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Patient Safety Learning

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  1. Patient Safety Learning
    Care home workers in England could be legally required to have a COVID-19 vaccination under plans being considered by the government.
    According to details of a paper submitted to the COVID-19 operations cabinet subcommittee last week and leaked to the Telegraph, the prime minister, Boris Johnson, and the health secretary, Matt Hancock, have agreed to the proposal in order to protect vulnerable residents.
    The move would prove highly controversial and could result in legal challenges. The cabinet subcommittee paper warned a large number of social care workers may quit if the change is made, and said that lawsuits on human rights grounds could be possible. A government spokesman insisted “no final decisions have been made” but did not rule out jabs being made compulsory for care workers. The government is also reviewing the introduction of vaccination passports.
    Read full story
    Source: The Guardian, 22 March 2021
  2. Patient Safety Learning
    A trust being investigated over maternity care failings was urged six years ago to strengthen its neonatal staffing, HSJ can reveal.
    An external review into East Kent Hospitals University Foundation Trust — conducted in 2015 and kept under wraps until now — said it had insufficient staffing, and that medical consultants felt a lack of engagement with senior managers.
    The trust released the review yesterday after its existence became public for the first time earlier this month.
    Last year, the trust was heavily criticised at the inquest of baby Harry Richford, who died seven days after he was born at the Queen Elizabeth, the Queen Mother, Hospital in Thanet. The Care Quality Commission is taking the trust to court over the case, and is the subject of an external inquiry.
    Among the recommendations of the review, carried out by the Royal College of Paediatrics and Child Health, were that consultants and junior doctors covering the neonatal intensive care unit “should have responsibilities solely to that specialty”. Such a move would improve the quality and safety of the service, the review suggests. 
    Read full story (paywalled)
    Source: HSJ, 22 March 2021
  3. Patient Safety Learning
    There is ‘no capacity anywhere’ to deal with an unprecedented surge in admissions of children with mental health problems, a senior clinician has told HSJ.
    Last week, multiple children with eating disorders were understood to have been left on children’s wards in general acute hospitals, due to specialist mental health units across England being full.
    This appears to be a deterioration from the situation last month, when several areas of the country were reporting an extreme shortage of specialist beds.
    Rory Conn, a member of the Royal College of Psychiatrists’ children and adolescent mental health division, told HSJ that specialist inpatient beds were full nationally.
    He added: “We are seeing a greater number of children restricting [their food and drink] intake for a variety of reasons, often to extreme degrees.
    “Some are stopping eating and drinking entirely, in a clinical pattern that we haven’t traditionally seen. For example, they might not have an identified eating disorder like anorexia, but their restriction seems to be a response to their uncertain social environment during the pandemic.
    Read full story (paywalled)
    Source: HSJ, 23 March 2021
  4. Patient Safety Learning
    Hospitals across Europe, including Britain, as well as the Middle East and Africa are scrambling to replace millions of pieces of equipment used to treat patients, as fears grow that they could cause infections after a company was discovered to have falsified sterilisation records for more than a decade.
    The Independent has learned the problem affects more than 230 different types of infusion lines, connectors and associated kit, along with six infusion pumps used to deliver medicine and fluids into patients’ veins.
    Medical devices company Becton Dickinson, or BD, has issued a recall of six of its Alaris infusion pumps as well as related tubing and kit after an investigation found a company it uses was intentionally falsifying sterilisation records, meaning BD could not be certain the tubing and pumps were free from contamination.
    Hospitals across the UK have been given until the end of this month to stop using the pumps and quarantine any of the affected equipment. Any NHS trusts struggling with a lack of supply have been told to seek “mutual aid” from neighbouring trusts.
    Public Health England told The Independent it had not identified any large scale infections linked to the IV lines but said it could not rule out smaller isolated infections.
    Read full story
    Source: The Independent, 22 March 2021
  5. Patient Safety Learning
    Doctors ignored the concerns of a seriously ill girl's parents before reducing her pain medication, an inquest has heard.
    Melody Driscoll, from Croydon, died aged 11 at King's College Hospital (KCH) in July 2018.
    Her mother Karina Driscoll and stepfather Nigel alleged the actions of KCH reduced Melody's quality of life. She told Southwark Coroner's Court that a reduction in painkillers also contributed to her daughter's death.
    The family had been in dispute with KCH over the treatment given to Melody, who had several conditions including Rett syndrome, a rare and life-limiting genetic disorder that causes mental and physical disability.
    Doctors wanted to wean Melody off painkillers, but her parents objected because the plan went against the treatment regime she had previously been prescribed at Great Ormond Street Hospital (GOSH).
    The court heard Melody suffered from very severe pain, requiring continuous relief, including morphine, for much of her life.
    In a written statement read out by barrister Patricia Woodcock QC, Mrs Driscoll said although her daughter could not speak, she made recognisable signs when she was in pain, including tensing her muscles. However, she claimed staff at KCH had a "we know best attitude" and did not listen to her concerns.
    "I would say that KCH took a very negative view about Melody, and us as a family, from an early age and, for example, started to believe that Melody's pain behaviours were not in fact expressions of pain but her simply 'acting out'," Mrs Driscoll said.
    Read full story
    Source: BBC News, 22 March 2021
  6. Patient Safety Learning
    A woman infected with hepatitis C from contaminated blood has launched legal action after the government denied her financial support available to other victims despite accepting she was made sick by tainted blood.
    Carolyn Challis told The Independent her life had been dramatically affected by the virus, which left her with debilitating fatigue and other symptoms meaning she couldn’t work and was left to look after three children.
    With the help of lawyers from Leigh Day, she is bringing a judicial review against the Department of Health and Social Care, challenging what she believes is an arbitrary cut-off date for victims of the contaminated blood scandal to receive financial support including payments of a £20,000 sum and ongoing help.
    The government has said only patients infected before September 1991 are eligible for the payments, but Ms Challis was infected at some stage between February 1992 and 1993 following three blood transfusions and a bone marrow transplant to treat Hodgkin’s Disease, a form of blood cancer.
    Read full story
    Source: The Independent, 21 March 2021
  7. Patient Safety Learning
    An infection "probably" linked to Glasgow's children's hospital was the "primary cause of death" of a young cancer patient, the BBC has learned.
    Infections from contaminated water at the hospital were also found to have been an "important contributory factor" in another child's death.
    A review looked into the cases of 84 children who developed infections while undergoing treatment at the hospital.
    It found that a third of infections "probably" originated in the hospital and the rest were "possibly" acquired there.
    The authors of the "case note review", which should be published next week, said they recognised that some families would be disappointed that they could not have "greater certainty" about the links between their child's infection and the hospital environment.
    They said this was down to the limits of a retrospective review but also criticised the shortcomings in the data provided by the health board.
    Read full story
    Source: BBC News, 20 March 2021
  8. Patient Safety Learning
    Arianna Eisenberg endured long-haul COVID-19 for eight months, a recurring nightmare of soaking sweats, crushing fatigue, insomnia, brain fog and muscle pain.
    But Eisenberg’s tale has a happy ending that neither she nor current medical science can explain. Thirty-six hours after her second shot of coronavirus vaccine last month, her symptoms were gone, and they haven’t returned.
    “I really felt back to myself,” the 34-year-old Brooklyn therapist said, “to a way that I didn’t think was possible when I was really sick.”
    Some people who have spent months suffering from long-haul COVID-19 are taking to social media to report their delight at seeing their symptoms disappear after their vaccinations, leaving experts chasing yet another puzzling clinical development surrounding the disease caused by the coronavirus.
    “The only thing that we can safely assume is that an unknown proportion of people who acquire SARS-CoV-2 have long-term symptoms,” said Steven Deeks, an infectious-disease physician at the University of California at San Francisco. “We know the questions. We have no answers. Hard stop.”
    Read full story
    Source: The Washington Post, 16 March 2021
  9. Patient Safety Learning
    One consequence of an active immune response can be an enlarged lymph node. And, because coronavirus vaccines activate the immune system, some people have swollen nodes in the days following a vaccine.
    These are harmless if uncomfortable side effects – but they can be misleading when scanned by a radiologist, including during a mammogram.
    After vaccination, a swollen lymph node may appear as a lump in the armpit. These glands are hotbeds of immune activity, filtering pathogens and storing germ-fighting cells. If you’ve had a sore throat or a cold, there’s a chance you’ve felt a swollen node in your neck. The post-vaccine node may be palpable, too.
    Any swelling should resolve within days, and if it does, it isn’t a cause for concern. However, should it persist for multiple weeks, then it’s not a bad idea to notify your doctor.
    Read full story
    Source: The Independent, 21 March 2021
  10. Patient Safety Learning
    Some of the country’s most clinically vulnerable people have yet to receive the coronavirus vaccination, Guardian analysis shows.
    Ministers had said all clinically extremely vulnerable adults would be offered a vaccination by 15 February, but more than a month later some people who are housebound because of health problems have yet to be offered a jab they can actually access.
    People whose disability or age means that they are unable to get to one of the mass vaccine centres around the country were meant to be visited by a “mobile health worker” at home, similar to that offered to care home residents. However, while government figures suggest that nearly nine in 10 people who are clinically extremely vulnerable have received a first dose, a number who are housebound are missing out, with some being expected to travel miles to a vaccine centre.
    Kim Liddell, 49, from Cheshire, is housebound because of the nerve condition cauda equina syndrome, and is still waiting for a home visit. “I’ve spoken to my GP practice and all I have been told is they are in the process of setting up clinics,” she said. “The worst part of this is my father died from Covid three weeks ago. And I am at massive risk as my son, who lives with me, is a teacher, doesn’t drive [and has gone] back to face-to-face teaching. I’m absolutely petrified.
    Read full story
    Source: The Guardian, 21 March 2021
  11. Patient Safety Learning
    There is no evidence the AstraZeneca Covid vaccine causes blood clots, say UK and EU regulators after a "thorough and careful review".
    The MHRA and the EMA say people can have confidence in the vaccine's benefits and should get immunised, despite some countries pausing use.
    But anyone with a headache lasting more than four days after vaccination should seek medical advice, as a precaution. The same advice applies if someone develops unusual bruising. That is because the regulators have received a very small number of reports of an extremely rare form of blood clot occurring in the brain.
    It is this type of clot that triggered some European countries to pause rollout of the Oxford-AstraZeneca vaccine.
    In the UK, five cases of cerebral sinus vein thrombosis (CSVT), among 11 million people who have received the vaccine, occurred in men aged between 19 and 59. One of these was fatal. The EMA has received an additional 13 reports of CSVT.
    CSVT can occur naturally and no link to the vaccine has been established. The patients also had low blood platelet counts - cells involved with clotting. Covid infection can make clots more likely.
    Dr June Raine, chief executive of the MHRA, said regulators would continue to closely monitor the situation and people should have the vaccine when it is their turn: "The public can have every confidence in the thoroughness of our review."
    Read full story
    Source: BBC News, 18 March 2021
  12. Patient Safety Learning
    The NHS should start off the next financial year focusing on staff recovery and postpone ratcheting up elective recovery efforts and other long-term priorities until the second quarter, senior figures have warned.
    One trust chief executive said if there is an expectation from the centre that “April is the start point [for elective recovery], that will cause a massive problem”.
    It comes with the government and NHS England still apparently locked in negotiation over NHS funding for the financial year from 1 April, and deciding what the NHS will be asked to deliver.
    The CEO said: “It’s hard to think that 1 April signals a new year for the NHS. [There needs to be] a gradual decompression of our staff over the next three months as the country opens up.
    “If the planning guidance gets announced in the next couple of weeks with an expectation that April is the start point, that will cause a massive problem. Staff have not recovered, the vaccine programme is still ongoing, [and] there are still covid patients in all of our beds.”
    Read full story (paywalled)
    Source: HSJ, 18 March 2021
  13. Patient Safety Learning
    A cohort of scientists from across the world believe that there is a growing body of evidence that COVID-19 can cause diabetes in some patients.
    Prof Francesco Rubino, from King’s College London, is leading the call for a full investigation into a possible link between the two diseases. Having seen a rise in both type 1 and type 2 diabetes in people who have caught coronavirus, some doctors are even considering the possibility that the virus ‒ by disrupting sugar metabolism ‒ could be inducing an entirely new form of diabetes.
    Rubino and others set up a registry to start pooling and analysing reports of cases. The principal investigators of the registry which has received reports from more than 350 individual clinicians who suspect they have encountered one or more cases of Covid-induced diabetes — have said the numbers were hard to ignore.
    “Over the last few months, we’ve seen more cases of patients that had either developed diabetes during the Covid-19 experience, or shortly after that. We are now starting to think the link is probably true – there is an ability of the virus to cause a malfunctioning of sugar metabolism,” said Rubino.
    If there was a biological link, it would be difficult to prove without a substantial database, he noted. “We said it’s worth embarking on an investigation because this – especially given the size of the pandemic – could be a significant problem.”
    Read story
    Source: The Guardian, 19 March 2021
  14. Patient Safety Learning
    Racism, sexism, and homophobia is widespread in hospital operating theatres across England, according to an independent report.
    In a damning verdict on the atmosphere in some surgical teams, Baroness Helena Kennedy QC said the ‘old boys’ network of alpha male surgeons was preventing some doctors from rising to the top and had fuelled an oppressive environment for women, ethnic minorities and trainee surgeons.
    The report was commissioned by the Royal College of Surgeons and lays bare the "discrimination and unacceptable behaviour" taking place in some surgical teams.
    Baroness Kennedy told The Telegraph the field of surgery was "lagging behind" society, adding: "It is driven by an ethos which is very much alpha male, where white female surgeons are often assumed to be nurses and black women surgeons mistaken for the cleaner. And this is by the management.
    Read full story
    Source: The Independent, 18 March 2021
  15. Patient Safety Learning
    There was a "gross failure in basic care" which led to a baby being starved of oxygen during birth, a coroner said.
    Zak Ezra Carter died at the Royal Gwent Hospital, Newport, two days after being born in July 2018 at Ystrad Fawr Hospital in Caerphilly county.
    Gwent coroner Caroline Saunders said the monitoring of Zak and his mother Adele Thomas fell "well below the standards expected". She said she was reassured the health board had taken steps to improve care.
    Ms Thomas told the Newport hearing she felt "scared" and staff "didn't care" when she arrived to give birth on 20 July 2018. In a statement to the inquest she described being turned away from the centre after going into labour on three occasions, before being admitted on the fourth.
    Ms Thomas said she was initially offered paracetamol as pain relief at the midwife-led centre.
    She described "a lot of arguing between nurses", one of whom was "bolshie and rude and rough handled me", adding the midwives "did not appear to be in any rush". 
    When Zak was born, he was described as being "white and pale" and without a heartbeat. He did not cry and was taken away to a room for resuscitation. Zak was transferred to the Royal Gwent Hospital where he died two days later.
    During the first stage of labour, Prof Sanders said "everything was progressing at a normal healthy rate and the fetal heart rate was recorded as completely normal". But she said it was "highly unusual" for the heart rate to not be documented contemporaneously, and the midwives had not been able to explain why they had not done so.
    Recording a narrative conclusion, Ms Saunders said the monitoring of Ms Thomas and her baby had "fallen well below the standards expected", leading to a "gross failure in basic care" of them in the later stages of labour.
    Read full story
    Source: BBC News, 18 March 2021
  16. Patient Safety Learning
    Hospital bosses are bracing themselves for a clash with ministers over how quickly they can clear the backlog of NHS care that built up during the pandemic.
    They are warning that it will take “years” to treat all those whose care was cancelled because Covid disrupted so many hospital services, particularly surgery and diagnostic tests.
    Staff shortages, exhaustion among frontline personnel after tackling the pandemic and their need to have a break mean that progress will be slower than the government expects, NHS trust chiefs say.
    “We can’t say with certainty how long it will take to tackle the backlog of planned operations because we don’t really know how big that backlog will end up being,” said Chris Hopson, the chief executive of NHS Providers.
    “The NHS will obviously go as fast as it can, as we always do. But it’s already apparent that clearing the entire backlog will take years rather than months.”
    Read full story
    Source: The Guardian, 18 March 2021
     
  17. Patient Safety Learning
    A website is helping healthcare professionals and the public recognise whether a rash could be a sign of COVID-19.
    The covidskinsigns site carries more than 400 images of rashes collected via the COVID Symptom Study app, which was set up during the first wave of the pandemic to gather information from the public about the signs and symptoms of virus.
    According to the British Association of Dermatologists, which developed the website, the most common skin rashes are urticaria (a hive-like rash), a ‘prickly heat’ or chickenpox-type rash, and redness that looks like chilblains on the fingers or toes.
    Rash was added as a sign to the app, which has been downloaded by 4 million people in the UK – reports emerged last spring of rashes in patients admitted to hospital with COVID-19.
    In August 2020, Mid Yorkshire Hospitals NHS Trust vascular nurse consultant Leanne Atkin warned discoloured toes could be a sign of COVID-19. She spoke out following a rise in the number of patients presenting to vascular clinics with signs that could be attributable to arterial disease. However, Dr Atkin said these patients often go on to test positive for COVID-19.
    Dubbed ‘COVID toe’, the condition can have a similar appearance to chilblains, which commonly cause swelling and redness at the ends of toes and fingers, and was first identified as a sign of COVID-19 by podiatrists in Spain in April 2020.
    Read full story
    Source: Nursing Standard, 29 January 2021
  18. Patient Safety Learning
    Blanket orders not to resuscitate some care home residents at the start of the Covid pandemic have been identified in a report by England’s care regulator.
    A report published by the Care Quality Commission (CQC) found disturbing variations in people’s experiences of do not attempt cardiopulmonary resuscitation (DNACPR) decisions during the pandemic.
    Best practice is for proper discussions to be held with the person involved and/or their relatives. While examples of good practice were identified, some people were not properly involved in decisions or were unaware that such an important decision about their care had been made. Poor record-keeping, and a lack of oversight and scrutiny of the decisions being made, was identified.
    The report, 'Protect, respect, connect – decisions about living and dying well during Covid-19', calls for a ministerial oversight group – working with partners in health and social care, local government and the voluntary sector – to take responsibility for delivering improvements in this area.
    The report surveyed a range of individuals and organisations, including care providers and members of the public, and identified:
    Serious concerns about breaches of some individuals’ human rights. Significant increase in DNACPRs put in place in care homes at the beginning of the pandemic, from 16,876 to 26,555. 119 adult social care providers felt they had been subjected to blanket DNACPR decisions since the start of the pandemic. A GP sent DNACPR letters to care homes asking them to put blanket DNACPRs in place. In one care home a blanket DNACPR was applied to everyone over 80 with dementia. Read full story
    Source: The Guardian. 18 March 2021
  19. Patient Safety Learning
    More than 3.7 million vulnerable people in England will no longer have to shield from the coronavirus from 1 April.
    It comes as the numbers of COVID-19 cases and hospital admissions have declined for the past couple of weeks.
    Letters will be sent out to this group in the next two weeks. In them, people will still be advised to keep social contacts at low levels, work from home where possible and stay at a distance from other people.
    Since 5 January, they have been asked to stay at home as much as possible to reduce their risk of being exposed to the virus. But at a Downing Street press conference, Health Secretary Matt Hancock confirmed shielding guidance, which had been extended to 31 March for all those who are clinically extremely vulnerable, would end on 1 April.
    England's deputy chief medical officer Dr Jenny Harries recommended the change based on the latest scientific evidence and advice.
    Read full story
    Source: BBC News, 17 March 2021
  20. Patient Safety Learning
    The COVID-19 Bereaved Families for Justice group has told Downing Street it wants a statutory public inquiry led by a senior judge to “determine a definitive, official, evidence-based narrative of what did and did not happen, independent of political influence” during the pandemic. The group considers it potentially cathartic and wants the families’ grief heard.
    Frontline health workers also want a wide-ranging inquiry to provide a platform for their experiences, while minority ethnic leaders believe an inquiry can only determine what went wrong if wider societal inequalities relating to work, health and housing are investigated.
    But while there is no dissent about the need for an inquiry, others fear this remit might be too broad – and fear lessons have to be learned now so the UK can properly protect itself from any future health emergency.
    Sir John Bell, the regius professor of medicine at Oxford University, and Lord O’Donnell, head of the civil service under Tony Blair, Gordon Brown and David Cameron, want a different model more narrowly focused on determining future actions.
    Ultimately the decision will be for Boris Johnson, who has significant latitude to set the terms and scope of any inquiry, including selection of its chair.
    Read full story
    Source: The Guardian, 16 March 2021
  21. Patient Safety Learning
    With the annual NHS Staff Survey recently published, expectation was that this year might look a little different, all things considered.
    For the mental health sector, the dial didn’t move massively on key questions. The sector still came out bottom for staff who agreed they’d be happy with the standard of care if a friend or family member needed it - otherwise called the “family and friends test”.
    Although the survey was not that revelatory this year, it is still a helpful barometer for trusts’ safety and quality culture.
    Sheffield Health and Social Care Foundation Trust comes out lowest on all of the main quality and safety-related questions. 
    On the crucial family and friends question, just 47% of the trust’s staff agreed that would be happy with the standard of care. The trust has been one of the worst performers on the survey for a number of years but appears to have deteriorated further.
    Sheffield Health and Social Care FT also came out worst on the following key safety culture related questions:
    When errors, near misses or incidents are reported, my organisation takes action to ensure that they do not happen again I would feel secure raising concerns about unsafe clinical practice My organisation acts on concerns raised by patients/service users. The last two questions are a vital indicator of a trust’s approach to safety and quality. If staff do not feel secure to raise concerns, or if a trust does not act on patient concerns can it really address problems before they escalate?
    Read full story (paywalled)
    Source: HSJ, 12 March 2021
  22. Patient Safety Learning
    People in prisons are at an increased risk of COVID-19, with a death rate more than three times higher than that of the general population, and should be made a vaccine priority, according to public health experts.
    There were 118 deaths related to COVID-19 among people in prisons in England and Wales between March 2020 and February 2021, representing a risk of dying more than three times higher than that of people of the same age and sex outside secure environments, the research team at University College London (UCL) found.
    The higher rate of death comes despite extensive physical distancing measures, including prisons keeping many inmates in their cells for 23 hours a day.
    The lead author of the study, Dr Isobel Braithwaite of UCL Institute of Health Informatics, said: “Our findings show that people in prisons are at a much higher risk of dying from COVID-19 than the general population, and we make the case that both they and prison staff should be given high priority in the rollout of vaccines."
    “We believe the current methods of regime restriction are not enough to protect people adequately, and a systematic, ‘whole-prison’ approach to vaccination is key to preventing further outbreaks and reducing overall deaths in prisons.”
    The Ministry of Justice challenged the authors’ work, however, arguing it failed to adjust for worse health among the prison population than the community and movements of prisoners in and out of prison.
    Read full story
    Source: The Guardian, 16 March 2021
  23. Patient Safety Learning
    Accident and emergency staff at Bristol Royal Infirmary do not feel equipped to deal with the violence they face from the public, inspectors have found.
    Health watchdog The Care Quality Commission (CQC) rated the department as "requires improvement" following an inspection in February. It said "urgent action" must be taken to protect staff and patients.
    University Hospitals Bristol and Weston NHS Foundation Trust said it was working on improvements.
    Amanda Williams, CQC's head of hospital inspections, said: "We were... particularly concerned to find high levels of violence and aggression against staff from patients in the department and to learn that staff did not feel adequately trained to deal with this."
    "Staff need to be given the appropriate training and support to ensure they feel safe and to enable them to defuse tension and prevent violence from escalating."
    Read full story
    Source: BBC News, 17 March 2021
  24. Patient Safety Learning
    Nanotechnology could be used to test blood for evidence of Alzheimer’s disease years before symptoms appear, researchers have said.
    Scientists used nanotechnology to extract previously unseen blood signals of neurodegeneration in a mouse model of Alzheimer’s disease.
    They say tests that capture early signs of neurodegeneration in blood offer enormous potential for those who suffer from the disease, as well as dementia patients, to receive effective treatment or manage their progressive condition before significant brain damage occurs.
    Alzheimer’s disease can currently be diagnosed using brain scans only after someone has been showing behavioural symptoms, such as memory impairment. By the time symptoms emerge, it is often too late to treat patients effectively.
    Read full story
    Source: The Independent, 17 March 2021
     
  25. Patient Safety Learning
    Pregnant women and new mothers are three times as likely to suffer from poor mental health in the wake of the coronavirus pandemic, according to a new study.
    The report, carried out by a coalition of leading maternal mental health organisations, suggested before that the public health crisis up to 20% of women developed a mental illness during pregnancy or within the first year after having a baby.
    But in lockdown, 6 in 10 mothers had substantial concerns around their mental health, according to researchers who polled more than 5,000 pregnant women and parents.
    The study warned women were more likely to suffer from anxiety, depression, loneliness and suicidal thoughts during the COVID-19 crisis.
    The Maternal Mental Health Alliance is one of the organisations behind the research. Luciana Berger, a former Labour MP who is now chair of the group, said: “Today’s report should serve as an ear-splitting warning siren about the dangers to women’s maternal mental health and potential risks to the wellbeing of their babies."
    Read full story
    Source: The Independent, 16 March 2021
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