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Found 994 results
  1. News Article
    Over half of paramedics are suffering from burnout caused by “overwhelming” workloads, record numbers of 999 calls and the public misusing the ambulance service, a study has found. Frontline crew members also blame lack of meal breaks, delays in reaching seriously ill patients and their shift often not ending when it should for their high levels of stress and anxiety. The working lives of ambulance staff are so difficult that nine out of 10 display symptoms of “depersonalisation”, characterised by “cynicism, detachment and reduced levels of empathy” when dealing with patients who need urgent medical treatment. The widespread poor mental welfare of paramedics is a problem for the NHS because it is leading to some quitting, thus exacerbating its shortage of ambulance personnel, the authors said. The findings, published in the Journal of Paramedic Practice, have prompted concern that the demands on crews, alongside the injury, violence and death they encounter, are storing up serious mental health problems for them, including post-traumatic stress disorder. “Ambulance staff are passionate about their role. However, burnout is a significant and very real issue that decreases staff efficacy and reduces quality of patient care,” the study said. It was undertaken by Rachel Beldon, who works for the Yorkshire ambulance service, and Joanne Garside, a professor and school strategic director of Huddersfield university’s health and wellbeing academy. “Participants wanted better resources and staffing levels. The current workload appeared to be overwhelming and negatively affected their mental health and work-life balance.” Read full story Source: The Guardian, 6 February 2022
  2. Content Article
    Staff retention is a significant issue for ambulance services across the globe. Exploratory research, although minimal, indicates that stress and burnout, in particular, influence attrition within the paramedic profession. These need to be understood if their impact on retention is to be addressed.
  3. News Article
    The NHS is "riddled with racism", the chair of the British Medical Association's council has told the BBC. Dr Chaand Nagpaul has spoken out in response to a survey by the BMA, shared exclusively with BBC News. At least 75% of ethnic minority doctors experienced racism more than once in the last two years, while 17.4% said they regularly faced racism at work, the survey said. NHS England said it takes a "zero-tolerance approach" to racism. Racism affects patients as well as doctors' wellbeing, by stopping talented people from progressing fairly and affecting doctors' mental health, Dr Nagpaul warned. "This is about a moral right for anyone who works for the NHS to be treated fairly," he said. Around 40% of the NHS's 123,000 doctors are from minority backgrounds, compared to about 13.8% of the general population. But despite this diversity, doctors told the BBC that there was a toxic "us versus them" culture in NHS trusts across the UK. They said they had faced bogus or disproportionate complaints from colleagues, racist comments from superiors, and even physical assault in the workplace. Some said they had tried to lodge complaints which were then ignored or dismissed without investigation. One consultant, from a black African background, told the BMA that after reporting previous incidents "no action was taken... I feel uncomfortable and anxious of reprisals". Read full story Source: BBC News, 2 February 2022
  4. Content Article
    This study in Scientific Reports aimed to understand the current situation of occupational exposure to blood-borne pathogens in a women's and children's hospital in China. The authors analysed the causes of exposure to provide a scientific basis for improving occupational exposure prevention and control measures.
  5. News Article
    The leadership of a prominent cancer trust acted in a ‘defensive and dismissive’ manner when serious concerns were raised about bullying behaviours and multiple failings in the handling of a major research contract, an external review has found. As previously revealed by HSJ, NHS England commissioned the review into events at The Christie Foundation Trust after whistleblowers raised numerous concerns over a research project with pharmaceutical giant Roche, and about the way they were treated as a result of speaking out. The NHSE review, which was led by Angela Schofield, chair of Harrogate and District FT, was published earlier today within trust board papers. It described the trust’s research division as “ineffective” and said it had “allowed inappropriate behaviours to continue without challenge”. The review added: “It may… be thought to be surprising that NHSE/I found it necessary to commission an external rapid review to look into concerns which had been raised by colleagues within the research and innovation division." “The root cause of this seems to be an apparent failure by those people in leadership positions who were aware of the concerns that had been raised, in the circumstances covered by the review, to listen to and take notice of a number of people who have some serious issues about the way they are treated and wish to contribute to an improvement in the culture." It also summarised the experiences of 20 current and former staff members who said they suffered “detriment as a result of raising concerns”, although it did not make a clear judgement on whether their claims were justified. They said: “An experience of bullying, harassment and racial prejudice was described along with lack of respect at work… Patronising behaviour, humiliation and verbal aggression by managers and clinicians in public and private spaces contributed to the perception that working environments were emotionally unsafe.” Read full story (paywalled) Source: HSJ, 27 January 2022
  6. News Article
    Over 30 trusts are now mandating FFP3 masks are used beyond settings stipulated in national rules, amid calls for system leaders to clarify the national position on the key staff and patient safety issue. Fresh Air NHS, a group of frontline staff who campaign for better protection against Covid-19, said it now knows of 32 trusts which have already introduced enhanced infection prevention control policies that mandate FFP3 use beyond national guidance. News that a growing number of trusts are mandating more stringent PPE use comes amid fresh confusion around the national guidance after small but potentially significant alterations were made last week. A new line has been added to guidance which says:: “FFP3 respirator or equivalent must be worn by staff when caring for patients with a suspected or confirmed infection spread by the airborne route.” David Tomlinson, consultant cardiologist and also a member of Fresh Air NHS, said NHS trusts were “in fear of going beyond the guidance and allowing non-ICU staff to wear FFP3 respirators”. “The guidance doesn’t mandate respirators for staff in highest risk of transmission areas, for example, medical wards housing symptomatic patients at a time in their disease when they are releasing greatest amounts of infectious aerosols,” Dr Tomlinson said. “Real world data has consistently shown far greater rates of SARS2 infection comparing non-ICU healthcare workers to those on ICU.” Alison Leary, chair of healthcare and workforce modelling at London Southbank University, said: “Trusts choosing to implement evidence based safety interventions is a positive move towards workforce safety.” Read full story Source: HSJ, 27 January 2022
  7. Content Article
    A recent survey has found that one in four doctors in the NHS are so tired that their ability to treat patients has become impaired. In this Guardian article, doctors reveal how tiredness, fatigue and sleep deprivation are affecting their ability to provide the best care for patients in the NHS.
  8. Content Article
    This report is for everyone with an interest in our health care services, and who cares about the staff who form its bedrock: domestic staff, porters, administrators, doctors, nurses, midwives, health support workers, allied health professionals; managers, and all the other people who support them to deliver the best possible care for patients, their carers and families.
  9. Event
    until
    From Wednesday 26th January 2022 until February 3rd 2022, NHS England and NHS Improvement will be running daily drop-in Vaccine confidence Q&A sessions. These sessions are for all NHS staff to attend and will be an opportunity for you to ask any specific questions you might have regarding Covid-19 vaccines. Each of these drops-in sessions will be tailored towards a specific audience and hosted by a relevant clinical professionals who will answer any questions and signpost you to any additional information. These sessions will provide a safe and supportive environment to ask any questions you may have about the COVID-19 vaccines. Dates, times and themes are: Wednesday 26 January: 12:00 pm – 1:00 pm - Primary Care Thursday 27 January: 3:00 pm – 4:00 pm - Vaccines and Fertility Friday 28 January: 10:00am – 11:00 am - Vaccines and the Science Saturday 29 January: 7:00pm – 8:00 pm - Vaccines and Your Faith Sunday 30 January: 7:00pm - 8:00pm - Vaccines and Your Faith Monday 31 January: 12:00 pm – 1:00 pm - Vaccines for Nursing and Midwifery Staff Tuesday 1 February: 1:00 pm – 2:00 pm - Vaccines and Fertility Wednesday 2 February: 12:00 pm – 1:00 pm - Vaccines for Healthcare Students Thursday 3 February: 4:00 pm – 5:00 pm - Vaccines and the Science Please note that registration for each session will close three hours before each session begins. You will need to register with your NHS email address. Joining instructions will be send to registered delegates two hours before each session begins. For further information contact Erika Ottley at erika.ottley@nhs.net or on 0779 913 3321
  10. Content Article
    The serious and growing workforce crisis in the NHS and social care is the biggest, most pressing threat to the viability of services for people who need them. COVID-19, Brexit, and points based immigration rules have accelerated issues around recruitment, retention, workload, and wellbeing that were already affecting the workforce even before the pandemic. What we need is a relentless focus on implementing solutions, resourcing them properly, and reporting progress, writes David Oliver in this BMJ article.
  11. Content Article
    "To healthcare workers in the COVID era, holidays mean death, and we knew Omicron was coming before it had a name. The wave caused by this variant has barely begun, rapidly gathering steam, and we are exhausted, attempting to pull from reserves badly drained by earlier surges." Kathryn Ivey, a critical care nurse at a medical center in Nashville, Tennessee, confronts the Omicron surge filling her hospital.
  12. Content Article
    The frontline continues to be long and hard. There will be a moment when we all need a 'Buddy'. There will be a moment when you will be a 'Buddy' for somebody else. FrontlineBuddy is underpinned by 4 fundamental principles. The aim is to create a Buddy MindSet that places  “WE” at the very core. It impacts on how we ‘look out for each other’ and how we ‘relate to each other’ in our teams.  It nurtures a shared language and framework that everyone understands and commits to. Take a look at the FrontlineBuddy website for training materials and advice on how you can apply FrontlineBuddy across your organisation and support your staff and colleagues.
  13. Content Article
    The National Care Forum (NCF) represents not-for-profit organisations providing care and support services to adults in the UK. The NCF conducted a survey of its members over a five day period from 5-10 January 2022, considering the impact of the Covid-19 Omicron variant. Its results highlighted increased pressure faced by the care sector in this period, with staff absence being compounded by existing high vacancy rates and difficulties and delays with testing.
  14. Content Article
    In this opinion piece for The BMJ, Partha Kar, consultant endocrinologist and NHS England National Specialty Advisor for Diabetes, looks at the crisis facing primary care in the UK. He highlights that many primary care professionals are feeling burnt out due to the intense pressure and negative attention GPs are currently experiencing. The cost of relying on primary care for the vaccination programme is that treatment for mental health and long term conditions has been neglected. GPs are at the receiving end of patients' frustrations about delays to their care. Partha highlights the need to: prepare well in advance for potential future waves of Covid-19, including by developing a vaccine delivery workforce that is not reliant on primary care. ensure vaccines are distributed to less developed countries, and move away from seeing vaccination as an issue of nationalism. increase funding for primary care in a focused and sustained way.
  15. Content Article
    This analysis from the Nuffield Trust provides facts on staffing and staff shortages in the NHS in England. It provides answers to the following questions: What kinds of staff make up the NHS workforce? How diverse is the NHS workforce? What is the overall shortfall in staff in the NHS? What do the shortages look like within hospital services? What do the shortages look like for staff delivering care close to patients’ homes? What are the implications of these shortfalls? How did we get to this situation? How do we compare to other countries? What is the outlook for the future?
  16. Content Article
    A midwife in England shares their experiences of working in the NHS in 2021. They describe the mental and physical impact of having to work beyond capacity on a daily basis, a situation caused by a staffing crisis in the midwifery workforce. The impact of this is that more midwives are leaving the NHS as they are unable to cope with these pressures, which makes the workload for remaining staff even heavier.
  17. Content Article
    This poster from the Royal College of Midwives (RCM) provides information for midwives and midwife support workers on appropriate PPE for different scenarios in maternity care. It covers what to wear in different stages of care in both hospital and community settings if a patient has, or does not have, confirmed or suspected Covid-19.
  18. Content Article
    How often do we visit our doctor for guidance on our health, however, who asks after the doctor's health? When faced with life or death situations on a daily basis, that demands scrupulous attention to detail, across unsocial shift patterns; the option of ‘normal’ life seems unimaginable. In the last decade alone we have seen a rise in mental health issues for those working in healthcare. A recent study by the British Medical Association identified that almost 80% of all doctors are at high risk of burnout. An issue that used to arrive at the maturity of one's career, is now common in its nascency and is equating to growing rates of suicide. With a growing crisis around a serious issue, there is an urgent need to tackle the cultural taboos, training and opinions that are associated with mental health in our industry. 'You ok doc' is committed to not only supporting doctors' mental health through services like 'The Huddle', but also empowering doctors' wellbeing through bespoke mental and emotional health aids.
  19. Content Article
    In this article in Becker's Hospital Review, Mackenzie Bean highlights five of the most pressing safety issues for healthcare systems and hospitals to address in 2022:Foundational safety workSupporting the healthcare workforceIntegrating equity into safety workDiagnostic harmHealthcare-associated infections
  20. Content Article
    Clinician burnout in healthcare is a growing area of concern, especially as the COVID-19 pandemic stretches on. Research from the U.S. Department of Veterans Affairs and Regenstrief Institute looked at ways organisations can address burnout.
  21. Content Article
    This study, published in BMJ Open, seeks to evaluate variation in Illinois hospital nurse staffing ratios. It attempts to determine how higher nurse workloads are associated with mortality and length of stay for patients, and cost outcomes for hospitals. In their conclusion, the authors suggest that if nurses in Illinois hospital medical–surgical units cared for no more than four patients each, thousands of deaths could be avoided, and patients would experience shorter lengths of stay, resulting in cost-savings for hospitals.
  22. News Article
    NHS staff treating Covid patients should be given much more protective facewear than thin surgical masks to help them avoid getting infected during the Omicron rise, doctors say. The British Medical Association (BMA), Hospital Consultants and Specialists Association (HCSA) and Doctors’ Association UK are calling for frontline personnel to be given FFP3 masks. Making the much higher-quality face masks standard issue would save the lives of health workers who fall ill as a result of treating Covid patients, the BMA said. “At this critical point in the pandemic this is extremely urgent – a matter of life and death,” said Prof Raymond Agius, the acting chair of the doctors’ union’s occupational health committee. FFP3 masks, also known as filtering facepiece respirators, have been shown in a trial in Addenbrooke’s hospital in Cambridge to reduce the number of healthcare staff who become infected. However, the Department of Health and Social Care’s (DHSC) guidance on personal protective equipment, updated last week, only recommends their use in limited circumstances. “With a high transmissible new strain now circulating, and clear evidence that Covid-19 spreads in small airborne particles, healthcare workers must be given the best possible protection against the virus. Surgical masks don’t give the necessary protection against airborne transmission of Covid,” Agius said. The BMA has written to every hospital trust in England demanding that any health professional treating patients who are or may be Covid-positive should be routinely issued with FFP3s, which are much more expensive than the surgical masks usually provided. Surgical masks are “unsuitable” given the threat Covid poses, the BMA believes. Read full story Source: The Guardian, 27 December 2021
  23. Content Article
    This leaflet by the Royal College of Midwives provides information for patients on how to prepare for a home visit from a midwife. It covers steps that patients should take to reduce the risk of spreading Covid-19 including handwashing, wearing a face mask and reducing the number of people in the room.
  24. Content Article
    In this HSJ article, workforce correspondent Annabelle Collins looks at the workforce issues facing the NHS as the Omicron variant of Covid-19 spreads rapidly across the UK. She highlights that staff absences are at their highest since March 2020, with the situation particularly worrying in London, where 1 in 13 doctors are currently off sick. The author discusses the role of PPE in protecting staff and reducing absences and quotes Patient Safety Learning's Chief Executive Helen Hughes, who highlights "inconsistencies" in the UK approach, saying the IPC guidance needs to be “urgently updated” so HEPA/FPP3 masks are provided for NHS staff, in line with World Health Organization recommendations: “Today the World Health Organisation is issuing updated guidance for health workers, recommending the use of either a respirator or a medical mask, in addition to other personal protective equipment, when entering a room where there is a patient with suspected or confirmed covid.” The article also examines the government's lack of workforce plans and the Treasury’s unwillingness to publish workforce predictions, despite repeated calls for them over the past few years.
  25. Content Article
    This toolkit published by the Royal College of Nursing (RCN) aims to support healthcare professionals to consider and manage risks associated with the transmission of respiratory infections, specifically Covid-19. It is designed to aid local decision making about the level of personal protective equipment (PPE) required to protect healthcare professionals while at work.
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