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Keep up to date with the latest news, research and activity in patient safety.
Women in Britain are paying up to £11,154 for a hysterectomy in a private hospital, amid huge delays for NHS gynaecological care, research reveals.
The cost of undergoing the procedure privately has soared by 19% from £7,385 in 2021 to £8,795 last year, at a time when NHS waiting lists have risen sharply.
The disclosure has prompted claims independent sector healthcare providers are taking advantage of long waits for health service treatment by increasing their prices.
The number of women waiting for care in an NHS hospital for conditions such as fibroids and endometriosis more than doubled from 360,400 when Covid struck in 2020 to 749,329, the Royal College of Obstetricians and Gynaecologists has shown.
In November 584,607 women in England were on an NHS gynaecological waiting list, with 20,809 of them being on the list for more than a year, which led to a growing number of women going private to beat delays.
Dr Ranee Thakar, the RCOG’s president, said untreated conditions “have a devastating impact on almost every aspect of [women’s] lives, including their physical and mental health, and their ability to work and socialise.
“Long NHS waiting times are certainly a factor in why some women choose to have their surgery privately,” she added.
Read full story
Source: The Guardian, 24 January 2025
Sam
A raft of reforms NHS England and the government are proposing to address the crisis in urgent and emergency care can be revealed after a draft of the recovery plan was obtained by HSJ.
HSJ has seen an early “confidential working draft” of the national UEC improvement plan, which national officials are still working on, for publication in the coming weeks.
It is likely to develop, and HSJ understands officials are considering taking on board recommendations from cross-sector proposals published earlier this week. 
The draft seen by HSJ confirms a target for 2025-26 to increase four-hour A&E performance to 78% – the same target as in 2024-25 – despite health secretary Wes Streeting having originally pledged to return the NHS to meeting the 95 per cent standard by 2029. 
The new proposals are instead centred on 10 ‘action’ points for trusts and systems. They include aims to reduce 111 calls put through to 999 or A&E, and “avoidable” ambulance conveyances and handover delays; implement rapid triage at the ‘front door’ of A&Es; improve patient flow and access to mental health services; and deliver more care closer to home.
It also goes on also say that NHSE should separately “performance manage” A&Es on the length of waits for patients who attend with less serious conditions and therefore are not admitted.
As part of a “refreshed improvement offer,” an NHSE UEC improvement team will identify around 25 per cent of A&E sites which are “most in need” and work with them on “a clinical commitment to change whilst deploying multi-disciplinary improvement support” for a time limited period.
Read full story (paywalled)
Source: HSJ, 23 January 2025
Sam
Within his first 48 hours back in office, Donald Trump has signed several executive orders repealing directives expanding healthcare access and options for lower-income and middle-class Americans.
Those people whose coverage is now deemed at risk are the roughly 24 million Americans who have purchased their health insurance via the Affordable Care Act (ACA) this year. The ACA, also known as Obamacare, helped to expand Medicaid benefits and provides affordable health insurance to millions of people.
Trump’s actions this week will affect all aspects of the ACA, including eligibility requirements, federal subsidies and enrolment deadlines, which determine when Americans can apply for insurance, without repealing the act, which would take action from the US Congress. But the actions are expected to create more barriers and result in healthcare coverage becoming less accessible.
Additionally, Trump repealed executive orders aimed at reducing the cost of prescription drugs for people on the government health insurance programs Medicare and Medicaid that chiefly serve older and lower-income Americans.
Read full article.
Source: The Guardian, 22 January 2025
At least two patients have suffered long-term or permanent damage to their health as a result of the cyber attack on NHS pathology provider Synnovis, latest figures have revealed. 
The ransomware attack on the 4 June 2024, caused widespread disruption to NHS services in London, with 10,152 acute outpatient appointments and 1,710 elective procedures postponed at King’s College Hospital NHS Foundation Trust and Guy’s and St Thomas’ NHS Foundation Trust.
Initial figures released by NHS South East London Integrated Care Board (ICB) in November 2024, recorded five cases of moderate harm and 114 cases of low harm as a result of the attack, but did not report any cases of serious harm. However, NHS data obtained by Bloomberg News revealed that healthcare professionals across at least four London boroughs recorded two cases of severe harm, 11 cases of moderate harm, and more than 120 cases of low harm as a direct consequence of the cyber attack.
Responding to the latest figures, Helen Hughes, Chief Executive at Patient Safety Learning, told Digital Health News: “This latest update highlights the significant risks to patient safety posed by cyber attacks. These events not only disrupt care and treatment but can result in serious avoidable patient harm."
“When cyber attacks occur, healthcare providers need to be vigilant of risks to the safety of vulnerable patients from delays to care and treatment."
“They should also have robust plans to recover services, prioritising patient safety, and must ensure that there are appropriate escalation routes to minimise future harm.”
Read full story.
Source: Digital Health, 23 January 2025
At least two trusts whose hospitals rely on high-risk concrete will not open replacements until after 2030, despite theoretically being prioritised by government.
The government previously said replacement of the seven “RAAC” or reinforced autoclaved aerated concrete hospitals would “proceed at pace due to the substantive safety risks” and “exempted” them from its review of the new hospitals programme.
It comes after they were given new construction start dates in the New Hospital Programme.
Read full article (paywalled).
Source: HSJ, 23 January 2025
Men with a diagnosis of ADHD die seven years sooner, on average, than similar people without, while for women the life expectancy gap is almost nine years, the first study of its kind has revealed.
Attention deficit hyperactivity disorder can cause difficulties in concentration and problems with impulsiveness, although people with ADHD do not necessarily experience both. While estimates vary, studies suggest 3-4% of adults worldwide have ADHD.
Now researchers have revealed people diagnosed with the disorder tend to have shorter lives. The new study used primary care data from more than 9 million adults across the UK, from 2000 to 2019, to explore whether ADHD was indeed associated with a shorter life. The results reveal that men with a diagnosis of ADHD had a life expectancy 6.8 years shorter on average than those without, while females with a diagnosis of ADHD had a life expectancy 8.6 years shorter on average than those without.
Read full article.
Source: The Guardian, 23 January 2025
The number of people hospitalised with a winter vomiting bug has surged to a five-year January high amid an ongoing crisis with hospitals across the country struggling to manage high volumes of patients.
Norovirus cases in hospitals are 80 per cent higher than the same period last year, according to new figures from the NHS. Last week there were 784 patients a day in hospital with norovirus, up from 650 cases a day the week prior.
NHS national clinical director for urgent and emergency care Professor Julian Redhead warned this surge in Norovirus was adding pressure to hospitals.
Read full article.
Source: The Independent, 23 January 2025
The MHRA has published new guidance to medical device manufacturers on upcoming requirements around post-market surveillance
New Post-market surveillance regulation for medical devices comes into force across England, Scotland and Wales on 16 June 2025 and introduces key new requirements around the monitoring of medical devices after they’ve entered the market.
This includes more comprehensive data collection; shorter timeframes for reporting serious incidents and summary reporting to identify safety issues; and clearer obligations around risk mitigation and communication to protect user safety.
Read full story.
Source: Digital Health, 22 January 2025
The Trump administration has instructed federal health agencies to pause all external communications, such as health advisories, weekly scientific reports, updates to websites and social media posts, according to nearly a dozen current and former officials and other people familiar with the matter.
The instructions were delivered Tuesday to staff at agencies inside the Department of Health and Human Services, including officials at the Food and Drug Administration, the Centers for Disease Control and Prevention (CDC) and National Institutes of Health, one day after the new administration took office.
The health agencies are charged with making decisions that touch the lives of every American and are the source of crucial information to health-care providers and organizations across the country.
The pause on communications includes scientific reports issued by the CDC, known as the Morbidity and Mortality Weekly Report (MMWR); advisories sent out to clinicians on CDC’s health alert network about public health incidents; data updates to the CDC website; and public health data releases from the National Center for Health Statistics, which tracks myriad health trends, including drug overdose deaths.
The CDC was scheduled to publish several MMWR reports this week, including three about the H5N1 avian influenza virus outbreak, according to one federal health official who spoke on the condition of anonymity to share internal discussions.
It was not clear from the guidance given by the new administration whether the directive will affect more urgent communications, such as foodborne disease outbreaks, drug approvals and new bird flu cases.
Read full story (paywalled)
Source: The Washington Post, 21 January 2025
Sam
Eighteen of the 40 ‘new hospital’ schemes which were originally due to open in 2030 will now not even start construction until then – with some potentially facing a wait of until 2039 to even get spades in the ground.
NHS Providers said the announcement was a “major blow to trusts, their staff, patients, and communities, many of whom now face even longer delays getting desperately needed new hospitals”.
Interim CEO Saffron Cordery added: “Trusts who are part of the new hospital programme account for more than 40 per cent (£5.7bn) of the total bill for backlog repairs and maintenance. Today’s announcement will make a difficult situation even more challenging.
“While today’s announcement finally gives trusts some certainty and clarity over their long-awaited building projects, this is still a bitter pill to swallow.”
Read full story
Source: HSJ, 20 January 2025
US President Donald Trump has signed an executive order to begin the process of withdrawing the US from the World Health Organization (WHO).
The order said the US was withdrawing "due to the organisation's mishandling of the Covid-19 pandemic that arose out of Wuhan, China, and other global health crises, its failure to adopt urgently needed reforms, and its inability to demonstrate independence from the inappropriate political influence of WHO member states".
The executive order also said the withdrawal was the result of "unfairly onerous payments" the US made to the WHO, which is part of the United Nations.
When Trump was still in office the first time around, he was critical of the organisation for being too "China-centric" in its tackling of the Covid-19 pandemic.
Trump accused the WHO of being biased towards China in how it issued guidance during the outbreak.
Under the Biden administration the US continued to be the largest funder of the WHO and in 2023 it contributed almost one-fifth of the agency's budget.
A US withdrawal could have an impact on WHO's ability to respond to emergencies such as an Ebola outbreak, or MPOX – let alone another Covid-19-style pandemic.
Public health experts have suggested there could be other consequences for Americans' health if progress is reversed on fighting infectious diseases such as malaria, tuberculosis, HIV and Aids.
Ashish Jha, who formerly worked as Covid-19 response co-ordinator under President Biden, previously warned leaving would "harm not only the health of people around the world, but also US leadership and scientific prowess".
Read full story
Source: BBC News, 21 January 2025
A cancer patient has spent more than 14 years receiving unnecessary chemotherapy, hospital bosses have admitted.
Lawyers representing the man claim they know of 12 more patients - all in Coventry - saying his case is the "tip of the iceberg".
NHS Guidelines recommend the chemotherapy drug he was originally prescribed, temozolomide, should not be used for more than six months.
University Hospitals Coventry and Warwickshire NHS Trust (UHCW) said it was carrying out an internal review into what happened, and stressed it was committed to providing the best care for its patients.
Lawyers for the patient claim that long-term treatment with temozolomide risks secondary cancer, chronic liver problems and reinforces the fear of death.
The patient, who was originally treated for a cancerous brain tumour, said he had suffered fatigue, joint pain, gastrointestinal distress, recurrent mouth ulcers and nausea, because of the ongoing treatment.
His prolonged chemotherapy programme was only discovered when the consultant treating him, Prof Ian Brown, retired.
A consultant who took over his care then confirmed the four-week cycles of chemotherapy he was undertaking were not needed.
Read full story
Source: BBC News, 22 January 2025
Lives are being lost and families torn apart because of "woefully inadequate care" for people with eating disorders, according to a group of MPs.
The "alarming" rise in disorders such as anorexia and bulimia, over the past decade, has now become an "emergency", the All-Party Parliamentary Group on Eating Disorders says in a report.
And greater awareness about different types of eating disorders and how they affect males and females of all ages and ethnicities is urgently needed.
The MPs, external spent six months listening to "harrowing" experiences from patients, bereaved families, clinicians and academics.
Eating disorders are often misunderstood and seen as a lifestyle choice affecting only white teenage girls, the report says. In reality, they are serious but treatable mental illnesses.
The report says services are "grossly" underfunded, there are barriers to accessing treatment and wide variations in care quality across the UK.
Campaigner Hope Virgo worries some people with long-term and complex eating disorders are being viewed as "untreatable" and "being sent home to die".
Read full story
Source: BBC News, 22 January 2025
Read the blog from Hope Virgo published on the hub today: Hope Virgo: What needs to happen to stop people with eating disorders being failed by the healthcare system?
 
There was “open warfare” between UK government departments during the pandemic, the former vaccines tsar has said, adding the failure to prioritise the needs of clinically vulnerable, immunocompromised individuals was ethically and morally wrong.
Dame Kate Bingham led the vaccine taskforce (VTF) – based in the Department for Business, Energy and Industrial Strategy (BEIS) – between May and December 2020, and played a pivotal role in persuading the government to back the development of a portfolio of potential jabs, as well as securing contracts for millions of doses.
But Bingham has told the Covid inquiry that when initially establishing the remit of the VTF she discovered conflict.
“Therapeutics is obviously my background, so that is the natural area for me to have included in the remit,” she said. “What I did is what I would always do, which is to go and talk to the people involved, including in industry. And it was quite clear there was open warfare between BEIS and the Department of Health.”
The government did not make an advance purchase of Evusheld and it was never supplied, much to the consternation of charities who warned of the impact on immunocompromised individuals, although it was available privately.
Bingham said the direction of travel on Evusheld was clear to her before she left her post in December 2020, adding she vehemently disagreed with it.
“I felt very strongly that we were conducting a strategy that was not following the prime minister’s goals,” she said. “So the government was following a very clear two-tier strategy where the clinically vulnerable, immunocompromised patients were being deprioritised in favour of those who were able to receive vaccines. And I felt that was manifestly wrong, both ethically and morally, but also did not follow the goals that we’d been set, which was to protect the entire population.”
Read full story
Source: The Guardian, 21 January 2025
The NHS should create a “single 24/7 service” for urgent and emergency care for every A&E department’s catchment area to address what is currently a “fragmented and disjointed” system, six expert groups have said.
The recommendation is part of a wide-ranging plan to reform the urgent and emergency care system, which has been jointly authored by bodies including the Royal College of Emergency Medicine, the Royal College of GPs and the Association of Ambulance Chief Executives.
The expert groups’ reform blueprint, titled Our Urgent and Emergency Care Improvement Proposals, comes ahead of the government’s anticipated “improvement plan” for the sector.
It concludes the NHS has “got the winter it prepared for” and has “normalised and accepted” poor care. 
Proposed actions in the plan include creating a “single 24/7 service” for each emergency department catchment area, bringing together teams in EDs, urgent community response services and virtual wards, which would be focused on caring for people in their communities.
Read full story (paywalled)
Source: HSJ, 22 January 2025
The late supply of defective equipment used by care staff to reduce harm from a pressure ulcer contributed to the death of a vulnerable patient, a coroner has concluded.
Private provider NRS Healthcare supplies dozens of local authorities with equipment for patients in the community and contracts directly with NHS trusts providing community services.
A prevention of future deaths notice issued by a coroner in north London last week said the court had heard evidence of “numerous and ongoing delays and ‘problems’ in the service provided by NRS Healthcare. While I heard that there had been some improvement, I was told that the service provided was still ‘not great’.”
The inquest was into the death of Sheila Wexler, whom coroner Ian Potter found died of “natural causes, contributed to by increased immobility as a result of delayed and defective turning equipment being supplied for the treatment of a pressure ulcer”.
Trust board papers presented to directors in January said: “There are known issues with NRS (pressure ulcer-relieving equipment company) for a number of equipment types since the contract implementation. Concerns were escalated to the integrated care board and the commissioners of this service. Although there [have] been some improvements it remains inconsistent.”
The Whittington would not release its incident report or confirm how many people came to harm. It said: “Disclosing this incident report into the public domain could seek to damage our relations with the supplier in question, and possibly that with our other suppliers, which would not be in the public good.”
Read full story (paywalled)
Source: HSJ, 21 January 2025
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