nursing".

"We need to stand up for our health service, we need to find a way of addressing those over seven million people that are sitting on waiting lists, and how are we going to do that? By making sure we have got the nurses to look after our patients, not with 50,000 vacant posts, and with it increasing day by day," she said.

Health Minister Maria Caulfield, a former nurse, accepted "it is difficult" living on a nurse's wage, but said that a 19% pay rise "is an unrealistic ask".

Under trade union laws, the RCN has to ensure life-preserving care continues during the 12-hour strike.

Chemotherapy and kidney dialysis should run as normal, along with intensive and critical care, children's accident and emergency and hospital neonatal units, which look after newborn babies.

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Source: BBC News, 15 December 2022

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Orthopaedic patients face seven-year wait for surgery

Orthopaedic patients in NHS Highland face a wait of up to seven years for surgery, new research has found.

A University of Aberdeen study said the worst case estimate would apply if surgical rates did not increase for those listed in July this year.

Researchers also discovered the average wait across Scotland's 14 health boards could be as long as two years and three months.

The Scottish government said it was working to maximise NHS capacity.

Luke Farrow, clinical research fellow, warned that the significance of the delays could not be underestimated.

He said: "Prolonged waits for certain orthopaedic procedures can have a major negative impact on patient health.

"This occurs both in terms of deterioration in quality of life whilst awaiting surgery, as well as potential negative connotations for post-operative recovery and longer-term health in addition to reduced independence and increased social care needs."

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Source: BBC News, 14 December 2022

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Newborns to get rapid genetic disease diagnosis

Rare genetic disorders will be diagnosed and treated in babies thanks to a project to sequence the complete DNA of 100,000 newborns.

It should spare hundreds of families in England months, or years, of anguish waiting to find out why their children are ill.

The project is the first time that whole genome sequencing (WGS) has been offered to healthy babies in the NHS. It will screen for around 200 disorders, all of them treatable.

The Newborn Genomes Programme, to begin next year, is thought to be the biggest study of its kind in the world. If successful, it could be rolled out across the country.

Owen, 9, has an extremely rare genetic condition which affects his growth and development. Called THRA-related congenital hypothyroidism, it is one of the disorders which will be included in the new genetic test.

Father, Rob Everitt, told the BBC: "I think of all the hours we spent in hospital waiting rooms, getting referred around different departments, all the tests - some of which were quite invasive - that drew a blank every time. I lost count of how many doctors and consultants we went to see and how many tests they did on him."

Mother, Sarah Everitt, says getting the diagnosis was life-changing: "It was like winning the lottery….because we knew there was a treatment pathway; we knew we could get him support and he could attend a mainstream school."

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Source: BBC News, 13 December 2022

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NHS leaders warn patient lives will be put at risk by strikes as cancer services “hit hard”

NHS leaders fear patients will come to harm as cancer services are “hit hard” by upcoming nurses’ strikes.

The NHS’s four chief nurses wrote to the Royal College of Nursing (RCN) general secretary Pat Cullen warning patients’ lives are at risk due to life-saving services not being protected when nurses walk out on Thursday.

And a separate letter from Dame Cally Palmer, the national cancer director for NHS England, urged Ms Cullen to protect urgent cancer operations from strike action “to ensure a consistent and compassionate approach for patients across the country”.

The RCN has since agreed that staff will cover emergency cancer and mental health crisis services on strike days but has maintained only night-level staffing for inpatient services.

But trust executives told The Independent that they were concerned they won’t be able to fill any gaps with agency staff due to RCN rules, which will worsen existing shortages.

One senior NHS source claimed cancer services weren’t being prioritised by unions despite national agreements to protect chemotherapy treatments.

They said: “I fear that someone is going to get hurt as the system is so pressured and fragile right now, whether strike-related or not, public sympathy will shift considerably if this were to happen.”

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Source: The Independent, 14 December 2022

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All new hospitals must have single rooms only, government rules

All new hospitals built in England must have only single patient rooms, health infrastructure chiefs have confirmed, requiring an overhaul of many trusts’ current proposals.

Leaders of the New Hospitals Programme said the NHS needed to be “brave”, with the move marking an end for multi-bed bay wards and representing a major change in hospital design.

Previously, NHS trusts were expected to consider a minimum of 50% single rooms when refurbishing or building new facilities, but HSJ revealed in September that officials were considering a 100 per cent requirement.

Natalie Forrest, senior responsible officer for NHP, said England was “behind the times” on single patient rooms.

She said: “If we really want to look for evidence of why patients should have the ability to sleep in privacy and choose to socialise in social areas… we need not look very far. Scotland, Wales, Ireland, Europe, the US – where they wouldn’t dream of building a hospital that didn’t provide single bedroom occupancy.”

Ms Forrest, who is also a nurse, acknowledged an “anxiety” among NHS staff that they can’t care for patients in single rooms as well, and stressed the need to combine them with “digital technology”.

“I have said we need to be brave and take on new challenges, and this is one of those brave decisions the NHS needs to stand up and move forward with.”

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Source: HSJ, 13 December 2022

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Delays to mental health treatment in England ‘putting more children in care’

Increasing numbers of emotionally troubled children have been taken into care while waiting long periods for NHS treatment because their condition deteriorated to the point where their parents could no longer cope with their behaviour, child protection bosses have revealed.

Association of Directors of Children’s Services (ADCS) president Steve Crocker said that since the pandemic, youngsters with complex emotional needs had become a significant factor in rising child protection referrals.

“We are seeing children in the social care system because they have not been supported in the [NHS] mental health system,” he said.

Crocker urged ministers to “do better” for children facing “unacceptable” delays in NHS mental health treatment, adding that it was not uncommon for waiting lists to involve waits of over a year.

Councils were “filling gaps” in NHS provision but struggling to find placements for children with severe behavioural problems, and when they did, typically paid “untenable” fees of tens of thousands of pounds a week.

He accused private children’s residential care providers and their “rapacious” hedge fund backers of “profiteering” from the care crisis, and urged the government to intervene to cap typical profit margins that were currently about 20%. “We do not see how this can be allowed to continue,” he said.

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Source: The Guardian, 13 December 2022

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