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Found 1,519 results
  1. News Article
    A chief executive whose hospital has been accused of failing children has admitted it has not always "got it right" and apologised at a meeting. The care regulator has warned Kettering General Hospital (KGH) over its children's and young people's services and rated them inadequate. Dozens of parents with children who died or became seriously ill have contacted the BBC with concerns. Deborah Needham told a board meeting she was "here to listen" to worries. In April it was revealed inspectors from the Care Quality Commission (CQC) raised concerns over sepsis treatment, staff numbers, dirt levels and not having an "open culture" where concerns could be raised without fear, following an inspection in December. The CQC had inspected the Northamptonshire hospital's paediatric assessment unit, Skylark ward, and the neonatal unit after hearing concerns of safety. Read full story Source: BBC News, 9 June 2023
  2. News Article
    The Royal College of Radiologists is warning that all four UK nations are facing "chronic staff shortages", with cancer patients waiting too long for vital tests and treatments. Half of all cancer units are now reporting frequent delays for both radiotherapy and chemotherapy. Ministers say a workforce strategy for the NHS in England is due shortly. The plan, which is meant to spell out how the government will plug staffing gaps over the next 15 years, has been repeatedly delayed, to the frustration of some in the health service. In June 2022, Carol Fletcher, from South Wales, finally had her routine screening appointment for breast cancer, which was itself overdue. "It took another eight weeks after my mammogram before I was told there might be something wrong," she said. Since her cancer diagnosis, there have been more waits - for scans, tests, surgery and then chemo. "I was told that I might not get results back [quickly] after my mastectomy because they haven't got enough pathologists, so there was another eight-week delay for chemotherapy," she said. "I can't plan for the future and it's had a huge impact on my family." Read full story Source: BBC News, 8 June 2023
  3. News Article
    Seven integrated care systems and one ambulance trust have been placed in ‘intensive support’ because of their performance against urgent and emergency care metrics. NHS England launched the new intervention regime for emergency care earlier this year to measure progress against the urgent and emergency care recovery plan. The most troubled systems and organisations are now placed in a first “tier” and will receive central support from NHSE. Other systems requiring support from NHSE regional teams are placed in a secondary tier. This tiered approach is already in place for cancer and elective performance. Support will include help with analytical and delivery capacity, “buddying” with leading systems and “targeted executive leadership”. Read full story (paywalled) Source: HSJ, 7 June 2023
  4. News Article
    The mother of a seriously ill boy said she was "very alarmed" when a doctor at an under-fire children's ward admitted they were "out of their depth". In October, Carys's five-year-old son Charlie was discharged from Kettering General, but she returned him the next day in a "sort of lifeless" state. She said it seemed "quite chaotic" on Skylark ward before he was transferred to another hospital for further tests. Since the BBC's report in February that highlighted the concerns of parents with children who died or became seriously ill at the hospital, dozens more have come forward. In April, Care Quality Commission (CQC) inspectors rated the Northamptonshire hospital's children's and young people's services inadequate. Among the findings, inspectors said "staff did not always effectively identify and quickly act upon patients at risk of deterioration". Read full story Source: BBC News, 6 June 2023
  5. News Article
    The mayor of London is independently reviewing NHS England plans to reconfigure children’s cancer services in the capital, which were triggered when the commissioner finally accepted the current arrangements are unsafe. In a letter to NHSE London director Caroline Clarke, Sadiq Khan’s health adviser said the mayor would apply his six tests for major reconfigurations to both the options proposed for the “principal treatment centre” for paediatric cancer in south London. NHSE London is currently running a process to decide the principal treatment centre's location. An earlier assessment put the bid from the Evelina Hospital, part of Guy’s and St Thomas’ Foundation Trust, ahead of the other bidder, St George’s University Hospitals FT. Read full story (paywalled) Source: HSJ, 5 June 2023
  6. News Article
    One in five cases in which patients attend A&E needing mental healthcare are spending more than 12 hours in the department – at least double the rate of patients with physical health problems. Unpublished internal NHS data seen by HSJ also suggests the proportion of mental health patients suffering long waits in accident and emergency has almost tripled when compared to the situation before the pandemic. According to the data, the proportion of attendances by patients with a mental health problem who waited more than 12 hours in A&E before being admitted or discharged increased from 7% (34,945 breaches) in 2019-20 to 20% (88,250 breaches) in 2022-23. The situation has become so difficult, that some acute trusts are spot purchasing private sector mental health in order to discharge patients. Read full story (paywalled) Source: HSJ, 5 June 2023
  7. News Article
    Multiple problems have been highlighted with the leadership and governance of a much-vaunted integrated care system, including a lack of trust between organisations which often hide information that could weaken their position. HSJ has seen an executive summary of the review of Greater Manchester ICS, which cited widespread concerns around the allocation of resources, confusion about the role of commissioning, and “muddled” governance, including: a lack of transparency and trust between partners, with some only sharing a “partial overview” of performance and finances which drives choices likely to “bias” some organisations; complex architecture of system boards, committees and forums, with “muddled” governance, unclear paths for critical decisions to be made, and unclear delegations to localities; frustration at the quantum of meetings that take place at system, locality and provider level. Read full story (paywalled) Source: HSJ, 2 June 2023
  8. News Article
    The NHS in England faces an uphill struggle to improve productivity as it confronts record waiting lists, with data suggesting that an increase in staff numbers alone will not transform its performance. Creaking infrastructure, a sicker population and a reliance on less experienced staff are hampering the health service’s attempts to treat people in greater numbers than before the pandemic, according to health experts. This difficult context is casting a shadow over the government’s goal that hospital waiting lists should be falling by the next election. Read full story (paywalled) Source: Financial Times, 1 June 2023
  9. News Article
    Failing mental health services that do not improve, whether run by private firms or the NHS, could be shut, a Care Quality Commission (CQC) chief has said. It follows the watchdog judging as "inadequate" three child wards at the Priory Group's biggest hospital. The wards at Cheadle Royal, near Manchester, "did not always provide safe care", the CQC found. The unannounced inspection of Cheadle Royal took place earlier this year "in response to concerns about safety". BBC News first reported in January three women had died at the hospital last year, although not in the wards inspected for this report. The CQC's new director of mental health services, Chris Dzikiti, said he was determined to drive up standards in all units and warned he will close services who fail to improve. Read full story Source: BBC News, 31 May 2023
  10. News Article
    A chief executive has compared a lack of investment into mental health estate to ‘institutionalised discrimination’, after no new schemes were accepted on to the ‘40 new hospitals’ programme. HSJ revealed that almost 50 capital projects from mental health trusts attempted to win one of the final places on the “new hospitals programme”, but all were taken by new acute schemes. Some of the trusts that submitted unsuccessful bids are using buildings which are more than 100 years old and were constructed without modern care practices in mind. Many of the bids raised safety concerns about the current estates. Joe Rafferty, chief executive of Mersey Care Foundation Trust, told HSJ: “If there’s been a priority order, mental health has been at the back of the queue. “It’s almost a sort of institutionalised discrimination in a way… there is a risk that the system itself is stigmatised or discriminated against mental health patients. Read full story (paywalled) Source: HSJ, 31 May 2023
  11. News Article
    Multiple trusts have expressed disappointment at being overlooked in the government’s latest announcement on the ‘40 new hospitals’ programme. In 2021, ministers expanded the new hospitals programme by inviting bids for another eight projects to be funded nationally. However, last week they confirmed that just five new bids – all acute hospitals with unsafe roof plank structures – had been accepted. Multiple mental health trusts have also expressed frustration, after just one new mental health scheme has been included in the list of 40 “new” hospitals, although the government is counting three which were already in progress outside the programme. Joe Rafferty, chief executive of Mersey Care, has compared a lack of investment into mental health estate to “institutionalised discrimination”. Bradford District Care said it was “very disappointing” to find out its bid to replace “wholly unsuitable” wards designed in the 1950s had not been accepted, adding: “Still no parity for mental health in the total NHP funding allocation so far.” Read full story (paywalled) Source: HSJ, 31 May 2023
  12. News Article
    NHS leaders have raised concerns about the delay to the long-awaited workforce plan, after the health secretary, Steve Barclay, refused to give a deadline for its publication and with rumours suggesting it is considered too costly. The plan, which was expected to be published on Tuesday, appears to have been delayed, according to the deputy chief executive of NHS Providers, Saffron Cordery. Barclay blamed the pandemic and “various things that have been happening in recent years” for the delay during broadcast interviews over the weekend. He had previously promised that the plan to increase the number of doctors and nurses would be published before the next general election. Cordery said the plan, which aims to fix the UK’s crumbling healthcare system by plugging chronic staff shortages but which has already been postponed from last year, was needed “as quickly as possible”. Until this weekend NHS Providers – which represents all England’s hospital, ambulance, community and mental health trusts – had believed publication of the plan was “imminent”. Cordery suggested that the failure to release it could be linked to the need for funding. Read full story Source: The Guardian, 29 May 2023
  13. News Article
    The Met Police's plan to stop attending emergency mental health incidents is "potentially alarming", a former inspector of constabulary has said. From September, officers will only attend mental health 999 calls where there is an "immediate threat to life". The Met argues the move will free up officers after a significant rise in the number of mental health incidents being dealt with by the force in the past five years. Metropolitan Police Commissioner Sir Mark Rowley wrote to health and social care services in Greater London to inform them of the plan last week. In the letter, which has been seen by the BBC, Sir Mark said it takes almost 23 hours on average from the point at which someone is detained under the Mental Health Act until they are handed into medical care. He writes that his officers are spending more than 10,000 hours a month on "what is principally a health matter", adding that police and other social services are "collectively failing patients" by not ensuring they receive appropriate help, as well as failing Londoners more generally because of the effect on police resources. However Zoe Billingham, who is now chair of the Norfolk and Suffolk NHS mental health trust after 12 years as Her Majesty's Inspector of Constabulary and Fire and Rescue, warned mental health services are "creaking" and "in some places are so subdued with demand they are not able to meet the requirements of people who need it most". Speaking to BBC Radio 4's Today programme, she warned there is "simply no other agency to call" other than the police for people in crisis, adding: "There isn't another agency to step in and fill the vacuum." Read full story Source: BBC News, 29 May 2023
  14. News Article
    Patients are being urged to shop around on the NHS app and website to cut their waiting time for treatment in England. IT systems have been updated to allow patients to more easily exercise their right to choose where they go for planned care, such as knee operations. They will now be able to view up to five providers - filtered by distance, waiting times and quality of care. But hospitals warned staffing shortages still needed to be tackled to make the biggest impact on waits. The idea of choosing where to go for treatment has been in place since the early 2000s, but few use it. Currently only1 in 10 exercises their right to choose, with patients reporting they are not always offered a choice of where to go or that it is hard to select different venues. Ministers believe that by searching the list of different hospitals, patients will be able to reduce their waits - potentially by up to three months, research suggests. Read full story Source: BBC News, 25 May 2023
  15. News Article
    The health secretary is set to signal a major delay to one of the headline promises in the last Conservative manifesto by suggesting the delivery of 40 new hospitals in England is likely to be pushed back until after 2030. In a move that will spark anger among MPs who wanted “spades in the ground” before the next election, government sources said Steve Barclay would make the announcement today. The pledge to build and fund “40 new hospitals over the next 10 years” was one of the major headlines of Boris Johnson’s pitch to the electorate in 2019. Sources indicated the government had been ready to make the announcement about the probable delay for some time, but it was repeatedly pushed back because of fears about a backlash from Tory MPs. Rundown NHS hospitals have become a danger to patients, warn health chiefs Read full story Source: The Guardian, 25 May 2023
  16. News Article
    A safety investigation has warned that young people with complex mental health needs are being put at significant risk, by being placed on general children's wards in England. The findings come from the Healthcare Safety Investigation Branch (HSIB). BBC News recently highlighted the plight of a 16-year-old autistic girl, who spent several months in a children's ward. Other families have since contacted the BBC describing similar situations. The majority had faced similar difficulties getting appropriate support. HSIB says that paediatric wards are designed to care for patients who only have physical health needs and not for those with mental health needs. It describes the situation in 18 hospitals it visited as "challenging", and 13 were described as "not safe" for children who were suicidal or at risk of harming themselves to be on their paediatric wards. Read full story Source: BBC News, 25 May 2023
  17. News Article
    A doctor with a key role in reforming a controversial gender identity clinic for children has been recorded questioning the need for change. Prof Gary Butler, clinical lead for the children's gender clinic in England and Wales, also appeared to accuse the author of a report, which will underpin the new service, of "nepotism". He was recorded making the comments in a keynote speech at a major conference. The Gender Identity Development Service (Gids), based at London's Tavistock and Portman NHS Foundation Trust, was rated as "inadequate" by inspectors, who visited in late 2020. It was earmarked for closure in July 2022. An independent review, led by Dr Hilary Cass, also called for a "fundamentally different" model of care for children with gender dysphoria. Prof Butler has been awarded a key role in shaping the new service, as one of several people tasked with implementing a new training programme, underpinned by Dr Cass's recommendations. However, BBC Newsnight has learned Prof Butler has publicly questioned the need for change and described Dr Cass's recommendations as "slightly unusual". In the 14-minute speech at the conference, he talked about current services across the UK, the legal challenges to the situation in England, and how he felt Gids has been the subject of "lies" in the media. Read full story Source: BBC News, 24 May 2023
  18. News Article
    Some mental health patients in England are still having to travel more than 300 miles for hospital treatment two years after the government pledged to end the “completely unacceptable” practice. The number of patients in crisis forced to move potentially hundreds of miles for NHS help is rising again after falling during the pandemic, separating them from family and support networks and potentially delaying their recuperation. According to official data seen by the Observer, 420 so-called “out of area” treatments started in February because no local beds were available – up from 240 in February last year. The most recent NHS England records show there are 720 out of area placements deemed “inappropriate”, risking the patient’s recovery. Dr Mayura Deshpande, an associate registrar for policy at the Royal College of Psychiatrists, said targets for eliminating the practice had been “widely missed” and called for an urgent plan for the proper funding of mental health services. “It’s completely unacceptable that some mental health patients are having to travel hundreds of miles for care at a time when they are at their most vulnerable,” she said. Read full story Source: The Guardian, 20 May 2023
  19. News Article
    About 23,000 people died in accident and emergency departments last year, according to an estimate by Labour based on Freedom of Information requests to every NHS trust in England. Half of the trusts responded to the party’s requests and, based on that information, it calculated that just over 23,000 people had died – an increase of more than 20% on 2021, and nearly 40% on 2020. The increase in deaths corresponds with a sharp rise in NHS waiting times, as hospitals struggle with high demand and a lack of resources after the Covid-19 pandemic. Wes Streeting, the shadow health secretary, said: “People turning to the NHS in an emergency should know they will be seen and treated before it’s too late. The Conservatives’ failure over 13 years to properly staff or reform the NHS has a cost in lives.” Maria Caulfield, the health minister, defended the government’s record, however, saying: “We are delivering a record number of tests, speeding up discharge from hospitals, and cutting waiting lists as we also work to halve inflation, grow the economy, reduce debt, and stop the boats.” Read full story Source: The Guardian, 19 May 2023
  20. News Article
    An integrated care board (ICB) has sent multiple warnings to a local trust highlighting ‘serious issues’ with the safety and quality of care provided. East Kent Hospitals University Foundation Trust had had severe and widely reported issues in its maternity services but the five emails and letters from Kent and Medway ICB, sent across a six-week period in February and March, flagged concerns extending into other parts of the organisation. These included: Serious incidents had “recurrent themes” and there was a “lack of evidence the trust is learning” from them. A spot audit had revealed more than one in five patients at the Queen Elizabeth The Queen Mother Hospital in Thanet had overdue modified early warning scores, which can show if a patient is deteriorating. Further concerns about adult safeguarding “have been raised in relation to 18 allegations of abuse against people in positions of trust” despite the provider implementing a review on the issue 18 months earlier. Read full story (paywalled) Source: HSJ, 22 May 2023
  21. News Article
    Maternity services in Gloucestershire will remain shut for months because of staff shortages, it has been confirmed. The Aveta Birth Unit in Cheltenham and Stroud's post-natal facilities are not expected to re-open until at least October, bosses say. The announcement by Gloucestershire Hospitals NHS Foundation Trust means women will have been unable to use the services for more than a year. Maternity campaigners say new mothers are not getting support they need. The trust said it had a long-term commitment to both units, but they cannot reopen safely at the moment. The Aveta unit has been shut since last June and Stroud's six postnatal beds have been closed since September. It means new mothers are forced to go home 12 hours after giving birth, or if they have medical needs being sent to Gloucestershire Royal Hospital. Read full story Source: BBC News, 19 May 2023
  22. News Article
    NHS England is ‘sorry’ for backing a mental healthcare model which it now admits has caused hurt to patients, according to a leaked draft policy document. The serenity integrated mentoring model was launched in 2013 in the Isle of Wight and Hampshire. It quickly became viewed by mental health trusts as an “innovative approach” to helping support frequent users of the emergency services. A core element of the scheme involves placing a local community police officer within the healthcare team charged with supporting those patients. In 2021, the pressure group StopSIM raised concerns about the model, which included a belief that police involvement was potentially coercive, criminalised mental health crises, and could result in withholding healthcare from people, which would breach human rights legislation. The group also argued the SIM programme had not been robustly and clinically evaluated. As a result, NHSE committed to co-producing policy guidance on SIM with StopSIM. The draft document states: “NHS England did not apply sufficient scrutiny to the decision [to endorse SIM] and involve the voice of lived experience sufficiently. This compromised the safety and quality of care for service users and has caused hurt to patients. For this, NHS England is sorry.” Read full story (paywalled) Source: HSJ, 19 May 2023 Further reading on the hub: The High Intensity Network (HIN) approach and SIM model for mental health care and 'high intensity users' – what are your views?
  23. News Article
    A mental health trust’s acute and intensive care wards have been downgraded to “inadequate”, following a series of incidents including sexual assaults, fire setting, and patients taking their own lives while on leave. The Care Quality Commission (CQC) inspection was prompted by reports of several serious incidents involving patients in these services. These included three occasions where patients had taken their own lives while on leave from wards, and four incidents where fires had been set at the Redwoods Centre in Shrewsbury. Inspectors also identified a steep rise in mixed accommodation breaches, with just one ward out of the four inspected at St George’s Hospital in Stafford and none of the three inspected at Redwoods providing single sex units. The CQC report added “there were concerns about the implications of mixed sex ward environments contributing to sexual safety incidents”, with 158 such incidents recorded in a six-month period leading up to the inspection. These included assaults, verbal threats of sexual assault, and sexual orientation related abuse, with 126 recorded at Redwoods and 32 at St George’s. Read full story (paywalled) Source: HSJ, 19 May 2023
  24. News Article
    The government in England should increase its use of the private sector to tackle the NHS backlog, Labour says. It said as many as 300,000 patients have missed out on treatment since it called for greater use of private clinics in January 2022. And the party said it was unjust that the lack of action meant only those who could afford to pay for treatment themselves were being seen on time. The government said it was delivering by cutting long waits. However, data published by NHS England last week showed key targets to tackle the backlogs in cancer care and routine treatment had been missed. Overall, there are now a record 7.3 million people on a hospital waiting list, which is nearly three million higher than it was before the pandemic started. Read full story Source: BBC News, 19 May 2023
  25. News Article
    Patients spent up to 25 hours on trolleys in corridors waiting for treatment and in some cases were left lying on "urine-soaked sheets" and in another on a "blood-stained pillow for several hours" at the Royal Infirmary of Edinburgh. Healthcare Improvement Scotland (HIS) inspectors also raised concerns over fire safety in the overcrowded A&E after two visits to the hospital - the first of which was carried out between February 20 to 22 and a further unannounced follow-up in March. The watchdog found "multiple systemic failures" in a report published on Thursday but NHS Lothian said a major improvement drive was already underway. The health board added that the hospital was had just endured its busiest winter on record ahead of the inspections. At the time of the inspection, the emergency department was on some days operating at over three times its capacity. The report described this as unsafe and a "fire safety risk" with the evacuation plan in place at the time not reflecting the "significant" impact of overcrowding. Read full story Source: The Herald, 18 May 2023
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