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Found 603 results
  1. Community Post
    About 1000 angry nurses and doctors have rallied outside Perth Children’s Hospital in Australia following the death of seven-year-old Aishwarya Aswath, demanding vital improvements to the state’s struggling health system. The Australian Nurses Federation was joined by the Australian Medical Association for the rally, with staff from hospitals across Perth attending. Many people held signs that read “We care about Aishwarya”, “Listen to frontline staff”, “Report the executive — not us” and “Please don’t throw me under the bus”. Aishwarya developed a fever on Good Friday and was taken to Perth Children’s Hospital the next day, but had to wait about two hours in the emergency department before she received treatment. She died soon after from a bacterial infection. An internal report into the tragedy made 11 recommendations — including improvement to the triage process, a clear way for parents to escalate concerns and a review of cultural awareness for staff — but Aishwarya’s parents said the report raised more questions than it answered. The family wants a broader independent inquiry to look at all 21 near-misses in the past 15 months – not just their daughter’s case. Some people have been referred to medical authorities, while Child and Adolescent Health Service chair Debbie Karasinski resigned after the report.' I am encouraged to see the way healthcare staff reacted to this tragedy. Imagine a similar event in England, would nurses protest outside the hospital and stand up to authority like this? I doubt it very much, which is very sad reflection on the prevailing culture and health leadership in England. What do others think? Source: The Australian. 9 July 2021 Picture: Picture: 9 News
  2. News Article
    It has been reported Accident and Emergency are seeing record numbers of young children being brought in with mild winter viruses, overwhelming the department. Experts have said it is unlikely to be serious and that people should seek to speak with their GP, pharmacist or NHS 111 as the first port of call, but that A&E is an option if parents are worried it could be an emergency. It has emerged that most of the children are under the age of five and it may be that as lockdown has been easing and people are mixing, winter viruses are reappearing. Read full story. Source: BBC News, 25 June 2021
  3. News Article
    The number of children being prescribed antidepressants has increased over the past 5 years, with analysis from The Pharmaceutical Journal showing peaks have coincided with Covid lockdowns. It was found between April 2015 and April 2020, children from the ages 0-17 who were prescribed antidepressants by a GP increased by 26 per cent with an increase in prescriptions occurring more notably during lockdowns. Furthermore, the analysis found an 8 per cent increase since March 2019 showing 17,902 females and 9,855 males were found to have been prescribed antidepressants when the country was locked down in March 2020. Read full story. Source: The Independent, 24 June 2021
  4. Content Article
    Commissioned by the Healthcare Quality Improvement Partnership (HQIP) on behalf of NHS England, this report is based on data for children who died from 1 April 2019 to 31 March 2020 in England.
  5. Content Article
    This annual report from the University of Bristol provides information about the deaths of people with a learning disability aged four years and over notified to the programme.
  6. News Article
    An independent review has found that children's services are not providing enough early support and are too focused on investigating families in crisis. The system was found to be under significant strain with the review suggesting that under the current system, it was not sustainable long-term. For those families in crisis who ask for help, it was reported that the process to apply for support caused more added stress and strain. At present, the service is failing young people and families in need of help and support. The review is to be published in Spring 2022 along with any suggestions for change. Read full story Source, BBC News, 17 June 2021
  7. News Article
    NHS England are set to launch a new service for children suffering from long COVID. Although data has suggested that children are less likely to suffer from severe disease, there have been an increasing number of reports of continued symptoms. The new service will consist of 15 new paediatric hubs with experts to treat young people and advise their families and carers or refer them to specialist services. The NHS has invested £100m in specialist services to help meet the needs of the possible hundreds of thousands who are expected to experience long COVID with symptoms ranging from breathing difficulties to fatigue. Read full story. Source: Sky News, 15 June 2021
  8. News Article
    New NHS pelvic health clinics have been set up to help and support thousands of pregnant women and new mothers who are experiencing incontinence and other issues related to the pelvic floor. Women receiving care at 14 new pilot sites will be treated throughout their pregnancy. Among the treatment, women will learn how to perform pelvic floor exercises with a physiotherapist as well as receive advice on diet with continued support and monitoring throughout. Read full story. Source: NHS England, 13 June 2021
  9. News Article
    It is more than eight years since Averil Hart died after being found passed out in her university room, but the words left in her diary are etched in her father’s mind. “She said: ‘dear God please help me’ and that was four or five days before she collapsed,” says Nic Hart. “It sums up what many young people desperately need. They need help. Here we are eight-and-a-half years on and what has changed?” Averil, who was diagnosed with anorexia aged 15, was taken to Norfolk and Norwich University hospital at 19 in a “severely malnourished” state but received no nutritional or psychiatric support during her four-day admission, according to an inquest into her death. She was then urgently transferred to Addenbrooke’s hospital in Cambridge. The coroner found a litany of failings. She was treated by doctors who knew “practically nothing” about anorexia. There had been no follow-up from the local eating disorder team and a failure to provide life-saving treatment. The inquest was the last in a series of coroners’ examinations of five women who died from eating disorders while in the care of the NHS in the east of England. “I suppose listening to the NHS arguments on delivery … they would say it is an organisation of a million people and these things [real changes] take time,” her father says. “But you wonder what it takes to turn all these well-meaning policies that seem to come up from time to time into action.” Hart says we need to learn from how the UK has tackled potentially life-threatening conditions such as sepsis and think about how we can “train clinicians to turn this around quickly”. Read full story Source: The Guardian, 6 June 2021
  10. News Article
    An online trend that involves using tiny magnets as fake tongue piercings has led the NHS to call for them to be banned amid people swallowing them. Ingesting more than one of them can be life-threatening and cause significant damage within hours. In England, 65 children have required urgent surgery after swallowing magnets in the last three years. The NHS issued a patient safety alert earlier this month and is now calling for the small metal balls to be banned. It said the "neodymium or 'super strong' rare-earth magnets are sold as toys, decorative items and fake piercings, and are becoming increasingly popular". It added that unlike traditional ones, "these 'super strong' magnets are small in volume but powerful in magnetism and easily swallowed". The online trend sees people placing two such magnets on either side of their tongue to create the illusion that the supposed piercing is real. But when accidentally swallowed, the small magnetic ball bearings are forced together in the intestines or bowels, squeezing the tissue so that the blood supply is cut off. Read full story Source: BBC News, 30 May 2021
  11. Content Article
    Myla Deviren had congenital intestinal malrotation and developed a volvulus on 26 August 2015. Her mother checked the NHS Symptom finder on line and the advice was to take her to A&E but she called 111 for advice. The Health Assistant who took the call did not appreciate the significance of key symptoms due to multiplicity of symptoms described at the outset. He passed the caller on a “ warm” transfer to the Clinical Adviser whose initial reaction on hearing that the symptoms included blue lips and breathlessness was to call an ambulance, ignored her instincts and took mum through a series of digital pathways re lesser symptoms. When directly asking about the breathlessness Myla's mum put the phone close to her daughter enabling the Clinical Adviser to hear the rapid breathing herself however they did not appreciate the significance of it and did not call an ambulance. She did however pass the call to the Out Of Hours Nurse who decided that this was a case of gastroenteritis early in the call and did not appreciate the description of a child with worsening signs. Whilst the precise point at which Myla stopped breathing is not known it was sometime between when she was last seen alive approximately 06.00 and then found unresponsive at 08.00 on the 27 August 2015. She was then taken by ambulance to Peterborough City Hospital where, despite attempts at resuscitation, she did not recover a heartbeat and she died. Post mortem revealed small bowel infarction from untreated small intestinal volvulus. It is probable that with earlier transfer to hospital by ambulance and with appropriate treatment Myla would have survived. 
  12. News Article
    The number of children and young people waiting longer than recommended for admission to a mental health bed has increased nearly ten-fold since last summer, according to figures from one NHS region seen by HSJ. There has been major concern about worsening mental health of children and young people through the pandemic, but these are thought to be the first official figures to emerge indicating the extent of the growth in waiting times. Board papers show that, across the NHS’ South East region, from mid-March to mid-April this year, about 50 young people each week were waiting more than the recommended time for admission or transfer into a child and adolescent inpatient mental health unit. Last June, the weekly average was less than six. The papers show much of the rise was due to eating disorders referrals, which rose from five in June to nearly 30 in early March. However, other specialist services also saw rises. Read full story (paywalled) Source: HSJ, 25 May 2021
  13. Content Article
    The Healthcare Safety Investigation Branch (HSIB) held a webinar on 12 May to discuss asthma management in children, to support the launch of their recent publication: Management of chronic asthma in children aged 16 years and under. For those of you who missed the event, HSIB have made available the webinar recording, presentation slides and Q&As.
  14. Content Article
    A joint National Patient Safety Alert issued by the NHS England and NHS Improvement National Patient Safety Team and Royal College of Emergency Medicine, on the need for urgent assessment/treatment following ingestion of ‘super strong’ magnets.
  15. Content Article
    This booklet, from Healthcare Improvement Scotland, is for parents, carers and families of children and young people up to the age of 18 who:have been diagnosed with epilepsy, ormay be going through assessment.
  16. Content Article
    This report, published by the National Child Mortality Database, is based on data for children who died between April 2019 and March 2020 in England, and finds a clear association between the risk of child death and the level of deprivation (for all categories of death except cancer). More specifically, Child Mortality and Social Deprivation states that over a fifth of all child deaths might be avoided if children living in the most deprived areas had the same mortality risk as those living in the least deprived – which translates to over 700 fewer children dying per year in England. The report’s authors are now calling on policy makers and those involved in planning and commissioning public health services as well as health and social care professionals to use the data in this report to develop, implement and monitor the impact of strategies and initiatives to reduce social deprivation and inequalities.
  17. News Article
    Multiple concerns were being raised about an inpatient hospital for several years before it was rated ‘inadequate’ by the Care Quality Commission (CQC), HSJ has learned. Huntercombe Hospital in Maidenhead, which provides NHS-funded mental healthcare for children, was put into special measures in February after an inspection raised serious concerns over the apparent over-use of medication to sedate patients, among other issues. It has since received a further warning notice. The unit, which predominantly treats female patients, had previously been rated “good” by the CQC in 2016 and 2019. Five former patients and four parents have now told HSJ of poor care and practices at the unit between 2016 and 2020. Two of the families raised concerns directly to Huntercombe, as well as NHS England, local authorities and the local community provider, Berkshire Healthcare FT. Read full story (paywalled) Source: HSJ, 18 May 2021
  18. Content Article
    In this anonymous blog, the author draws on her son’s experience of glandular fever to highlight the value of listening to parents, in order to reduce avoidable harm.
  19. News Article
    A number of “unusual infections” have been discovered among patients at the Royal Aberdeen Children’s Hospital (RACH), prompting investigation by an NHS trust. NHS Grampian said they were taking a “very precautionary approach” and looking for any potential links that these infections could have to the hospital environment. These precautions include relocating some procedures, with the trust also warning that there may be delays in treatment for a small number of patients. They were keen to point out that the hospital will continue to admit and treat patients as normal whilst the investigation is ongoing. An NHS Grampian spokesman explained: “While we investigate the causes of this – and whether or not there is a link to the hospital environment – we are taking a very precautionary approach. Read full story Source: The Independent, 16 May 2021
  20. Content Article
    In this anonymous blog, the author argues that clinicians need to consider the impact of their words when they are communicating medical findings and diagnoses to patients. Drawing on her daughter’s experience of seeking psychiatric support, she explains how a more humane approach might have prevented additional harm. 
  21. News Article
    Just 10% of money allocated to help treat young people with eating disorders reached the NHS frontline, a new analysis has revealed. The latest data on NHS mental health spending comes amid concern the pandemic has exacerbated eating disorders in young people, sparking a rise in demand. A report commissioned by MPs compiled by the eating disorder charity Beat, using NHS data, shows local clinical commissioning groups (CCGs), who purchase NHS services on behalf of NHS England, spent just £1.1m of the £11m they were given for community eating disorder services in 2019-20. The money was set aside by NHS England to try and tackle increasing referrals and to ensure young people could get treatment. Wera Hobhouse MP, chair of the All-Party Parliamentary Group on Eating Disorders, and which commissioned the work said: “Eating disorders are serious mental illnesses, and we know that early intervention and access to specialist treatment saves lives." “NHS England has continued to allocate extra funding to clinical commissioning groups for children and young people’s community eating disorder services, but this report shows that much more needs to be done to ensure this money reaches the frontline services, particularly now as they face unprecedented numbers of referrals.” Read full story Source: The Independent, 11 May 2021
  22. Event
    This Westminister Education Forum policy seminar will examine priorities, policy and best practice for improving child mental health in England - with a particular focus on the impact of the pandemic Overall, key areas for discussion in this conference include: immediate priorities for supporting children’s mental health following the pandemic and a return to in-person education identifying root causes of poor mental health, and best practice for prevention assessing child mental health services, and looking at how they can be improved, including the role of inspections in raising standards. Agenda Register
  23. Content Article
    Asthma is the most common lung disease in the UK. 1.1 million children are diagnosed with the condition. Healthcare Safety Investigation Branch (HSIB) looked at the risks involved in the management of children aged 16 years and under diagnosed with asthma. Diagnosis and the management of asthma, particularly in children and young people, can be complex. It is important to get it right, as otherwise significant harm or death can result. The investigation was launched after HSIB identified an event involving a 5 year old child. The child had numerous planned and unplanned (emergency) attendances at hospital with respiratory symptoms, before suffering a near fatal asthma attack. Prior to the event, the child had no formal diagnosis of asthma and issues had been identified (but not resolved) regarding adherence to treatment.
  24. News Article
    Children with asthma are at risk of avoidable deaths in England because of poor NHS systems and a failure to appreciate the dangers posed by the condition. A new investigation by NHS safety watchdog the Healthcare Safety Investigation Branch (HSIB) has revealed a series of risks to children with asthma, as concerns emerge of the impact of the pandemic on asthma patients more generally. The latest inquiry was sparked by the deaths of three children between 2014 and 2017. All were caused by asthma attacks which were later the subject of warnings by coroners. In each case HSIB said there were missed opportunities to recognise asthma as a life-threatening condition as well as problems with how the children were managed by doctors working in different parts of the NHS. Read full story Source: The Independent, 5 May 2021
  25. Content Article
    The recording of harm and adverse events in psychological trials is essential, yet the types of harm being captured in trials for talking treatments involving children and young people have not been systematically investigated. The aim of this review from Daniel Hayes and Nur Za’bawas was to determine how often harm and adverse events are recorded in talking treatments for children and young people, as well as the metrics that are being collected.
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