In the older European population, men, as well as those with lower socioeconomic status, weak social ties, and poor health, might experience more difficulties getting informal support and are considered to have a higher risk of worsening frailty state and lower quality of life. This reality is shown in a new doctoral thesis at Umeå university.
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A response by Lisa Rickers, a nurse specialist:
"Yes the one size fits all approach is rarely effective. It would be great to personalise this with a shared agreement between you and your GP with review dates and how you can collect a repeat prescriptions between each review."
A response by Elaine Bousefield, digital mental health founder:
"Yep that would make sense except there would need to be a protocol written to define what is meant by an ‘expert patient.’ It is doable though"
A response by Jono Broad, digital QI lead for Primary Care at NHS England:
"I fully understand the situation and would agree with you with one caveat I would want this checked at an annual review and if agreed I would then want the patient to be able to self prescribe from a list of medication that is approved so we would not then have to use this important resource at all within an agreed framework. One day we will be able to manage our own care better."
A response by Loy Lobo, past president of the Digital Health Section of the Royal Society of Medicine:
"This is what happens when tech is used to make healthcare more "efficient" and it ends up making the relationship between the doctor and patient transactional. If the GP really knew you, either as a person as they used to, or from your data as they ought to now, maybe this would not happen."
A response by Ayelet Baron, futurologist and author:
"Imagine a future where the doctor is no longer at the center of sickcare ... it's coming. And we need you fully breathing!"
A response to her by Dr Gyles Morrison, a clinical UX expert:
"Yep, this is the sort of products I work on. We need to shift the power from clinicians to patients."
A further response by Ayelet Baron:
"Gyles, only when we each step into our power. And wouldn't it be amazing when we no longer call people patients once they step into the system. One of the conscious leaders in my first book shares a story
A response by Vijay Luthra, from Capita Healthcare:
"Spot on Clive. Globally, clinicians and administrators in healthcare systems need to take account of patient literacy and digital inclusion.
There are some patients who are perfectly capable of managing significant aspects of their own care and with the burden of chronic disease increasing, these people should be empowered and equipped to do so and thereby relieve some of the burden on clinicians and health ecosystems."
A response by Hisham Haq, co-founder at SLOSH AI Solutions:
"Hey Clive, the vast majority are not as qued on. On a real basis had someone use their inhaler like a perfume!
What will help is when your GP knows you and even then you need to see the people to make sure they come in for their review. Everyone can learn all the time and things change."
I responded: "I guess the trust is a two way street, and continuation of care with the same GP is an element of that, and increasingly rare these days."
Hisham responded: "Clive, true and not valued or appreciated where it is delivered.
A response from Jonathan Gregory, an Oncologist:
"Hi Clive, I couldn't agree more. It sounds like my asthma is very similar to yours. I have an identical interaction with the GP when I need a repeat prescription every 2 years or so, despite being a hospital clinician.
There is also the issue of more regular repeat prescriptions, I appreciate there is a need for some medication review - side effect checks, are they still needed etc, but there are long term patients who are also 'experts' who have to chase about for repeat prescriptions every 4-8 weeks for years on end and a GP has to sign t
A response from Saira Arif, from ORCHA:
"I am also an asthma sufferer Clive...another thing in common 🙂 since the age of 4 ... I think what you are suggesting is spot on. We must catch up one day, I've got some stories!"
A response from @HelenH, CEO of Patient Safety Learning:
"I have the same issue. Also I have monthly repeat medications for another long term condition, but have rather weirdly started getting monthly asthma inhalers - prevention and treatment. More than I need. I’ll have to go back and get them to change that. Not a very flexible or customer responsive system."
It's rare that I post personal information of any kind on a website such as this, but this really irked me so felt it was worth sharing.
Context: I've been an Asthma sufferer since the age of 3 years old. I know exactly how to manage my condition having had it for over 50 years, and have always used a blue ventolin inhaler as and when necessary (perhaps once every 2-3 months). I have not had any serious issues with my Asthma for at least 20 years, and then only in Hayfever season.
Issue: I only renew my inhaler when it expires, every 2 years or so. Therefore it is not listed on my repeat
New study results in more precise language in the federally mandated warning about this possibility. (Article from the USA)
Women who choose to use an intrauterine device, or IUD, for birth control should be aware of the very small possibility that the device could puncture their uterus. They should know how to recognize that circumstance if it occurs, according to a new study published in The Lancet.
The U.S. Food and Drug Administration mandated the study to evaluate women's risks when an IUD is placed in the year after giving birth and when an IUD is placed during the period that a
Monitoring heart patients via a smartphone app prevented readmissions and sped up discharges in a pilot scheme that its developers hope will be introduced across the country.
Patients sent data including their blood pressure, heart rate, oxygen levels and details of developing symptoms to their clinical team on an app.
The figures were collated on a “dashboard”, which flagged any signs that a patient might need medical help, allowing doctors and nurses to bring them into hospital or alter their medication as required.
The 12-week pilot by Huma, a healthcare technology company ba
A hospice is using virtual reality (VR) to help patients relax and transport them away from their beds.
St Giles Hospice, which has bases in Lichfield and Sutton Coldfield, said the headsets allowed patients "to escape the realities of their present situation".
"I've never experienced anything quite like it in my life - I was totally lost in the moment," Janet, 71, said.
The VR experiences include cities of the world, space, and wildlife.
Beth Robinson, Occupational Therapist at St Giles Hospice, said the VR headsets helped pa
Dr Penny Kechagioglou, Chief Clinical Information Officer and Deputy Chief Medical Officer at University Hospitals Coventry and Warwickshire, kindly shared her thoughts on digitising patient reported outcome measures in a blog for HTN.
The UK digital transformation wave is mainly characterised by the roll-out of electronic health records and is an opportunity to transform patient care by collecting and analysing patient reported outcome measures digitally.
A recent study at the European Society of Medical Oncology open journal (Modi, 2022) showed that patient reported outcome measure
I was just listening to a podcast interview between Dr Rangan Chatterjee and Matthew McConaughey (In the series 'Feel better, live more').
Matthew M. mentioned that he came from a highly resilient family. If someone fell over, his mother would tell them to get right back up straight away and carry on. He added that he thought that while this resilience was generally a good thing, there should be (what he called) a 'loophole' in it so that there was time to learn why they have fallen over to begin with. Was there a crack in the pavement that needed to be avoided? That way, it wouldn't happ
Patient safety not built into the innovation process
Most digital healthcare-related startup founders are understandably focused on developing their business ideas, finding and establishing their new markets, and commercialising their offerings. Inevitably, they often do not have specialist clinical safety advice available to them at an early stage, and do not necessarily consider the patient safety implications of their new solutions.
Once the offering is ready to come to market is has to pass a range of compliance and other hurdles (more on those later), which, for many founders, ma
Making Families Count has developed a new Webinar, based on extensive experience of it's members, to explore how mental health professionals can work effectively with families when they raise safety concerns about their relatives.
This webinar focusses on effective risk management in the community and how healthcare professionals can work better with families when they raise safety concerns about their relatives. This webinar explores what happens when critical information is absent from treatment plans and how to utilise families effectively as part of the care team. It will also address
A freedom of information request by HSJ has for the first time revealed a complete list of participants in NHS England’s maternity safety support programme, with 28 trusts involved since its inception in 2018.
London North West University Healthcare Trust, Northern Lincolnshire and Goole Foundation Trust, and Worcestershire Acute Hospitals Trust all entered the scheme at the start, due to pre-existing quality and safety concerns. The trusts were all subsequently removed, having been deemed to have made improvements, but have since been placed back in it following inspections by the Care Q
· Trusts told to identify actions to “immediately stop all delays”
· Letter calls for issue to be discussed at every board meeting
· It follows concern over harm to patients from delays
Trusts and integrated care systems are being told by NHS England and Improvement to take urgent action to ”immediately stop all delays” to ambulance handovers, which will require “difficult choices”.
A letter yesterday from NHS England’s medical director, director for emergency and elective care, and its regional directors was sent to all local chief exec