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Found 448 results
  1. News Article
    More than a third of working-age people in the UK now suffer from a long-term illness, with new figures showing a dramatic rise since the pandemic began. Post-Covid conditions, including Long Covid, breathing difficulties and mental-health problems, are among the causes, according to disability charities and health campaigners. An Observer analysis of the Office for National Statistics’ (ONS) labour market status of disabled people figures shows that nearly 14.2 million people in the UK aged 16 to 64 said they had a health condition lasting for at least 12 months in 2021 – a rise of 1.2 million during the two years of the pandemic. Levels of long-term ill-health had been rising more slowly before the emergence of Covid, at an annual average of about 275,000 cases a year between 2014 and 2018, but the rapid increase over the last two years highlights the health problems facing the UK, says the disability charity Scope. About 800,000 more people suffered from mental-health problems in 2020-21 than did so in 2018-19, Scope said, and the number of people with chest and breathing problems had grown by about 570,000 over the same period. James Taylor, Scope’s director of strategy, said: “These figures show the ongoing shock waves of the past two years continue to affect lives today. We’re concerned things will continue to get worse as time goes on." Long Covid is another factor. The latest ONS long Covid report estimates that 1.5 million have had Covid symptoms for more than four weeks, and 685,000 people had symptoms that had lasted more than a year. Further analysis by Long Covid Kids shows that people with pre-existing conditions are more likely to suffer long Covid than those without. Those whose activity is limited are, on average, more than three times as likely to suffer long Covid as those with no pre-existing conditions. Dr Susannah Thompson was infected in April 2020 while working as a GP in her local hospital’s urgent care centre in north-west England. She made a “slow, gradual recovery” over the next months and was involved in setting up the GP-led vaccination programme until she had a “massive relapse” in January 2021. “It feels like we’re ignoring Long Covid,” Thompson said. “People in the middle of their lives are getting robbed of their livelihoods, at risk of losing their homes. I can’t fathom why we don’t try to prevent it. But we’re not.” Read full story Source: The Guardian, 5 March 2022
  2. Content Article
    This webpage from the British Medical Association (BMA) contains analysis of NHS data and is updated monthly. It highlights the growing backlogs across the NHS and includes operations data and information on the cancer waiting list, GP referrals and A&E waiting times.
  3. Content Article
    Medical research is progressing to clarify the full range of sub-acute and long-term effects of post-COVID-19 syndrome (Long Covid), but most manuscripts published to date only analyse the effects in patients discharged from hospital, which may induce significant bias. This Spanish study in the journal Scientific Reports aimed to analyse the single and multiple associations between post-COVID-19 characteristics with up to six months of follow-up in hospitalised and non-hospitalised Covid-19 patients. Key findings include: At six months follow-up, fatigue, arthralgia, fever, breathlessness, emotional disturbance, depression, cognitive deficit, haemoglobin, total bilirubin, and ferritin are correlated with the gender of the patient Patients with previous respiratory diseases and abnormal body mass index, ex-smoker, and dyspnoea had a robust statistically significant association. Non-hospitalised patients may suffer more severe thromboembolic events and fatigue than hospitalised patients. Functional lung tests are good predictors of chest CT imaging abnormalities in elderly patients with Long Covid.
  4. Content Article
    This week is Eating Disorders Awareness Week. Eating disorders are complex mental health conditions. People with eating disorders use food as a way of managing difficult feelings and maintaining control, particularly when life seems uncontrollable. In March 2020, the world changed in a blink of an eye when the COVID-19 pandemic struck. Dr Joanna Silver, Counselling Psychologist, discusses the additional challenges the pandemic brought for many people with eating disorders.
  5. Content Article
    My Planned Care gives you advice and support while you wait and helps you to prepare for your hospital consultation, treatment, or surgery. This includes giving you information about waiting times at your hospital and other supporting and local services while you wait. This site is updated weekly and can be viewed by anyone, which means you, your family or carer as well as your NHS team can all see the latest information. Your hospital team will be in touch with you as soon as they can. If you are looking for an update, please check this website before contacting your hospital or GP.
  6. News Article
    Face-to-face GP appointments have continued to fall, despite a rallying cry for doctors to restore normal services. The proportion of GP appointments held in person fell for the third month in a row to 60.3% in January, latest data show. Data published by NHS Digital on Thursday show about 25.6 million appointments were carried out in January. Of these, some 15.4 million were face-to-face. The last time it fell below this level was August 2021, when just 57.6% of appointments were face-to-face. Pre-pandemic, the proportion of GP appointments held in person was about 80%. Dr Nikki Kanani, NHS England’s medical director of primary care, told doctors last month to “restore routine service” following the successful rollout of the booster jab campaign. Writing to GPs, she said: “It is now important that all services across the NHS, including in primary care, are able to restore routine services where these were paused in line with the Prime Minister’s request to focus all available resource on the omicron national mission.” But patient groups say the “situation hasn’t improved” and patients are still struggling to see their doctor in person. Dennis Reed, from patient group Silver Voices, said the figures were “worrying” but not surprising. “I'm still getting complaints on a daily basis that people are struggling to see their GP,” he said. Read full story Source: The Telegraph, 24 February 2022
  7. News Article
    Breast cancer screening uptake fell to its lowest point ever during the pandemic, as the numbers of women seen dropped by more than one third. Just 1.19 million women aged 45 and over were screened for breast cancer in 2020-21, while the numbers of women who actually took up their invitation for screening dropped to 61%. Analysis by Breast Cancer Now, of the new NHS figures published on Thursday, found that uptake during the first year of the pandemic was the lowest it had been since records began. The number of women who had cancer detected through screening decreased by almost 40 per cent, although rates when calculated per 1,000 women were up by 8.4%. The news comes after NHS figures revealed that half of patients in October waited more than two weeks following an urgent breast cancer referral. According to analysis from the Labour Party in January, breast cancer patients faced the longest waits when compared to all other cancer referrals. Breast Cancer Now chief executive Baroness Delyth Morgan said: “Screening uptake has hit its lowest point in history, with less than 62% of women invited being screened, despite NHS staff working tirelessly, in the toughest of circumstances, to restart and continue breast screening services after they needed to be paused in March 2020. “The human cost behind these figures is stark, with an estimated 8,870 women in the UK living with undetected breast cancer as a result of the pandemic – a significant number of which would have been detected at routine screening. Tragically, research suggests that up to an additional 680 women could die from breast cancer in the next decade due to impacts of the pandemic on screening.” Read full story Source: The Independent, 24 February 2022
  8. News Article
    A Covid report by the Local Government and Social Care Ombudsman has highlighted some ‘tragic individual cases’ over the past months. The report analyses cases over the first 18 months of the pandemic which for the majority reveal that councils and care providers weathered the unprecedented pressures they were under fire. However, the report also reveals the ‘serious impact on people’s lives’ when things go wrong. Cases include a woman who died from COVID-19 at a care home with poor infection control procedures which was then compounded by staff trying to cover up the facts. The Ombudsman’s report focuses on the lessons that can be learned from the complaints it has received about the pandemic and welcomes that, in many cases, councils and care providers are already using their experiences from the pandemic to consider how they can make improvements to services. Michael King, Local Government and Social Care Ombudsman, said: “We have investigated some tragic individual cases over the past months. Each represents poor personal experiences where councils and care providers did not get things right. “Our investigations have shown that, while the system did not collapse under the extreme pressures placed on it, Covid-19 has magnified stresses and weaknesses present before the pandemic affecting some councils and providers. “We have always advocated how crucial good complaint handling is in any setting, so I am particularly saddened that, in some authorities, dealing with public concerns and complaints itself became a casualty of the crisis. At a time when listening to public problems was more important than ever, we saw some overstretched and under-resourced complaints teams struggle to cope. “If evidence was needed, this report proves that managing complaints should be considered a frontline service.” Read full story Source: Care Home Professional, 24 February 2022
  9. Content Article
    The COVID-19 pandemic placed unprecedented pressure on councils and care providers. A new report from the Local Government and Social Care Ombudsman analyses just how those organisations coped.
  10. News Article
    Five months after being infected with the coronavirus, Nicole Murphy’s pulse rate is going berserk. Normally in the 70s, which is ideal, it has been jumping to 160, 170 and sometimes 210 beats per minute even when she is at rest — putting her at risk of a heart attack, heart failure or stroke. No one seems to be able to pinpoint why. She’s only 44, never had heart issues, and when a cardiologist near her hometown of Wellsville, Ohio, USA, ran all of the standard tests, “he literally threw up his hands when he saw the results,” she recalled. Her blood pressure was perfect, there were no signs of clogged arteries, and her heart was expanding and contracting well. Murphy’s boomeranging heart rate is one of a number of mysterious conditions afflicting Americans weeks or months after coronavirus infections that suggest the potential of a looming cardiac crisis. A pivotal study that looked at health records of more than 153,000 U.S. veterans published this month in Nature Medicine found that their risk of cardiovascular disease of all types increased substantially in the year following infection, even when they had mild cases. The population studied was mostly White and male, but the patterns held even when the researchers analyzed women and people of color separately. When experts factor in the heart damage probably suffered by people who put off medical care, more sedentary lifestyles and eating changes, not to mention the stress of the pandemic, they estimate there may be millions of new onset cardiac cases related to the virus, plus a worsening of disease for many already affected. “We are expecting a tidal wave of cardiovascular events in the coming years from direct and indirect causes of covid,” said Donald M. Lloyd-Jones, president of the American Heart Association. Read full story (paywalled) Source: Washington Post, 21 February 2022
  11. News Article
    Patient care may suffer as a result of cuts to the NHS budget to fund the continuing costs of Covid, NHS leaders and Labour have said, after Sajid Javid refused to say where the axe would fall. The Department of Health and Social Care (DHSC) is trying to make savings from its budget to fund free lateral flow tests for elderly people, Covid surveillance studies and genomic sequencing, after the Treasury refused its request for £5bn in extra funding. Although the government announced an end to most free mass testing and contract tracing on Monday, remaining Covid measures are expected to cost more than £1bn. The Treasury and the DHSC refused to say exactly how much cash would be needed or which services would have to be cut back, prompting fears that the NHS could have to find savings at a time of a huge waiting list backlog. It is understood that DHSC officials are working on identifying savings in the department’s £178.5bn budget for 2022-23, to fund the measures agreed on Monday, including maintaining a “baseline” testing capability that can be scaled up if necessary. They have ruled out hitting Javid’s plan for tackling waiting lists, but a government source would not rule out any other areas being affected, saying a “significant amount of money” would have to be found by “reprioritising”. Saffron Cordery, the deputy chief executive of NHS Providers, warned the government against abandoning its commitment to give the NHS “whatever it needs” to tackle Covid and called for transparency about “where the impact of these extra costs will fall”. “Trust leaders are understandably anxious over reports that the ongoing and significant costs of living with Covid will be met by ‘reprioritising’ the NHS’s existing budget,” she said. “There is a very real risk of trade-offs affecting the quality of patient care – something no one wants to see.” Read full story Source: The Guardian, 23 February 2022
  12. Content Article
    The Covid-19 pandemic has had a significant impact on people’s mental health, and the knock-on effect is putting services and organisations under considerable pressure. In this briefing for the NHS Confederation, Paula Lavis outlines the case for change in mental health services and makes recommendations on how to address the increasing post-pandemic demand. The briefing covers the following areas: Increased severity of mental health problems linked to the pandemic The wider social context The case for change: Prevention and easy access to mental health support, Funding, Workforce Viewpoint and recommendations
  13. News Article
    Millions of patients in England face dangerously long waits for mental health care unless ministers urgently draw up a recovery plan to tackle a “second pandemic” of depression, anxiety, psychosis and eating disorders, NHS leaders and doctors have warned. The Covid crisis has sparked a dramatic rise in the numbers of people experiencing mental health problems, with 1.6 million waiting for specialised treatment and another 8 million who cannot get on the waiting list but would benefit from support, the heads of the NHS Confederation and the Royal College of Psychiatrists have told the Guardian. In some parts of the country, specialist mental health services are so overwhelmed they are “bouncing back” even the most serious cases of patients at risk of suicide, self-harm and starvation to the GPs that referred them, prompting warnings from doctors that some patients will likely die as a result. “We are moving towards a new phase of needing to ‘live with’ coronavirus but for a worrying number of people, the virus is leaving a growing legacy of poor mental health that services are not equipped to deal with adequately at present,” said Matthew Taylor, the chief executive of the NHS Confederation, which represents the whole of the healthcare system in England. “With projections showing that 10 million people in England, including 1.5 million children and teenagers, will need new or additional support for their mental health over the next three to five years it is no wonder that health leaders have dubbed this the second pandemic. A national crisis of this scale deserves targeted and sustained attention from the government in the same way we have seen with the elective care backlog.” One family doctor in Hertfordshire, Dr David Turner, said he was so concerned about the situation that he had chosen to speak out publicly for the first time in his 25-year career. “I and many other GPs feel the issue has become critical and it is only a matter of time before a child dies,” he told the Guardian. Turner said access to child and adolescent mental health services (CAMHS) was “never great pre-Covid” but was now “appalling”. The double whammy of a spike in demand and underinvestment in CAMHS was putting patients at risk, he added. Read full story Source: The Guardian, 21 February 2022
  14. Content Article
    Although the direct effects of Covid-19 on children and young people are usually milder than for older age groups, the pandemic’s effect on the overall health and care of the youngest generation has nonetheless been extensive. This analysis from the Nuffield Trust looks at the impact Covid-19 has had on healthcare for children and young people. The review has looked at both physical and mental health services and come to the same conclusion - support has been badly disrupted and the plight of children overlooked.
  15. News Article
    Thomas Hebbron is one of the forgotten victims of the pandemic. He was diagnosed with leukaemia in February 2019 - a year before Covid hit the UK. The eight-year-old, from Leeds, has been treated with chemotherapy which has continued throughout the pandemic, but his health has suffered in other ways - and his mother believes the unrelenting focus on the virus is to blame. Pre-pandemic he was seen in person by doctors every two weeks. But that changed to monthly video calls, and liver and urinary problems went undetected. His treatment also affected his fine motor skills and has weakened his legs, but he has not seen an occupational therapist since before the pandemic. "I want to take this pain away from him," says his mother, Gemma. "I don't want to sit and watch him in this pain, but I can't do anything. I just feel completely helpless." Thomas's story is not unique. An analysis by the Nuffield Trust and Health Foundation has for the first time laid bare how access to core health services in England has been squeezed, threatening to leave behind a generation of young people. The review has looked at both physical and mental health services and come to the same conclusion - support has been badly disrupted and the plight of children overlooked. The Nuffield Trust and Health Foundation have been joined by the Royal College of Paediatrics and Child Health (RCPCH) in calling for a dedicated plan for children to help them recover from the pandemic. Dr Camilla Kingdon, RCPCH president, said the figures "do not take into account the many other 'hidden' waiting lists of children waiting for community therapies and diagnostic assessments, especially for autism". She added that children are "struggling" and, despite services being stretched, no-one should be deterred from speaking to a health professional. Read full story Source: BBC News, 18 February 2022
  16. Content Article
    In this blog, Patient Safety Learning’s Chief Executive, Helen Hughes, reflects on participating in a recent Health Service Journal (HSJ) Patient Safety Congress webinar, held in association with BD, which considered some of the key emerging patient safety issues for 2022. 
  17. Content Article
    This analysis by The British Medical Association (BMA) highlights that the health service has a shortage of hospital beds, and that occupancy rates consistently exceed safe levels. It states that bed capacity will be a critical limiting factor in the NHS recovery from the Covid-19 pandemic. The analysis looks at: NHS bed data compared to other countries. bed stocks over time. the impact of Covid-19. safety breaches. intensive care capacity.
  18. Content Article
    The UK has fewer acute hospital beds relative to its population than many comparable health systems, and the Covid-19 pandemic has had a significant impact on their availability and use. This article by The King's Fund illustrates long-term trends in hospital beds, using 2019-20 data from before the pandemic as the most recent comparator. However, where data is available for 2020/21, the authors have included this for information and to show the impact of the pandemic.
  19. Content Article
    This is a video recording of a Health Service Journal (HSJ) Patient Safety Congress webinar, in association with BD, considering some of the key emerging patient safety issues for 2022. The panel discuss the legacy of the Covid-19 pandemic patient and staff safety, what needs to be done to ensure that patient safety is designed into elective care recovery plans and the important role for co-production as part of this.
  20. Content Article
    This is the first episode in a series of podcasts by Natasha Loder, Health Policy Editor at The Economist, about the care backlog currently facing the health service. After more than two years battling Covid-19, the NHS is struggling through its worst winter crisis in living memory and is facing a daunting task to clear the huge backlog exacerbated by the pandemic. Nearly six million people are on the NHS waiting list for routine treatment in England alone. As patients, often with worsening conditions, pour back into the NHS after putting off treatment, health secretary Sajid Javid warns waiting lists could top thirteen million. In this first episode, Natasha speaks to frontline workers, managers, policy experts, and patients to assess the pressure created by the unprecedented demand on the different areas of the NHS from emergency services to GP surgeries.
  21. Content Article
    In this article in The BMJ, Farah Hameed highlights that the backlog of care in the aftermath of the Covid-19 pandemic is having a significant and detrimental effect on primary care services, not just elective hospital treatment. The combined impact of patients not coming forward for treatment during the pandemic, and hospitals having to cancel non-urgent procedures and routine clinics, has led to a huge backlog of patients living with conditions that are gradually getting worse. It is primary care that has to support these patients in the absence of capacity in secondary care. Consultant-led hospital services rejecting GP referrals due to lack of capacity is a major problem, with the number of GP referrals rejected due to lack of slots jumping from 238,859 in February 2020 to 401,115 in November 2021.  Farah argues that emphasis must be placed on how tackling the build-up of care in our communities can help the wider system. For example, making GP continuity of care a policy priority would be a cost-effective way of improving patient outcomes and reducing the burden on other parts of the healthcare system, including secondary care.
  22. Event
    In November 2021, the Chancellor announced £5.9 billion in funding to help the UK's health and social care system address the backlog and provide much-needed support to NHS staff and patients. But how are healthcare professionals addressing the NHS backlog for 2022/23? Whilst the future pattern of COVID-19 transmission and the resulting demands on the NHS are unknown, there is an urgent need to increase NHS capacity and resilience to deliver safe, high-quality services that meet the full range of people's health and care needs. Here at National Health Executive, we will be hosting our first online event of the year, NHE365 NHS backlog, on February 17th, 2022. This event will investigate how the NHS will continue to rise to the challenges of restoring services, meeting new care demands, and reducing care backlogs caused by the pandemic. Register
  23. Content Article
    The Covid-19 pandemic has had a significant impact on the amount of planned care the NHS has been able to provide. This delivery plan sets out how the NHS will recover elective care over the next three years. It has been developed with a wide range of expert partners and explains how the NHS will capitalise on current success and embed new ideas to ensure elective services are fit for the future.
  24. News Article
    The number of children experiencing mental health problems has risen sharply during the Covid-19 pandemic, but fewer have been able to access support because of disruptions to services, says a report by the Children’s Commissioner for England. Around one in nine children had a probable mental health disorder in 2017, the report says, but this jumped to one in six in 2021 with only around a third (32%) able to access treatment. While the number of children referred to mental health services by GPs and teachers has been growing in recent years, referral rates fell back in 2020-21 to 497 502 (equivalent to 4% of all children in England), compared with 539 000 (4.5% of children) the previous year. “It is likely that even though more children have mental health problems, fewer were being referred to services during lockdowns because of disruptions caused by the pandemic,” said children’s commissioner for England, Rachel de Souza. “Numbers referred into services are likely to increase again in the coming years. The health secretary will be publishing a review later this year to explore how we can tackle this increased level of need and adopt a more preventive approach.” Lynn Perry, interim co-chief executive of children’s charity Barnardo’s, said, “Covid-19 has taken a serious toll on children’s mental health and schools are the first place many of them seek help. Being able to reach this support early at school will reduce the number of children who need specialist help from mental health services. This is why Barnardo’s is calling on the government to speed up the rollout of mental health support teams to help pupils and teachers get the support they need, when they need it.” Read full story Source: BMJ, 7 February 2022
  25. Content Article
    In this personal narrative, Dr Ahmed Khalafalla describes his experience of the Covid-19 pandemic as a general practitioner in Saudi Arabia. He describes new mental health issues that he has witnessed in his clinic as a result of infection prevention and control measures, and asks questions about the ongoing impact of the pandemic on the health needs and behaviour of the general population.
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