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Found 2,349 results
  1. News Article
    Long delays for coronavirus patients to get through to NHS 111 call handlers while other seriously ill patients were told to stay at home have prompted a safety watchdog to launch an investigation of the phone triage service. The Healthcare Safety Investigation Branch (HSIB) has launched an inquiry into the handling of coronavirus calls by NHS 111 – the first port of call for patients when they become unwell. During the pandemic the NHS 111 service set up a dedicated COVID-19 Clinical Assessment Service (CCAS) but concerns over the safety of advice given to patients saw nurses and non-medical staff stopped from taking patient calls in August last year. Now concerns from a number of patients and families have led the independent HSIB to launch a review of the service and to identify any learning and improvements. HSIB told The Independent the investigation was at an early stage and it was not yet certain of any direct link to patient harm. It said the number of patient cases could grow but that it had initial family concerns related to difficulties getting through to NHS 111, long delays in getting clinical call backs after an initial triage call and concerns that some patients were told to stay at home when they were seriously ill. Read full story Source: The Independent, 23 March 2021
  2. News Article
    The Covid pandemic is casting a wide shadow over the nation’s health, according to new data revealing a dramatic drop in urgent referrals for suspected cancers in England, and a plummeting quality of life among patients awaiting hip and knee surgery in the UK. The crisis has caused huge disruption to healthcare services: in November NHS England revealed that the number of people waiting more than a year for surgery had reached its highest level since 2008, while patients have reported that their procedures, from cancer surgery to hip replacements, have been repeatedly cancelled. It has also been linked to a fall in MRI and CT scans, while among other consequences breast screening programmes were paused last year. Experts have warned the pandemic may also have led to people avoiding GPs and hospitals, meaning they may have missed out on crucial care. Now an analysis of NHS England data by Cancer Research UK has found that the number of people urgently referred for suspected lung cancer fell by 34% between March 2020 and January 2021 compared with the same time period in 2019/2020 – adjusted for working days. That, they say, equates to about 20,300 fewer people being urgently referred. Declines were also found for other suspected cancers including urological cancer and gynaecological cancer, with about 51,000 fewer patients urgently referred for the former, a 25% drop, and 19,800 fewer patients urgently referred for the latter, a 10% drop, compared with the year before. Read full story Source: The Guardian, 24 March 2021
  3. Content Article
    The NHS risks losing thousands of nurses, doctors and other key workers in the longer term unless they are given the time and space to recover from the pandemic. Without this, the Government will fail to meet its key manifesto target of recruiting an extra 50,000 nurses, and it will take even longer for the NHS to address the impact of the pandemic on waiting times and other services. The NHS Confederation report warns that staff need to recovery time following the past 12 months. The NHS Confederation, which represents the whole health system, is calling on the Government to act now to avert a staffing crisis in the NHS as the country prepares to emerge from a year of restrictions. With the NHS still facing the threat from coronavirus and a massive backlog of treatment, there is a real risk that exhausted NHS staff may leave their roles unless expectations of their workload mean they are allowed time to recover.
  4. Content Article
    In this personal blog, an NHS volunteer describes her experience of supporting a patient dying in hospital of Covid-19. She highlights the role that volunteers can play in giving compassion and comfort to patients in an overwhelmed health system. She also draws attention to the lack of training she had before taking on the role, and the mental and emotional toll of volunteering in such environments.
  5. News Article
    For the first time, a new linked health data resource covering 54.4 million people – over 96% of the English population – is now available for researchers from across the UK to collaborate in NHS Digital’s secure research environment. This resource will enable vital research to take place into COVID-19 and cardiovascular disease, with the aim of improving treatments and care for patients. This work has been led by the CVD-COVID-UK consortium in partnership with NHS Digital. The new resource links health data from GP records, hospital data, death records, COVID-19 laboratory test data and data on medications dispensed from pharmacies, and is accessible to CVD-COVID-UK consortium researchers in NHS Digital’s Trusted Research Environment (TRE) Service for England. The CVD-COVID-UK consortium is a collaborative group of more than 130 members across 40 institutions working to understand the relationship between COVID-19 and cardiovascular diseases. The consortium is managed by the British Heart Foundation (BHF) Data Science Centre, led by Health Data Research UK. The ability to link different types of health data from almost the entire population of England provides a more complete and accurate picture of the impact of COVID-19 on patients with diseases of the heart and circulation than has been possible before now. It will also provide the data to understand whether patients with COVID-19 are more likely to go on to develop diseases of the heart and circulation, such as heart attack and stroke. Read full story Source: HDRUK, 24 February 2021
  6. Content Article
    From early on in the COVID-19 pandemic, the Maternal Mental Health Alliance (MMHA) and Centre for Mental Health were concerned about the increased mental health challenges that women during and after pregnancy were likely facing as a result of the pandemic and government-imposed restrictions introduced to tackle it. Thanks to Comic Relief ‘Covid Recovery’ funding, the MMHA commissioned the Centre to explore just how much of a challenge the pandemic has placed on perinatal mental health and the services that support women, their partners, and families during this time. This report draws together all of the available data collected during the pandemic for the first time.
  7. Content Article
    To safeguard patient safety and the wellbeing of healthcare staff, a realistic approach to tackling the backlog of non-COVID care is needed. NHS and public health services have been running ‘hot’ for a prolonged period of time and an overstretched and exhausted workforce must now be given time to rest and recuperate as they meet the challenges ahead. If staff are being pushed too hard to restore routine care in an unrealistic timeframe and without suitable resources, the likelihood is that we will see a workforce squeeze due to a combination of increasingly high staff absence rates and staff reducing their hours or leaving the workforce altogether. This would make it harder for health services to get back on track and provide timely and safe care to patients who need it.
  8. News Article
    Care home workers in England could be legally required to have a COVID-19 vaccination under plans being considered by the government. According to details of a paper submitted to the COVID-19 operations cabinet subcommittee last week and leaked to the Telegraph, the prime minister, Boris Johnson, and the health secretary, Matt Hancock, have agreed to the proposal in order to protect vulnerable residents. The move would prove highly controversial and could result in legal challenges. The cabinet subcommittee paper warned a large number of social care workers may quit if the change is made, and said that lawsuits on human rights grounds could be possible. A government spokesman insisted “no final decisions have been made” but did not rule out jabs being made compulsory for care workers. The government is also reviewing the introduction of vaccination passports. Read full story Source: The Guardian, 22 March 2021
  9. Content Article
    This leaflet offers guidance for workers from Occupational Health Professionals on how to manage getting back to work after COVID-19 infection and Long COVID. 
  10. Content Article
    Government guidance on the changes to care home visits.
  11. News Article
    Some of the country’s most clinically vulnerable people have yet to receive the coronavirus vaccination, Guardian analysis shows. Ministers had said all clinically extremely vulnerable adults would be offered a vaccination by 15 February, but more than a month later some people who are housebound because of health problems have yet to be offered a jab they can actually access. People whose disability or age means that they are unable to get to one of the mass vaccine centres around the country were meant to be visited by a “mobile health worker” at home, similar to that offered to care home residents. However, while government figures suggest that nearly nine in 10 people who are clinically extremely vulnerable have received a first dose, a number who are housebound are missing out, with some being expected to travel miles to a vaccine centre. Kim Liddell, 49, from Cheshire, is housebound because of the nerve condition cauda equina syndrome, and is still waiting for a home visit. “I’ve spoken to my GP practice and all I have been told is they are in the process of setting up clinics,” she said. “The worst part of this is my father died from Covid three weeks ago. And I am at massive risk as my son, who lives with me, is a teacher, doesn’t drive [and has gone] back to face-to-face teaching. I’m absolutely petrified. Read full story Source: The Guardian, 21 March 2021
  12. Content Article
    The purpose of this guide from NHS Education for Scotland is to help people working in the health and social care ecosystem capture valuable practice and improvements made during their response to COVID-19. The aim is to contribute to organisational change at a policy, strategic and operational level. If left too late, there is a real danger that positive change is not documented and will be lost as the health system emerges from the pandemic. 
  13. Content Article
    COVID-19 presents many challenges to healthcare systems internationally, none more so than the significant reporting among healthcare workers (HCWs) of occupational fatigue and burnout or Long COVID related symptoms. Consensus on the extent of HCW fatigue during the pandemic remains largely unknown, as levels of Long COVID related fatigue in HCWs appears to be on the rise. What is known is that, among current levels, impacts of fatigue on HCW well-being and performance is likely. Developing strategies to mitigate fatigue are the responsibilities of all healthcare system stakeholders. Leadership that goes beyond organisational efforts of mitigating fatigue through mandated working hour limits alone are needed. 
  14. Content Article
    New research by the Health Foundation shows that the amount of hospital care received by those living in care homes in England rapidly declined in the first three months of the pandemic in 2020 and was substantially lower than in the same period in 2019.   The research, which is due to be peer reviewed, provides the first comprehensive and national analysis of all hospital care provided to care home residents during the first wave of the pandemic. It appears to substantiate concerns that care home residents (including those in nursing homes and residential care) may have faced barriers to accessing hospital treatment as the NHS rapidly reorganised to free up hospital capacity to care for critically ill COVID-19 patients. 
  15. Content Article
    At the recent Future of Hospitals event from Health Plus Care Online, Helen Hughes (CEO, Patient Safety Learning) Jenny Davidson (Director of Governance, King Edward VII’s Hospital) and Natasha Swinscoe (CEO, West of England AHSN) discuss some of the key current patient safety issues, challenges, and opportunities in the context the pandemic and beyond. They explore how the healthcare system has responded to COVID-19, reflecting on emerging innovations and new patient safety challenges. They consider the long-term impact of the pandemic on patient safety and on non-COVID-19 care and support.
  16. News Article
    There is no evidence the AstraZeneca Covid vaccine causes blood clots, say UK and EU regulators after a "thorough and careful review". The MHRA and the EMA say people can have confidence in the vaccine's benefits and should get immunised, despite some countries pausing use. But anyone with a headache lasting more than four days after vaccination should seek medical advice, as a precaution. The same advice applies if someone develops unusual bruising. That is because the regulators have received a very small number of reports of an extremely rare form of blood clot occurring in the brain. It is this type of clot that triggered some European countries to pause rollout of the Oxford-AstraZeneca vaccine. In the UK, five cases of cerebral sinus vein thrombosis (CSVT), among 11 million people who have received the vaccine, occurred in men aged between 19 and 59. One of these was fatal. The EMA has received an additional 13 reports of CSVT. CSVT can occur naturally and no link to the vaccine has been established. The patients also had low blood platelet counts - cells involved with clotting. Covid infection can make clots more likely. Dr June Raine, chief executive of the MHRA, said regulators would continue to closely monitor the situation and people should have the vaccine when it is their turn: "The public can have every confidence in the thoroughness of our review." Read full story Source: BBC News, 18 March 2021
  17. News Article
    The NHS should start off the next financial year focusing on staff recovery and postpone ratcheting up elective recovery efforts and other long-term priorities until the second quarter, senior figures have warned. One trust chief executive said if there is an expectation from the centre that “April is the start point [for elective recovery], that will cause a massive problem”. It comes with the government and NHS England still apparently locked in negotiation over NHS funding for the financial year from 1 April, and deciding what the NHS will be asked to deliver. The CEO said: “It’s hard to think that 1 April signals a new year for the NHS. [There needs to be] a gradual decompression of our staff over the next three months as the country opens up. “If the planning guidance gets announced in the next couple of weeks with an expectation that April is the start point, that will cause a massive problem. Staff have not recovered, the vaccine programme is still ongoing, [and] there are still covid patients in all of our beds.” Read full story (paywalled) Source: HSJ, 18 March 2021
  18. News Article
    Hospital bosses are bracing themselves for a clash with ministers over how quickly they can clear the backlog of NHS care that built up during the pandemic. They are warning that it will take “years” to treat all those whose care was cancelled because Covid disrupted so many hospital services, particularly surgery and diagnostic tests. Staff shortages, exhaustion among frontline personnel after tackling the pandemic and their need to have a break mean that progress will be slower than the government expects, NHS trust chiefs say. “We can’t say with certainty how long it will take to tackle the backlog of planned operations because we don’t really know how big that backlog will end up being,” said Chris Hopson, the chief executive of NHS Providers. “The NHS will obviously go as fast as it can, as we always do. But it’s already apparent that clearing the entire backlog will take years rather than months.” Read full story Source: The Guardian, 18 March 2021
  19. News Article
    Blanket orders not to resuscitate some care home residents at the start of the Covid pandemic have been identified in a report by England’s care regulator. A report published by the Care Quality Commission (CQC) found disturbing variations in people’s experiences of do not attempt cardiopulmonary resuscitation (DNACPR) decisions during the pandemic. Best practice is for proper discussions to be held with the person involved and/or their relatives. While examples of good practice were identified, some people were not properly involved in decisions or were unaware that such an important decision about their care had been made. Poor record-keeping, and a lack of oversight and scrutiny of the decisions being made, was identified. The report, 'Protect, respect, connect – decisions about living and dying well during Covid-19', calls for a ministerial oversight group – working with partners in health and social care, local government and the voluntary sector – to take responsibility for delivering improvements in this area. The report surveyed a range of individuals and organisations, including care providers and members of the public, and identified: Serious concerns about breaches of some individuals’ human rights. Significant increase in DNACPRs put in place in care homes at the beginning of the pandemic, from 16,876 to 26,555. 119 adult social care providers felt they had been subjected to blanket DNACPR decisions since the start of the pandemic. A GP sent DNACPR letters to care homes asking them to put blanket DNACPRs in place. In one care home a blanket DNACPR was applied to everyone over 80 with dementia. Read full story Source: The Guardian. 18 March 2021
  20. News Article
    More than 3.7 million vulnerable people in England will no longer have to shield from the coronavirus from 1 April. It comes as the numbers of COVID-19 cases and hospital admissions have declined for the past couple of weeks. Letters will be sent out to this group in the next two weeks. In them, people will still be advised to keep social contacts at low levels, work from home where possible and stay at a distance from other people. Since 5 January, they have been asked to stay at home as much as possible to reduce their risk of being exposed to the virus. But at a Downing Street press conference, Health Secretary Matt Hancock confirmed shielding guidance, which had been extended to 31 March for all those who are clinically extremely vulnerable, would end on 1 April. England's deputy chief medical officer Dr Jenny Harries recommended the change based on the latest scientific evidence and advice. Read full story Source: BBC News, 17 March 2021
  21. Event
    until
    While the pandemic didn’t cause all the shifts happening in healthcare, it had a major hand in accelerating and shaping the changes that will alter the healthcare landscape far into the future. Join Fierce Healthcare as we examine the tectonic transformation across healthcare. We’ll explore changing consumer expectations in access to care, the moves by major tech players and providers to reach their customers and strategies for actually paying for everything. Register
  22. News Article
    The COVID-19 Bereaved Families for Justice group has told Downing Street it wants a statutory public inquiry led by a senior judge to “determine a definitive, official, evidence-based narrative of what did and did not happen, independent of political influence” during the pandemic. The group considers it potentially cathartic and wants the families’ grief heard. Frontline health workers also want a wide-ranging inquiry to provide a platform for their experiences, while minority ethnic leaders believe an inquiry can only determine what went wrong if wider societal inequalities relating to work, health and housing are investigated. But while there is no dissent about the need for an inquiry, others fear this remit might be too broad – and fear lessons have to be learned now so the UK can properly protect itself from any future health emergency. Sir John Bell, the regius professor of medicine at Oxford University, and Lord O’Donnell, head of the civil service under Tony Blair, Gordon Brown and David Cameron, want a different model more narrowly focused on determining future actions. Ultimately the decision will be for Boris Johnson, who has significant latitude to set the terms and scope of any inquiry, including selection of its chair. Read full story Source: The Guardian, 16 March 2021
  23. News Article
    People in prisons are at an increased risk of COVID-19, with a death rate more than three times higher than that of the general population, and should be made a vaccine priority, according to public health experts. There were 118 deaths related to COVID-19 among people in prisons in England and Wales between March 2020 and February 2021, representing a risk of dying more than three times higher than that of people of the same age and sex outside secure environments, the research team at University College London (UCL) found. The higher rate of death comes despite extensive physical distancing measures, including prisons keeping many inmates in their cells for 23 hours a day. The lead author of the study, Dr Isobel Braithwaite of UCL Institute of Health Informatics, said: “Our findings show that people in prisons are at a much higher risk of dying from COVID-19 than the general population, and we make the case that both they and prison staff should be given high priority in the rollout of vaccines." “We believe the current methods of regime restriction are not enough to protect people adequately, and a systematic, ‘whole-prison’ approach to vaccination is key to preventing further outbreaks and reducing overall deaths in prisons.” The Ministry of Justice challenged the authors’ work, however, arguing it failed to adjust for worse health among the prison population than the community and movements of prisoners in and out of prison. Read full story Source: The Guardian, 16 March 2021
  24. Content Article
    CQC review of ‘do not attempt cardiopulmonary resuscitation’ decisions during the coronavirus (COVID-19) pandemic.
  25. Content Article
    This report brings together an elected group of experts from across international organisations, G20 Governments, the global health community and civil society to address the challenges that patients and health workers have faced and are currently facing amidst the COVID-19 pandemic. It demonstrates how the safety of patients and health workers is inexorably linked to all global health challenges, including infectious and non-communicable diseases.
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