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Found 2,342 results
  1. News Article
    NHS England’s plans to rapidly expand virtual wards are being ‘hastily rolled out’ and could put patients at risk while taking up significant staffing capacity, leading clinicians have warned. The Society for Acute Medicine and the Royal College of Physicians are among those who have raised concerns to HSJ about the huge increase in the use of the virtual wards model, under which patients are discharged home and given oximeters that fit on their finger so they can be remotely monitored by clinical staff. The concerns follow NHSE ordering trusts to ensure a minimum of 15% of hospital covid patients were being treated in virtual wards, in plans to help ease pressures on hospital wards announced just before Christmas. At the time NHSE announced the plans there were around 7,000 covid inpatients in English NHS hospitals, meaning around 1,000 patients should be in virtual wards. But the covid inpatient figure had more than doubled to nearly 16,000 by 5 January. The project is hugely significant because NHSE and trust chiefs want to use virtual wards much more widely – including for non-covid patients – and believe they represent a potentially game-changing option when it comes to alleviating pressure on hospitals and speeding up discharges. Many of the clinicians who spoke to HSJ were supportive of the principle of virtual wards but had serious concerns about the speed and timing of the rollout. They said there was a lack of evidence the approach was safe. Society for Acute Medicine president Tim Cooksley said virtual wards had potential for the future but that they “simply cannot be seen as a short-term mitigation measure which can be hastily rolled out mid-pandemic”. Read full story (paywalled) Source: HSJ, 7 January 2022
  2. News Article
    About 1.3 million people in the UK have Long Covid symptoms lasting more than four weeks after an initial infection, an Office for National Statistics survey suggests. Of those, 892,000 (70%) first caught the virus at least 12 weeks ago and 506,000 (40%) at least a year ago. The survey asked nearly 352,000 people to record their own symptoms. There is no universally agreed definition of long Covid and different studies use varying definitions. The ONS survey, over four weeks in November and December 2021, suggests, of those with Long Covid: 51% have fatigue 37% have loss of smell 36% have shortness of breath 28% have difficulty concentrating. University of Exeter senior clinical lecturer Dr David Strain said: "The stark warning here is that, based on this, in the previous waves, over 800,000 people have their day-to-day activities significantly affected over three months after catching Covid and nearly a quarter of a million report this has a dramatic impact on their quality of life. "As we continue to see case numbers of Omicron rise, we must be wary that our reliance purely on hospitalisations and death as a measure of the risk from Covid could grossly underestimate the public-health impact of our current Covid strategy." Read full story Source: BBC News, 6 January 2022
  3. News Article
    The World Health Organization (WHO) has warned against describing the Omicron variant as mild, saying it is killing people across the world. Recent studies suggest that Omicron is less likely to make people seriously ill than previous Covid variants. But the record number of people catching it has left health systems under severe pressure, said WHO chief Dr Tedros Adhanom Ghebreyesus. On Monday, the US recorded more than one million Covid cases in 24 hours. The WHO - the UN's health agency - said the number of global cases has increased by 71% in the last week, and in the Americas by 100%. It said that among severe cases worldwide, 90% were unvaccinated. "While Omicron does appear to be less severe compared to Delta, especially in those vaccinated, it does not mean it should be categorised as mild," Dr Tedros told a press conference on Thursday. "Just like previous variants, Omicron is hospitalising people and it is killing people. "In fact, the tsunami of cases is so huge and quick, that it is overwhelming health systems around the world." Read full story Source: BBC News, 6 January 2022
  4. News Article
    Thousands of overseas-qualified doctors wanting to work in the UK will be delayed after the General Medical Council cancelled exams due to the surge in Covid cases. The regulator said its decision to pause professional and linguistic assessment board tests, scheduled for January and February, was made “in direct response” to the current omicron wave. Up to 54 doctors would have been needed each per day as examiners, it said, alongside a “large number of role players and staff”. It comes as overseas recruitment is seen by government and national officials as a crucial way to boost NHS staffing, including GPs. Director of registration Una Lane said: “We are deeply disappointed to have to cancel exams at this time, but given the pressures on the NHS and the impact on examiner availability, it was the only viable option.” Read full story (paywalled) Source: HSJ, 6 January 2022
  5. News Article
    More than one in four inpatients at one of England’s largest mental health trusts were reported as covid-positive this week, according to data seen by HSJ. Around 160 inpatients across South London and Maudsley (SLAM) Foundation Trust’s sites, or 28% of its total open beds, were reported as positive at the beginning of the week. Several other London mental health trusts have seen high rates of covid cases in recent weeks, as there has been enormous spread of the omicron variant in the capital, although rates have not been as high as at SLAM. SLAM told HSJ that infection rates rose and fell in a reflection of community transmission, with covid-positive people being admitted, and there being spread within inpatient units. While no wards have been closed and all of the trust’s services are open, visiting was suspended in mid-December due to what the organisation described on its website as a “high number of [covid] outbreaks”. Several sources in the sector told HSJ there had been widespread omicron outbreaks in mental health units across England. They said the nature of psychiatric wards and use of restraints meant adhering to stringent social distancing measures, in the face of a highly infectious variant, was more difficult than in other settings. Read full story (paywalled) Source: HSJ, 6 January 2022
  6. News Article
    A health minister has asked NHS England to look into a stricken ambulance trust that is asking patients to get a lift to A&E. The North East Ambulance Service (NEAS) said staff should “consider asking the patient to be transported by friends or family.” See previous news story. NEAS medical director Dr Mathew Beattie said the service had “no option than to try to work differently” amid Covid staff shortages. However, Health Minister Gillian Keegan said she would ask NHS England to look into the situation. She told Sky News: "That is not what we have put in place at all. We have more ambulance crews in operation than we have ever had." “We also gave £55 million extra just for this period to cover staff and make sure we had increases in staff and staffing levels. "I've actually asked NHS England to look at that particular case because that doesn't sound to me like that's an acceptable approach. “People should be able to get an ambulance if they have a heart attack and that's why we've put that extra funding in place, and why we've been building up our ambulance service over the last couple of years." Read full story Source: Mirror, 5 January 2022
  7. News Article
    Care operators are facing acute staffing shortages caused by Omicron with more than 90 declaring a “red” alert, which means staffing ratios have been breached. Over 11,000 care home workers are off for Covid reasons, according to internal health system staffing data seen by the Guardian. One of the UK’s largest private operators, Barchester, is dealing with outbreaks in 105 of its 250 homes. It said that rules meaning homes with Covid cannot accept hospital discharges will cause backlogs in the already struggling NHS. Across England, 9.4% of care home staff are off work, according to government live data, with close to 3% absent because of Covid. The figures, which may be an underestimate because of the festive break, are drawn from submissions by thousands of care providers. “The spread of Omicron across the country will bring more care homes into outbreak, put huge pressure on the already compromised staff group and mean those who need care do not get it,” said Vic Rayner, chief executive of the National Care Forum. Many care operators said delays in getting PCR test results back were a key frustration, meaning workers who may not be infected were isolating longer than necessary." Stephen Chandler, president of the Association of Directors of Social Services, said councils were braced for calls for help from care operators and said “the care that people experience will be affected”. Read full story Source: The Guardian, 5 January 2022
  8. News Article
    NHS staff absences due to covid have risen by a further 11,000 staff in a week in England, figures seen by HSJ reveal. At a national level, the number of absences for covid-related reasons - including isolation - rose to about 44,200 on 29 December, up from 32,800 on 22 December. The 29 December figure has pushed up overall absence for all reasons to 103,727 - 7.8% of the total reported workforce - the leaked data shows. Numerous senior NHS managers have said their main concern at present is about the level of staff absences, which in some cases is undermining services, with staff having to be redeployed to support others. There is concern about it rising further in the new year. One trust is looking at whether staff who test positive could opt to work on wards dedicated to covid patients. Louise Ashley, the chief executive of Dartford and Gravesham Trust in Kent, tweeted yesterday that some nurses had asked if they could come into work while positive but asymptomatic. Ms Ashley later confirmed to HSJ that the trust had assessed the request and “unfortunately” had to refuse it. The two main reasons for the decision were that staff may have the more dangerous Delta strain and that it be too difficult to keep them isolated from other staff. She added: ”I am amazed at their commitment to their patients and colleagues – very humbling after the two years they have been through. We are seeing high levels of staff absenteeism but we are hurrying through PCR tests to get staff back to work and are managing safe staffing levels currently.” There is also growing concern over NHS staff access to testing, which is required to enable contacts to come to work if they are negative. Read full story (paywalled) Source: HSJ, 31 December 2021
  9. News Article
    NHS England has set out 10 priorities for 2022-23 in its annual planning guidance. NHSE chief executive Amanda Pritchard makes clear in an introduction that many of its goals remain contingent on covid, stating: ”The objectives set out in this document are based on a scenario where covid-19 returns to a low level and we are able to make significant progress in the first part of next year.” The 10 priorities are: Workforce investment, including “strengthening the compassionate and inclusive culture needed to deliver outstanding care”. Responding to COVID-19. Delivering “significantly more elective care to tackle the elective backlog”. Improving “the responsiveness of urgent and emergency care and community care capacity.” Increasing timely access to primary care, “maximising the impact of the investment in primary medical care and primary care networks”. Maintaining “continued growth in mental health investment to transform and expand community health services and improve access”. Using data and analytics to “redesign care pathways and measure outcomes with a focus on improving access and health equity for underserved communities”. Achieving “a core level of digitisation in every service across systems”. Returning to and better “prepandemic levels of productivity”. Establishing integrated care boards and collaborative system working, and “working together with local authorities and other partners across their ICS to develop a five-year strategic plan for their system and places”. Read full story (paywalled) Source: HSJ, 24 December 2021
  10. News Article
    A critical incident has been declared at four Lincolnshire hospitals because of staff shortages due to COVID-19. United Lincolnshire Hospitals NHS Trust said it was taking "additional steps to maintain services" at all its hospitals in Lincoln, Boston and Grantham. The trust's medical director, Dr Colin Farquharson, said there were "significant staffing pressures due to absence related to COVID-19". But he said essential services "remain fully open". According to a leaked email seen by The Sunday Times, the trust declared a critical incident on Saturday night "due to extreme and unprecedented workforce shortages". It issued an "urgent appeal" for clinical and non-clinical staff to offer extra time supporting colleagues "over the next 72 hours". It also asked staff to "consider limiting social contacts with people outside of work". Original tweet on Twitter: Read full story Source: BBC News, 3 January 2022
  11. News Article
    Coronavirus "surge hubs" are to be set up at hospitals across England in preparation for a potential wave of Omicron admissions, the NHS has said. The eight temporary "Nightingale" units will each house about 100 patients, with building starting this week. There are also plans to identify sites for a further 4,000 beds if needed. Record Covid case numbers were reported in the UK on Wednesday and NHS medical director Prof Stephen Powis said the service was on a "war footing". The NHS is often required to deploy extra beds over winter, but hospitalisations in England with Covid have risen above 10,000 for the first time since March. Across the UK 183,037 daily cases were reported in the latest figures, with over 900,000 cases reported over the last seven days - up 41.4% on the week before. Prof Powis said the NHS "cannot wait to find out before we act" given the number of infections and uncertainty about Omicron's severity. Read full story Source: BBC News, 30 December 2021
  12. News Article
    The government has been criticised for failing to respond to a damning parliamentary report that accused ministers of mishandling the early stages of the pandemic. The report, compiled by the Health and Science and Technology Committees, found the government’s initial response to Covid-19 “amounted in practice” to the pursuit of herd immunity, with the delayed decision to lock down ranking as one of the “most important public health failures the United Kingdom has ever experienced”. More than 50 witnesses contributed to the cross-party report, including ministers, NHS officials, government advisers and leading scientists, with the authors saying it was was “vital” that lessons were learnt from the failings of the past 18 months. The findings from the joint inquiry were published on 12 October and a deadline for an official government response was set for 12 December. However, that date has now passed and the committees have yet to formally hear back from ministers, according to the parliamentary website, which states that a response is now “overdue”. Covid-19 Bereaved Families for Justice said the government’s failure to “meet a very reasonable deadline” called into question the willingness of ministers to engage with the coming independent public inquiry into the UK’s handling of the pandemic. "The government have had months to get a response delivered to the Health and Science and Technology committees following their lessons leant from the pandemic report,” said Jo Goodmand, co-founder of the campaign group. “Unfortunately those of us who have lost loved ones are far too used to this with responses to FOIs late and it taking far too long to announce the inquiry. Read full story Source: 30 December 2021
  13. News Article
    The health secretary, Sajid Javid, has warned MPs he may need to “constrain” the Covid testing system over the next fortnight, as demand for lateral flow kits surges. Ministers have repeatedly encouraged members of the public to test themselves using a lateral flow device (LFD) before attending gatherings or meeting vulnerable relatives. However, test kits have repeatedly been unavailable online in recent days, and many pharmacies have complained of being unable to secure them. Labour has accused the government of presiding over a “shambles”, with many members of the public struggling to obtain tests despite ministers putting testing at the centre of efforts to control the spread of Omicron. Demand for the tests has also been boosted by a change in quarantine rules that allows people to emerge from self-isolation after seven days instead of 10, as long as they carry out two negative lateral flow tests. In a letter sent to MPs on Wednesday evening, Javid acknowledged the intense strain being put on the system as cases of the Omicron variant continue to increase, with 183,037 new infections recorded on Wednesday. “In light of the huge demand for LFDs seen over the last three weeks, we expect to need to constrain the system at certain points over the next two weeks to manage supply over the course of each day, with new tranches of supply released regularly throughout each day,” he wrote. Read full story Source: The Guardian, 30 November 2021
  14. News Article
    Patients are dying in hospital without their families because of pressure on NHS services, hospices have told The Independent. A major care provider has warned that it has seen a “huge shift” in the number of patients referred too late to its services. The warning comes as NHS England begins a new £32m contract with hospices to help hospitals discharge as many patients as possible this winter. NHS chief executive Amanda Pritchard said the health service was preparing for an Omicron-driven Covid wave that could be as disruptive as, or even worse than, last winter’s crisis. Hospices are already dealing with a “huge volume of death and patients needing support”, according to the head of policy at Hospice UK, Dominic Carter. He told The Independent that hospices had seen a huge shift in the number of patients referred to their services too late, when they are in a “very serious” state of health. He added: “We don’t really know what kind of support is actually out there for those people, while hospitals have difficulties and deal with challenges around backlogs and Covid. There are lots of people that have been in the community, where hospices are trying to reach them but aren’t always able to identify who needs that care and support. “They’re really important, those five or six final days, for the individual and their families. Yet this is spent in crisis rather than being helped as much as possible in a comfortable environment by the hospice ... [instead] an ambulance is called, and they’re having to be cast into hospital.” Read full story Source: The Independent, 26 December 2021
  15. News Article
    NHS staff treating Covid patients should be given much more protective facewear than thin surgical masks to help them avoid getting infected during the Omicron rise, doctors say. The British Medical Association (BMA), Hospital Consultants and Specialists Association (HCSA) and Doctors’ Association UK are calling for frontline personnel to be given FFP3 masks. Making the much higher-quality face masks standard issue would save the lives of health workers who fall ill as a result of treating Covid patients, the BMA said. “At this critical point in the pandemic this is extremely urgent – a matter of life and death,” said Prof Raymond Agius, the acting chair of the doctors’ union’s occupational health committee. FFP3 masks, also known as filtering facepiece respirators, have been shown in a trial in Addenbrooke’s hospital in Cambridge to reduce the number of healthcare staff who become infected. However, the Department of Health and Social Care’s (DHSC) guidance on personal protective equipment, updated last week, only recommends their use in limited circumstances. “With a high transmissible new strain now circulating, and clear evidence that Covid-19 spreads in small airborne particles, healthcare workers must be given the best possible protection against the virus. Surgical masks don’t give the necessary protection against airborne transmission of Covid,” Agius said. The BMA has written to every hospital trust in England demanding that any health professional treating patients who are or may be Covid-positive should be routinely issued with FFP3s, which are much more expensive than the surgical masks usually provided. Surgical masks are “unsuitable” given the threat Covid poses, the BMA believes. Read full story Source: The Guardian, 27 December 2021
  16. News Article
    Mass lateral flow testing cut the number of people needing hospital treatment for Covid by 32% and relieved significant pressure on the NHS when the measures were piloted last year, a study has shown. Liverpool conducted the first city-wide testing scheme using rapid antigen tests in November last year, amid debate about whether or not lateral flow tests (LFTs) were accurate enough to detect the virus in asymptomatic carriers. It expanded the project to cover the whole of the Liverpool region, offering people LFTs whether or not they had symptoms. Key workers did daily tests before going to work to show they were not infectious. Now an analysis has shown that it was more successful than Liverpool’s scientists and public health teams had anticipated, after they compared Covid cases and outcomes in the region with other parts of England. Professor Iain Buchan, dean of the Institute of Population Health, who led the evaluation, said: “This time last year, as the Alpha variant was surging, we found that Liverpool city region’s early rollout of community rapid testing was associated with a 32% fall in Covid-19 hospital admissions after careful matching to other parts of the country in a similar position to Liverpool but without rapid testing. “We also found that daily lateral flow testing as an alternative to quarantine for people who had been in close contact with a known infected person enabled emergency services to keep key teams such as fire crews in work, underpinning public safety.” Read full story Source: The Guardian, 19 December 2021
  17. News Article
    NHS London’s plan for dealing with the omicron wave needs to take a more multidisciplinary approach and be more evidence-based if it is to not build unwarranted variation into services, write Elaine Maxwell and Alison Leary in HSJ. A key tenet of high reliability organisations is to expect the unexpected. The start of the global COVID-19 pandemic was perhaps a little too unexpected to have good plans in place, but nearly two years on there really is no excuse and the NHS London plan for the omicron wave leaves a lot to be desired. Standing down Covid Virtual Wards across the summer with limited capacity to restart them (and no clear evaluation) was, in hindsight, a mistake - but standing up a different model without careful forethought is perhaps a bigger mistake. We have talked for at least a decade about unwarranted variation and we seem to be building it into services now, because we don’t spend the time considering the research evidence and consulting the whole multidisciplinary team in order to set meaningful standards. In safety science terms, this is a nightmare. We should and could do better. Read full story (paywalled) Source: HSJ, 23 December 2021
  18. News Article
    The pandemic has disproportionately affected people living in care homes, who accounted for an estimated 30% of all deaths from covid-19 across 25 countries despite making up only 1% of the world’s population, a report has estimated. The analysis was carried out by Collateral Global, a research group that says it is dedicated to reporting on the effects of governments’ mandatory COVID-19 mitigation measures. The report said the pandemic had exacerbated long running problems in the care sector, such as chronic underfunding, poor structural organisation, staff undertraining, underskilling, and underequipping, and a “lack of humanity in dealing with the most vulnerable members of society.” “Neglect, thirst, and hunger were—and possibly still are—the biggest killers,” the group said. They also said that care home residents faced barriers in access to emergency treatments during the pandemic. The study authors suggested that undiagnosed COVID-19, poor testing, and inadequate staffing and infection control were the likely factors contributing to the excess deaths in care homes. Martin Green, chief executive officer of Care England, said, “Adult social care and the NHS are two sides of the same coin and need to be treated as such. The government shouldn’t have placed such a myopic focus on the NHS without due consideration for social care too.” He said that he was “phenomenally” proud of the care workforce and wanted to ensure that they were recognised as professionals with proper career pathways and commensurate funding. Read full story (paywalled) Source: The BMJ, 22 December 2021
  19. News Article
    Nearly two years into the pandemic, people like me are still out of action. We need better support and more funding, writes Joanna Herman, consultant in infectious diseases in London. Joanna caught Covid in March 2020, and was by definition a “mild” case: not admitted to hospital and no risk factors for severe disease, but how it has affected her and her family is anything but mild. Having been fit and active, Joanna now finds that on bad days that she still struggle with everyday chores, and her usually quick-firing brain "remains in slo-mo ('brain fog')". For many months, it has felt as though long Covid has not been on the political agenda, but many people are still struggling with their everyday lives, and struggling to get the help they need. Why is long Covid not included in the daily statistics, or as one of the main incentives to avoid Omicron, and to get a vaccine and booster jab? It’s never mentioned, and it often feels as if sufferers don’t exist. Even if the new variant results in milder disease than previous ones, could more people still end up like Joanna? And how will an already stretched NHS cope if there are new cases of long Covid after this current viral surge? There’s a lot we still don’t know about Omicron; a fuller picture will become evident over the coming weeks and months... Read full story Source: The Guardian, 22 December 2021
  20. News Article
    More than 167,000 children are believed to have lost parents or caregivers to Covid during the pandemic – roughly one in every 450 young people in the US under age 18. The count updates the October estimate that 140,000 minors had lost caregiving adults to the virus, and is four times more than a springtime tally that found nearly 40,000 children had experienced such loss. In a report titled Hidden Pain, researchers from the COVID Collaborative and Social Policy Analytics published the new total, which they derived by combining coronavirus death numbers with household-level data from the 2019 American Community Survey. The death toll further underscores the daunting task facing schools as they seek to help students recover not just academically, but also emotionally, from a pandemic that has already stretched 22 months and claimed more than 800,000 American lives. It’s an issue of such elevated concern that Surgeon General Vivek Murthy, on 7 December, used a rare public address to warn Americans of the pandemic’s “devastating” effects on youth mental health. An accompanying 53-page report calls out the particular difficulties experienced by young people who have lost parents or caregivers to the virus. Bereaved children have higher rates of depression and post-traumatic stress disorder than those who have not lost parents, according to a 2018 study that followed grieving children for multiple years. They are more than twice as likely to show impairments in functioning at school and at home, even seven years later, meaning these children need both immediate and long-term counseling and support to deal with such a traumatic loss. “For these children, their whole sky has fallen, and supporting them through this trauma must be a top priority.” Read full story Source: The Guardian, 22 December 2021
  21. News Article
    Suspected Covid outbreaks in hospitals across the UK have doubled in a week, official figures reveal – though the number of people admitted to wards with the virus is falling across much of England. As parts of the NHS battle to cope with a surge in infected staff and patients, UK Health Security Agency (UKHSA) data show there were 66 acute respiratory infection incidents in UK hospitals in the seven days to 16 December. Coronavirus was confirmed in most of these incidents, according to a UKHSA document reviewed, by the Guardian. It represents a doubling in outbreaks compared with the previous week (33) and is the highest total recorded since the third week of January 2020. Most of the outbreaks happened in London, with 28 recorded in the last week, almost half of all those in England (62). Nine were recorded in West Midlands hospitals, six in the east of England and five in the east Midlands. Hospitals are scrambling to try to stop the highly transmissible Omicron variant spreading between patients and staff, NHS leaders said, while trying to cope with more pressure than last year. Saffron Cordery, deputy chief executive of NHS Providers, said: “The safety of staff and patients is a key priority of trust leaders, and trusts are doing everything they can to keep nosocomial [hospital-acquired] infections to a minimum, including following stringent infection control measures and social distancing rules.” Read full story Source: The Guardian, 22 December 2021
  22. News Article
    David Oliver, NHS consultant physician and a columnist for the BMJ makes a plea on behalf of his colleagues as they face a surge of admissions due to the spread of the omicron variant of COVID-19 this Christmas. "Pandemic health protection measures are not all about you and your own personal risk or appetite for it, your own ‘natural immunity’ or fitness, your own liberty or freedom. They are about protecting everyone else. It might be your own parent, grandparent or sibling that dies from COVID-19 or from lack of access to overwhelmed services. It might be your neighbour’s or someone in another town or from another social class or ethnic group, This isn’t a game and we need to take it seriously and stop posturing and point-scoring, before, once again, we have left it too late to act" Read full story Source: Byline Times, 21 December 2021
  23. News Article
    “Protect the NHS” sounds like the team name for an illegal Downing Street quiz, but it won’t be winning any prizes for patient safety, writes Dr Phil Hammond in The Times. The fact is, the NHS, as was the case long before the pandemic, is woefully understaffed. Even more billions have been thrown at the system, but, as ever, so little of it finds its way to the frontline carers we all clapped for. The NHS is always fighting a losing battle. When the government first asked us to protect the NHS, it may as well have said: “Stay at home, die alone, protect the NHS.” Thousands of people have done just that since the pandemic started, for reasons not fully understood. They may have had Covid or non-Covid diseases, or both. They didn’t ask for, or couldn’t find, help when they were seriously ill. They followed their “stay at home” orders. Many died. "The NHS does some amazing things but the truth is it has never had the staff nor capacity — and sometimes not the culture — to provide safe, effective and timely care to all its citizens," says Hammond. "We also have appalling levels of public health inequality. The rich live a decade longer than the poor, and the poor suffer 20 more years of chronic disease and NHS dependency. No health service can cope with such high demands, many of them avoidable." Today, many people can’t even access care, never mind the quality of it. But we don’t need to dismantle the NHS, we need to staff it safely. We need to start with a proper, costed workforce plan for now and the future. If we put even more money into healthcare, we need to prove it’s being spent on frontline care that is proven to work. Just as we didn’t plan properly for Covid, we have never had a proper workforce plan for the NHS to estimate what staff increases we need to cope with an ageing, anxious and increasingly isolated population chock full of chronic diseases. How did we get in this mess? There is good evidence that safe staffing levels deliver better care, and that continuity of care and a long-standing relationship with your GP or nurse is hugely beneficial to your health. It’s much more rewarding for health professionals too. Alas, they don’t grow on trees and there’s a global shortage. There’s a limit to how many we can steal from countries who may need them more. No matter how much money we throw at the NHS in a pandemic panic, this tanker won’t be turned around quickly. Read full story (paywalled) Source: The Times, 18 December 2021
  24. News Article
    A care home with some of the highest Covid death rates recorded in the pandemic is facing whistleblower claims over unsafe conditions. Golfhill Nursing Home, in Dennistoun in Glasgow's East End, Scotland, is run by Advinia Healthcare, which confirmed a "large scale" investigation was taking place. A report by the Crown Office, published in April, showed Golfhill care home recorded 11 deaths related to coronavirus, among the highest rates. The Care Inspectorate investigation is said to have followed "months of complaints" about sub-standard and unsafe conditions at the home, including residents being admitted to hospital suffering from dehydration. The problems are said to centre on the intermediate care unit, where elderly residents are transferred after being discharged from hospital, requiring a higher level of care and remaining there for around a month before being sent home or into long-term care. According to a source, the unit has been short staffed "almost on a daily basis" because employees were being transferred to other areas of the home. Read full story Source: The Scotsman, 17 December 2021
  25. News Article
    A new Covid drug designed to reduce the risk of vulnerable patients needing hospital treatment will be available on the NHS from today. Sotrovimab is a monoclonal antibody given as a transfusion to transplant recipients, cancer patients and other high-risk groups. If given quickly after symptoms develop it is should help prevent people from falling seriously ill with the disease. Initial tests suggest it should still work against the Omicron variant. "These new drugs have an important role to play," said Prof Steven Powis, the national medical director of NHS England. "If you test positive and are at high risk then we will be contacting you, and, if eligible, you will be able to get access to these new treatments." Around 1.3 million of the highest risk NHS patients are eligible to receive Sotrovimab, along with other new Covid treatments as they become available. The drug is most effective if taken in the first five days after infection and is likely to be given in clinics or to outpatients in hospital. It has been approved for use in vulnerable groups - such as those with cancer, diabetes or heart disease. Read full story Source: BBC News, 20 December 2021
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