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Found 568 results
  1. Content Article
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    Andy was joined by a panel of respondents: Jordan Cummins, Programme Director of Health, Confederation of British Industry (CBI) Dr Ricky Kanabar, Assistant Professor of Social Policy, University of Bath Jill Rutter, Senior Fellow, Institute for Government. The event was chaired by Dr Jennifer Dixon, Chief Executive of the Health Foundation.
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    Voices offer lots of information. Turns out, they can even help diagnose an illness — and researchers in the USA are working on an app for that. The National Institutes of Health is funding a massive research project to collect voice data and develop an AI that could diagnose people based on their speech. Everything from your vocal cord vibrations to breathing patterns when you speak offers potential information about your health, says laryngologist Dr. Yael Bensoussan, the director of the University of South Florida's Health Voice Center and a leader on the study. "We asked experts: Well, if you close your eyes when a patient comes in, just by listening to their voice, can you have an idea of the diagnosis they have?" Bensoussan says. "And that's where we got all our information." Someone who speaks low and slowly might have Parkinson's disease. Slurring is a sign of a stroke. Scientists could even diagnose depression or cancer. The team will start by collecting the voices of people with conditions in five areas: neurological disorders, voice disorders, mood disorders, respiratory disorders and pediatric disorders like autism and speech delays. This isn't the first time researchers have used AI to study human voices, but it's the first time data will be collected on this level — the project is a collaboration between USF, Cornell and 10 other institutions. The ultimate goal is an app that could help bridge access to rural or underserved communities, by helping general practitioners refer patients to specialists. Long term, iPhones or Alexa could detect changes in your voice, such as a cough, and advise you to seek medical attention. Read full story Source: NPR, 10 October 2022
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    The report's key findings show that: 229 women died during or up to six weeks after the end of their pregnancies in 2018 – 2020 from pregnancy-specific causes or conditions made worse by pregnancy, an increase of 24% compared to 2017-2019.Taking into account their surviving babies and previous children, 366 motherless children remain. Of the 229 women who died during or up six weeks after the end of their pregnancies, nine women died from COVID-19. Of those nine women, five were Asian women and three were Black women. Changes to maternity services and pressures because of the pandemic also contributed to some other maternal deaths. Black women were 3.7 times more likely to die compared to White women and Asian women were 1.8 times more likely to die compared to White women. A further 289 women died between six weeks and one year after the end of pregnancy. Including the deaths of 18 women who died during pregnancy or up to six weeks after pregnancy which were classified as coincidental, in total, there were 536 maternal deaths among 2,101,829 maternities. One in nine of the women who died had experienced severe and multiple disadvantage. The main elements of a multiple disadvantage were: a mental health diagnosis; substance misuse; and domestic abuse. The report notes that the figures reported are likely to be a minimum estimate due to inconsistencies in reporting these types of disadvantage. Women were three times more likely to die by suicide during or up to six weeks after the end of pregnancy in 2020 compared to the 2017 – 2019 report. Maternal suicide was also a leading cause of death in women between six weeks and a year of their pregnancies ending, accounting for 18% of the women who died between 2018 and 2020. At least half of the women who died by suicide and the majority from substance misuse had multiple adversity with a history of childhood and/or adult trauma frequently reported. Cardiovascular disorders and psychiatric disorders are now equally responsible for maternal deaths in the UK, accounting for 30% of the women who died up to six weeks after the end of pregnancy; in previous reports, cardiovascular disorders have been reported as the leading direct cause of maternal death. 86% of the women died in the postnatal period. The report demonstrates that even when the women who died as a result from COVID-19 are excluded, the number of women who died has still increased by 19% compared to 2017 – 2019, suggesting that an even greater focus on the report's recommendations for improvements to maternal healthcare are needed.
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    Key findings Before the pandemic, the White group had higher rates of elective procedures overall than the Black, Mixed and Asian groups, with the White group having almost a fifth more procedures than the Asian group per head of population. Cardiac and cataract procedure rates were highest in the Asian group and dental procedure rates were highest in the Black group. Procedure rates during the first year of the pandemic fell in all groups, with the NHS carrying out around 2.7 million fewer operations and tests in that year compared with the year before. However, the falls in activity were not uniform across the different ethnic groups, with the Asian group experiencing the largest overall fall in the first year of the pandemic compared with the other groups (a fall of 49% for all procedures compared with 44% for the White and Black groups). This means that if the proportional fall in activity was the same for the Asian group as it was for the White group, we would have expected to see just over 17,000 more procedures for the Asian group. Although the gap narrowed in the second year of the pandemic, there was still a larger deficit of care among the Asian group, with the fall remaining 2% larger for the Asian group than for the White group – an estimated deficit of 6,640 procedures. Apart from the Asian group, consistent differences were not found across procedures for other ethnic minority groups. The Black group did have larger rate falls than the White group for cardiac and cataract procedures (the fall was 19% larger for cataract procedures) but otherwise saw similar changes to the White group, including for all procedures taken together. The most deprived groups in the population experienced larger rate falls overall and for most specific procedure groups. For hip and knee replacements, there was a 13% larger fall in the most deprived group compared with the national change, and a 7% lower fall in the least deprived group. There was no relationship between the fall in elective hospital activity and the local impact of Covid-19 by region (as measured by reported Covid-19 cases and Covid-19 admissions).
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    Key messages People have a right to expect: access to the care they need, when they need it and that appropriate reasonable adjustments are made to meet people’s individual needs. This starts from the first point of contact with a hospital. This is not just good practice – it is a legal requirement. staff to communicate with them in a way that meets their needs and involves them in decisions about their care that they are fully involved in their care and treatment. the care and treatment they receive meets all their needs, including making reasonable adjustments where necessary and taking into account any equality characteristics such as age, race and sexual orientation. that their experiences of care are not dependent on whether or not they have access to specialist teams and practitioners. However, the report highlights the following issues: People said they found it difficult to access care because reasonable adjustments weren't always made. Providers need to make sure they are making appropriate reasonable adjustments to meet people’s individual needs. There is no ‘one-size-fits-all’ solution for communication. Providers need to make sure that staff have the tools and skills to enable them to communicate effectively to meet people’s individual needs. People are not being fully involved in their care and treatment. In many cases, this is because there is not enough listening, communication and involvement. Providers need to make sure that staff have enough time and skills to listen to people and their families so they understand and can meet people’s individual needs. Equality characteristics, such as age, race and sexual orientation, risked being overshadowed by a person’s learning disability or autism because staff lacked knowledge and understanding about inequalities. Providers need to ensure that staff have appropriate training and knowledge so they can meet all of a person’s individual needs. Specialist practitioners and teams cannot hold sole responsibility for improving people’s experiences of care. Providers must make sure that all staff have up-to-date training and the right skills to care for people with a learning disability and autistic people.
  17. Content Article
    Bell Ribeiro-Addy, Member of Parliament (MP) for Streatham, who secured this debate, highlighted some of the key statistics around black maternal health and mortality in the UK: Black babies have a 121% increased risk of stillbirth and a 50% increased risk of neonatal death. Asian babies have a 55% increased risk of stillbirth and a 66% increased risk of neonatal mortality. Black women have a 43% higher risk of miscarriage, and black ethnicity is now regarded as a risk factor for miscarriage. She also referred to the findings of black maternal experiences survey carried out by grassroots organisation Five X More published earlier this year. She noted that this report highlights all the negative interactions that women experienced with healthcare professionals, from feeling discriminated against in their care to receiving a poor standard of care, which put their safety at risk, and being denied pain relief because of the trope that black women are less likely to feel pain. The Government response in this debate was provided by Maria Caulfield MP, Minister for Mental Health and Women’s Health Strategy.
  18. News Article
    The gap between the number of GPs per patient in richer and poorer parts of England is widening, according to analysis by University of Cambridge. The study for BBC Newsnight saw "stark inequalities" in GPs' distribution. Separate BBC research also found patient satisfaction on measures such as how easy a practice is to reach by phone is lower in deprived areas. The Department of Health and Social Care said it was focusing support on those who need it most. Earlier this year, public satisfaction with GP care - as measured by the British Social Attitudes poll - fell to its lowest level across England since the survey began in 1983. The fall was widespread across all income groups. The finding chimes with a Health Foundation analysis of official checks on the quality of services carried out by the Care Quality Commission (CQC). It found practices serving patients living in the most deprived areas are more likely to receive CQC ratings of "inadequate" and "requires improvement" than those serving patients who live in the most affluent areas. Read full story Source: BBC News, 4 November 2022
  19. Event
    The case for addressing poverty, its root causes and associated health inequalities is urgent and overwhelming. The Covid-19 pandemic has laid bare the harm caused by deprivation, and the cost-of-living crisis is likely to hit the poorest the hardest – leading to poorer health and lower social mobility. At this event, leaders across the NHS, local government, the voluntary, community and social enterprise (VCSE) sector, and those with lived experience will share learning on the role of the health and care sector in tackling the root causes of poverty. This King's Fund event will provide practical examples on how the health and care sector can effectively engage with partners across local government, the VCSE sector and business, to achieve meaningful progress on poverty and deliver services to the most excluded in society. You will hear about the role of NHS organisations as ‘anchor institutions’ and discuss how health and care organisations should use their influence and resources to poverty-proof services, address inequalities, and benefit the communities they serve. Register
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    The article presents analysis showing that: there are many health-related metrics, such as number of preventable deaths, that increase as deprivation increases. there are several health-related metrics, including life expectancy and those receiving support from GPs, which decrease as deprivation increases. many health-related metrics—for instance people taking up NHS Health Check invitations and access to NHS dental services—do not correlate with the level of deprivation. The article argues that getting a better understanding of these relationships can help to underpin strategies to improve outcomes and drive improvements in population health.
  23. News Article
    The number of people under 40 in the UK being diagnosed with type 2 diabetes is rising at a faster pace than the over-40s, according to “shocking” and “incredibly troubling” data that experts say exposes the impact of soaring obesity levels. The UK ranks among the worst in Europe with the most overweight and obese adults, according to the World Health Organization. On obesity rates alone, the UK is third after Turkey and Malta. The growing numbers of overweight and obese children and young adults across the UK is now translating into an “alarming acceleration” in type 2 diabetes cases among those aged 18 to 39, analysis by Diabetes UK suggests. There is a close association between obesity and type 2 diabetes. There is a seven times greater risk of type 2 diabetes in obese people compared with those of healthy weight, and a threefold increase in risk for those just overweight. “This analysis confirms an incredibly troubling growing trend, underlining how serious health conditions related to obesity are becoming more and more prevalent in a younger demographic,” Chris Askew, the chief executive of Diabetes UK, said. He added: “While it’s important to remember that type 2 diabetes is a complex condition with multiple other risk factors, such as genetics, family history and ethnicity, these statistics should serve as a serious warning to policymakers and our NHS. “They mark a shift from what we’ve seen historically with type 2 diabetes and underline why we’ve been calling on the government to press ahead with evidence-based policies aimed at improving the health of our nation and addressing the stark health inequalities that exist in parts of the UK.” Read full story Source: The Guardian, 1 November 2022
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    A case of MRSA has been reported at the congested asylum processing centre at Manston in Kent, the Guardian has learned, after it emerged that Suella Braverman ignored advice that people were being kept at the centre unlawfully. The antibiotic-resistant bacteria was identified in an asylum seeker who initially tested positive for diphtheria. But the asylum seeker was moved out of the site in Ramsgate to a hotel hundreds of miles away before the positive test result was received, raising concerns about the spread of the infection. The Manston site is understood to now have at least eight confirmed cases of diphtheria, a highly contagious and potentially serious bacterial infection. Migrants are meant to be held at the short-term holding facility, which opened in January, for 24 hours while they undergo checks before being moved into immigration detention centres or asylum accommodation such as a hotel. But giving evidence to a committee of MPs last week, David Neal, the independent chief inspector of borders and immigration, said he had spoken to a family from Afghanistan living in a marquee for 32 days, and two families from Iraq and Syria sleeping on mats with blankets for two weeks. Conditions at the site left him “speechless”, he said. On a visit to the site on 24 October, Neal was told there were four confirmed cases of diphtheria. Protective medical equipment for staff has now been brought on to the site. Although diphtheria is a notifiable disease, meaning cases must be reported to authorities, those at Manston have not appeared on weekly public health reports. A Home Office spokesperson said it was “aware of a very small number of cases of diphtheria reported at Manston”, and that proper medical guidance and protocols were being followed. Read full story Source: The Guardian, 30 October 2022
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