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Found 1,519 results
  1. News Article
    One of the NHS’s biggest hospital trusts has declared its cancer waiting list is now at an ‘unmanageable size’. Mid and South Essex Foundation Trust leaders set out the stark judgement in a paper for its July board meeting, held last week. The report said: “The 62-day [referral to treatment backlog as of 3 July] has increased for the second consecutive week to 1,055. “[The cancer patient tracking list] is getting bigger and has reached an unmanageable size. Referral rates have plateaued from March 2021 [but] treatment rates have not increased in line with PTL growth. “This points to a noisy PTL, where the hospital is extremely busy managing patients who do not have cancer.” The paper also said NHS England had recognised the trust’s 62-day cancer target needed to be delivered “in more realistic and achievable stages”. It highlighted particular concerns around a “serious” demand and capacity problem in its dermatology department which contributed to almost half of its 62-day backlog. The trust had 445 62-day RTT cancer breaches in dermatology alone in May, the latest data reported. Read full story (paywalled) Source: HSJ, 22 July 2022
  2. News Article
    Maternity failings continue to account for the majority of billions of pounds spent by the NHS on clinical negligence claims, as an NHS body warns of the “devastating” consequences of poor care. Two-thirds of the £13bn spent by the NHS in 2021-21 in respect of negligence claims was related to maternity care, according to new data. A report released by NHS Resolution said it was “a stark reminder that although the NHS remains one of the safest healthcare systems in the world within which to give birth, avoidable errors within maternity can have devastating consequences for the child, mother and wider family, as well as the NHS staff involved.” According to the figures, 1,243 maternity-related negligence claims were reported to the NHS in 2021-22, up from 1,571 in the previous year. The data also shows that 200 claims relating to cerebral palsy or brain damage were received in 2021-22 – a decrease from the previous year, in which there were 250. The organisation said that the growth in obstetrics claims over the past three years was due to trusts reporting cases of cerebral palsy and brain damage earlier through its early notification scheme, which was launched in 2017. Read full story Source: The Independent, 24 July 2022
  3. News Article
    The large number of unfilled NHS job vacancies is posing a serious risk to patient safety, a report by MPs says. It found England is now short of 12,000 hospital doctors and more than 50,000 nurses and midwives, calling this the worst workforce crisis in NHS history. It said a reluctance to decisively plug the staffing gap could threaten plans to tackle the Covid treatment backlog. The government said the workforce is growing and NHS England is drawing up long-term plans to recruit more staff. Former Health Secretary Jeremy Hunt, who chairs the Commons health and social care select committee that produced the report, said tackling the shortage must be a "top priority" for the new prime minister when they take over in September. "Persistent understaffing in the NHS poses a serious risk to staff and patient safety, a situation compounded by the absence of a long-term plan by the government to tackle it," he said. It said conditions were "regrettably worse" in social care, with 95% of care providers struggling to hire staff and 75% finding it difficult to retain existing workers. "Without the creation of meaningful professional development structures, and better contracts with improved pay and training, social care will remain a career of limited attraction, even when it is desperately needed," the report said. Read full story Source: BBC News, 25 July 2022
  4. News Article
    NHS England is introducing a new ceiling on the amount spent within each integrated care system on agency staff — cutting it by at least 10% in each area in one year — as part of a drive to find further savings across the health service. Integrated Care Services (ICSs) have been told to cut spending on temporary staff by providers in their area by at least 10%, or £257m, on 2021-22 levels, taking expenditure down to a total of £2.3bn nationally. A letter to finance directors sent today, seen by HSJ says: “This will mean that some systems will need to go beyond their current financial plans to reduce agency expenditure.” The move is part of a wider efficiency crackdown from NHS England, with further national control measures to be introduced over the next 18 months. HSJ understands that the renewed drive will focus on five other areas in addition to agency spend: medicines, pathway redesign, corporate services, procurement and specialised commissioning. The extra savings ask comes on top of ICSs already committing to £5.5bn in efficiencies over 2022-23, which Nuffield Trust CEO Nigel Edwards said was “not a credible savings target”. Read full story (paywalled) Source: HSJ, 20 July 2022
  5. News Article
    One of the NHS’s biggest hospital trusts is facing major problems after its IT system failed because of the extreme temperatures earlier this week. Guy’s and St Thomas’ trust (GSTT) in London has had to cancel operations, postpone appointments and divert seriously ill patients to other hospitals in the capital as a result of its IT meltdown. The situation means that doctors cannot see patients’ medical notes remotely and are having to write down the results of all examinations by hand. They are also unable to remotely access the results of diagnostic tests such as X-rays and CT and MRI scans and are instead having to call the imaging department, which is overloading the department’s telephone lines. GSTT has declared the problem a “critical site incident”. It has apologised to patients and asked them to bring letters or other paperwork about their condition with them to their appointment to help overcome doctors’ loss of access to their medical history. One doctor at GSTT, speaking on condition of anonymity, said: “This is having a major effect. We are back to using paper and can’t see any existing electronic notes. We are needing to triage basic tests like blood tests and scans. There’s no access to results apart from over the phone, and of course the whole hospital is trying to use that line. “Frankly, it’s a big patient safety issue and we haven’t been told how long it will take to fix. We are on divert for major specialist services such as cardiac, vascular and ECMO.” Read full story Source: The Guardian, 21 July 2022
  6. News Article
    Serious incidents causing patient harm have increased steeply compared to previous years at an ambulance service whose nursing director still expects will “fail” next month under mounting service pressures. There were 98 patient harm incidents at West Midlands Ambulance Service in June, official data obtained by HSJ suggests, up from 49 in the same month last year. The figures show that from April-June this year, 262 harm incidents have been logged – a 240% on 77 in the same period in 2019 and a 71% on 153 last year. Nursing director Mark Docherty, who previously warned the service was facing a “Titanic moment” and would “all fail” around a specific date of 17 August, said much of the increase can be attributed to worsening hospital handover delays. More than 700 people at one time waited for ambulances “that were not going to turn up” on Monday, according to Mr Docherty, who described the situation as a “really dangerous place to be”. Mr Docherty explained how the harm incidents, including deaths, resulted from growing delays: ”You can’t underplay the risk. If you’ve got 750 patients like we did on Monday waiting, none of those patients have been assessed. “Sadly, amongst them there will have been patients with stroke who won’t be treated because they’ve waited too long." Read full story (paywalled) Source: HSJ, 15 July 2022
  7. News Article
    More than a quarter of nursing staff in hospitals across the UK say patient care is being compromised due to treatment taking place in the wrong setting. Investment in the nursing workforce is needed now, the Royal College of Nursing insists, as survey findings show clinical care is taking place in settings such as hospital corridors and waiting rooms rather than on wards. The poll of more than 20,000 nursing and midwifery staff found the situation is worst in emergency care settings where nearly two-thirds of respondents reported the problem. Elsewhere, more than a quarter of nursing staff who responded say patients are being treated in the wrong setting, meaning their care is being compromised and even made unsafe. Staff shortages are a key factor, and across health and social care settings this is causing delays to patients being discharged into the community. This leaves hospitals full, with emergency care staff having to provide care in inappropriate settings. One specific issue identified by respondents was extra beds being added to wards, making carrying out care more difficult, and leading to a lack of privacy for patients and their families. A nurse who works on an NHS adult acute ward in Scotland said patients and their relatives had complained about an extra bed being squeezed into a four-bedded bay, meaning they had no buzzer, no curtains and were not two-metre distanced. She added: “I feel incredibly frustrated and embarrassed. It is totally inappropriate for ward rounds, nursing procedures, COVID precautions and an extra stress on staff.” Read full story Source: Royal College of Nursing, 14 July 2022
  8. News Article
    NHS England’s director of community health has said a new strategy for rehabilitation care is needed, because present coverage is sometimes ‘bizarre’, with other services ‘masquerading’ as rehab. Matthew Winn, who is also Cambridgeshire Community Services Trust CEO and senior responsible officer of the “ageing well” programme in the NHS long-term plan, made the comments in a webinar for local senior clinicians and managers in the sector. He said there was an intention to roll out a national “intermediate care strategy”, describing it as “the essence” of providing rehabilitation and helping hospital patients to “optimise, to recover, to rehab through a skilled multiprofessional team”. They would leave hospital in a “timely pathway” and not need as much social care support afterwards. It comes amid huge pressure to speed up hospital discharge, which often relies on rehab services. Read full story (paywalled) Source: HSJ, 14 July 2022
  9. News Article
    A couple whose baby died in Nottingham say they are "furious" at a memo to hospital staff criticising media coverage of the city's maternity units. Jack and Sarah Hawkins, whose daughter Harriet died in 2016, have led calls for an inquiry into failings. Nottingham University Hospitals NHS Trust (NUH) is at the centre of a review into failings at the city's maternity units. After years of campaigning and an earlier review which was abandoned, experienced midwife Ms Ockenden was appointed in May. On Tuesday it emerged Ms Wallis had sent a memo to NUH maternity staff which read: "Yesterday, (Monday 11th) Donna Ockenden met with families as part of the new independent review process. "Some of you will no doubt have seen some of the media fall out." "Yet again they painted a damning picture of our maternity services, leaving out of their reports the great work that has been done, the improvements that have been introduced and the passion and commitment of all of the staff." Mr and Mrs Hawkins told the Local Democracy Reporting Service: "It's not just the families and the press ganging up - there is very real concern about safety. For senior leadership to not be saying that they have a problem is beyond us." Hospital bosses have "wholeheartedly apologised" for offence caused. Read full story Source: BBC News, 13 July 2022
  10. News Article
    A spike in Covid absences and the extended heatwave have left NHS hospitals and ambulance services struggling to cope. The hot weather is also driving more patients to A&E departments, and callers are being urged not to use 999 except in serious emergencies. All 10 ambulance trusts in England are on black alert, the highest level, while health leaders warn that “ill-equipped” hospital buildings are struggling to store medicines correctly amid the abnormally high temperatures. Martin Flaherty, managing director of the Association of Ambulance Chief Executives, said: “The NHS ambulance sector is under intense pressure, with all ambulance services operating at the highest level of four within their local resource escalation action plans, normally only ever reserved for major incidents or short-term periods of unusual demand. “Severe delays in ambulance crews being able to hand over their patients at many hospital emergency departments are having a very significant impact on the ambulance sector’s ability to respond to patients as quickly as we would like to, because our crews and vehicles are stuck outside those hospitals.” Read full story Source: The Independent, 12 July 2022
  11. News Article
    An ambulance trust lost 1,700 hours of working time in one week in April due to vehicles waiting outside a hospital. The BBC has discovered that the figure was reached twice during April as ambulance crews waited outside Gloucestershire Royal Hospital in Gloucester to handover patients. That equates to about 70 days worth of waiting time each week. The trust that runs the hospital said it was facing "significant challenges" as it dealt with "unrelenting demand". Figures show that since the end of January, South Western Ambulance Service NHS Foundation Trust (SWASFT) has lost a minimum of 800 hours of working time each week due to ambulances having to wait outside Gloucestershire Royal Hospital, unable to get patients into A&E. The national target for transferring patients from ambulances in to A&E is 15 minutes, but in some cases people had to wait up to 10 hours in ambulance queues in Gloucester. Read full story Source: BBC News, 12 July 2022
  12. News Article
    The NHS's approach to tackling children’s mental health is “threatening to overwhelm the social care system”, the president of the Association of Directors of Children’s Services has warned. Steve Crocker believes the NHS is “not doing a very good job” for children, describing how children are typically now waiting four months for a mental health assessment and over a year for treatment as being “simply not good enough”. He admitted he was being “deliberately provocative” around children’s mental health at the opening of the ADCS conference yesterday, as he wants to see “more collaboration” from the new Integrated Care Systems (ICSs), which were put on a statutory footing this month. Mr Crocker warned delegates that under the ICS reforms, there is an “ongoing risk that the needs of children are sidelined by the ongoing pressure in acute adult services”. “The House of Lords amendment ensuring each ICS has a children’s strategic lead was a welcome development, but does it go far enough?” he asked. Mr Crocker told LGC: “Children's mental health should be a priority for every ICS in the country. I can't imagine any reason why any ICS would not do that." Read full story Source: Local Government Chronicle, 8 July 2022
  13. News Article
    Implementation of Boris Johnson’s flagship pledge to build 40 new hospitals is “moving at a glacial pace” and is hamstrung by delays and a lack of funding, NHS bosses have warned. Some of the construction schemes have already fallen as much as four years behind schedule, while others have been hit by massive cost increases because of difficulties in obtaining sign-off on certain points. The new hospitals programme in England is progressing so slowly that bosses of half of the hospitals earmarked to benefit doubt whether they will ever get the money to deliver the promised rebuild, according to a report and survey of health service trust chiefs by NHS Providers. One hospital in a rural area had to send seriously ill patients to other hospitals as much as 50 miles away and cancel cancer surgery when an inspection found that the ceiling of its intensive care unit was in danger of collapsing. Another hospital has had to close an entire ward for the same reason, while another is plagued with sewage regularly leaking into clinical areas because of the age of the facility. One trust chief executive said: “The whole fabric of the building is shot and we need to rebuild. The build was supposed to be completed in 2024 but [we are] now looking at 2027.” Another boss said: “We operate 21st-century healthcare from 19th-century buildings – increasingly unsustainable.” Read full story Source: The Guardian, 8 July 2022
  14. News Article
    The NHS will have to cut investment in cancer care if ministers award frontline staff a pay rise above 3% but refuse to provide extra money to cover it, health service bosses have warned. The NHS England chief executive, Amanda Pritchard, and Julian Kelly, its chief financial officer, made clear their belief that soaring inflation means the service’s 1.3 million staff deserve a pay award of more than the 3% the government has already given the organisation funding to cover. But they warned that any increase above that would force it to cut services, including primary care and the planned new nationwide network of centres intended to diagnose killer diseases early – unless the Treasury covers the cost of the higher amount. If ministers do award staff more, then the 3% originally planned “we would then be looking at having to … cut back on investment in our major areas, when our major areas are primary care, cancer care, or indeed at the margin … some big capital investments. In fact we were just talking about the diagnostic centres [intended to spot cancer and other illnesses sooner]", said Kelly. “[A] pay settlement higher than 3% and no extra money would entail some really difficult decisions.” It is “not realistic” to expect the NHS to absorb any extra costs, he added. Read full story Source: The Guardian, 7 July 2022
  15. News Article
    The chief executive of a hospital has said the building is not in a condition "we should expect any of our nearest and dearest to receive care" in. Kettering General Hospital chief executive Simon Weldon described the site as "a big hotchpotch of things, some things that are new, about 10 years old, to things that are 100 years old, and everything in between". He added: "Those are not conditions a modern hospital should be proud of, those are not conditions we should ask any staff to work in, they are not the conditions we should expect any of our nearest and dearest to receive care." The initial £46m the hospital was award in 2019 was to replace the temporary "power plant". Mr Weldon said he would submit a business case to get money "to fix the vital infrastructure work that will keep this site safe". But he said the hospital really needed to be rebuilt, and that "fixing the hospital would be bad value for taxpayers". Read full story Source: BBC News, 7 July 2022
  16. News Article
    The controversial ‘SIM’ mental healthcare model sometimes ‘blurred’ the role of police with healthcare staff, according to results of local reviews seen by HSJ. Following a whirlwind of concerns last summer, national clinical director Professor Tim Kendall wrote to mental health trust medical directors urging them to review use of the controversial Serenity Integrated Mentoring (SIM) programme. Pressure to investigate the model, which has been used by at least 22 NHS trusts in recent years, came from patient groups and clinicians alike. One year on and results of local reviews, obtained under the Freedom of Information Act, have revealed a varying picture of SIM’s use across English mental health trusts. Professor Kendall’s letters, seen by HSJ, asked trusts to investigate five key areas of concern. These included: a lack of patient reported outcomes; adherence to National Institute for Health and Care Excellence guidelines on self-harm and personality disorders; the principle of police involvement in case management; the legal basis for sharing patient records; and human rights/equalities implications. Read full story (paywalled) Source: HSJ, 7 July 2022
  17. News Article
    An acute trust has had to stand down a new service which led to a ‘marked improvement’ in ambulance handover times, due to a lack of permanent funding to support it. In recent months, York and Scarborough Teaching Hospitals Foundation Trust has deployed additional staff to receive and care for patients arriving by ambulance, meaning ambulance crews could be released more quickly. A report to the trust board last month said of the scheme: “Data shows a marked improvement in ambulance release times when deployed.” However, it would cost £1m per year to fully implement the service and the report said commissioners had confirmed there is “no external funding to support this cost”. There have been mounting concerns in recent months over the handover delays experienced by paramedics when taking patients to hospital, which have severely affected their response times for new incidents. In a statement, the trust said it was discussing with system partners how the service, which was introduced on a “short-term basis”, could be supported in future. It was delivered by independent ambulance and healthcare provider CIPHER Medical and used at peak times such as bank holiday weekends. Read full story (paywalled) Source: HSJ, 6 July 2022
  18. News Article
    NHS England has set trusts and systems a ‘100-day challenge’ to discharge more patients from hospital and free up beds before winter. David Sloman, chief operating officer of NHSE, has asked leaders of integrated care boards, acute and community trusts in a letter sent last week to adopt 10 “best practice initiatives” which he said “can make a significant difference in facilitating discharge and improving care for patients”. Trusts and systems have been given until 30 September to have a “full understanding” of the initiatives (listed below) and “infrastructure in place” to implement them. The initiatives include setting expected dates of discharge for patients within 48 hours of admission, “apply seven-day working” to discharge more patients at weekends, treat delayed discharge as “a potential harm event” and to manage workforces in community and social care services “to better match predicted patterns in demand”. Sir David has told regional and local leaders that a dedicated national NHSE team will set up “launch meetings” in each system, which will ensure there is “a focus on improving processes and performance around discharge”. Read full story (paywalled) Source: HSJ, 5 July 2022
  19. News Article
    Paramedics have begun looking after patients inside an A&E unit, in an initiative by the health service to stop ambulances queueing outside hospitals and ease the strain on overstretched casualty staff. The scheme has led to patients being handed over much more quickly at a hospital that was one of the worst in England for sick people being stuck, sometimes for many hours, in the back of an ambulance. Queen’s hospital in Romford, in east London, has set up an ambulance receiving centre (ARC) near its main casualty unit in which two London Ambulance Service paramedics are on duty round the clock to help look after patients who would otherwise be trapped outside or in a corridor, waiting to be seen. Patients who end up in the new six-cubicle unit behind the A&E nurses’ station have a better experience while they wait and are more comfortable – and safer – because they can have their relatives with them, eat and drink and use the toilet more easily. Almost 2,000 patients have passed through the ARC since it opened last November, saving nearly 13,000 hours of ambulance crews’ time and enabling them to respond to emergency calls more quickly. However, some A&E doctors regard the scheme as merely “a sticking plaster”, given that queues of ambulances have become common outside many hospitals and that casualty units are treating the lowest percentage of patients within four hours on record. Read full story Source: The Guardian, 3 July 2022
  20. News Article
    Elective activity levels are still significantly below those achieved before the pandemic, despite the high profile and government-led drive to recover services. HSJ has seen internal data which suggests raw elective activity levels from the start of April to mid-June have averaged around 88% of that recorded in the same period during 2019-20. This is despite the NHS aiming to deliver activity levels of at least 110% above the pre-covid benchmark in 2022-23, in its attempt to make inroads into record elective care waiting lists. According to senior and well-placed sources, the continued low activity levels have sparked discussions within NHSE about easing or resetting the expectations for the year. It had been hoped that increased activity from May onwards would start to drive down the waiting list – or at least slow its growth. However, the data obtained by HSJ suggests activity levels continue to disappoint. Sources pointed to repeated covid waves and related pressures through the spring, saying this has hampered efforts to ramp up activity. Read full story (paywalled) Source: HSJ, 4 July 2022
  21. News Article
    The NHS is facing a shortage of laundry supplies that could have a “knock-on effect” on bed numbers, an industry leader has warned, with staff at one trust recently told to “only change linen if essential”. The Textile Services Association (TSA), which represents multiple laundry businesses that provide supplies to the NHS, said Brexit and the pandemic had caused large labour shortages which were making it difficult to meet demand across the healthcare and hospitality sectors. David Stevens, chief executive of TSA, told The Independent that “shortages of linen and laundry will have a knock-on effect on the provision of beds in trusts”, adding that the “bounce back post-Covid created a high demand for product and the supply chain was not able to deliver”. In an internal email circulated to staff last month at Oxford University Hospitals NHS Trust, one senior official said both the trust and the NHS were “currently experiencing severe issues with the supply chain for linen deliveries,” adding that the situation is “currently very serious”. The email reads: “Please follow good Infection Prevention and Control practices, but only change linen if essential. For example, always change bed linen between patients, but do not change inpatients’ bed linen daily if at all possible.” Read full story Source: The Independent, 30 June 2022
  22. News Article
    Digital improvement will be added to the conditions which trusts and integrated care systems have to legally meet as part of their operating licence, the government has indicated. The move is part of a raft of actions unveiled by the Department of Health and Social Care which are intended to “modernise” the NHS. The Plan for Digital Health and Social Care states: “At present, there are limited formal mechanisms for overseeing delivery of NHS digital priorities. Digital does not yet feature in the provider licence, system oversight framework, or Care Quality Commission assessments.” It adds: “We are exploring options for filling this gap in discussions between NHS England and the CQC, and through a review and consultation with system leaders and frontline staff.” New “regulatory levers” will be used to: “signal that digitisation is a priority, identify the non-negotiable standards of digital capability, [and] explain how we will monitor and support compliance”. Read full story (paywalled) Source: HSJ, 30 June 2022
  23. News Article
    The privatisation of NHS care accelerated by Tory policies a decade ago has corresponded with a decline in quality and “significantly increased” rates of death from treatable causes, the first study of its kind says. The hugely controversial shakeup of the health service in England in 2012 by the health secretary, Andrew Lansley, in the Tory-Lib Dem coalition government, forced local health bodies to put contracts for services out to tender. Billions of pounds of taxpayers’ cash has since been handed to private companies to treat NHS patients, according to the landmark review. It shows the growth in health contracts being tendered to private companies has been associated with a drop in care quality and higher rates of treatable mortality – patient deaths considered avoidable with timely, effective healthcare. The analysis by the University of Oxford has been published in the Lancet Public Health journal. “The privatisation of the NHS in England, through the outsourcing of services to for-profit companies, consistently increased [after 2012],” it says. “Private-sector outsourcing corresponded with significantly increased rates of treatable mortality, potentially as a result of a decline in the quality of healthcare services.” Read full story Source: The Guardian, 29 June 2022
  24. News Article
    The shortage of GPs in England is set to become worse, with more than one in four posts predicted to be vacant within a decade, an analysis suggests. The Health Foundation study said the current 4,200 shortfall could rise to more than 10,000 by 2030-31. The think tank believes the government will struggle to increase the number of GPs, while demand will continue to rise - creating a bigger shortfall. The government has promised to recruit 6,000 extra GPs by 2024, but ministers have admitted they are struggling to achieve that. The analysis said the numbers entering the profession are on the rise, but this will be offset by GPs retiring or moving towards part-time working, according to current trends. The worst-case scenarios suggested more than half of GP posts could even be vacant. Anita Charlesworth, director of research at the Health Foundation, said: "It's sobering that over the next decade things are set to get worse, not better." "It's critical that government takes action to protect general practice and avoid it getting locked in a vicious cycle of rising workload driving staff to leave, in turn creating more pressure on remaining staff and fuelling even more departures." Prof Martin Marshall, chairman of the Royal College of GPs, said the predictions were "bleak" and the worst-case scenario would be a "disaster". "Our members have told us they lack the time to deliver the care that they want to deliver for patients - and that patients need," he said. Read full story Source: BBC News, 30 June 2022
  25. News Article
    A coroner has said Britain is failing young people and more will die because of under-resourced mental health services, as she ruled that neglect led to the death of a 14-year-old girl. Penelope Schofield, the senior coroner for West Sussex, said she would write to the health secretary, Sajid Javid, to raise concerns after the case of Robyn Skilton, who killed herself after being let down by “gross failures” in NHS mental health services. Robyn, from Horsham in West Sussex, disappeared from her family home and took her own life in a park on 7 May last year, her inquest in Chichester heard. Despite serious concerns about her mental health, Robyn did not get face-to-face consultations, was not seen by a child psychiatrist or assessed for mental health issues, and was discharged from an NHS service a month before her suicide though she was on its high-risk “red list”. Her father, Alan Skilton, told the inquest he pleaded for help, and he described the lack of care his daughter received as “astonishing”. He said he believed that if Robyn had been seen earlier, her mental health would have improved and she would not have killed herself. The coroner said: “As a society we are failing young people.” She said she was shocked to hear that the number of young people seeking mental health help had increased by 95%. “Trying to manage it without more resources means we are not providing the help that young people need. Robyn’s case is a testament to that. It’s a clear risk that more lives will be lost if we don’t address it.” Read full story Source: The Guardian, 29 June 2022
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