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Found 499 results
  1. Content Article
    This article discusses what advocacy actually entails and what values it ought to embody. The paper considers whether advocates are necessary since not only can they be dangerously paternalistic, but the salutary values advocacy embodies are already part of good professional health care.
  2. Content Article
    This article by Dean K Wright describes the definition of 'advocate' and discusses how a doctor can best support their patient, particularly in regards to advocating for their patients rights and/or needs and in cases of child abuse and barriers to effective patient care.
  3. Content Article
    This article by Angira Patel discusses the importance of health advocacy and a clinicians professional responsibility towards their patients. Angira also describes current attitudes and practices surrounding advocacy, particularly within the political and social sphere.
  4. Content Article
    This manuscript provides a comprehensive overview of what healthcare worker support models are available in Canada and internationally. It outlines best practice guidelines, tools and resources that policy makers, accreditation bodies, regulators and healthcare leaders can use to assess the support needs of healthcare workers. The Canadian Peer Support Network is intended as a forum for healthcare organisations seeking guidance in the development of their Peer Support Programs to assist providers who have experienced a patient safety incident. These interventions aim to improve the emotional well-being of healthcare workers and allow them to provide the best and safest care to their patients.
  5. Content Article
    A blog highlighting the barriers in healthcare faced by patients due to the colour of their skin.
  6. Content Article
    This resource, published by the AHA Physician Alliance and the American Hospital Association, is a guide for health system leaders developing well-being programmes, focusing on the challenges of burnout due to COVID-19. This resource is in two-parts: COVID-19-specific resources and a guide to walk you through well-being program development and execution. These resources will help leaders build on tools already in place and learn from others who are doing this work.
  7. Content Article
    An original article that explores the significance of both staff physical safety in the workplace as well as their psychological safety and wellbeing. In particular, I highlight the impact the COVID-19 pandemic has had on both these areas, and discuss the importance of ensuring all aspects of staff safety.
  8. Content Article
    The gap between doctor supply and patient need is widening each year. This report, from the British Medical Association: illustrates how severe medical workforce shortages in England have become demonstrates how the situation will worsen based on anticipated population growth and demographic changes without significant and swift intervention from Government analyses trends in the medical workforce up to 2021 highlights the value of the doctor to the health of patients.
  9. Content Article
    This collection of chapters surrounding the Biopsychosocial Model covers the background to the model and it's implications in areas of medicine as diverse as gastrointestinal diseases and mental health disorders.
  10. Content Article
    This article, published in Social and Personality Psychology Compass, looks at the biopsychosocial model as a dynamic system of multiple contextual factors that influence health.
  11. Content Article
    This rapid response to the article 'What is a good doctor and how can we make one?', published on the BMJ website, discusses the background to the Biopsychosocial Model and it's implications in clinical practice today. The author highlights the importance of taking psychosocial factors into consideration, such as diet or loneliness, in order to improve individualised patient treatment.
  12. News Article
    England's senior doctors may take industrial action if the offer of 1% pay rise is not improved. Paid and unpaid overtime may be stopped if the figure is not increased to at least 4% says the British Medical Association. The BMA have also said industrial action may impact patient clinics and attempts to shorten waiting lists if it goes ahead. The Department of Health has said the government was committed to a wage rise for NHS staff, including consultants. Read full story. Source: BBC, 2 July 2021
  13. Content Article
    Joint meeting with the British Medical Journal on establishing a register of financial and non-pecuniary interests for doctors.
  14. News Article
    Almost 7,000 junior doctors who treated patients during the Covid pandemic are at risk of falling behind with their training, potentially causing staffing shortages and costing taxpayers a potential £260m. The worst-case scenario estimate of the impact of the pandemic on frontline medics has prompted ministers to inject an extra £30m to try to help doctors finish training so they can progress their careers. Ensuring medics progress into their next roles is viewed as crucial to ensuring the health service has the doctors it needs to try and reduce the massive waiting list for operations caused by the pandemic. Read full story Source: The Independent, 20 May 2021
  15. Content Article
    Nine out of 10 medical professional bodies think patients have a right to know if their doctor had financial or other links with pharmaceutical or medical device companies. Abi Rimmer considers the next steps towards implementing a mandatory register of doctors’ interests in the UK.
  16. News Article
    Thousands of doctors feel under pressure from their employers to work extra shifts, often unpaid, to help tackle the backlog of care caused by the covid pandemic, the BMA has warned. The warning came after results from the BMA’s latest tracker survey showed that more than half its respondents (58%, 2834 of 4876) had worked extra hours in the previous month as part of the response to the pandemic. Almost a third (29%, 1387) said they were not paid for the additional time they worked. More than two fifths (44%) of respondents (2086 of 4719) said they felt under pressure from their employer to do extra hours in the last month. And more than a third (36%, 1759) had either skipped taking full breaks altogether or taken them on rare occasions in the past fortnight. Nearly six in 10 doctors who responded (57%, 2889 of 5059) reported a higher than normal level of fatigue or exhaustion because of working or studying during the pandemic. Chaand Nagpaul, the BMA’s chair of council, said, “To learn that an already depleted and now exhausted workforce feels forced into doing more and more hours, with many reporting higher levels of fatigue than ever, is extremely worrying. It is putting them and their patients at risk. Working ‘flat out’ without a change to rest and recuperate is simply unsustainable and unsafe." Read full story Source: BMJ, 10 May 2021
  17. News Article
    Ten junior doctors have been removed from a struggling hospital over concerns they were being left without adequate supervision on understaffed wards. Health Education England (HEE) removed the 10 foundation year one doctors, all on a general medicine rota, from Weston General Hospital last month. The General Medical Council said the trust’s previous efforts to address the issues “have not been sufficient or sustainable”. University Hospitals Bristol and Weston Foundation Trust did not say which services HEE had removed the juniors from or what mitigations had been put in place. However, the trust told HSJ none of the positions concerned were from the hospital’s emergency department, where the GMC has already imposed conditions on juniors’ training. HEE very rarely uses its power to withdraw trusts’ trainees. HSJ reported last June the regulator had only removed two posts at trusts under enhanced monitoring since the start of 2019. William Oldfield, University Hospitals Bristol and Weston FT medical director, said in a statement to HSJ: “We recognise the seriousness of the step taken by HEE to temporarily suspend the training programme for a small number of junior doctors at Weston General Hospital. ”We are working to provide the assurance HEE require to allow this training to recommence, and in the meantime we have appropriately mitigated the impact on services at Weston.” Read full story (paywalled) Source: HSJ, 10 May 2021
  18. News Article
    Thousands of UK doctors are planning to quit the NHS after the Covid pandemic because they are exhausted by their workloads and worried about their mental health, a survey has revealed. Almost one in three may retire early while a quarter are considering taking a career break and a fifth are weighing up quitting the health service to do something else. Long hours, high demand for care, the impact of the pandemic and unpleasant working environments are taking their toll on medics, the British Medical Association findings show. Dr Chaand Nagpaul, the leader of the BMA, said the high numbers of disillusioned doctors could worsen the NHS’s staffing problems and leave patients waiting longer for treatment. “It’s deeply worrying that more and more doctors are considering leaving the NHS because of the pressures of the pandemic – talented, experienced professionals who the NHS needs more than ever to pull this country out of a once-in-a-generation health crisis,” Nagpaul said. Read full story Source: The Guardian, 2 May 2021
  19. News Article
    Almost 20% of patients seen by neurology consultant Dr Michael Watt were given a wrong diagnosis, a report has found. A review of 927 of Dr Watt's high-risk patients found 181 people received a diagnosis described as "not secure", Health Minister Robin Swann said. He was speaking as the Belfast Trust announced the recall of a further 209 neurology patients seen and discharged by Dr Watt between 1996 and 2012. This is the third such recall. Dr Watt was at the centre of Northern Ireland's biggest patient recall linked to his work at Belfast's Royal Victoria Hospital. Mr Swann said he had met patients and families affected by the recall in October last year. "While this report is statistical in nature, it deals with individuals, their families and their experiences," he said. "I know that many will have had their confidence in our health service shaken and I remain committed to helping restore it." Read full story Source: BBC News, 20 April 2021
  20. News Article
    Nearly 90% of organisations representing doctors agree that the UK should have a mandatory and public register of doctors’ interests, a survey by The BMJ has found. Last year the Independent Medicines and Medical Devices Safety Review, chaired by Julia Cumberlege, called for the General Medical Council (GMC) to expand its register to include a list of financial and non-pecuniary interests for all doctors. That review investigated harmful side effects caused by the hormone pregnancy test Primodos, the anti-epileptic drug sodium valproate, and surgical mesh. One of its key conclusions was that patients had a right to know if their doctor had financial or other links with pharmaceutical or medical device companies. The BMJ wrote to six faculties, 14 royal medical colleges, and the Academy of Medical Royal Colleges about such a register. It received responses from two faculties, 12 colleges, and the academy, a 71% response rate. Of the organisations that responded, 13 (87%) agreed that there should be a mandatory and public register of doctors’ interests in the UK. Read full story Source: BMJ. 8 April 2021
  21. News Article
    Doctors in pain management have raised concerns about the National Institute of Health and Care Excellence’s guidance on treating chronic primary pain, which they said do not reflect clinical practice or current evidence. Patients could be left in “despair,” said the British Pain Society, because of the recommendation that the only drugs that doctors should prescribe are certain antidepressants. Commonly prescribed drugs, including paracetamol, non-steroidal anti-inflammatory drugs, benzodiazepines, and opioids, should not be used to treat chronic primary pain, said NICE. Instead patients should be offered exercise programmes, therapy, and acupuncture. Read full story (paywalled) Source: BMJ, 9 April 2021
  22. Content Article
    Abi Rimmer asks four experts whether doctors must be vaccinated against COVID-19 in this BMJ article.
  23. Content Article
    Two professionals who treated Jack Adcock before his death were convicted of gross negligence manslaughter, receiving 24-month suspended sentences. His nurse, Isabel Amaro, was erased from the nursing register; but after reviews in the High Court and Court of Appeal, his doctor, Hadiza Bawa-Garba, was merely suspended. Nathan Hodson explores the proposition that nurses are at greater risk of erasure than doctors after gross negligence manslaughter through a close reading of the guidance for medical and nursing tribunals informed by analysis from the High Court and Court of Appeal in the Bawa-Garba cases. 
  24. News Article
    Many doctors from black, Asian and minority ethnic backgrounds say key risk assessments have still not taken place, or have not been acted on. About 40% of UK doctors in the UK are from BAME backgrounds, yet 95% of the medics who have died from coronavirus were from minority backgrounds. The NHS said last June that its trusts should offer risk assessments to staff, but hundreds told a poll for BBC News that they were still awaiting assessments or action. Of 2,000 doctors who responded, 328 said their risks hadn't been assessed at all, while 519 said they had had a risk assessment but no action had been taken. Another 658 said some action had been taken, with just 383 reporting their risks had been considered in detail and action put into place to mitigate them. One of those who responded was Dr Temi Olonisakin, a junior doctor in London who has Type 1 diabetes. She had her risk assessment early on in the pandemic. "It was as comprehensive as a side A4 paper can be," she says. "I think for a lot of people it felt more like a tick-box exercise, and one that could be used to say: 'We've done what we need to do to make people feel safe' - but I'm not sure in reality that's how people felt." Read full story Source: BBC News, 26 March 2021
  25. Content Article
    This briefing from the British Medical Association (BMA) highlights why doctors are at risk of fatigue and the acute and long-term impacts this can have. It also presents a framework for how Government, organisations and doctors themselves can manage this risk.
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