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Found 448 results
  1. Content Article
    A delayed discharge is when a patient no longer requires hospital care but isn’t able to leave. Earlier this winter, hospital trusts in England were asked to work with local partners to cut delayed discharges by half by the end of January. Natasha Curry and Liz Fisher show how the situation has actually got worse since, and discuss the possible reasons why.
  2. News Article
    The proportion of patients with type 2 diabetes who have had recommended health checks has fallen substantially, provisional data from 2021 suggests, as have the numbers hitting key disease control targets. In response, primary care experts have called for GP practices to receive targeted investment to focus on the checks, which they had to deprioritise as the vaccination programme was introduced. There are now 3.24 million people with a diagnosis of type 2 diabetes in England, the data across all GP practices shows. National Diabetes Audit figures for England from January to September 2021 showed that: 74% of patients had received a HbA1c check and 70% a blood pressure check compared with 93% and 95% respectively in 2019/20. In the first nine months of last year, 61.9% of patients had an HbA1c under 58 mmol/mol, compared with around 66% in previous years. The proportion of patients with blood pressure targets of under 140/80 was 66.5% in the latest figures compared with around 73-74% during 2015 to 2020. Speaking with Pulse, Professor Partha Kar, NHS England national specialty advisor for diabetes said while this was not the final data, a drop off had been expected for a range of reasons outside GPs control. ‘What we have seen is that there was a massive drop off in wave one. Then around the middle of 2020 it started to pick up again but then it’s dropping off again so irrespective of data cleaning, I suspect you will see a massive drop off compared to where things have been over the last four or five years. ‘We need to be very clear its not because anyone was twiddling their thumbs, it’s because primary care was asked to do something else. ‘We can’t go back to primary care again for the vaccines because they are being taken away from the thing that they’re amazing at which is delivering long-term conditions at scale.’ Read full story Source: Pulse, 2 February 2022
  3. News Article
    Thousands of children are falling through the cracks in youth addiction services owing to Covid, staff shortages and funding cuts, psychiatrists have said, as figures suggest the number able to get help has fallen to the lowest on record. Analysis of data from the National Drug Treatment Monitoring System (NDTMS) found that 11,013 under-18s were in treatment for drug and alcohol dependency in England in 2020-21, which was 3,278 fewer (23% less) than in 2019-20. It was the sharpest annual fall since records began, and means 13,481 fewer children were being treated than at a peak in 2008-09. The vast majority of children in treatment (89%, or 9,832) had a problem with cannabis and 41% (4,459) had a problem with alcohol. About 12% (1,333) were struggling with ecstasy use and 9% (976) reported a problem with powder cocaine. The Royal College of Psychiatrists, which analysed the data, said the pandemic, together with “drastic” historical funding cuts, was preventing young people from accessing the drug and alcohol treatment they need, potentially condemning them to a life of addiction. Dr Emily Finch, the vice-chair of the addictions faculty at the Royal College of Psychiatrists, said: “Children and their families up and down the country are having their lives blighted by drug and alcohol use due to drastic cuts, workforce shortages and the impact of the pandemic. “Addiction is a treatable health condition. Intervening early will mean many kids won’t go on to have an addiction in their adulthood, keeping them out of the criminal justice system and helping them to live full lives. It’s now time for the government to act on their promise and deliver the multimillion-pound investment into drug services.” Read full story Source: The Guardian, 3 February 2022
  4. News Article
    More than 1 in 10 school entry-age children in England are at risk of measles because they have not had their vaccine jabs, data reveals. Coverage for the two doses of MMR that helps protect five-year-olds against measles, mumps and rubella is currently at 85.5%. That is the lowest for a decade, and well below the 95% target recommended to stop a resurgence of measles. Measles is highly contagious, more than Covid, and can cause serious illness. Nine in every 10 people can catch it if they are unjabbed and exposed. As well as a distinctive rash, measles can lead to severe complications, such as pneumonia and brain inflammation, and sometimes can be fatal. Vaccination can remove almost all of these risks. Two doses of the MMR vaccine give 99% protection against measles and rubella and about 88% protection against mumps. When a high percentage of the population is protected through vaccination, it becomes harder for the disease to pass between people. But since the start of the Covid pandemic, there has been a concerning drop in the number of children receiving these vaccines on time. Experts say some parents may not have realised doctors were still offering appointments, or did not want to burden the NHS. Coverage of the first dose of the MMR vaccine in two-year-olds has now fallen below 90%. This means that more than one in 10 children under the age of five are not fully protected from measles and are at risk of catching it. Among all five-year-olds in England, 93.7% have had one dose and 85.5% have had the recommended two doses. Read full story Source: BBC News, 1 February 2022
  5. Content Article
    This report by The Patients Association is based on information gathered from more than 1,000 patients in a survey carried out in December 2021, just before the omicron wave of the Covid-19 pandemic hit the UK. The results of the survey highlight that patients found it hard to access care during this period, with pressures affecting the NHS compromising their care. They also show that the worst affected patients were those whose illness or care needs seriously affect their day-to-day lives.
  6. Content Article
    This report looks at research commissioned by the Juvenile Diabetes Research Foundation (JDRF) to understand the varying pandemic experiences of different people affected by type 1 diabetes in the UK. It highlights an enormous withdrawal of NHS services during the pandemic, leading to highly unequal access to type 1 diabetes care.
  7. Content Article
    This article in the British Journal of General Practice looks at what will happen to public engagement in healthcare following the Covid-19 vaccine rollout. The author, Datapwa Mujong, argues that the successes of community-centred approaches employed in response to the pandemic could be lost without sustained funding and policy to embed these services in healthcare provision. He warns of the dangers of 'initiative decay' and expresses concern that disadvantaged groups may be further disenfranchised by the short-term nature of engagement for the purpose of the vaccine rollout. He argues that in order to tackle inequalities, sustainable solutions are needed, rather than short-term interventions, even though these may require fewer resources.
  8. Content Article
    This study in Social Science & Medicine looked at access to mental healthcare services in the UK during the Covid-19 pandemic. It examined changes to the idea of candidacy, a concept used to describe people's perceptions about their eligibility and entitlement to care. The authors found that the pandemic had a significant effect on patients' ideas about their candidacy, and state that their findings affirm the value of the candidacy framework for mental health contexts.
  9. Content Article
    This report by Muscular Dystrophy UK looks at the impact of the Covid-19 pandemic on people living with muscle-wasting conditions, according to the results of a survey conducted in Scotland. It is estimated that more than 6,000 people in Scotland live with a muscle-wasting condition and require access to a range of specialist appointments and clinicians to meet their complex care needs.
  10. Content Article
    "Patients wait up to 12 hours. Some die waiting. How long must we wait for this dire situation to improve?" The NHS is overwhelmed. Although Covid has shone a bright light on this, it alone did not create these problems. There are multiple reasons for failure writes the'Secret Paramedic' in this Guardian article.
  11. News Article
    NHS England is urging health systems to ramp up physical health checks for people with severe mental illnesses to address a widening life expectancy gap caused by covid, according to a letter seen by HSJ. In a letter circulated to integrated care system leads, chairs, mental health and community trust executives on Wednesday, national commissioners warn the impact of the pandemic may widen current gaps in life expectancy for people with SMI and learning disabilities even further, without “decisive and proactive action”. The letter, circulated by national mental health director Claire Murdoch, learning disability and autism director Tom Cahill and inequalities director Bola Owolabi, quotes NHS data suggesting people with SMI are five-and-a-half times more likely to die prematurely and those with learning disabilities three times more likely to die from an avoidable cause of death. It says: ”The health inequalities faced by people living with SMI and people with a learning disability are stark… The impacts of the pandemic will widen this gap further unless we take decisive and proactive action to address inequalities… These checks are a key lever to address the reduced life expectancy for both groups.” It calls on primary care teams, already delivering thousands of covid vaccinations as part of the booster programme, to prioritise annual physical health checks alongside the rollout, “even as we continue with a level 4 national incident” caused by the omicron variant. Read full story (paywalled) Source: HSJ, 14 January 2022
  12. News Article
    Just under 6 million people in England are now waiting for hospital treatment – a record high – as latest performance figures show how the NHS was struggling even before the Omicron Covid variant emerged. A total of 5,995,156 patients were on the waiting list for an operation in November, of whom more than 2 million had already waited longer than the maximum standard of 18 weeks for routine treatment. Figures published by the NHS underlined its growing inability to provide timely care. They also showed that more than 300,000 people have been waiting more than a year for surgery and that performance against the crucial four-hour A&E target is the worst ever. The figures led to warnings from the Health Foundation thinktank that the NHS was “being stretched to its limits” and from the Liberal Democrat health spokesperson Daisy Cooper that “patients are being catastrophically let down by this government’s woeful neglect of the NHS”. “With the NHS now in the thick of one of the most uniquely challenging periods in its history, unacceptably long waits for hospital care are becoming increasingly commonplace,” said Siva Anandaciva, the chief analyst at the King’s Fund. Read full story Source: The Guardian, 13 January 2022
  13. Content Article
    People in England’s most deprived neighbourhoods work longer hours than those in the rest of the country but live shorter lives with more years in ill health costing an estimated £29.8bn a year to the economy in lost productivity. People living in these communities were also 46% more likely to die from COVID-19 than those in the rest of England. The findings, revealed in a joint report released today by the All-Parliamentary Party Group for ‘left behind’ neighbourhoods and Northern Health Science Alliance, shows the devastating impact of poor health for those living in deprived areas and left behind neighbourhoods (LBNs) and makes a number of recommendations to overcome the health inequalities faced by people living in these places. Those living in local authorities that contain ‘left behind’ neighbourhoods have a further £2bn gap in lost productivity compared to those areas with a similar rate of deprivation but with more civic assets, connectedness and an active and engaged community. Across most measures people in these areas fair even worse than those in deprived neighbourhoods.
  14. News Article
    NHS England has told local systems to defer ‘low priority’ cases across 11 community services, because of the pressures created by the omicron wave. NHSE has issued guidance for the prioritisation of the community health workforce “given the increasing pressures on the health system due to the omicron wave of COVID-19 this winter and the need to provide booster jabs as quickly as possible”. It is hoped the guidance will encourage the redeployment of community staff to help reduce the strain on acute services. Staff working in musculoskeletal services are being asked to deprioritise some low priority rehabilitation work, with patients enabled to self-manage at home. It adds: “Where possible, provide capacity to support other community resources focused on rehabilitation and recovery for those discharged from acute care and those whose functioning is deteriorating at home, and/or the administration of vaccines.” A host of other services have been advised to continue, but with “prioritised” waiting lists and a deferral of provision considered for “low priority cases” to “free up workforce capacity”, including children’s therapy interventions, children’s community paediatric services and audiology services for older adults. Read full story (paywalled) Source: HSJ, 11 January 2022
  15. Content Article
    In this interview for Woman's Hour, Dr Nisreen Alwan, Associate Professor in Public Health at the University of Southampton, discusses the impact of Long Covid on her own life with presenter Emma Barnett. She also shares insights from research that suggests women, people of working age, people from areas of high social deprivation and frontline health and education workers are more likely to be affected by Long Covid. Dr Alwan talks about the need to manage Long Covid alongside daily activities and highlights new research that demonstrates that vaccines may reduce the incidence of the condition. The interview can be heard at 17:23-25:20 in the recording.
  16. News Article
    People with some of the deadliest forms of cancer are being diagnosed later than ever as a result of disruption to healthcare caused by the Covid pandemic, campaigners have warned. Stomach, lung, pancreatic, brain, stomach and oesophageal cancers have some of the poorest long-term survival rates and have always been disproportionately diagnosed late following an emergency hospital admission. However, campaigners are concerned that the poor prognoses for these patients have been exacerbated by factors such as a reluctance to attend A&E or bother GPs during the pandemic, and by bottlenecks in the numbers of patients waiting for tests such as CT scans or endoscopy. A drive to raise awareness of the symptoms for these cancers – which are not subject to any routine screening programmes – along with a push for more investment into research for treatments has been launched today to mark the first Less Survivable Cancers Awareness Day. Dawn Crosby, head of Scotland and Northern Ireland for Pancreatic Cancer UK and a member of the Less Survivable Cancers Taskforce, said: “We know that delays in diagnosis lead to much poorer outcomes for patients with these rapidly-advancing cancers. We also know the trauma associated with receiving a diagnosis in an emergency setting for both patients and families." “These cancers are currently difficult or impossible to treat at later stages and the time from diagnosis to death is often brutally short compared to more survivable cancers. “The situation is critical and has been exacerbated by the Covid-19 pandemic. The Taskforce is calling for a significant increase in research funding, as well as a commitment to increasing resources for early diagnosis for less survivable cancers so we can close the deadly cancer gap.” Read full story Source: The Herald, 11 January 2022
  17. Content Article
    This report by the Health and Social Care Commons Select Committee looks at the catastrophic impact of the Covid-19 pandemic on patients waiting for NHS care and outlines the findings of the Select Committee's inquiry. Waiting lists are at their highest since records began, and the 5.8 million patients waiting to start treatment in September 2021 may be only the tip of the iceberg, with missing patients meaning that the true waiting list could be as high as 13 million. The report highlights the need to carefully plan how to tackle the elective care backlog. It outlines the risks involved, including the danger of prioritising areas that are well suited to numerical targets to the detriment of other areas of care, such as mental health, general practice and community services. It also highlights that the challenges the NHS faces are greater than just tackling elective care. With a record number of 999 calls and waiting times in emergency departments at record levels, work to tackle the backlog is being threatened by pressure on emergency care.
  18. Content Article
    In this interview with the journal International Politics and Society, Brendan Delaney, professor at the Faculty of Medicine at Imperial College London discusses the impact of Long Covid on individuals and society. He describes his own experience of Long Covid, which rendered him unable to work for months, and highlights that we should not be surprised by the prevalence of Long Covid, as all epidemics result in long-term illness for many people. He draws attention to parts of the political system 'not believing in' Long Covid and highlights the damage caused by psychologising the condition. Finally, he points to the need for more research to better understand Long Covid symptoms.
  19. News Article
    Care operators are facing acute staffing shortages caused by Omicron with more than 90 declaring a “red” alert, which means staffing ratios have been breached. Over 11,000 care home workers are off for Covid reasons, according to internal health system staffing data seen by the Guardian. One of the UK’s largest private operators, Barchester, is dealing with outbreaks in 105 of its 250 homes. It said that rules meaning homes with Covid cannot accept hospital discharges will cause backlogs in the already struggling NHS. Across England, 9.4% of care home staff are off work, according to government live data, with close to 3% absent because of Covid. The figures, which may be an underestimate because of the festive break, are drawn from submissions by thousands of care providers. “The spread of Omicron across the country will bring more care homes into outbreak, put huge pressure on the already compromised staff group and mean those who need care do not get it,” said Vic Rayner, chief executive of the National Care Forum. Many care operators said delays in getting PCR test results back were a key frustration, meaning workers who may not be infected were isolating longer than necessary." Stephen Chandler, president of the Association of Directors of Social Services, said councils were braced for calls for help from care operators and said “the care that people experience will be affected”. Read full story Source: The Guardian, 5 January 2022
  20. Content Article
    In the wake of new variants and the relentless spread of Covid-19, understanding the complex nature of Long Covid is crucial. In this article, I aim to present useful information on the risk factors, plausible pathophysiological mechanisms and treatment of Long Covid. The obscure nature of Long Covid is a conundrum both for doctors and patients. To mitigate the burden of Long Covid, early identification of disease signs, appropriate treatment and timely access to rehabilitation care is vital. I believe that strengthening the 4 Rs (Reporting, Recognition, Rehabilitation and Research) through close collaboration between government organisations, pharmaceutical industries, patients and health care providers could reduce the impact of Long Covid.
  21. News Article
    A critical incident has been declared at four Lincolnshire hospitals because of staff shortages due to COVID-19. United Lincolnshire Hospitals NHS Trust said it was taking "additional steps to maintain services" at all its hospitals in Lincoln, Boston and Grantham. The trust's medical director, Dr Colin Farquharson, said there were "significant staffing pressures due to absence related to COVID-19". But he said essential services "remain fully open". According to a leaked email seen by The Sunday Times, the trust declared a critical incident on Saturday night "due to extreme and unprecedented workforce shortages". It issued an "urgent appeal" for clinical and non-clinical staff to offer extra time supporting colleagues "over the next 72 hours". It also asked staff to "consider limiting social contacts with people outside of work". Original tweet on Twitter: Read full story Source: BBC News, 3 January 2022
  22. News Article
    Everyone over the age of 18 in England has been promised they can book their coronavirus booster appointment by the end of this year. In a televised address on Sunday evening, Prime Minister Boris Johnson promised to deliver up to a million vaccine doses a day to ensure everyone eligible is offered a slot a month earlier than planned. As part of the "Omicron emergency national mission" he asked NHS staff "to make another extraordinary effort" to meet the new target. This will include more vaccine centres and walk-in sites with extended opening hours, "thousands" more volunteers to deliver jabs and help from the military to oversee operations. However, COVID ICU anaesthetist Dr Ed Patrick told Sky News there are already staff shortages "all over" the NHS, including intensive care, with boosters threatening to make them even worse. "It's a massive concern," he said. "You're taking a really scant resource and then you're pushing it elsewhere, which means that other services get cut." Pat Cullen, general secretary of the Royal College of Nursing, said she is worried about the "scale and pace" of the new rollout, as the "same nurses are already facing huge demands under existing unsustainable pressures". While Chris Hopson, chief executive of NHS providers, warned the health service is "already beyond full stretch" and the changes would see more procedures postponed in the coming days. Read full story Source: Sky News, 13 December 2021
  23. News Article
    NHS stocks of blood may become “critical” this winter, a regulator has warned, as Covid and higher than average winter rates of cold and flu risk donation levels. The NHS Blood and Transplant authority declared a major incident at the end of October after its supply of blood supplies dropped to critical levels, nationally. The regulator’s supply was at risk of dropping to below two days’ supply across the country, when it aims to have at least five days at all times. This is the second time the regulator, which is responsible for blood donation supplies to the NHS, has declared a critical incident in the last 12 months. The last time the regulator declared an incident over low stocks was due to bad weather and snow in 2018 during the “beast from the east” storm and in Cornwall in 2019, which resulted in decreased donation levels. Read full story Source: The Independent, 12 December 2021
  24. News Article
    Health experts have expressed fears over the impact tighter Covid restrictions in England could have on cancer patients as alarming new figures reveal that the number taking part in clinical trials plummeted by almost 60% during the pandemic. Almost 40,000 cancer patients in England were “robbed” of the chance to take part in life-saving trials during the first year of the coronavirus crisis, according to a report by the Institute of Cancer Research (ICR), which said COVID-19 had compounded longstanding issues of trial funding, regulation and access. Figures obtained from the National Institute for Health Research by the ICR show that the number of patients recruited on to clinical trials for cancer in England fell to 27,734 in 2020-21, down 59% from an average of 67,057 over the three years previously. The number of patients recruited for trials fell for almost every type of cancer analysed. Health experts said the relentless impact of Covid on the ability of doctors and scientists to run clinical trials was denying many thousands of cancer patients access to the latest treatment options and delaying the development of cutting-edge drugs. Read full story Source: The Guardian, 9 December 2021
  25. News Article
    The NHS has a backlog of 5.8 million waiting for surgery and specialists are increasingly frustrated at how the unvaccinated have left them unable to tackle it. Doctors and nurses have told of their anger and frustration at not being able to treat seriously ill patients as new figures show that more than 90% of Covid sufferers requiring the most specialist care are unvaccinated. While the success of the vaccination rollout has reduced the overall impact of COVID-19 on hospitals, intensive care clinicians from across England have spoken out over the continuing pressure they are under. Between 20% and 30% of critical care beds in England are occupied by Covid patients and three-quarters of those have not been vaccinated, according to the latest data up to July this year. Read full story (paywalled) Source: The Times, 4 December 2021
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