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Found 448 results
  1. News Article
    The government said it will set up ‘dedicated team’ to look for innovative ways for the NHS to continue treating people for coronavirus, while also providing care for non-covid health issues. In its pandemic recovery strategy published today, the government also said step-down and community care will be “bolstered” to support earlier discharge from acute hospitals. The 60-page document contained little new information about plans for NHS services, but said: “The government will seek innovative operating models for the UK’s health and care settings, to strengthen them for the long term and make them safer for patients and staff in a world where COVID-19 continues to be a risk. “For example, this might include using more telemedicine and remote monitoring to give patients hospital-level care from the comfort and safety of their own homes. Capacity in community care and step-down services will also be bolstered, to help ensure patients can be discharged from acute hospitals at the right time for them". To this end, the government will establish a dedicated team to see how the NHS and health infrastructure can be supported for the COVID-19 recovery process and thereafter. Read full story Source: 12 May 2020
  2. Content Article
    The Health and Social Care Select Committee is currently holding an Inquiry into Delivering Core NHS and Care Services during the Pandemic and Beyond. It’s stated aim is to ‘give focus to these upcoming strategic challenges, and give those working in the NHS and care sectors an opportunity to set out what help they will need from Government in meeting them’ [1]. This is a submission to the Inquiry by Patient Safety Learning.
  3. News Article
    The NHS will this week begin to publish the numbers of people who are dying from coronavirus in mental health and learning disability units, the government has announced. England's national medical director Stephen Powis told the Downing Street daily press briefing that the figures would be published on an "ongoing basis" after calls to paint a clearer picture of the problem. It comes as figures from the Care Quality Commission showed a sharp increase in deaths among mental health patients compared to last year. Asked by The Independent whether the numbers could be made public, he replied: "Yes, I can commit that we will publish that data. "We've been looking at how we can do that; we publish deaths daily, we're looking at how we can report on those groups and I can commit that from next week we'll be publishing data on learning disabilities, autism, and mental health patients who have died in acute hospitals and we will do that on an ongoing basis." Read full story Source: The Independent, 9 May 2020
  4. News Article
    About 8,000 more people have died in their own homes since the start of the coronavirus pandemic than in normal times, a Guardian analysis has found, as concerns grow over the number avoiding going to hospital. Of that total, 80% died of conditions unrelated to COVID-19, according to their death certificates. Doctors’ leaders have warned that fears and deprioritisation of non-coronavirus patients are taking a deadly toll. Doctors’ leaders have warned that some sick people are too scared to go to hospital and are aware that much of the usual NHS care had been suspended in the pandemic. “These figures underline that the devastation wrought by Covid-19 spreads far beyond the immediate effects of the illness itself,” said Dr Chaand Nagpaul, the council chair of the British Medical Association. “While all parts of the NHS have rallied round in a bid to meet the immediate rocketing demand caused by the pandemic, more than half of doctors in a recent BMA survey have told us that this is worsening the care of non-Covid patients.” Read full story Source: The Guardian, 8 May 2020
  5. News Article
    More than three quarters of GPs fear delays to care because of COVID-19 will harm patients, with one in three reporting that urgent referrals have been rejected during the pandemic, a GPonline poll shows. The poll of 415 GPs found that 77% were concerned that delays to operations and treatments for non-COVID-19 issues would result in patients coming to harm. Meanwhile, 30% of GPs said they have had an urgent referral rejected during the pandemic. Rejected referrals included two-week-wait referrals for suspected cancer as well as urgent referrals for investigations such as ECGs, echocardiograms and CT scans. GPs also highlighted concerns over delays to treatment for cancer, with respondents warning that breast cancer surgeries had been postponed or chemotherapy delayed. Read full story Source: GP Online, 5 May 2020
  6. News Article
    Isolation during lockdown is exacerbating psychosis in some patients, a consultant psychiatrist at a leading mental-health trust warns. Steve Church said the South London and Maudsley NHS Trust had now had to shift its focus to crisis management. He leads the psychosis recovery team, one of the trust's five teams helping patients struggling with their mental health during the coronavirus pandemic. Some have had to move homes to isolate and many no longer visit the clinic. Dr Church, who has been working in the field for almost three decades, said: "In normal times, and we're not in normal times, the whole treatment is about trying to help people not self-isolate, trying to help people to re-engage with society. "Self-isolation is one of the red flag-hallmarks of somebody becoming unwell in the first place, where they take themselves into a psychosis-induced lockdown." One of his patients, Tracey, told Dr Church, in a phone consultation, staying at home had increased her hallucinations. "It's been quite daunting," she said. "I do hear the voices a little bit more now. They're domineering - they tell me to run across the road and they're following me and they say horrible and nasty things." Read full story Source: BBC News, 5 May 2020
  7. Content Article
    Philip Anderson’s able-bodied daughter, Lucy, joins Philip in sharing their perspectives of positive developments during the coronavirus lockdown, and their hopes for the future. Philip acquired a debilitating rare disease and has had to learn to live with remorseless erosion of his physical capacity, and increasing dependency. "I confess that when I was able-bodied, I was not aware of the extent of restrictions imposed by organisations on those with physical impairments. I’m only as disabled by the choices others make, rather than by loss of my motivation to live life ‘normally'. I hope that many who are experiencing some of our restrictions for the first time, will be passionate advocates for those with disability," says Philip in this thought-provoking article published in Independent Living.
  8. Content Article
    This article is written by Ryan Van Lieshout, Canada Research Chair in the Perinatal Programming of Mental Disorder. He looks at the mental health challenges new mums are facing during the coronavirus pandemic and highlights the importance of self-care, with particular reference to 'NEST-S' (nutrition, exercise, sleep, time for self, supports).
  9. News Article
    The health service will face a “tsunami” of coronavirus survivors discharged from hospitals needing long-term physical and mental support that the NHS will struggle to provide, The Independent has been told. Coronavirus can leave patients with lasting physical damage and scarring to their lungs, meaning many could struggle to breathe and move around as well as they did before – in some cases permanently. Patients admitted to intensive care can also suffer physical effects of being paralysed weeks and almost half who are ventilated with a tube in their windpipe will experience a form of delirium that can include terrifying hallucinations and leave survivors with lasting mental problems including post-traumatic stress. Experts have warned a long-term lack of funding of NHS rehabilitation services and post-discharge care for ITU patients means the health service will struggle to help the thousands of patients who beat the virus but face a long road to recovery. Read full story Source: 3 May 2020
  10. News Article
    Many people in Britain are likely to suffer from physical and mental problems for several years after the COVID-19 epidemic has subsided. That is the grim message from doctors and psychologists who last week warned that even after lockdown measures had been lifted thousands of individuals would still be suffering. Some of these problems will be due directly to the impact that the virus has had on those it has infected, especially those who went through life-saving interventions in intensive care units (ICUs) in hospital. In addition there will be a considerable impact on vulnerable people affected by the lockdown and isolation. Read full Source: The Observer, 2 May 2020
  11. News Article
    Patients with the most severe eating disorders have received the least support during the COVID-19 pandemic, a leading expert has warned. Dr Agnes Ayton, chair of the Royal College of Psychiatrists eating disorder faculty, told HSJ that although it was an achievement that services had implemented digital consultations so quickly, for the most severe and high-risk patients this would not work as well. She also warned that some specialist eating disorder units across the country have had to limit admissions and run below full capacity. Her warning comes after a leading charity for eating disorders, Beat, said it has seen a 35% increase in calls to its national helpline since the pandemic began. Read full story Source: HSJ, 1 May 2020
  12. Content Article
    Letter to the Chief executives of all NHS trusts and foundation trusts, CCG Accountable Officers, GP practices and primary care networks, providers of community health services and NHS 111 providers from the NHS Chief Executive, Simon Stevens, and Chief Operating Officer, Amanda Pritchard, on the second phase of NHS response to COVID-19.
  13. Content Article
    COVID-19 has led to hospitals suspending cancer treatment and deterred some from seeking care. Alan Mayberry, 67, was diagnosed with oesophageal cancer in January and was due to have four treatments and then surgery to remove the cancer. Unfortunately due to the coronavirus pandemic Alan's operation in early May has been cancelled because beds in the intensive care unit are in short supply. Read Alan's story (published in The Guardian).
  14. News Article
    The rising death toll from coronavirus is never far from the headlines, but hidden behind the daily figures is what public health experts refer to as the "parallel epidemic". This is the wider impact on people's health that is the result of dealing with a pandemic. UK chief medical adviser Prof Chris Witty has been referring to this with increasing frequency during the daily briefings, speaking about the "indirect" costs of coronavirus. But what is it, and how significant could it be? Routine treatments, such as hip and knee replacements, were cancelled across the UK. This alone will have a significant impact on people's lives, though it is unlikely to kill anyone. However, the pandemic has also had a knock-on effect on emergency care. Data collected by Public Health England from a sample of A&E departments in England shows attendances have halved since the pandemic started. The trend has prompted NHS leaders to urge patients to come forward for treatment. Cancer screening has been suspended in Wales, Scotland and Northern Ireland and drastically cut back in England. But it is not only an issue for cancer patients, people with chronic conditions like diabetes or kidney disease may face trying to manage their conditions remotely without the regular face-to-face contact they would have with health professionals. The pandemic is also the 'perfect storm' for mental health. The full impact could take years to unravel. Read full story Source: BBC News, 29 April 2020
  15. News Article
    The coronavirus pandemic could lead to almost 18,000 more deaths from cancer in England over the next year and there could also be a 20% spike in fatalities of newly diagnosed cancer patients, according to research by University College London (UCL) and DATA-CAN, the Health Data Research Hub for Cancer. The figures stem from real-time hospital data for urgent cancer referrals and chemotherapy attendances, which have experienced a 76% and 60% fall, respectively. Professor Peter Johnson, the NHS Clinical Director for Cancer, has urged people to not hesitate in seeking help or being checked after worrying research showed nearly half of the public have concerns about seeking help. Moreover, the poll by Portland revealed 1 in 10 people would not contact their GP even if they discovered a lump or a new mole that remained for a week or more. Read full story Source: BBC News, 28 April 2020
  16. News Article
    A government campaign has been launched to encourage people who are seriously ill with non-coronavirus conditions such as heart attacks to seek help amid concerns some are avoiding hospitals. The campaign, which will be rolled out this week, aims to encourage people to use vital services – such as cancer screening and care, maternity appointments and mental health support – as they usually would. The NHS chief executive, Sir Simon Stevens, said delays in getting treatment posed a long-term risk to people’s health. He stressed that the NHS was still there for patients without coronavirus who needed urgent and emergency services for stroke, heart attack, and other often fatal conditions. Read full story Source: 25 April 2020,
  17. News Article
    Senior doctors fear that thousands of routine vaccination appointments may be missed or delayed because of the coronavirus lockdown, raising the risk of sudden and potentially fatal outbreaks of other diseases when restrictions on movement are finally eased. GPs and accident and emergency departments have witnessed unprecedented falls in the numbers of people seeking medical care in recent weeks, prompting concerns that vital routine immunisations for infections such as measles, mumps, rubella, tetanus and whooping cough are falling by the wayside. “We are very concerned. There are no data yet because we have only been in lockdown for a month, but there are plenty of anecdotes from practice nurses and others saying they have noticed a decline in vaccine uptake,” said Helen Bedford, a professor of children’s health at the UCL Great Ormond Street Institute of Child Health and member of the Royal College of Paediatrics and Child Health’s health promotion committee. Read full story Source: The Guardian, 26 April 2020
  18. Content Article
    This blog by Cancer Research UK, discusses some key themes emerging for cancer services during the pandemic – from screening and diagnosis to treatment and care. It is important that COVID-19’s impact on cancer services is recognised and discussed to ensure as few lives as possible are needlessly lost to cancer during the pandemic.
  19. News Article
    "I have never seen my A&E department so still, so well-staffed and so uncannily calm," says Steven Fabes, an A&E doctor. Attendances in A&E departments across the country are down, in some cases by up to 80%. There is an obvious reason for the calm: people are not out and about. Pedestrians are not walking out in front of cyclists. Cyclists are not diving over car bonnets. Asthmatics are not wheezing through the fumes of Oxford Street. But there is something more worrying at play, too – people who need us are not coming in. "I am worried that people who need us are not coming in, scared that hospitals are vectors for infection rather than cure," says Steven. Read full story Source: The Guardian, 23 April 2020
  20. Content Article
    This resource has been developed by a group of multi-disciplinary health professionals at Lancashire Teaching Hospitals. The purpose of the website is to support patients with their initial recovery once discharged from hospital following treatment for COVID-19. It is hoped that the information and advice provided will assist patients and their families starting their rehabilitation journey. Although hospital admission is referred to throughout this resource, it can also be used for patients who remain in their own homes and we hope that the information and advice provided will assist all patients and their families starting their rehabilitation journey following COVID-19.
  21. Content Article
    This report from the American Enterprise Institute provides a road map for navigating through the current COVID-19 pandemic in the United States.
  22. News Article
    Scores of MPs and former ministers have urged the prime minister to tackle a backlog in NHS cancer care that threatens to lead to thousands of early deaths over the next decade. More than 100 MPs have written to Boris Johnson after the coronavirus lockdown caused severe disruption to cancer diagnoses and treatments. They have called on him to deliver an emergency boost to treatment capacity. One senior oncologist has claimed that in a worst-case scenario the effects of the pandemic could result in 30,000 excess cancer deaths over the next decade. Read full story (paywalled) Source: The Times, 22 August 2020
  23. Content Article
    A harrowing account from an anonymous physician on why he and colleagues are leaving the medical profession.
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