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Found 2,337 results
  1. News Article
    Covid booster jabs are now being given at walk-in clinics in England as the NHS aims to increase vaccine uptake before what is expected to be a challenging winter. From Monday, anyone in an eligible group who had their second dose of a coronavirus vaccine at least six months ago can turn up at one of hundreds of sites to get their top-up without making an appointment. The walk-in centres are also offering vaccinations to 12- to 15-year-olds. The move follows criticism of the booster campaign, with only about half of the 12 million people in England eligible so far for a third vaccine dose having received one. The vaccine rollout to teenagers has lagged behind that of countries including France, Italy and Spain. People entitled to a booster jab are: those aged 50 and over, people who live and work in care homes; frontline health and social care workers; people aged 16 and over with a health condition that puts them at high risk of getting seriously ill from Covid-19; those aged 16 and over who are a main carer for someone at high risk from the virus, and; people aged 16 and over who live with someone who is more likely to get infections. Nikki Kanani, a GP and the deputy lead for the NHS Covid-19 vaccination programme, said: “NHS staff are making it as easy as possible for people to get their top-up vaccination, and from today people can now go online, find their nearest site and go and get their booster without delay. “The booster is not just nice to have. It is really important protection ahead of what we know will be a challenging winter.” Read full story Source: The Guardian, 1 November 2021
  2. News Article
    Deborah Birx, who was the White House coronavirus response coordinator under President Donald Trump, has told a congressional inquiry that at least 129 000 lives could have been saved if his administration had provided adequate testing and properly communicated the gravity of the situation to the public. But the election year “just took people’s time away and distracted them from the pandemic,” she told the House Select Subcommittee on the Coronavirus Crisis. “I felt like the White House had gotten somewhat complacent through the campaign season.” Asked if Trump did everything he should have to counter the pandemic, she said, “No. And I’ve said that to the White House. I believe I was very clear to the president in specifics of what I needed him to do.” “If we had fully implemented the mask mandates, the reduction in indoor dining, the getting friends and family to understand the risk of gathering in private homes, and we had increased testing, then we probably could have decreased fatalities by 30-40%.” That would amount to at least 129 000 preventable covid deaths over the course of the Trump presidency, which saw roughly 429 000 reported deaths attributed to the coronavirus." Read full story Source: BMJ, 28 October 2021
  3. News Article
    The agency is now showing disease incidence among unvaccinated people, as well as those who received Johnson & Johnson, Pfizer, and Moderna vaccines. The U.S. Centers for Disease Control and Prevention has published information on its COVID Data Tracker about rates of cases and deaths among fully vaccinated and unvaccinated people. In August, according to the data, unvaccinated people had a 6.1 times greater risk of testing positive for COVID-19, and an 11.3 times greater risk of dying from the disease. Interestingly, the agency also breaks out case and death rates by vaccine product. In mid-August, at the peak of the latest wave, unvaccinated people made up the greatest percentage of COVID-19 cases, at an incident rate of 736.72 cases per 100,000 people. Johnson & Johnson had the second-highest incidence rate, at 171.92 cases per 100,000. Pfizer had the third-highest, at 135.64. And Moderna had the lowest rate, at 86.28 cases per 100,000 people. The death rate mirrored the breakdown in terms of vaccine product and frequency, although the numbers were far lower across the board. Again, at the peak in mid-August, the death rate among unvaccinated people was 13.23 in 100,000 people. Rates for vaccinated people were dramatically reduced, at 3.14, 1.43 and 0.73 for Johnson & Johnson, Pfizer, and Moderna, respectively. When it came to age groups, peak case rates were highest among unvaccinated 12-17 year olds, followed by unvaccinated 30- to 49-year-olds. And 30- to 49-year-olds also had the highest case incidence among vaccinated people when broken down by age group, followed by fully vaccinated 18- to 29-year-olds. Those older than 80 had the highest death rates among both unvaccinated and vaccinated individuals. The COVID Data Tracker site also includes integrated county views, forecasting and hospitalizations by vaccination status. Read the full article here Original source: Healthcare IT News
  4. News Article
    A major hospital has declared a “critical incident” after a surge in demand saw more than 100 patients awaiting treatment in A&E and 25 ambulances queueing outside. The Royal Cornwall Hospital Treliske, in Truro said “unprecedented” pressure this week is worse “than at any point during the pandemic.” It urged “families, friends and neighbours” to collect any patients who are able to “to leave hospital sooner.” Managers at Cornwall’s main hospital raised the operating level from OPEL4 — known as a ‘black alert’ — to an ‘internal critical incident’ to allow for greater cooperation to ease the crisis. It comes as the government is under intense pressure to reimpose some COVID-19 measures amid a surge in cases, with many other NHS clinics and hospitals across the country facing similar pressure. Allister Grant, medical director of the RCHT, said: “There is unprecedented demand on health and care services in Cornwall, more so this week than at any point during the pandemic. “As a result, we have escalated our operational level from OPEL4 to an internal critical incident. “Pressure will always be most visible at the Emergency Department where ambulances are waiting, and our priority here is to move people into wards as soon as we can.” Read full story Source: The Independent, 21 October 2021
  5. News Article
    The government’s failure to quickly roll out third doses of the Covid vaccine to clinically vulnerable people and those with weakened immune systems is endangering thousands of lives, patient groups and experts have warned. Immunocompromised individuals currently account for one in 20 Covid patients being admitted to intensive care, according to a new analysis by Blood Cancer UK. These people are less able to mount an immune response after two doses, so are therefore being offered a third to keep them protected. This is separate from the ongoing booster programme, applicable to all over-50s and health care workers. However, a recent Blood Cancer UK survey suggested that less than half of people with blood cancer, who make up about 230,000 of the 500,000 immunocompromised people in the UK, had been invited to receive their third dose by the second week of October. Other clinically vulnerable people have reported struggling to book an appointment via their GP practices after being told by NHS England to come forward for a third vaccine dose. With the situation in Britain reaching a “tipping point”, charities and scientists are fearful the number of immunocompromised in intensive care could further worsen in the weeks to come if they remain unable to access booster jabs. Read full story Source: The Independent, 21 October 2021
  6. News Article
    The government is being “wilfully negligent” by not introducing measures to suppress the recent rise in coronavirus cases, the chair of the British Medical Association (BMA) has said. Dr Chaand Nagpaul made the comments after the health secretary ignored NHS leaders’ pleas for the implementation of ‘Plan B’, which could see the return of mandatory mask wearing in indoor spaces and the need to work from home where possible. Speaking at a No 10 press conference on Wednesday afternoon, Sajid Javid said the current pressure on the NHS was not “unsustainable”, noting that the contingency plan would only be introduced if hospitals were at risk of being “overwhelmed”. However, Dr Nagpaul disagreed with the minister’s assessment, suggesting that the NHS was already reaching breaking point and that the government should follow through on its promise to protect the health service. “By the health secretary’s own admission we could soon see 100,000 cases a day and we now have the same number of weekly Covid deaths as we had during March, when the country was in lockdown,” he said. Dr Nagpaul described the government’s decision not to take further preventative action as “wilfully negligent”, branding the current rate of coronavirus infections and deaths as “unacceptable”. Read full story Source: The Independent, 21 October 2021
  7. News Article
    Saskatchewan will be transferring six COVID-19 patients to Ontario over the next 72 hours as the Prairie province struggles to deal with a record number of intensive care patients. One patient will be transferred Monday, with the other five expected by end of day Wednesday, according to the Saskatchewan Health Authority (SHA). Premier Scott Moe said planning for transferring patients has been going on for "a number of days" and that patients will be transferred to ensure they receive "the very best possible care that they can." Additional out-of-province support that may be required beyond Wednesday is being finalized, according to the SHA. "We recognize the stress this will cause the families affected," SHA CEO Scott Livingstone said in a news release Monday morning. "We continue to work every day to maximize capacity to provide care as close to home as possible, but this decision is necessary to maintain the quality of critical care services our patients need." Read full story Source: CBC News, 18 October 2021
  8. News Article
    Scotland's booster jag rollout has hit a major snag after some of the country's most vulnerable people were given half their third vaccine. In total, 140 people who were given their extra dose of the Moderna COVID-19 vaccine in the Gorebridge vaccine centre in Midlothian were affected by the error. Health authorities have maintained there is no risk to individuals due to the error and that half a dose will provide sufficient protection. The individuals affected were all immunosuppressed, the Midlothian Health and Social Care Partnership said, meaning they are more vulnerable to infection and at higher risk from serious complications caused by COVID-19. The Midlothian Health and Social Care Partnership apologised for the mistake and any anxiety caused. Read full story Source: The Scotsman, 19 October 2021
  9. News Article
    Cases of psychosis have risen significantly in England during the pandemic, according to new NHS data. The number of people referred to mental health services for their first suspected episode of psychosis increased by 75% between April 2019 and April 2021, figures showed. The data, which has been analysed by the charity Rethink Mental Illness, showed that much of the increase in referrals has happened over the last year, after the first national lockdown. The charity, Rethink Mental Illness, said that the data offers some of the first concrete evidence of the impact of the pandemic on the mental health of the population. It is calling on the government to invest more in early intervention for psychosis to halt the further deterioration in people’s conditions. The NHS defines psychosis as “when people lose some contact with reality”. This could involve seeing or hearing things that other people cannot see or believing things that are not actually true. People experiencing symptoms of psychosis need to seek medical help very quickly and charity Rethink Mental Illness is campaigning to get people faster access to vital treatment. Read full story Source: The Independent, 18 October 2021
  10. News Article
    Some acute trusts have failed to report large numbers of hospital-acquired covid infections as patient safety incidents, despite NHS England describing this as ‘fundamental’. HSJ examined the numbers of “infection control” patient safety incidents reported to the national reporting and learning system in 2020-21, and compared this to separate NHS England data on covid infections most likely to have been acquired in hospital. The number of incidents reported to the NRLS in the 12-month period should in theory be higher, as it covers all types of hospital-acquired infections, while the NHSE data only covered covid infections in the last seven months of the year. This appears to hold true nationally, with almost 59,000 incidents reported to the NRLS, compared to around 36,000 likely hospital-acquired covid infections suggested by the NHSE data. But for around a third of trusts, the incident numbers reported to the NRLS were smaller, with some appearing to report very low numbers. Helen Hughes, chief executive of patient safety charity Patient Safety Learning, said: “The scale of the under-reporting set out in these findings is particularly concerning.” “As this data informs assessment of performance at both organisational and national levels, it is possible that this could create a false assurance about the extent of harm in this period,” Ms Hughes said. “Where organisations are now retrospectively completing serious incident reports, there are obvious questions as to whether key insights will have been lost as memories of incidents fade over time and their causes.” “However, they rely on the capacity and commitment of staff behind them. The pandemic has placed an enormous strain on the health service and we have heard from staff the time constraints this has put on them to report patient safety incidents,” she added. Read full story (paywalled) Source: HSJ, 15 October 2021
  11. News Article
    The Becker's Clinical Leadership & Infection Control editorial team chose the top 10 patient safety issues for healthcare leaders to prioritise in 2021, presented below in no particular order, based on news, study findings and trends reported in the past year. COVID-19 Healthcare staffing shortages Missed and delayed diagnoses Drug and medicine supply shortages Low vaccination coverage and disease resurgance Clinical burnout Health equity Healthcare-associated infections Surgical mistakes Standardising safety efforts. Read full story Source: Becker's Healthcare, 30 December 2020
  12. News Article
    The Pfizer/BioNTech vaccine can still target a key mutation that has emerged in two new variants of coronavirus, laboratory studies show. However, this is only one of many mutations that are found in the new forms of the virus. So while the study has been welcomed, it is not being seen as definitive scientific evidence about how the vaccine will perform. New variants have been detected in the UK and South Africa. Both forms of the virus are spreading more quickly and this has raised questions over what level of protection vaccines can offer against them. The widely held view is that vaccines will still work, but researchers are on the hunt for proof. Read full story Source: BBC News, 8 January 2021
  13. News Article
    Hospital chiefs in the South West have warned the region will not avoid the extreme pressures felt by other parts of the NHS amid rapidly rising numbers of COVID-19 inpatients. The region was the least affected area of England during the pandemic’s first wave, but the medical director of two acute trusts yesterday predicted a “tidal wave” of COVID-19 coming to the West Country. Adrian Harris, medical director at Royal Devon and Exeter Foundation Trust and Northern Devon Healthcare Trust (NDHT), said the region faced an “absolute crisis” and individual trusts would be “hanging on by their fingernails”. His comments, made at NDHT’s board meeting, came on the same day HSJ revealed the South West region now has the fastest growth in COVID-19 inpatients. Although the region is England’s least densely populated, it also has the lowest hospital capacity per capita in the country. Dr Harris said: “We hope and we pray that the lockdown has come in time for Devon. My personal view — and of my colleagues around the country — is that there’s a tidal wave of COVID-19 coming to the West Country." “We are preparing to be hit as hard as the East of England. If we are hit as hard, we will be hanging on by our fingernails and we are planning accordingly.” Read full story (paywalled) Source: HSJ, 8 January 2021
  14. News Article
    Patients calling NHS 111 in London could face a 30-hour wait before being admitted to a hospital bed, the capital’s ambulance service has warned. Slides presented by London Ambulance Service Trust at a webinar with NHS London this week showed “category three” patients faced long delays at all stages of the process. The length of each stage was said to be as follows: having calls answered at 111 centres (20 mins); the “revalidation” of the call before it is passed to 999 (two hours); 10 to 12 hour waits for an ambulance; and similar waits in emergency departments before being admitted to a bed. Category three calls are considered urgent, but not immediately life-threatening. The calls could involve abdominal pain, uncomplicated diabetic issues and some falls. Category three patients are among those the NHS is encouraging to call first, rather than going straight to accident and emergency, as part of the flagship “111 first” drive designed to produce pressure on emergency care. Normally, the pathway from a 111 call being made to a patient being admitted to a bed would take nine hours with a faster response at all stages, the slides suggest. But the pressure across the NHS from covid cases is leading to much longer waits. Read full story (paywalled) Source: HSJ, 8 January 2021
  15. News Article
    The Moderna COVID-19 vaccine has become the third to be approved by the UK. The US pharmaceutical company’s jab was given the green light by Britain’s regulator and doses will be available in the spring. The announcement comes as the rollout of the Pfizer and Oxford vaccines is scaled up to meet Boris Johnson’s target of immunising all care-home patients by the end of the month, with 1,000 vaccination centres expected to be operational by Sunday. The government has also purchased an additional 10 million doses of the Moderna vaccine on top of its previous order of 7 million, taking the total to 17 million. Supplies will begin to be delivered to the UK once Moderna expands its production capability, the Department of Health and Social Care said. The Medicines and Healthcare products Regulatory Agency (MHRA) accepted the recommendation of the Commission on Human Medicines and authorised the Moderna vaccine following months of rigorous clinical trials and extensive analysis of the vaccine’s safety, quality and effectiveness. The jab is 94% effective in preventing disease, including in the elderly. Read full story Source: The Independent, 8 January 2021
  16. News Article
    The chief inspector of hospitals has called for honesty about the impact of the coronavirus pandemic on patients warning poor care could become normalised. Professor Ted Baker told The Independent it was vital staff continued to report incidents and revealed the Care Quality Commission had seen a 60% rise in whistleblowing concerns during the last national lockdown in November. He said staff must report incidents and be free to speak up about any concerns as well as being transparent with families where things have gone wrong. He emphasised that where a patient was unable to get the care they clinically needed because of the demand on services, this would amount to a notifiable patient safety incident. Professor Baker’s comments follow multiple anonymous leaks from NHS staff to The Independent in recent weeks, showing how bad the situation has become in some hospitals. Many staff have only spoken out on condition of anonymity. Many hospitals have declared major incidents, cancelled operations and been forced to stretch staffing ratios to unsafe levels to cope with the increasing numbers of COVID-19 patients. Read full story Source: The Independent, 7 January 2021
  17. News Article
    Two more life-saving drugs have been found that can cut deaths by a quarter in patients who are sickest with Covid. The anti-inflammatory medications, given via a drip, save an extra life for every 12 treated, say researchers who have carried out a trial in NHS intensive care units. Supplies are already available across the UK so they can be used immediately to save hundreds of lives, say experts. The UK government is working closely with the manufacturer, to ensure the drugs - tocilizumab and sarilumab - continue to be available to UK patients. As well as saving more lives, the treatments speed up patients' recovery and reduce the length of time that critically-ill patients need to spend in intensive care by about a week. Both appear to work equally well and add to the benefit already found with a cheap steroid drug called dexamethasone. Read full story Source: BBC News, 7 January 2021
  18. News Article
    A hospital in the South East today declared a level of critical care alert meaning that it may be forced into ‘refusal or withdrawal of critical care due to resource limitation’ because it has been ‘overwhelmed’ — but later claimed it was an ”administrative error”. Data from an internal NHS dashboard for critical care, seen by HSJ, showed today Darent Valley Hospital, near Dartford in Kent, declared it was at “CRITCON level four”. CRITCON level four declarations are extremely rare. In guidance they are known as “Triage - emergency” and defined as: “Resources overwhelmed. Possibility of triage by resource (non-clinical refusal or withdrawal of critical care due to resource limitation).” The definition continues: “This must only be implemented on national directive from [NHS England] and in accordance with national guidance.” Dartford and Gravesham Trust, which runs the hospital, replied to HSJ more than five hours after it was contacted, and after publication of the story, to say: “This was a purely administrative error which was quickly rectified.” The level has not however been changed so far on the live dashboard, HSJ has confirmed. Read full story (paywalled) Source: HSJ, 7 January 2021
  19. News Article
    "There can be no debate: this is now much, much worse than the first wave", says a NHS consultant. "Truly, I never imagined it would be this bad. Once again Covid has spread out along the hospital, the disease greedily taking over ward after ward. Surgical, paediatric, obstetric, orthopaedic; this virus does not discriminate between specialities. Outbreaks bloom even in our “clean” areas and the disease is even more ferociously infectious. Although our local tests do not differentiate strains, I presume this is the new variant. The patients are younger this time around too, and there are so many of them. They are sick. We are full." Read full story Source: The Guardian, 7 January 2020
  20. News Article
    The government is being pressed to urgently pay care homes to take on thousands of patients from hospitals, many of which are on course to be overwhelmed by COVID-19 patients. Hospitals, particularly in London and the surrounding areas, are seeing very high and rapidly growing numbers of covid-19 admissions, and are running out of options to free up beds. Multiple senior NHS leaders said they need to discharge more patients to care homes, but that this had become increasingly difficult. Beds in many care homes are lying empty, but many care providers are refusing to accept residents where there is a risk of introducing covid-19 and fear of repeating the disaster of the spring in the sector. Part of the problem is some care providers which would otherwise become covid-designated homes say they are not insured for the risk of doing so. HSJ understands national officials in the NHS and government are now considering options to try to alleviate the problem, amid urgent requests from local NHS leaders, including paying for the additional insurance cost. However, sources said the Treasury had not yet been willing to foot the bill. Read full story Source: HSJ, 7 January 2021
  21. News Article
    The government has confirmed plans to open seven new mass vaccination centres across England next week. The seven centres opening are: ExCel Centre (Nightingale), London Etihad Tennis and Football Centre, Manchester Centre for Life, Newcastle Robertson House, Stevenage Epsom Downs racecourse, Surrey Ashton Gate Stadium, Bristol Millennium Point, Birmingham The exact opening dates for each site have yet to be established, however the prime minister’s official spokesperson said they would be opening “next week”. More details on how the vaccination sites will operate are expected to be revealed over the coming days. Read full story Source: The Independent, 6 January 2021
  22. News Article
    In a bid to fight against misinformation about the coronavirus vaccines, a group of scientists from all over the world have created an online guide to building a ‘truth sandwich’. The guide serves to arm people with practical tips, up-to-date information and evidence to talk reliably about the vaccines, and enable them to constructively challenge associated myths. The scientists, led by the University of Bristol, are appealing to everyone to understand the facts set out in the 'COVID-19 Vaccine Communication Handbook', follow the guidance and spread the word. Professor Stephan Lewandowsky, the lead author of the guide, said: “Vaccines are our ticket to freedom and communication about them should be our passport to getting everyone on board." “The way all of us refer to and discuss the COVID-19 vaccines can literally help win the battle against this devastating virus by tackling misinformation and improving uptake, which is crucial." Read full story Source: The Independent, 7 January 2021
  23. News Article
    Some trusts in London and the South East are closing standalone birth centres and warning they cannot support home births because of high levels of demand for ambulance services from covid patients. Women in East Sussex who planned to give birth at Eastbourne District General Hospital and Crowborough Birth Centre have been told they need to go to other units. Both Eastbourne and Crowborough have standalone midwife-led units and women who have a difficult labour would need to be transferred by ambulance to another hospital. Both East Sussex Healthcare Trust and Maidstone and Tunbridge Wells Trust, which run the services, cited pressure on the ambulance services as the reason for the closures. The trusts, both of which are served by South East Coast Ambulance Service Foundation Trust, have also suspended support for home births. Services are continuing at a similar birthing unit at Maidstone Hospital, with private ambulances transferring women to Tunbridge Wells Hospital if needed. However, Maidstone and Tunbridge Wells Trust has posted on Facebook to warn women the situation may change and it is monitoring ambulance response times to determine “the safety of our out of hospital birthing choices”. Read full story (paywalled) Source: HSJ, 6 January 2021
  24. News Article
    For the first since April the UK has recorded more than 1,000 daily Covid-related deaths – one of the highest figures of the pandemic. Right now, London is at the epicentre of this crisis. Hospitals now have more Covid patients being admitted every day than they did at the peak in April. Many doctors and nurses say they're reaching breaking point. The BBC's medical editor Fergus Walsh filmed inside the intensive care unit at London's University College Hospital, which is one of the busiest in the capital. View video Source: BBC News, 6 January 2021
  25. News Article
    London’s hospitals are less than two weeks from being overwhelmed by covid even under the ‘best’ case scenario, according to an official briefing given to the capital’s most senior doctors this afternoon. NHS England London medical director Vin Diwakar set out the stark analysis to the medical directors of London’s hospital trusts on a Zoom call. The NHS England presentation, seen by HSJ , showed that even if the number of covid patients grew at the lowest rate considered likely, and measures to manage demand and increase capacity, including open the capital’s Nightingale hospital, were successful, the NHS in London would be short of nearly 2,000 general and acute and intensive care beds by 19 January. The briefing forecasts demand for both G&A and intensive care beds, for both covid and non-covid patients, against capacity. It accounts for the impact of planned measures to mitigate demand and increase capacity. Read full story (paywalled) Source: HSJ, 6 January 2021
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