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Found 603 results
  1. News Article
    The number of children being treated at paediatric diabetes units (PDUs) in England and Wales has increased by more than 50% amid a “perfect storm” of rising obesity levels and the cost of living crisis, health leaders have said. Diabetes UK said alarming obesity levels among children had led to a “concerning climb” in the number diagnosed with type 2 diabetes, and predicted that the cost of living crisis could lead to further problems in the years to come. Data from NHS Digital shows that almost one in seven children start primary school obese – a rise of almost 50% in just a year. More than a quarter are obese by the time they finish primary school. The high levels of obesity combined with the squeeze on personal finances are creating a “perfect storm which risks irreversible harm to the health of young people”, Diabetes UK said. It accused the government of “letting our children down” as it called for concerted action to tackle obesity. Chris Askew, the chief executive of Diabetes UK, said: “We are very concerned that this spike in childhood obesity will translate into an even greater increase in children with type 2 diabetes in the coming years, a crisis fuelled by longstanding health inequalities and made worse still by impacts of the cost of living crisis." Read full story Source: The Guardian, 15 June 2022
  2. Content Article
    The Arthritis and Musculoskeletal Alliance (ARMA) has compiled relevant and useful resources and information specifically about musculoskeletal health inequalities. The resources include research studies, reports and reviews, and cover these areas: Social deprivation Ethnicity Sex, gender and sexual orientation Health literacy and education level Multiple factors Children and young people Webinars
  3. Content Article
    This study in the British Journal of General Practice aimed to examine the impact of Covid-19 on GP contacts with children and young people in England. The authors conducted a longitudinal trends analysis using electronic health records from the Clinical Practice Research Datalink (CPRD) Aurum database. The study found that: GP contacts fell 41% during the first lockdown compared with previous years. Children aged 1-14 years had greater falls in total contacts (≥50%) compared with infants and those aged 15–24 years. Face-to-face contacts fell by 88%, with the greatest falls occurring among children aged 1-14 years (>90%). Remote contacts more than doubled, increasing most in infants. Total contacts for respiratory illnesses fell by 74% whereas contacts for common non-transmissible conditions shifted largely to remote contacts, mitigating the total fall (31%).
  4. News Article
    A retired consultant gastroenterologist has been struck off the UK medical register for “wide ranging failings” in treating young transgender patients and in prescribing testosterone for men. Michael Webberley, who was charged with failing to provide good care to 24 patients, acted outside the limits of his expertise, a medical practitioners tribunal concluded. Through the private online clinic GenderGP, which he ran with his wife Helen, a GP, Webberley prescribed puberty blockers to a child of nine and cross sex hormones to a teenager who died by suicide a few months later. He faced charges over his care of seven transgender patients, and the tribunal found that he had provided treatment that was not clinically indicated or that had been prescribed without adequate tests, assessments, or examinations. Read full story (paywalled) Source: BMJ, 30 May 2022
  5. Content Article
    iSupport are an international group of health professionals, academics, young people, parents, child rights specialists, psychologists and youth workers who are all passionate about the health and wellbeing of children, especially when they interact with healthcare services. The group is made up of over 50 members from around the world. iSupport have been working together throughout 2021 to develop standards for children and young people (aged 0-18 years) undergoing clinical procedures, based on internationally agreed children’s rights set out by the UNCRC (1989). The standards aim to ensure that the short and long-term physical, emotional and psychological well-being of children and young people are of central importance in any decision-making for procedures or procedural practice. The standards have been developed through ongoing and extensive consultation within the collaborative group and with established youth and parent forums. iSupport have also sought wider feedback, input and consensus through an international online survey.
  6. Content Article
    This report outlines the Royal College of Psychiatrists in Scotland's priorities for the Scottish Parliament. The report centres on the idea that there should be 'no wrong door' for individuals in all communities to accessing the right care, in the right place, at the right time for mental ill health. It highlights the significant effects of the Covid-19 pandemic on the mental health of the population: The number of people with high levels of psychological distress (indicating a potential psychiatric disorder) has doubled during the Covid-19 pandemic to 35.6%. Those most vulnerable to psychological distress (67%) were those with pre-existing mental ill health–the population already supported by psychiatrists. Women, young people, ethnically diverse communities and the economically disadvantaged have also been disproportionately affected.
  7. Content Article
    Sierra Leone has one of the highest rates of maternal mortality in the world. The risks are even greater for teenage girls who become pregnant, with up to one in ten dying in childbirth. In this blog, Lucy November, co-founder of 2YoungLives, a mentoring project for pregnant teenagers, describes the risks faced by teenage girls in Sierra Leone and the barriers they face to accessing maternity care. She talks about how 2YoungLives is making pregnancy and birth safer for this vulnerable group through mentoring, building community and equipping young mothers to support themselves and their babies.
  8. News Article
    The parents of a girl who died after failings by NHS 111 said they were horrified to learn coroners had already warned about similar shortcomings. Hannah Royle, 16, died in 2020 after the NHS phone service failed to realise she was seriously ill. BBC News found concerns had been raised about the call centre triage software in 2019 after three children died. The NHS said it had learnt lessons from each case, but said it had not established a link between the deaths. Hannah, who was autistic, had a cardiac arrest as she was driven to East Surrey Hospital by her parents. She had suffered a twisted stomach, but call handlers believed she had gastroenteritis. A coroner's report said NHS 111 staff failed to consider her "disabilities and inability to verbalise" when using the triage software. Known as NHS Pathways, the algorithm relies on answers being given over the phone to a set series of questions. The system guides call handlers, who are not medically qualified, to direct patients to other parts of the NHS for further assessment and treatment. In 2019, three coroners issued reports "to prevent future deaths" after serious abdominal illness in Myla Deviren, Sebastian Hibberd, Alexander Davidson and were missed by NHS 111. In all cases, coroners raised concerns about the ability of children to understand call handlers' questions or articulate their symptoms. Read full story Source: BBC News, 24 May 2022
  9. News Article
    "I knew I always felt different, but I didn't know I was autistic." For Rhiannon Lloyd-Williams, it would take until she was 35 to learn just why she felt different. Now research by Swansea University has found it takes on average six years longer to diagnose autism in women and girls than in males. A study of 400 participants found that 75% of boys received a diagnosis before the age of 10 - but only 50% of girls. It also found the average age of diagnosis in girls was between 10 and 12 - but between four and six for boys. Now charities in Wales are calling for greater investment into services to help better understand autism in females and speed up a diagnosis. "The parents responding to the study said there was a marked impact on the girls mental health while waiting for a diagnosis," said Steffan Davies, who carried out the research. "Girls represented in the study had a lot more pre-existing diagnosis, which suggests they are being misdiagnosed with anxiety disorders, eating disorders, and that tends to defer from the root diagnosis which tends to be autism." Autism UK said this gender gap has long been an issue and is the down to the diagnosis criteria and research used, which has been focused around young boys. "Many girls end up missing out on education, because the environment they're expected to learn in is just too overwhelming, while accessing healthcare can be difficult. Women are often not believed," said executive director Willow Holloway. Read full story Source: BBC News, 23 May 2022
  10. News Article
    More than 400,000 children and young people a month are being treated for mental health problems – the highest number on record – prompting warnings of an unprecedented crisis in the wellbeing of under-18s. Experts say Covid-19 has seriously exacerbated problems such as anxiety, depression and self-harm among school-age children and that the “relentless and unsustainable” ongoing rise in their need for help could overwhelm already stretched NHS services. The latest NHS figures show “open referrals” – troubled children and young people in England undergoing treatment or waiting to start care – reached 420,314 in February, the highest number since records began in 2016. The total has risen by 147,853 since February 2020, a 54% increase, and by 80,096 over the last year alone, a jump of 24%. January’s tally of 411,132 cases was the first time the figure had topped 400,000. Mental health charities welcomed the fact that an all-time high number of young people are receiving psychological support. But they fear the figures are the tip of the iceberg of the true number of people who need care, and that many more under-18s in distress are being denied help by arbitrary eligibility criteria. Read full story Source: The Guardian, 22 May 2022
  11. News Article
    A health worker has been arrested on suspicion of administering poison with intent to endanger life after a child died at Birmingham Children's Hospital. The 27-year-old woman was arrested on Thursday and has been suspended from her role at the hospital. The child was being treated in the Paediatric Intensive Care Unit, a spokesperson for the hospital said. Police said the woman had been released while investigations continued and forensic tests were being examined. A spokesperson for Birmingham Women's and Children's NHS Foundation Trust said it was "supporting the infant's family at this distressing time and ask that privacy is respected during this process". "Following the death of an infant at our Paediatric Intensive Care Unit at Birmingham Children's Hospital, we have asked West Midlands Police to examine what has happened, in line with our own safeguarding policy," it added. "The staff member involved has been suspended by the Trust following the national process on the sudden unexpected death of a child." Read full story Source: BBC News, 23 May 2022
  12. News Article
    A private hospital facing a police investigation following a patient’s death has been given an urgent warning by the care regulator due to concerns over patient safety. The Huntercombe Hospital in Maidenhead, which treats children with mental health needs, was told it must urgently address safety issues found by the Care Quality Commission (CQC) following an inspection in March. The CQC handed the hospital a formal warning due to concerns over failures in the way staff were carrying out observations of vulnerable patients. The move comes as The Independent revealed police are investigating the hospital in relation to the death of a young girl earlier this year. In a report published last week, the care watchdog said it had received “mainly negative” feedback from young people at the hospital’s Thames ward, a psychiatric intensive care unit which treats acutely unwell children. Commenting on the hospital overall, the report said: “Young people told us that staff did not follow the care plans in relation to their level of observations. They told us that if there was an incident the staff stopped doing intermittent observations. Staff in charge of shifts on wards asked new staff members to do observations before they understood how to do it. Staff had to ask the young person how to carry out their observations as they did not always understand what was expected of them in carrying out different levels of observations.” Read full story Source: The Independent, 19 May 2022
  13. Content Article
    To tackle the serious harms, up to and including death, associated with eating disorders it is crucial that more is done to identify them at the earliest stage possible so that the appropriate care and treatment can be provided. The aim of this guidance from the Royal College of Psychiatrists is to make preventable deaths due to eating disorders a thing of the past.
  14. Content Article
    This infographic by the Royal College of Anaesthetists shows some of the common events and risks that healthy children and young people of normal weight face when having a general anaesthetic (GA) for routine surgery. It highlights that modern anaesthetics are very safe and that most common side effects are usually not serious or long lasting. It also outlines the conversations children and their families should expect to have with their anaesthetist prior to their procedure.
  15. Content Article
    This study in the International Journal of Environmental Research and Public Health examines the demographic, clinical and socioeconomic factors associated with diagnosis of Long Covid in children aged 5 to 18 years. The authors conducted a population-based cross-sectional study using data from 20,601 children living in Israel who tested positive for Covid between 1 February 2020 and 30 June 2021. They found several variables associated with the development of Long Covid, including: the severity of acute infection being hospitalised recurrent acute infection ADHD diagnosis chronic allergic rhinitis chronic urticaria. The authors call for heightened clinical awareness that Long Covid can be present in children, and highlight that this should affect public health policy because of Covid-19's long-term health impacts.
  16. News Article
    National NHS officials have proposed a major shift in the funding model for inpatient mental health beds for children and young people, information seen by HSJ reveals. A report on child and adolescent mental health services by Getting it Right First Time (GIRFT), an NHS England national programme, recommends a move away from the current ‘payment per bed day’ model to a system which funds particular outcomes or “therapeutic models”. It appears the proposal in the GIRFT recommendations seen by HSJ would apply to both NHS and independent provision, although some NHS providers are already less likely to receive funding on a ”per bed day” basis. Ananta Dave, consultant CAMHS psychiatrist at Lincolnshire Partnership Foundation Trust, told HSJ that having agreed therapy and outcome measures as recommended by the report would not only boost patient experience but also lead to better results. “One inpatient bed can actually be the equivalent of 100 young people being looked after in the community. So these are precious resources we are talking about, hence the quality of inpatient units is really important. “It should not just be a tick-box exercise that a bed exists. Instead, it is about the quality of that service. If you simply go by the number of bed days, you’re unlikely to meet your target or meet your ambition of reducing the spend on inpatient services.” Read full story (paywalled) Source: HSJ, 16 May 2022
  17. Content Article
    This study in the journal Health and Social Care Delivery Research mapped interventions aimed at reducing restrictive practices in children and young people’s institutional settings around the world. It also assessed which process elements led promising behaviour change techniques, and compared the results with a companion review of adult psychiatric inpatient settings. In the first evidence review of its kind, the authors found that interventions tend to be complex, reporting is inconsistent and robust evaluation data are limited. But they did find some behaviour change techniques that warrant further research. They argue that better evidence could help address the urgent need for effective strategies.
  18. News Article
    Families are being ‘left without the support they need’, as overstretched services struggle to handle ‘a significant and growing minority’ of children not developing as expected. Figures published by the Office for Health Improvement and Disparities earlier this month show 79.6% of children who received a two-to-two-and-a-half year review with an ages and stages questionnaire during quarter three of 2021-22 met the expected level in all five areas of development measured. The five areas assessed by the screening questionnaire are communication skills, gross motor skills, fine motor skills, problem solving, and personal-social. A lower-than-expected score in any of the five areas will likely mean some sort of intervention, which may include further monitoring from health visitors or referral to a specialist service. However, health visitor numbers are declining. ber 2015. Alison Morton, Institute of Health Visiting executive director, said: “The latest national child development data highlight a worrying picture with fewer children at or above the expected level of development at two-to-two-and-a-half years. While the majority of children are developing as expected, a significant and growing minority are not. “The pandemic and its impacts are not over. In many areas, despite health visitors’ best efforts, they are now struggling to meet growing levels of need and vulnerability and a backlog of children who need support. In our survey, health visitors reported soaring rates of domestic abuse, mental health problems, child behaviour and development problems, poverty, and child safeguarding. “In addition, onward referral services like speech and language therapy, and mental health services, also have long waiting lists and families are left without the support that they need.” Read full story Source: HSJ, 16 May 2022
  19. News Article
    The scope of the UK public inquiry into the handling of the Covid pandemic has widened to include a focus on children. When the draft terms were published in March, there was criticism that they failed to even mention the impact on children and young people. But after a public consultation, the final terms have been published and now incorporate the effect on the health, wellbeing and education of children. The final terms of reference were decided following a four-week public consultation on the draft terms. As well as expanding the terms to include the impact on the health, wellbeing and education of children and young people, the inquiry will also look at the wider mental health impact across the population. The focus on inequalities will also be strengthened, the inquiry said, so that the unequal impact on different sections of society will be considered at all stages. Alongside these issues, the UK-wide inquiry will also look at the following issues which were included originally: the UK's preparedness for the pandemic the use of lockdowns and other "non-pharmaceutical" interventions, such as social distancing and the use of face coverings the management of the pandemic in hospitals and care homes the procurement and provision of equipment like personal protective equipment and ventilators support for businesses and jobs, including the furlough scheme, as well as benefits and sick pay. Read full story Source: BBC News, 12 May 2022
  20. News Article
    Children’s lives are being put at risk, charities warn, as waiting times for eating disorder services soar to record highs. The number of children waiting more than four months following an urgent referral for an eating disorder was more than seven times higher at the end of 2021-22 compared to the same period in the previous year. Data showed that at the end of quarter four of 2021-22, 94 children were waiting more than 12 weeks following an urgent referral, the highest on record, compared to just 13 at the end of 2020-21. The latest NHS data on waiting times for community eating disorder services for children also showed more than 1,900 children were waiting for treatment at the end of March. Of these, 24 were waiting to start urgent treatment - up from 130 last year. Sophie Corlett, director of external affairs at Mind, said: “Our government is shamefully failing children and young people with eating disorders at the time when they need help most. Eating disorders have one of the highest mortality rates of any mental health problem. Children in need of urgent NHS treatment for eating disorders should always be seen within one week yet some children are still waiting for treatment after twelve weeks. This is irresponsible and disgraceful.” Read full story Source: The Independent, 12 May 2022
  21. Content Article
    Recent analysis shows that recognisable mental health issues are increasing amongst young people, with referrals to children and young people's mental health services increasing by 81% in April to September 2021, compared to the same period in 2019. In this blog, Martina Kane, Policy and Engagement Manager at The Health Foundation, looks at the contextual factors that influence young people's mental health, arguing that these are often overlooked in the way mental health issues are treated. She looks at factors such as parental unemployment, the energy crisis and the impact of the Covid-19 pandemic on education, and argues that these must be taken into account when designing mental health services for children and young people. She highlights that while young people benefit personally from good mental health, it is also an asset for society and the economy that must be invested in by the government.
  22. News Article
    Parents whose children have mysteriously fallen ill with hepatitis and received a delayed diagnosis could be entitled to negligence claims, lawyers believe. Officials are no closer to explaining a recent and unusual outbreak in cases of liver inflammation recorded among young children across the UK. To date, a total of 163 children have been diagnosed. Eleven of these have received liver transplants, while 13 are currently in hospital. Globally in recent months, 300 children have been struck down by the illness, which has no clear cause. Because the UK cases have been identified retrospectively, there is potential that doctors and medics may have “missed signs” which would have led to earlier hepatitis diagnoses and treatment, lawyers say. “There are a significant number of these diagnoses which are actually retrospective,” said Jonathan Peacock, a partner at VWV specialising in clinical negligence. “The obvious issue there from a negligence point of view is if you have missed signs, which ought to have led you to a diagnosis of hepatitis earlier, as a result of which it’s gone untreated and the outcome is worse, then potentially you’re negligent. “There’s two stages: was the care diagnosis, treatment, intervention, was that of a reasonable standard? If the answer is no – there was clearly a negligent delay, or a breach of duty of care, then the second question that then arises is has the individual been harmed by that delay?” Read full story Source: The Independent, 10 May 2022
  23. News Article
    UK health officials say they are still no clearer on the cause of a rise in liver inflammation, or hepatitis, in children. A common adenovirus is thought to play a role, but other possibilities are still being investigated. In the UK, 163 cases have now been identified, and 11 children have received liver transplants. Cases have been detected in 20 countries worldwide, with nearly 300 children affected, and one death. "It's important that parents know the likelihood of their child developing hepatitis is extremely low," said Dr Meera Chand, from the UK Health Security Agency (UKHSA). She said parents should still be alert to the signs - particularly jaundice, a yellow tinge in the whites of the eyes - and they should contact a doctor if concerned. Since last week, another 18 children in the UK with hepatitis have been identified - 118 live in England, 22 in Scotland, 13 in Wales and 10 in Northern Ireland. The children's most common symptoms were jaundice and vomiting - and most have been under five years old. Read full story Source: BBC News, 7 May 2022
  24. News Article
    A school has brought in a dental charity to treat pupils with such bad toothache they have missed lessons. Staff at Trinity Academy Grammar in West Yorkshire have had to take pupils to hospital as they were in agony but unable to access an NHS dentist. The Department for Health said an extra £50m funding had been given to NHS dental services for more appointments. Charlie Johnson, headteacher of the school in Sowerby Bridge, near Halifax, said as well as being forced to take days off, some students had been left in tears during lessons due to toothache. After becoming concerned, Mr Johnson said he had contacted public health officials who said there was a shortage of local NHS dentists taking on patients. The school was put in touch with Dentaid, a UK charity which normally provided dental treatment to people in developing countries who cannot access it, or to vulnerable people such as the homeless. As a result, a mobile clinic was brought to the school and volunteer dentists found around one in 10 of its 900 pupils needed treatment for conditions such as decay, cracked teeth and abscesses. The school said it was "frustrating" it had been forced to step in to provide dental treatment, but added that parents often found it "impossible" to access help. The British Dental Association said the fact that Trinity Academy had been forced to call on a charity for help illustrated that NHS dentistry was on its "last legs". Chairman Eddie Crouch said: "We salute these volunteers, but this isn't the Victorian era. "A wealthy 21st Century nation shouldn't be relying on charities to provide basic healthcare to our children." Read full story Source: BBC News, 28 April 2022
  25. News Article
    A spike in the number of measles cases around the world has sparked concerns over the potential for serious outbreaks this year. Almost 17,338 measles cases were reported worldwide in January and February 2022, compared to 9,665 during the first two months of last year – which represents a rise of 79%. Unicef and the World Health Organisation (WHO) warned that there is a “perfect storm” for serious outbreaks of the vaccine-preventable illnesses such as measles. As of this month, the agencies report 21 large and disruptive measles outbreaks around the world in the last 12 months. The five countries with the largest measles outbreaks since the past year include Somalia, Yemen, Nigeria, Afghanistan, and Ethiopia. The coronavirus pandemic has seen much of health funding and resources diverted to deal with the spread of the virus since 2020. In 2020, the first year of the pandemic, 23 million children missed out on basic childhood vaccines through routine health services, the highest number since 2009 and 3.7 million more than in 2019. These pandemic-related disruptions – as well as increasing inequalities in access to vaccines – has left many children without protection against contagious diseases while Covid restrictions are eased in most countries, the two organisations said. Read full story Source: The Independent, 28 April 2022
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