Jump to content

All Activity

This stream auto-updates     

  1. Yesterday
  2. Community Post
    Lovely to hear that you had a positive experience and local anaesthetic. I do hope that everything goes well for you in the future. I had to go through the experience, like many women, without any anaesthesia, and taking Ibuprofen didn't help; hence horrific pain.
  3. Community Post
    Thank you so much for sharing your overall positive experience. So pleased it went well - the advice and support you received seemed spot on. I too am fascinated with seeing bits of me on screen! Fingers crossed for confirmation of a positive result. I don’t know if you’ve heard of Care Opinion? They’re a great charity and they enable and encourage patient feedback to inform staff - to commend good practice and help identify the need for improvements in services, where needed. In case you’d like to follow up. thank you again. Let’s make sure everyone has your experience. Helen
  4. Community Post
    Hello I'm sorry to hear that so many women have had such a horrendous experience with hysteroscopy. I had breast cancer and experienced some abnormal bleeding when I came off tamoxifen so I was expedited on a 2 week wait pathway for a diagnostic hysteroscopy to rule out endometrial carcinoma. I had the procedure yesterday at Royal Lancaster Infirmary and had no problems with it at all. I was in and out within 20 minutes. It wasn't the most comfortable position in the world to be in (!) and it felt a bit like having a smear test with some extra bits added. In fact, they did a smear while they were at it so I got two for the price of one, lol! Given that they were putting a camera in my uterus and taking a biopsy, I expected much worse. It was fascinating to look at my endometrium on the screen and the gynaecologist and the two nurses who helped were brilliant. The local anaesthetic stung a bit and the biopsy was a bit painful but not awful. The doctor told me to wiggle my toes when she was about to do something a bit painful and that helped a lot! The nurses were very encouraging and told me how well I was doing. I am also very lucky because my endometrium looked normal so I'm not in a terrible state waiting for the biopsy results as I expect they will be nothing to worry about (how different from breast clinic, where it was obvious from the start that something was horribly wrong). I was warned about cramping afterwards and some bloody/watery discharge which I was expecting anyway. My tummy is a bit sore today but nowhere near as bad as I was expecting. So, I would recommend the RLI and Dr Sambrook. She was brilliant.
  5. News Article
    A new mother has spoken of her distress after wrongly-imposed Covid rules led to her being separated from her six-week-old baby for almost a week while she received treatment in hospital. Charlotte Jones, 29, was taken to Princess Royal University hospital in Kent by ambulance last Wednesday, after complications following the birth of her son, Leo. When she arrived, she asked whether she would be able to see her baby, whom she is breastfeeding, while in hospital, but was told it would not be allowed because of the threat of coronavirus. She did not see him until her release six days later. The restrictions as applied in Jones’s case, appear to contravene official guidance and go against the advice of NHS England, which specifies that mothers and babies should be kept together unless it is absolutely necessary to separate them. Separation at such a critical time can have an adverse impact on the physical and mental health of the mother, baby and wider family, say healthcare professionals and charities. King’s College NHS foundation trust, which manages the hospital, has admitted that although it is limiting the number of visitors during the pandemic, there is no policy stopping babies to be brought in to be breastfed. The trust has pledged to ensure staff are aware of its policies. Read full story Source: The Guardian, 4 December 2020
  6. News Article
    Healthcare practitioners who committed child sexual abuse commonly did so under the guise of medical treatment, which went unchallenged by other staff even when unnecessary or inappropriate because of their position of trust, research has found. An independent inquiry into child sexual abuse report into abuse in healthcare settings between the 1960s and 2000s found that perpetrators were most commonly male GPs or healthcare practitioners with routine clinical access to children. As a result their behaviour was not questioned by colleagues, the children or their parents. In many cases patients’ healthcare needs related to physical, psychological and sexual abuse they suffered at home. They spoke of attending health institutions seeking treatment, care and recovery, but were instead subjected to sexual abuse. This included fondling, exposing children to adult sexuality, and violations of privacy. More than half who shared their experiences described suffering sexual abuse by penetration. Read full story Source: The Guardian, 4 December 2020
  7. Content Article Comment
    Here's a 2 minute video on the history and current status of Duty Of Candour in UK Healthcare, which I use in my teaching work. Comments welcome: #dutyofcandour #robbieslaw #TeamNHS #TeamPatient
  8. News Article
    NHS staff will no longer get the coronavirus vaccine first after a drastic rethink about who should be given priority, it emerged last night. The new immunisation strategy is likely to disappoint and worry thousands of frontline staff – and comes amid urgent warnings from NHS chiefs that hospitals could be “overwhelmed” in January by a third wave of COVID-19 caused by mingling over Christmas. Chris Hopson, the chief executive of NHS Providers, said: “If we get a prolonged cold snap in January the NHS risks being overwhelmed. The Covid-19 restrictions should remain appropriately tough. “Trust leaders are worried about the impact of looser regulations over Christmas.” Frontline personnel were due to have the Pfizer/BioNTech vaccine when the NHS starts its rollout, which is expected to be next Tuesday after the Medicines and Healthcare products Regulatory Agency (MHRA) approved it on Wednesday. However, hospitals will instead begin by immunising care home staff, and hospital inpatients and outpatients aged over 80. The new UK-wide guidance on priority groups was issued by the joint committee on vaccination and immunisation (JCVI) amid uncertainty over when the rest of the 5m-strong initial batch of doses that ministers ordered will reach the UK. Read full story Source: The Guardian, 4 December 2020
  9. News Article
    More than 60,000 people in the UK have now died within 28 days of a positive COVID-19 test, official figures show. A further 414 were recorded on Thursday, taking the total to 60,113. Two other ways of measuring deaths - where Covid is mentioned on the death certificate, and the number of "excess deaths" for this time of year - give higher total figures. Only the US, Brazil, India and Mexico have recorded more deaths than the UK, according to Johns Hopkins University. However, the UK has had more deaths per 100,000 people than any of those nations. In terms of deaths per 100,000 people, the UK is the seventh-highest country globally, behind Belgium, San Marino, Peru, Andorra, Spain and Italy. Read full story Source: BBC News,
  10. Content Article
    LATEST Letter from the Chairman, December 2020 Letter from the Chairman, November 2020 Letter from the Chairman, October 2020 Letter from the Chairman, September 2020 Letter from the Chairman, August 2020 Letter from the Chairman, July 2020 Letter from the Chairman, June 2020 Letter from the Chairman, May 2020
  11. News Article
    A hospital serving the prime minister’s constituency has been issued a warning notice by inspectors over poor infection control, including staff having to share two small toilet cubicles for changing. The Care Quality Commission (CQC) announced it has issued the notice to The Hillingdon Hospitals FT today following an unannounced inspection in September. It comes after the watchdog placed urgent conditions on the provider following a coronavirus outbreak among staff at Hillingdon Hospital in August. At least 70 members of staff had to isolate, some of whom had tested positive for covid. The watchdog said it found there had been improvements, but that “further work is needed”. The CQC’s inspection report, published today, said there were no staff changing rooms available for people to change in and out of their scrubs, and that they were sharing two small toilet cubicles at the start and end of shifts. These were not cleaned with an “enhanced” cleaning schedule, it added, and the lack of separate changing rooms “caused a risk of cross-contamination”. However, senior leaders were aware of the risk and were seeking ways to improve access to changing areas for staff. Read full story (paywalled) Source: HSJ, 4 December 2020
  12. News Article
    Thirteen trusts are facing billions of pounds of maintenance — in some cases, making it more cost-effective to rebuild the hospital — over ‘significant safety issues’ stemming from outdated construction methods. Reinforced autoclaved aerated concrete planks were used when constructing public sector buildings in the 1960s, 70s and 80s, including a group of prefabricated hospitals under the government’s “Best Buy” building programme. However, RAAC planks used in buildings constructed prior to 1980 have now exceeded their shelf life, meaning affected trusts need to carry out frequent inspections and expensive maintenance. For at least three of the affected trusts — Mid Cheshire Hospitals FT, Airedale FT and The Queen Elizabeth Hospital King’s Lynn FT — it would be more cost-effective to build new hospitals than replace the planks in their existing facilities. Victoria Pickles, director of corporate affairs at Airedale FT, told HSJ 85% of the trust’s buildings’ floors, roofs and walls comprised RAAC planks, with one ward closing due to the risk. Read full story (paywalled) Source: HSJ, 3 December 2020
  13. News Article
    Staff at a mental health unit missed "multiple opportunities" to realise a woman had become unwell before she died, a coroner has said. Sian Hewitt, 25, died at Milton Keynes Hospital last year after collapsing at the nearby Campbell Centre. Coroner Tom Osborne said there was "a failure to start effective CPR". A spokesman for the centre said changes have been made to how care is delivered. Ms Hewitt, who had Asperger's syndrome and bipolar disorder, was admitted to the inpatient unit on 13 March 2019. She died less than a month later on 6 April 2019 at Milton Keynes Hospital, where she was taken after collapsing on Willow Ward at the centre. An inquest concluded she died of a pulmonary embolism, caused when a blood clot travels to the lungs. In a Prevention of Future Deaths Report, Mr Osborne said the centre failed to carry out a risk assessment and there was a delay in administering a drug resulting in "her mania not being brought under control". His report said the "failure to recognise how seriously ill she had become" had "resulted in lost opportunities to treat her appropriately that may have prevented her death". He said her death suggested the NHS was "unable to provide a place of safety for those who are suffering from Asperger's syndrome" or other forms of autism "when they are also suffering additional mental health problems such as bipolar". Read full story Source: BBC News, 4 December 2020
  14. Last week
  15. Content Article Comment
    What an important subject. No comments and no solutions from readers. "Antiseptic solution injected into her epidural." On inspection these medicines etc. have a barcode differentiating them. The patient's care plan shows on-screen in front of health worker and patient the allowable medicines for epidural. In error the antiseptic barcode read and error detected using the software-checklist then alarmed. The consequences of the human error reduced 10,000 fold. Check out: Ward-Patient eQMS with Error Recovery Protocols.4.pdf
  16. Event
    Chief executive Joe Rafferty and strategic advisor for digital programmes Jim Hughes, will discuss how Mersey Care Foundation Trust has been part of a region-wide programme to develop shared understanding of covid and other pressures. Joining them on the panel will be Rebecca Malby, professor in health systems innovation at London South Bank University, and Markus Bolton, director of Graphnet Health – which is supporting the event. In a discussion chaired by HSJ contributor Claire Read, they will explore the value of a shared understanding of which pressures and caseloads exist in an area and consider how digital technologies might play a role here. Which parties need to be involved? Which information is most important to which groups? How can worries about information governance be overcome? Register
  17. Content Article Comment
    By way of an update here's my contribution to an All Party Parliamentary Group on #Whistleblowing round table event: Amongst other things, I talked about the impact of #NHS #blacklisting on COVID recruitment.
  18. Content Article
    Today is International Day of People With Disabilities so a good day to read about the Human Rights Model of Disability which replaces the Social Model still taught in many UK medical and nursing schools and the even more outdated Medical Model, which is still the dominant model across much of the NHS. The AdsFoundation will be publishing three short #LearnWithDrDog video scribe films, one on each of the models, early in 2021. As with all #LearnWithDrDog films, they will explain the concepts in fun, easy to access, 5 minute films, which will be free to use for educational purposes.
  19. Content Article
    Implementation challenges The investigation highlighted the main implementation challenges. This includes: National consistency in drug libraries – smart infusion pumps have an inbuilt dose error reduction system (DERS) which requires the use of a drug library. The investigation found that drug libraries were developed ‘locally’ and that there is no agreed national drug library for use in NHS. They also found that there is no national guidelines or standards on how to implement the libraries. Significant changes in processes – introducing the technology requires significant changes to prescribing and administration processes in trusts. The investigation found that procedure and guidance documents often needed updating, and variations in medication practice were ‘locally managed’ and were rarely shared within and between hospitals. Provision of specialist IT support and infrastructure – substantial IT infrastructure is needed to support the integration of smart pump technology. Software is needed to upload the drug library to smart pumps, download data logs (including any errors detected) and monitor the status of each smart pump. The investigation highlighted that maintaining the required IT infrastructure required specialist staff roles and often a new skill set. The investigation found that the implementation of smart pump functionality would benefit from the use of risk management practices, as requirements are complex and similar to the introduction of a new IT system. Existing NHS Clinical risk standards could provide a basis for both manufacturers and trusts to work together to manage risks.
  20. News Article
    Do-not-resuscitate orders were wrongly allocated to some care home residents during the COVID-19 pandemic, causing potentially avoidable deaths, the first phase of a review by England’s Care Quality Commission (CQC) has found. The regulator warned that some of the “inappropriate” do not attempt cardiopulmonary resuscitation (DNACPR) notices applied in the spring may still be in place and called on all care providers to check with the person concerned that they consent. The review was prompted by concerns about the blanket application of the orders in care homes in the early part of the pandemic, amid then prevalent fears that NHS hospitals would be overwhelmed. The CQC received 40 submissions from the public, mostly about DNACPR orders that had been put in place without consulting with the person or their family. These included reports of all the residents of one care home being given a DNACPR notice, and of the notices routinely being applied to anyone infected with Covid. Some people reported that they did not even know a DNACPR order had been placed on their relative until they were quite unwell. “There is evidence of unacceptable and inappropriate DNACPRs being made at the start of the pandemic,” the interim report found, adding that the practice may have caused “potentially avoidable death”. Read full story Source: The Guardian, 3 December 2020
  21. News Article
    Trusts have been urged to reflect on their disciplinary procedures, and review them annually where required, following the death of a senior nurse who took his own life after being dismissed. NHS England’s chief people officer Prerana Issar has written to trust leaders to highlight Imperial College Healthcare Trust’s new disciplinary procedures, which were put in place following Amin Abdullah’s suicide. Mr Abdullah, a senior nurse at Charing Cross Hospital in west London, was suspended in September 2015 before being let go from his job that December. He died in February 2016 after setting himself on fire. An independent investigation criticised both the trust and its staff and concluded he had been “treated unfairly”. The summary report produced by the trust was labelled a “whitewash”, which “served to reassure the trust that it had handled the case with due care and attention”, and the delay of three months between the events and hearing were “troubling”. The report, which also criticised the delays as “excessive” and “weak” in their justification, said Mr Abdullah found the delay “stressful” and caused him to become “distressed”. In the letter sent on Tuesday, seen by HSJ, Ms Issar said: “The shared learning from Amin’s experience has demonstrated the need for us to work continuously and collaboratively, to ensure that our people practices are inclusive, compassionate and person-centred, with an overriding objective as to the safety and wellbeing of our people… our collective goal is to ensure we enable a fair and compassionate culture in our NHS. I urge you to honestly reflect on your organisation’s disciplinary procedure…" Read full story (paywalled) Source: HSJ, 3 December 2020
  22. News Article
    Care homes will not receive the first batches of the Covid vaccine in Scotland because of problems transporting small doses around the country. The health secretary has said about 65,500 doses of the Pfizer vaccine will arrive in Scotland by next Tuesday. They will initially be stored in freezers in packs of 997 doses. The first people to receive the jab may have to travel to where the doses are being held. Health Secretary Jeane Freeman said that means care homes would have to wait until the issue of breaking down the vaccines packs into smaller doses is resolved. She told the BBC's Good Morning Scotland programme: "The doses come to us in packs of 997 and we need to know to what degree we can pack that down into smaller pack sizes. If we can't, then we absolutely need to bring those who need to be vaccinated to those freezers - to the centres - because there is a limit to how much you can transport the doses once you have defrosted them." "We don't want to waste any of this vaccine so it's not possible at this point to take it in smaller doses into, for example, care homes." Read full story Source: BBC News, 3 December 2020
  1. Load more activity
  • Newsletter

    Want to keep up to date with all our latest news and information?

    Sign Up