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Patient Safety Learning

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  1. Patient Safety Learning
    About 1.3 million people in the UK have Long Covid symptoms lasting more than four weeks after an initial infection, an Office for National Statistics survey suggests. Of those, 892,000 (70%) first caught the virus at least 12 weeks ago and 506,000 (40%) at least a year ago.
    The survey asked nearly 352,000 people to record their own symptoms. There is no universally agreed definition of long Covid and different studies use varying definitions.
    The ONS survey, over four weeks in November and December 2021, suggests, of those with Long Covid:
    51% have fatigue 37% have loss of smell 36% have shortness of breath 28% have difficulty concentrating. University of Exeter senior clinical lecturer Dr David Strain said: "The stark warning here is that, based on this, in the previous waves, over 800,000 people have their day-to-day activities significantly affected over three months after catching Covid and nearly a quarter of a million report this has a dramatic impact on their quality of life.
    "As we continue to see case numbers of Omicron rise, we must be wary that our reliance purely on hospitalisations and death as a measure of the risk from Covid could grossly underestimate the public-health impact of our current Covid strategy."
    Read full story
    Source: BBC News, 6 January 2022
     
  2. Patient Safety Learning
    The number of adults living with dementia worldwide is on course to nearly triple to 153 million by 2050, according to the first study of its kind.
    Experts described the data as shocking and said it was clear that dementia presented “a major and rapidly growing threat to future health and social care systems” in every community, country and continent.
    US researchers said the dramatic rise from an estimated 57 million cases in 2019 would be primarily due to population growth and ageing. However, several risk factors for dementia – including obesity, smoking and high blood sugar – would also fuel the increase, they said.
    Improvements in global education access are projected to reduce global dementia prevalence by 6.2 million cases by 2050. But this will be countered by anticipated trends in obesity, high blood sugar and smoking, which are expected to result in an extra 6.8 million dementia cases.
    Hilary Evans, the chief executive of Alzheimer’s Research UK, who was not involved in the study, said the figures “lay bare the shocking scale of dementia across the world”.
    She said: “We need to see concerted global action to avoid this number tripling. Dementia doesn’t just affect individuals, it can devastate whole families and networks of friends and loved ones. The heartbreaking personal cost of dementia goes hand in hand with huge economic and societal impacts, strengthening the case to governments across the world to do more to protect lives now and in the future.”
    Read full story
    Source: The Guardian, 6 January 2022
  3. Patient Safety Learning
    The World Health Organization (WHO) has warned against describing the Omicron variant as mild, saying it is killing people across the world.
    Recent studies suggest that Omicron is less likely to make people seriously ill than previous Covid variants.
    But the record number of people catching it has left health systems under severe pressure, said WHO chief Dr Tedros Adhanom Ghebreyesus.
    On Monday, the US recorded more than one million Covid cases in 24 hours.
    The WHO - the UN's health agency - said the number of global cases has increased by 71% in the last week, and in the Americas by 100%. It said that among severe cases worldwide, 90% were unvaccinated.
    "While Omicron does appear to be less severe compared to Delta, especially in those vaccinated, it does not mean it should be categorised as mild," Dr Tedros told a press conference on Thursday.
    "Just like previous variants, Omicron is hospitalising people and it is killing people.
    "In fact, the tsunami of cases is so huge and quick, that it is overwhelming health systems around the world."
    Read full story
    Source: BBC News, 6 January 2022
  4. Patient Safety Learning
    A long-term plan to fix the staffing crisis in the NHS is needed to cut record waiting lists for treatment, the government is being warned.
    Currently, nearly six million people in England are waiting for routine operations and procedures - many of whom are in pain.
    A report from MPs says the government needs to address staff shortages - or NHS workers will quit. 
    There have been repeated warnings over the length of hospital waiting lists in England. As of September 2021, a record 5.8 million patients were waiting for surgery - such as hip or knee replacements - with 300,000 waiting more than a year compared with just 1,600 before the pandemic.
    In the autumn Budget, the government announced an extra £5.9bn for the NHS in England to help clear the backlog. This was on top of another funding package in September to create an extra nine million checks, scans and operations.
    But in its report published today, the Commons health and social care select committee said the health service was hugely understaffed and was facing an "unquantifiable challenge" in tackling the backlog.
    Jeremy Hunt, the former health secretary who now chairs the committee, said the NHS was short of 93,000 workers and there was "no sign of any plan to address this".
    He described the staffing crisis as "entirely predictable", adding: "The current wave of Omicron is exacerbating the problem, but we already had a serious staffing crisis, with a burnt-out workforce."
    "Far from tackling the backlog, the NHS will be able to deliver little more than day-to-day firefighting unless the government wakes up to the scale of the staffing crisis facing the NHS."
    Read full story
    Source: BBC News, 6 January 2022
  5. Patient Safety Learning
    Thousands of overseas-qualified doctors wanting to work in the UK will be delayed after the General Medical Council cancelled exams due to the surge in Covid cases.
    The regulator said its decision to pause professional and linguistic assessment board tests, scheduled for January and February, was made “in direct response” to the current omicron wave. Up to 54 doctors would have been needed each per day as examiners, it said, alongside a “large number of role players and staff”.
    It comes as overseas recruitment is seen by government and national officials as a crucial way to boost NHS staffing, including GPs.
    Director of registration Una Lane said: “We are deeply disappointed to have to cancel exams at this time, but given the pressures on the NHS and the impact on examiner availability, it was the only viable option.”
    Read full story (paywalled)
    Source: HSJ, 6 January 2022
  6. Patient Safety Learning
    More than one in four inpatients at one of England’s largest mental health trusts were reported as covid-positive this week, according to data seen by HSJ.
    Around 160 inpatients across South London and Maudsley (SLAM) Foundation Trust’s sites, or 28% of its total open beds, were reported as positive at the beginning of the week. 
    Several other London mental health trusts have seen high rates of covid cases in recent weeks, as there has been enormous spread of the omicron variant in the capital, although rates have not been as high as at SLAM.
    SLAM told HSJ that infection rates rose and fell in a reflection of community transmission, with covid-positive people being admitted, and there being spread within inpatient units.
    While no wards have been closed and all of the trust’s services are open, visiting was suspended in mid-December due to what the organisation described on its website as a “high number of [covid] outbreaks”.
    Several sources in the sector told HSJ there had been widespread omicron outbreaks in mental health units across England. They said the nature of psychiatric wards and use of restraints meant adhering to stringent social distancing measures, in the face of a highly infectious variant, was more difficult than in other settings.
    Read full story (paywalled)
    Source: HSJ, 6 January 2022
  7. Patient Safety Learning
    Scottish Liberal Democrat leader Alex Cole-Hamilton is calling for more cash to be invested in drug and alcohol services after “utterly heart-breaking” figures showed at least 852 babies have been born addicted since April 2017.
    A total of 173 such births were recorded in both 2019-20 and 2020-21, down from 205 in 2018-19 and 249 in 2017-18.
    In addition to this, a further 52 babies were born addicted in the first part of 2021-22, according to the figures, which were compiled by the Scottish Lib Dems using data obtained under Freedom of Information.
    Mr Cole-Hamilton described the figures as being “utterly heart-breaking”, adding: “It is hard to think of a worse possible start in life for a newborn baby to have to endure.”
    He criticised SNP ministers, saying: “In 2016, the Scottish Government slashed funding to drug and alcohol partnerships by more than 20 per cent. Valuable local facilities shut their doors and expertise was lost which has proved hard to replace."
    “Scotland now has its highest-ever number of drug-related deaths. The Scottish Government has belatedly begun to repair that damage but there is so much more to do."
    Read full story
    Source: The Independent, 6 January 2022
     
  8. Patient Safety Learning
    The government has ordered an external review of whether the number of professional healthcare regulators should be reduced to ‘simplify’ the system.
    Newly published procurement documents reveal the Department of Health and Social Care has hired KPMG to make recommendations on whether the number of regulators “should be reduced and how this might be achieved”.
    The scope of the review covers the eight independent healthcare regulators – which include the General Medical Council, the Nursing and Midwifery Council and the Professional Standards Authority for Health and Social Care. It does not cover other healthcare regulators such as the Care Quality Commission, NHS England/Improvement, or the Medicines and Healthcare Products Regulatory Agency. 
    According to DHSC there is ongoing work to “reform the healthcare regulators’ legislation” which has created an “opportunity to consider” if the regulatory landscape could be “simplified to provide better public protection in a more efficient way”.
    A spokeswoman for the DHSC told HSJ that “stakeholders” accepted that having nine separate professional regulatory bodies “can be confusing for the public”.
    She said: “We know health regulators play an integral role in our commitment to making sure everyone has access to safe and effective healthcare, and we will continue to identify opportunities to improve the professional regulation system.” 
    In 2014, Sir Robert Francis, who chaired the inquiry into failings at Mid Staffordshire Foundation Trust, said there were too many healthcare regulators in the NHS.
    Read full story (paywalled)
    Source: HSJ, 5 January 2022
  9. Patient Safety Learning
    A specialist service to transport critically ill and injured patients is being copied around England after the success of a trial in the South West.
    More than 700 patients have been transported since the pilot scheme began a year ago.
    Retrieve was set-up to transport the most seriously ill patients between intensive care units to take pressure off ambulance and hospital staff.
    Six other regions around England are now developing a similar service.
    "Everyone will have a service that looks similar to Retrieve by the end of next year which is amazing in the short period of time that we've been talking about it," said Dr Scott Grier, lead consultant for Retrieve.
    Dr Grier said critically unwell patients need to be transported between hospitals for various reasons, though frequently to be treated in a hospital specialising in the care they require.
    The service, which operates in Bristol, Gloucestershire, Wiltshire, Somerset, Devon and Cornwall, is funded by NHS England and Improvement South West and costs £3.2m a year.
    "It sounds expensive but it's an efficient service and every time we make a transfer we save the hospital and staff time and those hospitals can care for other people while we care for their patients on the move.
    "It's incredibly exciting because we have changed this area of critical care forever," added Dr Grier.
    Read full story
    Source: BBC News, 5 January 2021
  10. Patient Safety Learning
    Care operators are facing acute staffing shortages caused by Omicron with more than 90 declaring a “red” alert, which means staffing ratios have been breached.
    Over 11,000 care home workers are off for Covid reasons, according to internal health system staffing data seen by the Guardian. One of the UK’s largest private operators, Barchester, is dealing with outbreaks in 105 of its 250 homes. It said that rules meaning homes with Covid cannot accept hospital discharges will cause backlogs in the already struggling NHS.
    Across England, 9.4% of care home staff are off work, according to government live data, with close to 3% absent because of Covid. The figures, which may be an underestimate because of the festive break, are drawn from submissions by thousands of care providers.
    “The spread of Omicron across the country will bring more care homes into outbreak, put huge pressure on the already compromised staff group and mean those who need care do not get it,” said Vic Rayner, chief executive of the National Care Forum. Many care operators said delays in getting PCR test results back were a key frustration, meaning workers who may not be infected were isolating longer than necessary."
    Stephen Chandler, president of the Association of Directors of Social Services, said councils were braced for calls for help from care operators and said “the care that people experience will be affected”.
    Read full story
    Source: The Guardian, 5 January 2022
  11. Patient Safety Learning
    Women who are operated on by a male surgeon are much more likely to die, experience complications and be readmitted to hospital than when a woman performs the procedure, research reveals.
    Women are 15% more liable to suffer a bad outcome, and 32% more likely to die, when a man rather than a woman carries out the surgery, according to a study of 1.3 million patients.
    The findings have sparked a debate about the fact that surgery in the UK remains a hugely male-dominated area of medicine and claims that “implicit sex biases” among male surgeons may help explain why women are at such greater risk when they have an operation.
    “In our 1.3 million patient sample involving nearly 3,000 surgeons we found that female patients treated by male surgeons had 15% greater odds of worse outcomes than female patients treated by female surgeons,” said Dr Angela Jerath, an associate professor and clinical epidemiologist at the University of Toronto in Canada and a co-author of the findings.
    “This result has real-world medical consequences for female patients and manifests itself in more complications, readmissions to hospital and death for females compared with males.
    “We have demonstrated in our paper that we are failing some female patients and that some are unnecessarily falling through the cracks with adverse, and sometimes fatal, consequences.”
    Read full story
    Source: The Guardian, 4 January 2022
  12. Patient Safety Learning
    Ambulance trusts have begun asking patients with heart attacks and strokes to get a lift to hospital with family or friends instead of waiting for an ambulance, because of high covid absences and ‘unprecedented’ surges in demand, HSJ has learned.
    An internal note at North East Ambulance Service Foundation Trust said that where there was likely to be a risk from the delay in an ambulance reaching a patient, call handlers should “consider asking the patient to be transported by friends or family”.
    This applies to calls including category two, which covers suspected strokes and heart attacks, according to the note seen by HSJ.
    It said call handlers should “consider all forms of alternative transport” for patients. 
    The note from medical director Mathew Beattie gives the example of a person with chest pain who would normally get a category 2 response – with a target of reaching them within 18 minutes – but where the ambulance response time would be two hours.
    In the message to staff, Dr Mathew Beattie said: “To manage [current] unprecedented demand, we have no other option than to try and work differently which I am aware will not sit comfortably but is absolutely essential if we are to sustain a service to those who need it most."
    “We need to weigh up the risk of delays for ambulances against alternative disposition or transport options. Where such risks are considered, I want you to be aware that the trust will fully support you in your decision-making under these circumstances.”
    Read full story (paywalled)
    Source: HSJ, 4 January 2022
  13. Patient Safety Learning
    NHS staff absences due to covid have risen by a further 11,000 staff in a week in England, figures seen by HSJ reveal. 
    At a national level, the number of absences for covid-related reasons - including isolation - rose to about 44,200 on 29 December, up from 32,800 on 22 December.
    The 29 December figure has pushed up overall absence for all reasons to 103,727 - 7.8% of the total reported workforce - the leaked data shows.
    Numerous senior NHS managers have said their main concern at present is about the level of staff absences, which in some cases is undermining services, with staff having to be redeployed to support others. There is concern about it rising further in the new year.
    One trust is looking at whether staff who test positive could opt to work on wards dedicated to covid patients. Louise Ashley, the chief executive of Dartford and Gravesham Trust in Kent, tweeted yesterday that some nurses had asked if they could come into work while positive but asymptomatic.
    Ms Ashley later confirmed to HSJ that the trust had assessed the request and “unfortunately” had to refuse it.
    The two main reasons for the decision were that staff may have the more dangerous Delta strain and that it be too difficult to keep them isolated from other staff.
    She added: ”I am amazed at their commitment to their patients and colleagues – very humbling after the two years they have been through. We are seeing high levels of staff absenteeism but we are hurrying through PCR tests to get staff back to work and are managing safe staffing levels currently.”
     There is also growing concern over NHS staff access to testing, which is required to enable contacts to come to work if they are negative.
    Read full story (paywalled)
    Source: HSJ, 31 December 2021
  14. Patient Safety Learning
    NHS England has set out 10 priorities for 2022-23 in its annual planning guidance.
    NHSE chief executive Amanda Pritchard makes clear in an introduction that many of its goals remain contingent on covid, stating: ”The objectives set out in this document are based on a scenario where covid-19 returns to a low level and we are able to make significant progress in the first part of next year.”
    The 10 priorities are:
    Workforce investment, including “strengthening the compassionate and inclusive culture needed to deliver outstanding care”. Responding to COVID-19. Delivering “significantly more elective care to tackle the elective backlog”. Improving “the responsiveness of urgent and emergency care and community care capacity.” Increasing timely access to primary care, “maximising the impact of the investment in primary medical care and primary care networks”. Maintaining “continued growth in mental health investment to transform and expand community health services and improve access”. Using data and analytics to “redesign care pathways and measure outcomes with a focus on improving access and health equity for underserved communities”. Achieving “a core level of digitisation in every service across systems”. Returning to and better “prepandemic levels of productivity”. Establishing integrated care boards and collaborative system working, and “working together with local authorities and other partners across their ICS to develop a five-year strategic plan for their system and places”. Read full story (paywalled)
    Source: HSJ, 24 December 2021
  15. Patient Safety Learning
    A mum-of-four said she felt "fat-shamed" at a pregnancy scan and during follow-up appointments.
    Alexandra Dodds said her weight was raised at every appointment, and circled with a pen so vigorously in her notes that she wanted to lose them.
    "It was just kind of jokes, like 'hope you've stopped the Christmas snacks', or 'make sure you've thrown the box of chocolates away'," said Ms Dodds. "I didn't feel like it was said in a spiteful way to try to upset me, it was like banter, but I don't feel like you can banter about that," she added.
    Baby Brianna was born healthy at home before a midwife could arrive in July, last year.
    Alexandra said she only felt able to speak out about what she wanted during her pregnancy and labour because of three previous pregnancies.
    "If I feel any level of shame, that's just a clear indication that I have to talk about it, because it means I'm not the only person and other people will understand," she added.
    Joint research by Cardiff University and the British Pregnancy Advisory Service (BPAS) found women with higher BMIs felt stigmatised by risk messaging in maternity care.
    The Wrisk Project, which surveyed more than 7,000 women, looked at how risk is communicated in pregnancy following concerns it didn't always "reflect the evidence base".
    Clare Murphy, director of BPAS, said the work showed they hadn't got it right. "Pregnant women are often infantilized, and it feels like sometimes decisions are made about them, for them," she said.
    The Royal College of Midwives (RCM) said care should be based on respect and understanding of women's needs.
    Read full story
    Source: BBC News, 3 January 2021
    Related resources
    My ob-gyn kept shaming me for my weight gain during pregnancy - patient video
  16. Patient Safety Learning
    The NHS can no longer treat every child with an eating disorder, a leading psychiatrist has warned, as “worrying” figures reveal hospital admissions have risen 41% in a year.
    A dramatic surge in cases during the pandemic has left already struggling community services overstretched with many unable to care for everyone who requires help, experts said.
    NHS Digital data for England shows a sharp rise in admissions in every area of the country. The provisional data for April to October 2021 – the most recent available – shows there were 4,238 hospital admissions for children aged 17 and under, up 41% from 3,005 in the same period the year before.
    Charities said the fast rising number of hospital admissions was “only the tip of the iceberg”, with thousands more children needing support for eating disorders.
    Dr Agnes Ayton, the chair of the eating disorders faculty at the Royal College of Psychiatrists, said: “The hidden epidemic of eating disorders has surged during the pandemic, with many community services now overstretched and unable to treat the sheer number of people needing help. We are at the point where we cannot afford to let this go on any longer."
    “Early intervention is key to recovery and to preventing serious illness, which is why it’s crucial that the money announced by government urgently reaches the frontline. The government must also deliver a workforce plan to tackle the shortages in eating disorder services so that they have enough staff to treat everyone who needs help.”
    Read full story
    Source: The Guardian, 4 January 2021
     
  17. Patient Safety Learning
    A critical incident has been declared at four Lincolnshire hospitals because of staff shortages due to COVID-19.
    United Lincolnshire Hospitals NHS Trust said it was taking "additional steps to maintain services" at all its hospitals in Lincoln, Boston and Grantham.
    The trust's medical director, Dr Colin Farquharson, said there were "significant staffing pressures due to absence related to COVID-19".
    But he said essential services "remain fully open".
    According to a leaked email seen by The Sunday Times, the trust declared a critical incident on Saturday night "due to extreme and unprecedented workforce shortages".
    It issued an "urgent appeal" for clinical and non-clinical staff to offer extra time supporting colleagues "over the next 72 hours".
    It also asked staff to "consider limiting social contacts with people outside of work".
    Original tweet on Twitter:
    Read full story
    Source: BBC News, 3 January 2022
  18. Patient Safety Learning
    Coronavirus "surge hubs" are to be set up at hospitals across England in preparation for a potential wave of Omicron admissions, the NHS has said.
    The eight temporary "Nightingale" units will each house about 100 patients, with building starting this week.
    There are also plans to identify sites for a further 4,000 beds if needed.
    Record Covid case numbers were reported in the UK on Wednesday and NHS medical director Prof Stephen Powis said the service was on a "war footing".
    The NHS is often required to deploy extra beds over winter, but hospitalisations in England with Covid have risen above 10,000 for the first time since March.
    Across the UK 183,037 daily cases were reported in the latest figures, with over 900,000 cases reported over the last seven days - up 41.4% on the week before.
    Prof Powis said the NHS "cannot wait to find out before we act" given the number of infections and uncertainty about Omicron's severity.
    Read full story
    Source: BBC News, 30 December 2021
  19. Patient Safety Learning
    The government has been criticised for failing to respond to a damning parliamentary report that accused ministers of mishandling the early stages of the pandemic.
    The report, compiled by the Health and Science and Technology Committees, found the government’s initial response to Covid-19 “amounted in practice” to the pursuit of herd immunity, with the delayed decision to lock down ranking as one of the “most important public health failures the United Kingdom has ever experienced”.
    More than 50 witnesses contributed to the cross-party report, including ministers, NHS officials, government advisers and leading scientists, with the authors saying it was was “vital” that lessons were learnt from the failings of the past 18 months.
    The findings from the joint inquiry were published on 12 October and a deadline for an official government response was set for 12 December.
    However, that date has now passed and the committees have yet to formally hear back from ministers, according to the parliamentary website, which states that a response is now “overdue”.
    Covid-19 Bereaved Families for Justice said the government’s failure to “meet a very reasonable deadline” called into question the willingness of ministers to engage with the coming independent public inquiry into the UK’s handling of the pandemic.
    "The government have had months to get a response delivered to the Health and Science and Technology committees following their lessons leant from the pandemic report,” said Jo Goodmand, co-founder of the campaign group.
    “Unfortunately those of us who have lost loved ones are far too used to this with responses to FOIs late and it taking far too long to announce the inquiry.
    Read full story
    Source: 30 December 2021
  20. Patient Safety Learning
    The health secretary, Sajid Javid, has warned MPs he may need to “constrain” the Covid testing system over the next fortnight, as demand for lateral flow kits surges.
    Ministers have repeatedly encouraged members of the public to test themselves using a lateral flow device (LFD) before attending gatherings or meeting vulnerable relatives.
    However, test kits have repeatedly been unavailable online in recent days, and many pharmacies have complained of being unable to secure them.
    Labour has accused the government of presiding over a “shambles”, with many members of the public struggling to obtain tests despite ministers putting testing at the centre of efforts to control the spread of Omicron.
    Demand for the tests has also been boosted by a change in quarantine rules that allows people to emerge from self-isolation after seven days instead of 10, as long as they carry out two negative lateral flow tests.
    In a letter sent to MPs on Wednesday evening, Javid acknowledged the intense strain being put on the system as cases of the Omicron variant continue to increase, with 183,037 new infections recorded on Wednesday.
    “In light of the huge demand for LFDs seen over the last three weeks, we expect to need to constrain the system at certain points over the next two weeks to manage supply over the course of each day, with new tranches of supply released regularly throughout each day,” he wrote.
    Read full story
    Source: The Guardian, 30 November 2021
  21. Patient Safety Learning
    Data from a new study suggests that the coronavirus that causes COVID-19 can persist in different parts of the body for months after infection, including the heart and brain.
    Scientists at the National Institutes of Health (NIH) found the virus can spread widely from the respiratory tract to almost every other organ in the body and linger for months.
    The researchers described the study as the "most comprehensive analysis to date" of the virus's persistence throughout the body and brain. They performed autopsies on 44 patients who died either from or with COVID-19 to map and quantify virus distribution across the body.
    Daniel Chertow, principal investigator in the NIH’s emerging pathogens section, said along with his colleagues that RNA from the virus was found in patients up to 230 days after symptom onset.
    The findings, released in a pre-print manuscript, shed new light on patients who suffer from Long Covid.
    The study found that the virus had replicated across multiple organ systems even among patients with asymptomatic to mild COVID-19. 
    While the "highest burden" of infection was in the lungs and airway, the study showed the virus can "disseminate early during infection and infect cells throughout the entire body,” including in the brain, as well as in ocular tissue, muscles, skin, peripheral nerves and tissues in the cardiovascular, gastrointestinal, endocrine and lymphatic systems.
    "Our data support an early viremic phase, which seeds the virus throughout the body following pulmonary infection," the researchers wrote. 
    Read full story
    Source: The Hill, 27 December 2021
  22. Patient Safety Learning
    Patients are dying in hospital without their families because of pressure on NHS services, hospices have told The Independent.
    A major care provider has warned that it has seen a “huge shift” in the number of patients referred too late to its services.
    The warning comes as NHS England begins a new £32m contract with hospices to help hospitals discharge as many patients as possible this winter.
    NHS chief executive Amanda Pritchard said the health service was preparing for an Omicron-driven Covid wave that could be as disruptive as, or even worse than, last winter’s crisis.
    Hospices are already dealing with a “huge volume of death and patients needing support”, according to the head of policy at Hospice UK, Dominic Carter.
    He told The Independent that hospices had seen a huge shift in the number of patients referred to their services too late, when they are in a “very serious” state of health.
    He added: “We don’t really know what kind of support is actually out there for those people, while hospitals have difficulties and deal with challenges around backlogs and Covid. There are lots of people that have been in the community, where hospices are trying to reach them but aren’t always able to identify who needs that care and support.
    “They’re really important, those five or six final days, for the individual and their families. Yet this is spent in crisis rather than being helped as much as possible in a comfortable environment by the hospice ... [instead] an ambulance is called, and they’re having to be cast into hospital.”
    Read full story
    Source: The Independent, 26 December 2021
  23. Patient Safety Learning
    Screening for prostate cancer could be possible in the next five years, according to one of the UK's leading experts.
    Prof Ros Eeles, from the Institute of Cancer Research, said advances in genetics and medical imaging were making it possible.
    About 50,000 people in the UK are diagnosed with the disease each year, and nearly 12,000 die.
    NHS England said prostate screening had been notoriously tricky.
    Despite it being one of the most common cancers, there is no equivalent of the regular mammograms that detect breast cancer.
    There is a blood test that looks for levels of a protein called prostate specific antigen (PSA). But it is controversial and the UK's National Screening Committee does not recommend it.
    PSA tests are used to guide doctors and help monitor tumours. But using them to screen healthy people means they miss some cancers and cannot distinguish between people with high PSA levels who need treatment and those who do not.
    Read full story
    Source: BBC News, 27 December 2021
  24. Patient Safety Learning
    NHS staff treating Covid patients should be given much more protective facewear than thin surgical masks to help them avoid getting infected during the Omicron rise, doctors say.
    The British Medical Association (BMA), Hospital Consultants and Specialists Association (HCSA) and Doctors’ Association UK are calling for frontline personnel to be given FFP3 masks.
    Making the much higher-quality face masks standard issue would save the lives of health workers who fall ill as a result of treating Covid patients, the BMA said. “At this critical point in the pandemic this is extremely urgent – a matter of life and death,” said Prof Raymond Agius, the acting chair of the doctors’ union’s occupational health committee.
    FFP3 masks, also known as filtering facepiece respirators, have been shown in a trial in Addenbrooke’s hospital in Cambridge to reduce the number of healthcare staff who become infected.
    However, the Department of Health and Social Care’s (DHSC) guidance on personal protective equipment, updated last week, only recommends their use in limited circumstances.
    “With a high transmissible new strain now circulating, and clear evidence that Covid-19 spreads in small airborne particles, healthcare workers must be given the best possible protection against the virus. Surgical masks don’t give the necessary protection against airborne transmission of Covid,” Agius said.
    The BMA has written to every hospital trust in England demanding that any health professional treating patients who are or may be Covid-positive should be routinely issued with FFP3s, which are much more expensive than the surgical masks usually provided.
    Surgical masks are “unsuitable” given the threat Covid poses, the BMA believes.
    Read full story
    Source: The Guardian, 27 December 2021
  25. Patient Safety Learning
    NHS mental health services are facing a “desperate” situation as all hospitals across the country are dangerously full and leaked data shows hundreds of patients waiting over 12 hours in A&E, The Independent can reveal.
    The news comes as the spread of Omicron risks outbreaks in mental health hospitals, with a large hospital in London forced to close its doors to new admissions on three wards.
    In response to the growing bed pressures in the capital over the past month the NHS has commissioned 40 beds from private sector hospitals run by The Priory Group, The Independent understands.
    NHS data, seen by The Independent, has revealed that almost all mental health hospitals in London have been at “black alert” levels of bed availability during October and November, meaning their beds were nearly 100 per cent full.
    A senior national source has warned the situation is similar across the country, with nearly all mental health trusts 94 per cent full and services at their most stressed ever.
    Read full story
    Source: The Independent, 23 December 2021

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