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Found 448 results
  1. News Article
    Britain’s lockdown drinking habits may have had fatal consequences. Deaths caused by alcohol in 2020 increased by almost 19%, marking the biggest rise since records began, according to the Office for National Statistics. There were 8,974 deaths from alcohol specific causes registered in the 12 month period, up from 7,565 deaths in 2019 – the highest year-on-year increase since the data series began in 2001. It bucks a trend in which fatalities from alcohol remained stable for the previous seven years. In England, the number of people drinking more than 14 units a week increased after the first national lockdown, according to surveys by Public Health England (PHE), and has remained at similar levels since. As pubs shut, drinking at home soared, with off-licence sales of beer rising 31% and spirits 26% compared with 2019. Dr James Tucker, the head of health analysis, said: “There will be many complex factors behind the elevated risk since spring 2020." “For instance, Public Health England analysis has shown consumption patterns have changed since the onset of the coronavirus pandemic, which could have led to hospital admissions and ultimately deaths. We’ve seen increases in loneliness, depression and anxiety during the pandemic and these could also be factors. However, it will be some time before we fully understand the impact of all of these.” Read full story Source: The Guardian, 7 December 2021
  2. News Article
    Nearly 2,000 children and teenagers have been left waiting for specialist mental health care for at least a year in Scotland, according to official figures branded “damning” by psychiatrists. New NHS Scotland data has revealed that, at the end of September, there were 1,978 patients who had been waiting 52 weeks or more for a Child and Adolescent Mental Health Services (CAMHS) appointment. That is more than double the 959 young people who were waiting that long the previous September – despite efforts by Nicola Sturgeon’s government to meet its own 2023 target for 90% of young people to receive help within 18 weeks. Ahead of the Holyrood Budget on Thursday, the figures prompted calls from service providers for a “radical transformation of our mental health services” enacted with the same zeal as the response to the coronavirus pandemic and with a focus on earlier interventions to prevent young people “giving up on their futures”. According to the latest figures, there were a total of 11,816 young people waiting for an appointment by the end of September – just 78% of them who had been seen within 18 weeks. Dr Helen Smith, chair of the CAMHS faculty of the Royal College of Psychiatrists in Scotland, said the long waits for help highlighted the “many problems” with these services “across the length and breadth of the country”. “The fact that our vulnerable children and young people are still waiting to be seen is, frankly, not good enough,” Dr Smith said. “We need them to be able to access the right support at the right time, from the correct services.” Read full story Source: The Independent, 8 December 2021
  3. News Article
    The vast majority of front-line clinical support staff are reporting moderate to extreme burnout, and nearly two-thirds have considered quitting, a new US survey found. "While much has been reported on doctor and nurse burnout, less attention has been paid to the front-line clinical support staff who have been working tirelessly throughout the COVID-19 pandemic to ensure high-quality patient care was maintained," Meg Aranow, senior vice president and platform evangelist for patient experience vendor Well Health, told Fierce Healthcare. "We recognize the critical role clinical support staff play in provider organizations—this study further validates the cascading impact clinical support staff have on the patient experience and so many facets of our healthcare system," Aranow said. Well Health surveyed 320 clinical support staff who are primarily responsible for communicating and coordinating with patients, mostly through phone calls, which can be time-consuming. According to the survey results, the patient-communication coordination process is overwhelming staff to the point of wanting to quit, with 82% saying that contacting and coordinating with patients about their appointments, follow-ups and health issues via phone, email, text or live chat is a direct cause of their burnout. The survey found that 58% of clinical support staff believe their burnout has negatively affected a patient’s quality of care, and 60% report poor or ineffective patient communication has negatively affected a patient’s health outcomes. Read full story Source: Fierce Healthcare, 20 October 2021
  4. News Article
    The NHS is forecasting there will be 230,000 new cases of post-traumatic stress disorder (PTSD) in England as a result of the coronavirus pandemic, official figures show. COVID-19 has increased exposure to events that could cause PTSD, an anxiety disorder triggered by very stressful, frightening or distressing events, according to the Royal College of Psychiatrists. It says the NHS is already facing the biggest backlog of those waiting for mental health help in its history. Forecasts cited by the college from the NHS strategy unit, which carries out NHS analysis, show there could be as many as 230,000 new PTSD referrals between 2020/21 and 2022/23 in England, which suggests a rise of about 77,000 cases a year on average. Prof Neil Greenberg, expert editor of the Royal College of Psychiatrists’ new resource tool for patients with PTSD, said: “It’s a common misunderstanding that only people in the armed forces can develop PTSD – anyone exposed to a traumatic event is at risk. “It’s vital that anyone exposed to traumatic events is properly supported at work and home. Early and effective support can reduce the likelihood of PTSD and those affected should be able to access evidence-based treatment in a timely manner. Especially our NHS staff who are at increased risk as a result of this unprecedented crisis.” Read full story Source: The Guardian, 3 December 2021
  5. News Article
    Dentists may never catch up with the backlog of patients waiting for check-ups, a leading dentist has warned. Dr Russell Gidney said around 6,000 of his patients had not been given a routine check-up in the past year because of Covid restrictions. NHS Wales figures show courses of dental treatment dropped by over three quarters in 2020-21. The Welsh government said dental services would get an extra £3m this year to support pandemic recovery. Dr Gidney said fatigue among colleagues and recruitment problems threatened the return of regular appointments. At his practice in Chepstow, Monmouthshire, he said check-ups have not been going ahead because patients who need urgent treatment were prioritised. Dentists are limited in number of patients they treat because of increased safety measures - such as wearing more PPE and cleaning between patients. New operating procedures were announced last week, relaxing the safety measures for patients who show no signs of respiratory illness, such as colds and flu. But Dr Gidney said although new guidelines may increase patient volumes, they will "barely make a dent" into the "unprecedented backlogs". Wales' Health Minister Eluned Morgan said there have been "long-standing issues" with access to dentistry, due to practices experiencing difficulties with recruitment and retention of dentists. She said these issues were "impacting on the provision of NHS dental services". Read full story Source: BBC News, 2 December 2021
  6. Content Article
    Waiting is a feature of public healthcare systems but must be managed to avoid adverse impacts on patients. The NHS sets performance standards for waiting times for elective and cancer care. Its performance against these was deteriorating before the COVID-19 pandemic and has worsened since it began. Millions of patients’ care was disrupted, meaning backlogs increased. This report looks in detail at backlogs and waiting times for elective and cancer care in the NHS in England. It explains how the current increased backlogs and waiting times have arisen, including the impact of the COVID-19 pandemic. The report sets out: how waiting times performance for elective and cancer care are tracked in the NHS, and how long patients have been waiting relative to the performance standards; the causes of increasing longer waits before the pandemic and the disruption caused by the pandemic; and the steps the Department and NHSE&I have already taken to address the increasing backlogs and waiting times, and the constraints and challenges the NHS faces in making a full recovery.
  7. News Article
    Soaring numbers of women are being diagnosed with advanced breast cancer, undermining their chances of survival, because of Covid’s disruption of NHS care, a charity has warned. The number of women being diagnosed with the disease at stage 4 is as much as 48% higher in some months than expected, with the pandemic to blame, says Macmillan Cancer Support. At the same time, fewer women are being confirmed as having breast cancer at stage 1, when their chances of responding well to treatment and living longer are much higher. Macmillan estimates that there is now a backlog of 47,300 people across the UK who have not yet been diagnosed with some form of cancer, as a direct result of Covid. They include people who could not access care in the usual way because many NHS services were scaled back, and also those who were too scared to seek help or did not want to add to the pressure the health service was already under. None have had a confirmed diagnosis of cancer, though some may be undergoing tests or screening. Steven McIntosh, Executive Director of Advocacy and Communications at Macmillan Cancer Support, says: “Nearly two years into the pandemic, there is still a mountain of almost 50,000 people who are missing a cancer diagnosis. Thousands more are already facing delays and disruption as they go through treatment. While hard-working healthcare professionals continue to do all they can to diagnose and treat patients on time, they are fighting an uphill battle. Cancer patients are stuck, waiting in a system that doesn’t have the capacity to treat them fast enough, let alone deal with the backlog of thousands who have yet to come forward.” “The Government has promised an NHS Elective Recovery Plan. This must show how it will tackle spiralling pressures on cancer services. It has never been more crucial to boost NHS capacity to treat and support everybody with cancer, so people receive the critical care they need now and in the years to come.” Read full story Source: The Guardian, 26 November 2021
  8. News Article
    There has been a 27% rise in people dying while in treatment for drug and alcohol addiction during the pandemic, an official report shows. Changes to support and reduced access to healthcare during lockdowns are likely to have been factors, it says. Between April 2020 and March 2021, 3,726 people died while in contact with drug and alcohol services - up from 2,929 the year before. The figures, published by the Office for Health Improvement and Disparities, for England, show a small 2% rise in the overall numbers of adults receiving help for drug and alcohol problems from 2020 to 2021. Out of more than a quarter of a million people affected, more than half were in treatment for problems with opiates - medicines to treat pain - and a quarter with alcohol problems. The proportion of deaths in treatment for alcohol addiction rose by 44% to 1,064 and for opiate addiction by 20% to 2,418. UKAT, a group providing residential detox treatment, said a "concerning" number of services closed their doors to addicts during the pandemic. "But drug and alcohol treatment is critical care intervention and cannot be simply put on pause," said Nuno Albuquerque, head of treatment for the group. "It cannot be a coincidence that more people have subsequently lost their lives when they were in fact trying to save it." Read full story Source: BBC News, 25 November 2021
  9. Content Article
    This publication by National Voices, the leading coalition of health and social care charities in England, highlights the factors currently affecting timely access to care for people living with ill health, disability or impairment. It calls for system leaders to prioritise rebuilding timely access to health and care, and to take an approach that considers the whole system and its context and the whole person and their circumstances.
  10. Content Article
    This report looks at lessons that can be learned from the Covid-19 pandemic around developing culturally relevant health information for South Asian communities. The authors conclude that there is an urgent need for culturally appropriate health information for South Asian communities to help reduce inequalities in health outcomes seen prior to the pandemic and exacerbated during it. They also highlight a lack of research into optimal ways of developing culturally relevant health information resources.
  11. News Article
    Health experts have raised the alarm over “serious” delays in diagnosing children and young people with cancer, as a study reveals the number found to have the disease during the pandemic fell by almost a fifth. The University of Oxford found a “substantial reduction in childhood, teenage and young adult cancer detection” in England last year. The research, being presented on Friday at the National Cancer Research Institute (NCRI) festival, showed a 17% drop in cases diagnosed in the under-25s last year compared with previous years. The impact of Covid on adults with cancer is well known. However, previously little has been known about the toll on younger patients. As well as the fall in the overall numbers of children diagnosed with cancer, researchers found that even those whose cancer was spotted last year were more likely to have been diagnosed only after being admitted to intensive care. That suggests long delays in accessing care may have made them much sicker, experts say. Read full story Source: The Guardian, 12 November 2021
  12. Content Article
    The COVID-19 pandemic resulted in an unprecedented reduction in the delivery of surgical services worldwide, especially in non-urgent, non-cancer procedures. A prolonged period without operating (or ‘layoff period’) can result in surgeons experiencing skill fade (both technical and non-technical) and a loss of confidence. While senior surgeons in the UK may be General Medical Council (GMC) validated and capable of performing a procedure, a loss of ‘currency’ may increase the risk of error and intraoperative patient harm, particularly if unexpected or adverse events are encountered. Dual surgeon operating may mitigate risks to patient safety as surgeons regain currency while returning to non-urgent operating and may also be beneficial after the greatly reduced activity observed during the COVID-19 pandemic for low-volume complex operations. In addition, it could be a useful tool for annual appraisal, sharing updated surgical techniques and helping team cohesion. This paper explores lessons from aviation, a leading industry in human factors principles, for regaining surgical skills currency. We discuss real and perceived barriers to dual surgeon operating including finance, training, substantial patient waiting lists, and intraoperative power dynamics.
  13. News Article
    A global threat in the form of a measles outbreak is mounting as more than 22 million infants missed their first vaccine dose for the disease in 2020, warned the world’s top health agencies. The World Health Organization (WHO) and the US Centres for Disease Control (CDC), in a joint statement on Wednesday, said the number represents the largest increase in missed vaccinations in two decades. The 22-million figure is three million more than in 2019, “creating dangerous conditions for outbreaks to occur,” according to the agencies. The surveillance of measles cases deteriorated because of the coronavirus pandemic, which resulted in a reported dip in cases by more than 80%t in 2020, the statement said. Measles is one of the most contagious viruses to date. It kills more than 60,000 people a year, mostly young children. But at the same time, the disease is entirely preventable through vaccinations, which have averted more than 30 million deaths from the disease globally. “Large numbers of unvaccinated children, outbreaks of measles, and disease detection and diagnostics diverted to support Covid-19 responses are factors that increase the likelihood of measles-related deaths and serious complications in children,” said Kevin Cain, the CDC’s global immunisation director. Read full story Source: The Independent, 11 November 2021
  14. News Article
    Bed occupancy in England’s hospitals has already reached normal peak winter levels, NHS leaders have warned. While modelling suggests that the rise in Covid infection levels appears to have stalled for now, the chief executive of NHS Providers has stressed that bed occupancy levels at acute hospitals are already at 94-96%, an “unprecedented” situation not normally seen until the middle of winter. It comes as long waiting times in England’s emergency departments are becoming normal, with the number of patients waiting for more than 12 hours increasing tenfold since 2019. Meanwhile, the NHS is undergoing a mounting workforce crisis and an enormous backlog of routine treatments that have built up over the pandemic. Six healthcare workers describe to the The Guardian the pressures they are facing at the moment, highlighting staff shortages, rising wait times and abuse toward NHS workers. Read full story Source: The Guardian, 8 November 2021
  15. News Article
    Long waiting times in emergency departments are becoming normal, with some patients spending days in A&E wards before they can be moved into other hospital beds, emergency physicians have warned. Leaders of the Royal College of Emergency Medicine (RCEM) and the Society for Acute Medicine (SAM) said that some hospitals had effectively run out of space, meaning patients could not receive the right care until a bed became free. NHS figures for September show that 5,025 patients waited for more than 12 hours to be admitted to hospital in England. That is only 1% of the 506,916 admitted via A&Es, but it is more than 10 times as many as the 458 waiting more than 12 hours in September 2019 and nearly twice as many as the January peak of 2,847. Scientists at the Zoe Covid study said last week that UK cases of coronavirus may have peaked. But the React study at Imperial College found that the R number was between 0.9 and 1.1 with Covid cases at their highest levels. Pressures on hospitals have prompted the Royal College of Nursing to call for a return to compulsory mask-wearing, while Sadiq Khan, the mayor of London, said that ministers should reimpose a legal obligation to wear masks on public transport, allowing police to enforce the law. Read full story Source: The Guardian, 7 November 2021
  16. News Article
    Inside the emergency department at Sparrow Hospital in Lansing, Michigan, staff members are struggling to care for patients showing up much sicker than they’ve ever seen. Tiffani Dusang, the ER’s nursing director, practically vibrates with pent-up anxiety, looking at patients lying on a long line of stretchers pushed up against the beige walls of the hospital hallways. “It’s hard to watch,” she said. But there’s nothing she can do. The ER’s 72 rooms are already filled. “I always feel very, very bad when I walk down the hallway and see that people are in pain, or needing to sleep, or needing quiet. But they have to be in the hallway with, as you can see, 10 or 15 people walking by every minute,” Dusang said. The scene is a stark contrast to where this US emergency department — and thousands of others — were at the start of the pandemic. Except for initial hot spots like New York City, in spring 2020 many ERs across the country were often eerily empty. Terrified of contracting covid-19, people who were sick with other things did their best to stay away from hospitals. Visits to emergency rooms dropped to half their typical levels, according to the Epic Health Research Network, and didn’t fully rebound until this summer. But now, they’re too full. Even in parts of the country where covid isn’t overwhelming the health system, patients are showing up to the ER sicker than before the pandemic, their diseases more advanced and in need of more complicated care. Read full story Source: Kaiser Health News, 29 October 2021
  17. Content Article
    In this article, Dr Ivan Ramos-Galvez, Consultant in Pain Medicine at the Royal Berkshire Hospital, discusses the physical and psychological issues that can arise following surgery for pelvic mesh implants. Dr Ramoz-Galvez highlights that around a third of reported complications are systemic symptoms such as runny nose, muscle pain, brain fog and lethargy, which may be the result of a chronic inflammatory state within the body. Their link to pelvic mesh implants is suggested by the fact that many women report that these symptoms resolve after their implant is removed. He also discusses the wide-ranging impact of pelvic mesh side effects for women who experience them, highlighting that the consequences are not only physical, but also psychological, social and financial. He calls for the medical profession to recognise this and develop treatments that cover all aspects of pelvic mesh complications.
  18. News Article
    Planned operations including ”priority two” procedures were postponed at short notice at one of England’s largest hospital trusts earlier this week due to rising covid compounding other operational pressures, HSJ understands. Several sources said Leeds Teaching Hospitals Trust cancelled the large majority of elective operations scheduled for Tuesday 2 November due to rising occupancy in intensive care and throughout the trust, particularly linked to increasing numbers of covid patients. The postponed operations included ‘priority two’ cases, which must be undertaken within one month to avoid further harm and deterioration, a well placed source told HSJ. The trust said it did not, however, cancel ‘priority one’ urgent operations, which must be performed within 72 hours. It said most elective operations resumed on Wednesday as pressure had “eased a little” since Tuesday. Some daycase surgery was also postponed, it said, as areas had to be repurposed for emergency care. One concerned family member of a Leeds patient whose operation was cancelled, who contacted HSJ, said: ”My relative is on the cardiology list and might not be fit enough for the op if there are further delays — that could be fatal.” Read full story (paywalled) Source: HSJ, 4 November 2021
  19. Content Article
    Quotes from US doctors on the impact the pandemic has had on their hospitals and the care they are providing.
  20. News Article
    About 1,600 fewer people than expected were diagnosed with the three most common cancers during the first nine months of the Covid pandemic. Public Health Scotland (PHS) has attempted to work out how restrictions put in place at the start of coronavirus affected diagnosis of the disease. The statistics show that breast cancer diagnosis was down by 19%, bowel cancer by 25% and lung cancer by 9%. The data also showed cancer was not being diagnosed at the earliest stages. This is when treatment is most successful. Cancer Research UK called for urgent action to prevent progress on cancer survival going backwards. David Ferguson, from Cancer Research UK in Scotland, said the PHS report reinforced fears that opportunities to diagnose cancer at an early stage were missed during the pandemic. He said: "Urgent action is needed. Cancer survival wasn't good enough before the pandemic. Too many people are waiting far too long for diagnosis and treatment so this must be addressed." He called for a "road map" to tackle staff shortages and backlogs. "If swift action isn't taken, our fear is that cancer survival in Scotland could go backwards," he said. Read full story Source: BBC News, 3 November 2021
  21. Content Article
    As a growing number of hospitals pressed for resources due to the COVID-19 surge suspend elective surgeries, some healthcare professionals want the public to know exactly how important an "elective" procedure can be.  The term "elective surgery" does not describe the acuity of the medical condition or necessity of the procedure. Rather, the use of "elective" distinguishes these surgeries that are scheduled in advance from emergency surgeries, such as trauma cases.  As Americans learn of elective surgeries once again being postponed, physicians are taking to the web to debunk what can be a misnomer.
  22. Content Article
    The pandemic has severely disrupted cancer services in England with major consequences for survival rates for lung, breast and colorectal cancer. This paper from the Institute for Public Policy Research examines the impact of the pandemic on cancer pathways, highlighting widespread disruption across screening, referrals, diagnostic and treatment services. The authors also highlight that the 'missing patient' backlog is difficult to predict and that there is a lack of qualified staff to increase capacity and aid service recovery.
  23. Content Article
    Long waiting times and growing waiting lists for hospital treatment have been a problem for some time, but the COVID-19 pandemic has exacerbated the issue and waiting lists have grown rapidly. This analysis of waiting list data by The King's Fund shows a clear relationship between longer waiting lists and deprivation, with those living in the most deprived areas nearly twice as likely to wait more than a year for treatment compared to those living in the least deprived areas.
  24. Content Article
    While the NHS delivered a remarkable amount of elective treatment during the pandemic, the pressure of caring for large numbers of patients seriously unwell with COVID-19 has led to the waiting list for elective care reaching the highest level since current records began. This analysis from The Health Foundation looks in detail at the impact of the pandemic on the waiting list for elective care in England. It highlights that: 6 million fewer people completed elective care pathways between January 2020 and July 2021 than would have been expected based on pre-pandemic numbers the backlog of elective care is not evenly distributed across England patients living in socioeconomically deprived areas faced more disruption and delays than those in England’s least deprived areas. It also looks at the difficulty in predicting how long the backlog will take to clear and how much it will cost. One unknown factor that complicates this task is 'missing' patients - those who did not or could not seek care during the pandemic. These patients may present at a healthcare setting requiring more urgent, intensive treatment as a result of missing out on earlier intervention.
  25. Content Article
    Many elective orthopaedic procedures were cancelled due to the Covid-19 pandemic and the number of patients on waiting lists for surgery is rising. This study looks at the disparities between inpatient and day-case orthopaedic waiting list numbers and the ‘hidden burden’ that exists due to reductions in elective secondary care referrals. The authors looked at elective procedures at a single District General Hospital in the UK between 1 April and 31 December 2020 and compared data with the same nine-month period from 2019. The study found: a 52.8% reduction in elective surgical workload in 2020 the total number of patients on waiting lists had risen by 30.1% in just 12 months inpatient waiting lists have risen by 73.2%, compared to a 1.6% rise in the day-case waiting list new patient referrals from primary care and therapy have reduced by 49.7%. The authors highlight the disparity between inpatient and day-case waiting lists and predict an influx of new referrals as the pandemic eases. They call for robust planning and allocation of adequate resources to deal with the backlog.
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