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Sam

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  1. Sam
    Following a damning report by the Care Quality Commission (CQC), the East of England Ambulance Service NHS Trust (EEAST) has been placed into special measures.
    It comes after inspectors uncovered a culture of bullying and sexual harassment at the trust. As a result of the decision, EEAST will receive enhanced support to improve its services.
    A statement from NHS England and NHS Improvement outlined that the Trust would be supported with the appointment of an improvement director, the facilitation of a tailored ‘Freedom to Speak Up’ support package, the arrangement of an external ‘buddying’ with fellow ambulance services and Board development sessions.
    This follows a CQC recommendation to place the trust in special measures due to challenges around patient and staff safety concerns, workforce processes, complaints and learning, private ambulance service (PAS) oversight and monitoring, and the need for improvement in the trust’s overarching culture to tackle inappropriate behaviours and encourage people to speak up.
    Ann Radmore, East of England Regional Director said, “While the East of England Ambulance Service NHS Trust has been working through its many challenges, there are long-standing concerns around culture, leadership and governance, and it is important that the trust supports its staff to deliver the high-quality care that patients deserve."
    “We know that the trust welcomes this decision and shares our commitment to reshape its culture and address quality concerns for the benefit of staff, patients and the wider community.”
    Read full story
    Source: Bedford Independent, 19 October 2020
  2. Sam
    An amputee's wife having to "carry him to the toilet" after her husband was sent home from hospital without a care plan was just one of many findings in a report into vascular services at Betsi Cadwaladr University Health Board in north Wales.
    The critical report by the Royal College of Surgeons England makes five urgent recommendations "to address patient safety risks".
    Part one of the report, published last summer, made nine urgent recommendations and raised issues including too many patient transfers to the centralised hub, a lack of vascular beds and frequent delays in transfers.
    The final part of the report, published on 3 February, focussed on the clinical records of 44 patients dating from 2014 - five years before centralisation - to July 2021, two years after the Ysbyty Glan Clwyd hub opened.
    Assessors were "extremely concerned" about the case of a man where a decision was made to "amputate the foot rather than proceed to a below-the-knee amputation as the primary procedure".
    The report adds: "The review team also noted that the patient had been discharged without a care plan and that the patient's wife was having to 'carry him to the toilet'."
    It also highlights an "inappropriate" decision to offer a patient an "unnecessary and futile" amputation when "palliation and conservative therapy should have been considered instead".
    Referring to that case, the report added that the risk from "major amputation was extremely high".
    Read full story
    Source: BBC News, 3 February 2022
  3. Sam
    Families have blasted a NHS Trust after it said it did not intend to publish an independent review into their loved ones deaths. Three young people died in nine months at the same mental health unit.
    A Coroner was told last week that the review will be "ready" this month. Rowan Thompson, 18, died while a patient at the unit, based in the former Prestwich Hospital, Bury, in October 2020, followed by Charlie Millers, 17, in December that year, and Ania Sohail, 21, in June last year.
    Earlier this year, Greater Manchester Mental Health NHS Foundation Trust (GMMH), which runs the hospital, commissioned an 'external report' into the deaths. A pre-inquest hearing into the death of Rowan - who used the pronoun 'they' - heard that the full report would be available for the coroner to read 'on or around September 30'.
    Asked by the Manchester Evening News if the review would be published a spokesperson for the Trust said the Trust "always act on the wishes of the family regarding publication of reports," adding "and so in line with this we have no immediate plans to make the report public."
    But the parents of both Rowan Thompson and Charlie Mllers said they wanted the report publishing. Charlie's mother, Sam, said: "We want it published. It needs to be put out there, otherwise there is no point in having it. We are hoping they (The Trust) will learn lessons. We want answers but it should also be published for the benefit of the wider public - and the parents of other young people who are being treated in that unit."
    Read full story
    Source: The Manchester News, 13 September 2022
  4. Sam
    Antidepressants can cause severe, sometimes irreversible, sexual dysfunction that persists even after discontinuing the medication. 
    Sufferers have described it as ‘chemical castration’ – a type of genital mutilation caused by antidepressants, mainly selective serotonin reuptake inhibitors (SSRIs).
    The condition is known as post-SSRI sexual dysfunction (PSSD), a condition largely unrecognised, and the true incidence of which is unknown.
    David Healy, psychiatrist and founder of RxISK.org said, “I saw my first patient with PSSD in 2000, a 35-year-old lady who told me that three months after stopping treatment, she could rub a hard-bristled brush across her genitals and feel nothing.”
    David Healy, psychiatrist and founder of RxISK.org said, “I saw my first patient with PSSD in 2000, a 35-year-old lady who told me that three months after stopping treatment, she could rub a hard-bristled brush across her genitals and feel nothing.”
    Josef Witt-Doerring, psychiatrist and former FDA medical officer said, “This condition is so devastating that it will cause serious changes to your life and to those around you.”
    Read full story
    Source: Maryanne Demasi, 13 June 2023
  5. Sam
    Antimicrobial resistance poses a significant threat to humanity, health leaders have warned, as a study reveals it has become a leading cause of death worldwide and is killing about 3,500 people every day.
    More than 1.2 million – and potentially millions more – died in 2019 as a direct result of antibiotic-resistant bacterial infections, according to the most comprehensive estimate to date of the global impact of antimicrobial resistance (AMR).

    The stark analysis covering more than 200 countries and territories was published in the Lancet. It says AMR is killing more people than HIV/Aids or malaria. Many hundreds of thousands of deaths are occurring due to common, previously treatable infections, the study says, because bacteria that cause them have become resistant to treatment.
    “These new data reveal the true scale of antimicrobial resistance worldwide, and are a clear signal that we must act now to combat the threat,” said the report’s co-author Prof Chris Murray, of the Institute for Health Metrics and Evaluation at the University of Washington.
    “We need to leverage this data to course-correct action and drive innovation if we want to stay ahead in the race against antimicrobial resistance.”
    Read full story
    Source: The Guardian, 20 January 2022
  6. Sam
    Health products powered by artificial intelligence, or AI, are streaming into our lives, from virtual doctor apps to wearable sensors and drugstore chatbots.

    IBM boasted that its AI could “outthink cancer.” Others say computer systems that read X-rays will make radiologists obsolete.
    Yet many health industry experts fear AI-based products won’t be able to match the hype. Many doctors and consumer advocates fear that the tech industry, which lives by the mantra “fail fast and fix it later,” is putting patients at risk and that regulators aren’t doing enough to keep consumers safe.
    Early experiments in AI provide reason for caution, said Mildred Cho, a professor of pediatrics at Stanford’s Center for Biomedical Ethics.

    Systems developed in one hospital often flop when deployed in a different facility, Cho said. Software used in the care of millions of Americans has been shown to discriminate against minorities. And AI systems sometimes learn to make predictions based on factors that have less to do with disease than the brand of MRI machine used, the time a blood test is taken or whether a patient was visited by a chaplain. In one case, AI software incorrectly concluded that people with pneumonia were less likely to die if they had asthma an error that could have led doctors to deprive asthma patients of the extra care they need.

    “It’s only a matter of time before something like this leads to a serious health problem,” said Steven Nissen, chairman of cardiology at the Cleveland Clinic.
    Read full story
    Source: Scientific American, 24 December 2019
  7. Sam
    An artificial pancreas has been successfully trialled in patients with type 2 diabetes, a university said.
    Scientists at the University of Cambridge developed the device which combines a glucose monitor and insulin pump with an app.
    The app uses an algorithm that predicts how much insulin is required to keep glucose levels in the target range.
    Average glucose levels fell while patients trialled the device, the university said.
    The researchers have previously shown that an artificial pancreas run by a similar algorithm is effective for patients living with type 1 diabetes, where the body's immune system attacks and destroys the cells that produce insulin.
    Dr Charlotte Boughton from the Wellcome-MRC Institute of Metabolic Science at the University of Cambridge, who co-led the study, said: "Many people with type 2 diabetes struggle to manage their blood sugar levels using the currently available treatments, such as insulin injections.
    "The artificial pancreas can provide a safe and effective approach to help them, and the technology is simple to use and can be implemented safely at home."
    Read full story
    Source: BBC News, 19 January 2023
    You may also be interested in:
    Top picks: 5 key resources about diabetes Diabetes technology is life-changing, but we need to be prepared when it fails How safe are closed loop artificial pancreas systems?
  8. Sam
    The Home Office has been accused of abandoning 55 asylum seekers with a range of severe disabilities and life-limiting conditions at a former care home in an Essex seaside town.
    The asylum seekers, who fled various conflict zones including Sudan and Afghanistan, are struggling with a range of health conditions they have suffered from since childhood or life-changing injuries suffered in war zones.
    One told the Guardian: “Everybody is suffering in this place. It used to be a care home but now there is no care. We are free to come and go but to me, this place feels like an open prison. We have just been left here and abandoned.”
    Those living in the former care home are struggling with health conditions including loss of limbs, blindness, deafness and mobility issues requiring a wheelchair – although not all have been able to access one. At least eight are paraplegic.
    They were placed in the former care home, which opened in November, by Home Office officials. It is staffed like a standard Home Office asylum seeker hotel with security guards and reception staff but does not have trained care workers or nurses there as part of the contract.
    Read full story
    Source: The Guardian, 23 June 2023
  9. Sam
    Registrars at an Australian hospital have launched legal action against its management amid claims that they are being worked beyond exhaustion while being denied their mandatory clinical training.
    The alleged plight of the doctors at Melbourne’s Sunshine Hospital has become the latest instalment in a growing list of complaints among doctors in training over excessive workload pressures, exploitation, harassment, and bullying across the country’s public hospital system.
    Read full story
    Source: BMJ, 12 August 2019
  10. Sam
    Two young people facing mental health crises were left on paediatric wards for months while different agencies across a health system struggled to find appropriate placements. 
    The patients – who were both autistic and had learning disabilities, with special educational needs – were admitted to Maidstone and Tunbridge Wells Trust (MTW) last year after attending emergency departments more than 10 times within a two-month period.
    They were left on a paediatric ward – one of the patients for four months – as this was the “only available place of safety as opposed to the optimum setting to meet their needs,” according to Kent and Medway Integrated Care Board’s “learning review” of children and young people with complex needs, which the two cases prompted. 
    The review, which HSJ obtained under a Freedom of Information request, revealed several problems with joint working, despite a multidisciplinary team meeting regularly to discuss the young patients’ needs.
    Since the review, a new escalation process has been introduced, urgent mental health risk assessments in the community have been enhanced and a three-month pilot of a self-harm service has been implemented at Tunbridge Wells Hospital, part of MTW.
    Read full story (paywalled)
    Source: HSJ, 17 November 2023
  11. Sam
    A hospital that was at the centre of a major inquiry into unsafe maternity care five years ago is facing new questions over its safety after bosses admitted a baby boy would have survived if not for mistakes by hospital staff.
    Jenny Feasey, from Heysham in Lancashire, is still coming to terms with the loss of her son Toby who was stillborn at the Royal Lancaster Infirmary, part of the University Hospitals of Morecambe Bay Foundation Trust in January 2017 after a series of mistakes by staff who did not act on signs she had pre-eclampsia.
    Jenny, 33, has backed The Independent’s campaign for improved maternity safety and called on midwives to learn lessons after what happened to her family.
    She added: “This was an easily avoidable situation. They just didn’t piece it together, all they had to do was carry out a test and I lost my son because of it."
    Read full story
    Source: The Independent, 25 October 2020
  12. Sam
    A third of coronavirus patients in intensive care are from black, Asian and minority ethnic backgrounds, prompting the head of the British Medical Association to warn that government inaction will be responsible for further disproportionate deaths.
    Chaand Nagpaul, the BMA Council chair, was the first public figure to call for an inquiry into whether and why there was a disparity between BAME and white people in Britain in terms of how they were being affected by the pandemic, in April.
    Subsequent studies, including a Public Health England (PHE) analysis in early June, confirmed people of certain ethnicities were at greater risk but Nagpaul said no remedial action had been taken by the government.
    Nagpaul told the Guardian: “We are continuing to see BAME people suffering disproportionately in terms of intensive care admissions so not acting means that we’re not protecting our vulnerable communities. Action was needed back in July and it’s certainly needed now more than ever.
    “As the infection rate rises, there’s no reason to believe that the BAME population will not suffer again because no action has been taken to protect them. They are still at higher risk of serious ill health and dying.”
    Read full story
    Source: The Guardian, 20 September 2020
  13. Sam
    One of the earliest signs that black, Asian and minority ethnic (BAME) people were being disproportionately harmed by the coronavirus pandemic came when the Intensive Care National Audit and Research Centre (ICNAR) published research in early April showing that 35% of almost 2,000 Covid patients in intensive care units in England, Wales and Northern Ireland were non-white.
    A lot has happened in the intervening six months with numerous reports, including by the Office for National Statistics and Public Health England (PHE), confirming the increased risk to ethnic minorities and recommendations published on how to mitigate that risk. However, as the second wave intensifies, the demographics of those most seriously affected remain remarkably similar.
    ICNARC figures show that the non-white proportion of the 10,877 Covid patients admitted to intensive care up to 31 August was 33.9% in England, Wales and Northern Ireland. This rises to 38.3% of patients admitted since 1 September, albeit of a much smaller cohort (527 intensive care admissions).
    The government mantra “we’re all in this together” proved to be little more than an empty rallying cry early in the pandemic and the ICNARC figures show it remains the case that people in the most deprived socioeconomic groups make up a greater proportion of patients in critical care.
    Read full story
    Source: The Guardian, 9 October 2020
  14. Sam
    Campaigners have started legal action against the government over guidance that bans care home residents in England aged 65 and over from taking trips outside the home.
    John's Campaign, of residents and their loved ones, says the ban is unlawful. They are also challenging the requirement for residents to self-isolate for 14 days after such visits.
    The government said its guidance provides a "range of opportunities" for visitors to spend time with loved ones.
    Nearly all residents have now had at least one dose of the vaccine, and care homes have been cautiously reopening, allowing indoor visits with designated family or friends.
    But the government guidance, updated on 8 March, says trips to see family or friends "should only be considered" for under-65s while national Covid restrictions apply because they increase the risk of bringing Covid into a home.
    Visits out for residents, whatever their age, "should be supported in exceptional circumstances such as a visit to a friend or relative at the end of their life", it adds - but on returning to the home, the resident must self-isolate for two weeks.
    The legal letter sent to the Department of Health and Social Care by John's Campaign says the decision whether someone can go on a visit outside a care home should be based on individual risk assessments.
    Read full story
    Source: BBC News, 2 April 2021
  15. Sam
    Availability of inpatient child and adolescent mental health services beds — particularly for eating disorders — has reached ‘crisis point’, with young people left waiting on a standard paediatric ward or at home as demand surged during the covid pandemic.
    A report to Surrey Heartlands Clinical Commissioning Group (CCG) in January read: “Availability of tier four beds [inpatient mental health beds for children and adolescents, commissioned centrally by NHS England] in the South East and across the country is at crisis point and providers have to compete for the small pool of beds."
    “Waits for beds or being placed far from home is a distressing and unacceptable experience for children and young people and families and places an additional burden on other parts of the system such as paediatric wards.”
    The report noted a “demand upsurge to the highest levels in the last three years” since the pandemic. It stated, in mid-January, the CCG had two patients awaiting eating disorder beds being managed on paediatric wards as they had become “physically too unwell to be managed at home”. Four others also waiting for a CAMHS bed were being managed at home. 
    Read full story
    Source: 16 February 2021
  16. Sam
    Bereaved relatives have accused ministers of dragging their feet over an inquiry into the death of almost 2,000 patients across NHS mental health trusts in Essex.
    The inquiry has still not started more than eight months after the announcement that it would be relaunched with beefed-up powers.
    In June last year, the government gave in to pressure from families and the then chair of the inquiry, granting it legal powers to compel witnesses to give evidence. In December, the new terms of reference were sent to ministers, setting out what the inquiry will investigate.
    But the terms of reference have yet to be approved by ministers, leaving relatives frustrated, with another “unnecessary” death reported a few weeks ago.
    Melanie Leahy, whose son, Matthew, died at the Linden Centre in Chelmsford in 2012, said: “I know that this inquiry, the first of its kind nationally, if carried out in a timely and comprehensively investigative manner, it has the power to prevent more deaths, not just in Essex but all over the UK.
    “Why am I and all the other bereaved families and injured individuals still waiting? Worse, why are we being met with such callous and terrifying indifference? Why are our legal team being ignored? We can only conclude that our government simply does not care. If the government continues to drag its feet in this way then they must be held to account for their failings. If there are more deaths during this interminable wait, this government needs to be held responsible.”
    Read full story
    Source: The Guardian, 12 March 2024
  17. Sam
    Plans to cap legal costs for NHS mistakes that lead to deaths of newborns could leave the bereaved at the mercy of 'ambulance-chasing' claims firms, a former Lord Chancellor has warned. Health officials have drawn up plans to limit spending in cases where damages are worth less than £25,000. This covers around eight in ten medical negligence claims, including the deaths of newborns, and stillbirths - where Britain’s record is among the worst in the developed world. Ministers have said the changes will stop “unscrupulous law firms” receiving excessive legal costs that dwarf the damages received by victims. However, Lord Falconer, Lord Chancellor under Tony Blair, raised fears that the measures could see established law firms leave the market  and be replaced by unregulated claim management companies. 
    Read full story
    Source: The Telegraph, 6 July 2019
  18. Sam
    An adoptive mother is calling for the NHS to improve its diagnosis for children exposed to alcohol in the womb, so their families can be helped.
    Amanda Boorman's two sons have Foetal Alcohol Spectrum Disorder (FASD) but they were not diagnosed correctly. She said: "This is a brain and body condition that is lifelong so really the professionals need to step up."
    Foetal Alcohol Spectrum Disorder (FASD) covers the various health and mental issues which can affect children.
    A spokesperson for the Department for Health and Social Care said: "We are committed to reducing future cases of Fetal Alcohol Spectrum Disorder (FASD) and we have asked NICE [National Institute for Healthcare Excellence] to produce a Quality Standard in England for FASD to help the health and care system improve diagnosis and care of those affected.
    "We have also published England's first Fetal Alcohol Spectrum Disorders Health Needs Assessment to improve the lives of families living with it and increase understanding amongst clinicians and policy makers."
    Mrs Boorman, from Brent Knoll in Somerset, said: "There's no way an adoptive parent should ever have to go to a chief executive of a hospital and say 'what is your strategy for diagnosing FASD?' What needs to happen is that clinical commissioning groups, the boards of those, chief executives in hospitals, directors of children's services, social care and education need to be much more proactive."
    "What we've seen is reactive or just not really knowing - it's complete ignorance."
    Read full story
    Source: BBC News. 7 October 2021
     
  19. Sam
    The UK risks a shrinking workforce caused by long-term sickness, a new report warns.
    Pensions and health consultants Lane, Clark and Peacock (LCP) says there has been a sharp increase in "economic inactivity" - working-age adults who are not in work or looking for jobs.
    The figure has risen by 516,000 since Covid hit, and early retirement does not appear to explain it.
    The total of long-term sick, meanwhile, has gone up by 353,000, says LCP. It means there are now nearly 2.5 million adults of working age who are long-term sick, official data from the Labour Force survey reveals.
    The LCP says pressure on the NHS can account for some of the increase in long-term sickness. Delays getting non-urgent operations and mental health treatment are possible explanations. Others who would otherwise have had a chronic condition better managed may be in poorer health.
    One of the report authors, Dr Jonathan Pearson-Stuttard, said: "The pandemic made clear the links between health and economic prosperity, yet policy does not yet invest in health, to keeping living in better health for longer. NHS pressures have led to disruption of patient care which is likely to be impacting on people's ability to work now and in the future."
    Read full story
    Source: BBC News, 20 February 2023
  20. Sam
    Black children in the UK are at four times greater risk of complications following emergency appendicitis surgery compared with white children.
    Researchers revealed these alarming disparities in postoperative outcomes recently.
    The study, led by Dr Amaki Sogbodjor, a consultant anaesthetist at Great Ormond Street Hospital and University College London, showed that black children faced these greater risks irrespective of their socioeconomic status and health history.
    Appendicitis is one of the most prevalent paediatric surgical emergencies; approximately 10,000 cases are treated annually in the UK.
    However, this marks the first attempt to scrutinise demographic variances in postoperative complication rates related to appendicitis.
    Dr Sogbodjor emphasised the critical need for further investigation into the root causes of these disparities.
    "This apparent health inequality requires urgent further investigation and development of interventions aimed at resolution," she said.
    Read full story
    Source: Surgery, 25 March 2024
  21. Sam
    When pharmacist Ifeoma Onwuka, known to her friends as Laura, went into hospital to have her daughter, she and her husband hoped the delivery would go smoothly, and that they would soon be able to take their new arrival home  to meet her siblings. 
    Onwuka's labor was induced at James Paget University Hospital in Great Yarmouth in late April 2018. Things progressed quickly and there were soon signs that her baby was in distress, causing staff to begin preparations for an emergency Caesarian section, but Onwuka's daughter was born in the recovery room.
    Shortly after the birth, Onwuka's condition began to deteriorate. According to the family's lawyer, Tim Deeming, she began to bleed heavily, and was taken into surgery where attempts were made to stem the loss of blood. Hours later, and only after a second consultant had been called in, she was given an emergency hysterectomy. The mother-of-three died three days later.
    The coroner, Yvonne Blake, said an expert had told Onwuka's inquest that the delay to surgery contributed to her death, since acting early could have controlled the bleeding. 
    Black mothers have worse outcomes during pregnancy or childbirth than any other ethnic group in England. According to the latest confidential inquiry into maternal deaths (MBRRACE-UK). Black people in England are four times more likely to die in pregnancy or within the first six weeks of childbirth than their White counterparts. 
    Read full story
    Source: CNN. 14 January 2021
  22. Sam
    Doctors in Northern Ireland feel increasingly "vulnerable" to criminal proceedings in the workplace, forcing them to consider abandoning the profession, senior medic, Dr Tom Black, warns. Dr Black, chairperson of the British Medical Association Northern Ireland, says that consultants in Northern Ireland are operating in a "hostile working culture" as a result of the situation. He explains that medics are increasingly fearful of the professional repercussions if they make a medical error amid pressured case loads: "Doctors feel vulnerable to criminal and regulatory proceedings, and this creates a hostile training environment for our medical students, young doctors... This blame and sanction culture creates disrespect and mistrust. This has a price - it encourages risk avoidance behaviours in professionals, inefficient and ineffective management, increased cost for the system and deteriorating services for patients."
    Read full story
    Source: Belfast Telegraph, 25 June 2019
  23. Sam
    It was "regrettable" that the government said there was "no conclusive proof" AIDS could be transmitted by blood products in 1983, a public inquiry has heard.
    Giving evidence, former secretary of state Lord Fowler said it would have been better to add that it was likely NHS treatment could be contaminated. But he said he didn't think the change would have made a crucial difference.
    Survivors have accused ministers of playing down the risks at the time.
    It's thought around 3,000 haemophiliacs died of AIDS and hepatitis C after being treated with a blood-clotting product called Factor VIII in the 1970s and 1980s.
    Groups representing families of those affected by the scandal claim the use of the phase "no conclusive proof" minimised the danger from blood products at the time.
    Read full story
    Source: BBC News, 22 September 2021
  24. Sam
    Devices which measure blood oxygen levels could be giving “seriously misleading” results for Black and minority ethnic people, possibly contributing to increased Covid-19 mortality, experts have warned.
    Pulse oximeters attach a clip-like device to a person’s finger, toe or earlobe and send a beam of infrared light to measure oxygen levels in the blood.
    The resulting reading can be used to monitor oxygen levels of people with a variety of conditions, including by people at home with coronavirus, and to assess patients in hospital.
    At the moment, coronavirus patients who call an ambulance but are not yet deemed sick enough to go to hospital are being given new home oxygen monitoring kits to help spot those who may deteriorate earlier, and over 300,000 oximeters have been sent out by NHS England.
    But a new paper cites a “growing body of evidence” that pulse oximetry is less accurate in darker skinned patients.
    This could be contributing to health inequalities such as the increased COVID-19 mortality rates of ethnic minority patients, according to a review conducted for the NHS Race and Health Observatory.
    It is now calling for the Medicines and Healthcare products Regulatory Agency (MHRA) to urgently review pulse oximetry products for ethnic minority people used in hospitals and by the wider public.
    Read full story
    Source: The Independent, 27 March 2021
  25. Sam
    Scotland's booster jag rollout has hit a major snag after some of the country's most vulnerable people were given half their third vaccine.
    In total, 140 people who were given their extra dose of the Moderna COVID-19 vaccine in the Gorebridge vaccine centre in Midlothian were affected by the error.
    Health authorities have maintained there is no risk to individuals due to the error and that half a dose will provide sufficient protection.
    The individuals affected were all immunosuppressed, the Midlothian Health and Social Care Partnership said, meaning they are more vulnerable to infection and at higher risk from serious complications caused by COVID-19.
    The Midlothian Health and Social Care Partnership apologised for the mistake and any anxiety caused.
    Read full story
    Source: The Scotsman, 19 October 2021
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