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Found 84 results
  1. News Article
    Patients discharged from hospital without social care packages could die at home, doctors have warned. They said Welsh government advice to do this showed a system at breaking point. The British Medical Association (BMA) said it rejects the guidance to "change the risk threshold" for releasing people from hospital. The Welsh government said discharging patients could help them get better "by reducing the risk of infection and muscle wastage". Royal College of General Practitioners Wales chairwoman, Rowena Christmas, said the NHS was "unbelievably stretched". "A frail, elderly person coming home, who can't really safely get from their bed or their chair to the bathroom without risk of falling over, they're not going to be able to survive at home," Dr Christmas said. "I completely understand we need more beds, but that feels like a bad move." Read full story Source: BBC News, 6 January 2023
  2. News Article
    Senior NHS staff have been advised by the Welsh government to discharge people who are well enough to leave, even without a package of care. But one GP called the announcement "terrifying" and warned that patients could deteriorate and end up back in hospital. The seven health boards in Wales have nearly 1,800 patients medically well enough to leave hospital. The Welsh government has called the NHS situation "unprecedented". The message comes after one health leader said the NHS was on a "knife-edge" in terms of its ability to cope. The letter from the chief nursing officer and the deputy chief medical officer to the health boards offered "support and advice to ensure patients are kept as safe as possible, and services are kept as effective as possible over the next period". Read full story Source; BBC News, 4 January 2023
  3. News Article
    The NHS in Wales could move to a model in which most or all nursing care is outsourced to private companies, if its increasing reliance on agency staff continues, a union report has claimed. According to the Royal College of Nursing, the Welsh health service risks moving to a situation where it no longer directly employs staff to provide patient care. NHS Wales spent between £133m and £140m on agency nursing during 2021-22, based on different freedom of information (FOI) requests and official figures, the RCN’s report suggested. RCN Wales said, “If this trend continues, Wales will move to a situation where NHS Wales no longer directly employs staff to provide patient care and instead moves to a model in which most or all nursing care is outsourced to private companies.” Read more Source: Nursing Times, 4 December 2022
  4. Content Article
    This report by NHS Wales summarises the ways in which the cost of living crisis can impact on health and well-being. It takes a public health lens to identify actions for policy makers and decision-makers to protect and promote the health and well-being of people in Wales in their response to the cost of living crisis, outlining what a public health approach to the crisis could look like in the short and longer-term.
  5. Content Article
    The National Audit of Inpatient Falls (NAIF) has published its latest report into the care given to patients who fell while they were in hospital and sustained a hip fracture. Based on data from 1,394 patients in 2021, the report presents information on post-fall management and tracks performance against National Institute for Health and Care Excellence (NICE) Quality Standard 86, which includes checking the patient for injury before moving, using safe lifting equipment and prompt medical assessment after the fall.
  6. Content Article
    The Sentinel Stroke National Audit Programme (SSNAP), which assesses the care provided for patients during and after they receive inpatient care following a stroke, has published its ninth annual report. Based on data from April 2021 to March 2022, the report aims to identify which aspects of stroke care need to be improved with a particular focus on changes in stroke care over the last two years and the ‘roads’ that need to be followed in order to restore the quality of care. SSNAP measures the process of care against evidence-based quality standards referring to the interventions that any patient may be expected to receive. These standards are laid out in the latest clinical guidelines and include: whether patients receive clot busting drugs (thrombolysis). interventions for clot retrieval (thrombectomy). how quickly they receive a brain scan. how much therapy is delivered in hospital and at home.
  7. Content Article
    Established in 2006, the National Neonatal Audit Programme (NNAP) is commissioned by the Healthcare Quality Improvement Partnership (HQIP) and delivered by the Royal College of Paediatrics and Child Health (RCPCH). It assesses whether babies admitted to neonatal units receive consistent high-quality care in relation to the NNAP audit measures that are aligned to a set of professionally agreed guidelines and standards. The NNAP also identifies variation in the provision of neonatal care at local unit, regional network and national levels and supports stakeholders to use audit data to stimulate improvement in care delivery and outcomes. This report summarises the key messages and national recommendations developed by the NNAP Project Board and Methodology and Dataset Group, based on NNAP data relating to babies discharged from neonatal care in England and Wales between January and December 2021.
  8. Content Article
    Medical records include any information about your physical or mental health recorded by a healthcare professional. This includes hospital staff, GPs, dentists and opticians. This page on The Patients Association website explains how to get copies of your medical records in England and Wales. It provides information on: How to get your GP records Using the NHS App to access records A guide to formally requesting medical records Requesting the records of someone who has died Seeing a child’s medical records Requesting the records of a vulnerable adult More information on medical records Complaints
  9. Content Article
    This report by the National Medical Examiner, Dr Alan Fletcher, summarises the progress made by medical examiner offices in 2021 and outlines areas of focus going forward. It highlights that medical examiners continued to receive positive feedback from bereaved people—many said they appreciated being given the opportunity to have a voice in the processes after a death and knowing any concerns were listened to. It includes information on: The national medical examiner system Implementation Guidance and publications Training Stakeholders Increasing the number of non-coronial deaths scrutinised Feedback received by medical examiners in England and Wales
  10. Content Article
    When a loved one dies, any delay in the registration or release of a deceased patient’s body can be distressing for the bereaved. The medical examiner system is being introduced in England and Wales to provide bereaved families with greater transparency and opportunities to raise concerns, improve the quality and accuracy of medical certification of cause of death, and ensure referrals to coroners are appropriate. These good practice guidelines set out how the National Medical Examiner expects medical examiner offices to operate during the non-statutory phase of the programme.
  11. Content Article
    The number of people on NHS Wales waiting lists for treatment has reached record levels. This problem has worsened since the Covid-19 pandemic, with the average wait time for treatment more than doubling since December 2019. This report by the Welsh Centre for Public Policy identifies five key areas in which policy could be developed to improve outcomes and reduce waiting times. These areas target the underlying factors causing increased waiting times, and are likely to both improve the overall performance of the health system, and to impact outcomes which matter to patients, resulting in a more patient-centred approach: Workforce capacity Digital technology Reimagining primary care Systems collaboration Follow-up care
  12. News Article
    The NHS in Wales needs to "speed up the process" of treating people waiting over two years for hospital treatment, the health minister said. Eluned Morgan said health boards need to prioritise the "longest waiters and they're not always doing that". There are 59,350 people waiting over two years in Wales, although the number has fallen for a fifth month in a row. The Welsh NHS Confederation, which represents NHS health organisations, has been asked to comment. In Wales, there are 183,450 operations and procedures waiting more than a year. Overall waits - from referral to treatment - have passed 750,000. Scotland has 7,650 patients waiting more than two years, England has 2,646. Asked on BBC Politics Wales why so many more people are waiting longer in Wales, Ms Morgan said: "Our health boards need to make sure that they're taking people from the longest waiters and they're not always doing that." Read full story Source: BBC News, 23 October 2022
  13. Content Article
    Healthcare Inspectorate Wales (HIW) is the independent inspectorate of the NHS and regulator of independent healthcare in Wales. This annual report highlights key findings from HIW's regulation, inspection and review of healthcare services in Wales. It demonstrates how HIW carried out its functions and outlines the number of inspections and quality checks it undertook during 2021-22.
  14. Content Article
    The Francis Inquiries in 2010 and 2013 highlighted nurse staffing as a patient safety factor contributing to the care failings identified at Mid Staffordshire NHS Trust. The reports and government response led to the development of national ‘safe staffing’ policy. This two-year study by the University of Southampton and Bangor University examined the impact of safe staffing policies nationally and explored variation in local responses. The authors concluded that: Policies provided leverage and raised the profile of nursing workforce issues at board level, contributing to a willingness to invest in increasing nursing numbers. However, a lack of assessment of the likely scale of investment (and human resources) required nationally to achieve ‘safe staffing’ led to financial considerations becoming a barrier to achieving the policy vision. External pressures, such as lack of workforce supply and reduced access to temporary staffing, have constrained Trusts’ abilities to fully implement policies aimed at ensuring safe staffing on acute wards.
  15. News Article
    Flu could pose a "significant" threat this winter for the first time since the Covid pandemic, public health expert have warned. There are concerns the flu season may start earlier and affect more people, as other respiratory viruses re-emerge following Covid restrictions. Public Health Wales is urging adults and children who are eligible for a free flu jab to take up the offer. The announcement comes as cases of flu have already been detected in Wales. All children between two and 16 are eligible for a free flu vaccine - although only certain groups of children over five are eligible for Covid-19 boosters. The warning comes after Australia experienced its highest number of flu cases in five years, with its season starting early. Experts fear Wales and the UK could see similar levels this winter. Read full story Source: BBC News, 27 September 2022
  16. News Article
    Several patients awaiting treatment on the Welsh NHS have turned to surgery abroad as waiting lists hit record levels again. Waiting lists hit a record of almost 750,000 in July prompting surgeons to demand "urgent action". The Welsh government said waits of more than two years were improving. Health Minister Eluned Morgan said there were "signs of hope" that a target for no-one to wait more than a year for their first outpatient appointment could be hit by the end of 2022. But the Conservatives accused Labour ministers of having "little strategy" to tackle "extraordinary waits", while Plaid Cymru called for action "to increase capacity and improve patient flow". Sharon Seymour, 62, from Monmouthshire, went to Lithuania after being told she faced a "two years plus" wait for a hip replacement. The council worker said she also found out about Lithuania from other patients in Wales and had her surgery in July. She said the fact that people were taking matters into their own hands suggested the health system in Wales was not working. "[The NHS] does need a huge cash injection... a rethink completely now," she said. "The sadder point is the people who have the ability to pay will get it. "The inequality between those who can't and that [can is] a sad state of affairs," she added. "It's only through luck that we've managed to find the funds to go to Lithuania. "For most people, it isn't an option and that's horrible." Read full story Source: BBC News, 22 September 2022
  17. News Article
    Nearly 700 doctors are likely to leave the Welsh NHS as a result of a recent 4.5% pay rise, the British Medical Association has warned. The warning follows a survey by BMA Cymru, in which more than half of the 1,397 respondents said they could leave and most felt morale had dropped. The below-inflation pay rise will apply to consultants, junior doctors and GPs. The Welsh government said it accepted the NHS pay review body's advice and was limited on how far it could go. Dr Iona Collins, chairwoman of the BMA's Welsh Council, said the findings resonated with what she was hearing from colleagues across Wales. "Doctors' take-home pay has reduced over several years, making the NHS an increasingly unattractive employer," said Dr Collins. Read full story Source: BBC News (23 August 2022)
  18. News Article
    People would rather go to England if they had a stroke than use the A&E at a north Wales hospital, a health watchdog has said. Inspectors said there was a "clear and significant risk to patient safety" after inspections at the department in Ysbyty Glan Clwyd, Denbighshire. North Wales Community Health Council's Geoff Ryall-Harvey said it was the "worst situation" they had seen. The report said inspectors found staff who were "working above and beyond in challenging conditions" during a period of "unrelenting demand". Many staff told them they were unhappy and struggling to cope. They said they did not feel supported by senior managers. However inspectors said that the health board was not fully compliant with many of the health and care standards, and highlighted significant areas of concern, which could present an immediate risk to the safety of patients, including: Doctors were left to "come across" high-risk patients instead of being alerted to them. Patients were not monitored enough - including a suspected stroke patient and one considered a suicide risk. Children were at serious risk of harm as the public could enter the paediatric area unchallenged. Inspectors found evidence of children leaving unseen or being discharged against medical advice. Betsi Cadwaladr health board said it was committed to improvements. Read full story Source: BBC News, 8 August 2022
  19. Content Article
    More must be done to avoid harm to patients while waiting for treatment. The backlog for planned care is one of the biggest challenges for the NHS in Wales. Waiting times targets have not been met for many years. This backlog has been made much worse due to the pandemic.   In February 2022, there were nearly 700,000 patients waiting for planned care, a 50% increase since February 2020. Over half of the people currently waiting have yet to receive their first outpatient appointment which means that they may not know what they’re suffering from and their care cannot be effectively prioritised. Modelling shows it could take up to seven years or more to return waiting lists to pre-pandemic levels. This report makes five recommendations based on what the Welsh Government needs to do as it implements its national plan.
  20. News Article
    It may take seven years to get NHS Wales waiting lists of 700,000 back to 2020 levels, Wales' auditor general has said. The number of patients waiting for non-urgent treatment has doubled since February 2020, just prior to the Covid pandemic. They include Patient Michael Assender, 74, who has spent two years on a waiting list with severe back pain. After struggling with his back, Mr Assender, from Cwmbran, Torfaen, paid £1,500 for a private scan, which revealed he had two slipped discs. "At the moment I'm coping pretty well, taking pills for the pain and trying to stay active," he said. "But something that took me half hour before now takes an hour." Mr Assender said he knew others waiting for surgery who had become depressed and considered taking their lives, adding: "A lot of people out there are in a constant pain and I do pity them." "It's a dire situation really." The Welsh government said it had a plan to deal with backlogs. But Wales' Auditor General Adrian Crompton said: "Just as the NHS rose to the challenge of the pandemic, it will need to rise to the challenge of tackling a waiting list which has grown to huge proportions." "Concerted action is going to be needed on many different fronts, and some long-standing challenges will need to be overcome." Read full story Source: BBC News, 31 May 2022
  21. News Article
    "I shouldn't have to work out my escape route when I walk into a property." Paramedic Joanna Paskell was a victim of one of the near-3,000 attacks on emergency workers in Wales last year. The patient who punched her got a 12-month community order, but it left the 45-year-old suffering with anxiety and meant she was off work for four months. "It took four security guards to calm her down so she could be treated," said Mrs Paskell, who has worked with the ambulance service for more than 25 years. She said at first she tried to laugh it off, but it was only when getting ready for her next shift, five days later, that she felt the emotional toll. "All I want to do is make a difference - that's why I joined this job. We can't do that if we're working in fear of our own safety." Last year there were 2,838 assaults against police officers, firefighters, ambulance staff, NHS workers and prison staff - a 4.9% rise. Read full story Source: BBC News, 30 May 2022
  22. News Article
    "I knew I always felt different, but I didn't know I was autistic." For Rhiannon Lloyd-Williams, it would take until she was 35 to learn just why she felt different. Now research by Swansea University has found it takes on average six years longer to diagnose autism in women and girls than in males. A study of 400 participants found that 75% of boys received a diagnosis before the age of 10 - but only 50% of girls. It also found the average age of diagnosis in girls was between 10 and 12 - but between four and six for boys. Now charities in Wales are calling for greater investment into services to help better understand autism in females and speed up a diagnosis. "The parents responding to the study said there was a marked impact on the girls mental health while waiting for a diagnosis," said Steffan Davies, who carried out the research. "Girls represented in the study had a lot more pre-existing diagnosis, which suggests they are being misdiagnosed with anxiety disorders, eating disorders, and that tends to defer from the root diagnosis which tends to be autism." Autism UK said this gender gap has long been an issue and is the down to the diagnosis criteria and research used, which has been focused around young boys. "Many girls end up missing out on education, because the environment they're expected to learn in is just too overwhelming, while accessing healthcare can be difficult. Women are often not believed," said executive director Willow Holloway. Read full story Source: BBC News, 23 May 2022
  23. Content Article
    This study in BMJ Evidence-Based Medicine examined coroners’ Prevention of Future Deaths (PFDs) reports to identify deaths involving Covid-19 that coroners saw as preventable. The authors found that: there was geographical variation in the reporting of PFDs; most (39%) were written by coroners in the North West of England. the coroners raised 56 concerns, problems in communication being the most common (30%), followed by failure to follow protocols (23%). NHS organisations were sent the most PFDs (51%), followed by the government (26%).  responses to PFDs by these organisations were poor. The study concludes that PFDs contain a rich source of information on preventable deaths that has previously been difficult to examine systematically. It identified concerns raised by coroners that need to be addressed during the government’s inquiry into the handling of the Covid-19 pandemic, to reduce the likelihood of mistakes being repeated.
  24. News Article
    A national robotic-assisted surgery programme allowing surgeons to perform complex procedures with more precision and control is being introduced in Wales, the Health Minister has announced. The All-Wales Robotic Assisted Surgery Network, developed by health boards, the Life Sciences Hub Wales and the Moondance Cancer Initiative, will provide less invasive surgery for thousands of cancer patients across the country. The surgery involves the use of highly advanced robotic surgical instruments under the control of a surgeon. It will initially be used in Wales for some Colorectal, Upper Gastrointestinal, Urological and Gynaecological cancers. The Welsh Government will support the network with funding of £4.2m over five years, alongside £13.35m provided by health boards over 10 years. Health and Social Services Minister Eluned Morgan said: "The All-Wales Robotic Assisted Surgery Network is an ambitious and important programme helping to improve outcomes for patients and the NHS in Wales. It will put Wales at the forefront of international research for the use of robotic surgical techniques. This pioneering service will also encourage specialist staff to come to Wales to train and practice". It will initially be provided in the Betsi Cadwaladr University Health Board area, with the first patient expected to receive treatment in June. Once fully established, patients in north Wales will no longer need to travel to England to receive robotic-assisted surgery. Read full story Source: Welsh Government, 14 March 2022
  25. Content Article
    This study in the BMJ Open examines the links between between adverse childhood events and trust in Covid-19 health information, attitudes towards and compliance with Covid-19 restrictions and vaccine hesitancy. The study found correlations between adverse childhood events and: low trust in NHS Covid-19 information feeling unfairly restricted by government supporting removal of social distancing and ending of mandatory face coverings breaking Covid-19 restrictions vaccine hesitancy. The authors concluded that as adverse childhood events are common across many populations, there is a need to understand how they impact trust in health advice and uptake of medical interventions. This could play a critical role in the continuing response to Covid-19 and approaches to controlling future pandemics. In addition, as individuals with adverse childhood events suffer greater health risks throughout life, better compliance with public health advice is another reason to invest in safe, secure childhoods for all children.
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