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Found 597 results
  1. News Article
    London’s hospitals have been plunged into a “dangerous situation” as the Omicron wave has sent staff sickness levels soaring to around 10%, a top doctor has warned. Dr Katherine Henderson, a consultant at a central London hospital but speaking as President of the Royal College of Emergency Medicine, said so many doctors and nurses are having to be off that it was already having an impact on patient safety. She told BBC Radio 4’s Today programme: “We are seeing increasingly that our staff are testing positive and that means that they have to go off." “Usually, staff sickness would last a couple of days but of course, if you test Covid positive, you are off for ten days. “People need to understand that this is a dangerous situation,” she added. “The acute problem is actually to do with staffing, with workforce. “Because there is so much in circulation, even if we are not seeing a big rise in hospitalisations yet, we are already seeing the effect on not having the staff to run shifts properly and safely." “So we are worried about patient harm coming about because we just don’t have the staff to keep the eye on the person on the trolley who is maybe a bit agitated.” Read full story Source: The Evening Standard, 16 December 2021
  2. News Article
    NHS bosses have warned the high prevalence of long Covid among staff is adding to rising healthcare pressures, amid growing concern that the new omicron variant could further drive infections and absences in the workforce. Some 40,000 (3.26%) of healthcare workers in the UK are estimated to have long Covid, according to the Office for National Statistics. This figure has risen by 5,000 since July. Many will be unable to work, though others are continuing to work despite their debilitating symptoms, experts say. “Trust leaders have told us they are concerned about the prevalence of long Covid amongst health and care staff,” said Chris Hopson, chief executive of NHS Providers. “Staff who are unwell need time to recover with support. But this may worsen unavoidable absences and sickness levels in the NHS at a time when pressures on the health service are mounting.” Read full story Source: The Independent, 9 December 2021
  3. News Article
    Vacancies for nurses and midwives in Scotland have increased by almost 20% in just three months, new figures show. Official figures revealed that at the end of September the whole time equivalent (WTE) of 5,761.2 posts were unfilled across the NHS – a rise of 18.9% from the WTE total of 4,845.4 that was recorded at the end of June. The rise in vacancies comes at the same time as health service staffing reached a record high, with the NHS employing the equivalent of 154,307.8 full-time workers as of September 30 – 5.2% higher than a year ago. However, opposition leaders warned the health service, which is coming under ongoing pressure as a result of the coronavirus pandemic, is facing a “staffing crisis” this winter. Scottish Labour health spokeswoman and deputy leader Jackie Baillie said: “Across our NHS services are on the brink of collapse, and things will only get worse as the cold weather bites. “This staffing crisis at the heart of this catastrophe has unfolded entirely on Nicola Sturgeon’s watch and will jeopardise the ability of services to remobilise and cope with demand. “Looking at the state of services in Scotland, we can all only hope we don’t get sick this winter.” Read full story Source: The Independent, 8 December 2021
  4. News Article
    NHS staff who have to be redeployed because they refuse to be vaccinated against covid may be forced to ‘compete’ for a new role and could find their pay and pensions affected if their transfer becomes permanent, according to new NHS England guidance. Health and social care secretary Sajid Javid announced last month that all patient-facing NHS staff would need to have received two doses of the covid vaccine by 1 April 2022. This includes non-clinical staff who may have face-to-face contact with patients, such as receptionists, porters and cleaners. Guidance published this week urged organisations to identify options for potential redeployment to non-face-to-face roles, but advised against taking formal action until the new rules receive Parliamentary approval. The guidance said: “Employers should consider the possibility of redeployment for staff in scope of the regulations and who remain unvaccinated on 1 April 2022.” Read full story (paywalled) Source: HSJ, 8 December 2021
  5. News Article
    Patient safety in the NHS in England is being put at “unacceptably high” risk, with severe staff shortages leaving hospitals, GP surgeries and A&E units struggling to cope with soaring demand, health chiefs have warned. The health service has hit “breaking point”, the leaders say, with record numbers of patients seeking care. Nine in 10 NHS chief executives, chairs and directors have reported this week that the pressures on their organisation have become unsustainable. The same proportion is sounding “alarm bells” over staffing, with the lack of doctors, nurses and other health workers putting lives of patients at risk. Sajid Javid, the health secretary, has come under fire for recently claiming, at a No 10 press conference, that he did not believe the pressure on the NHS was unsustainable. But the survey of 451 NHS leaders in England finds the health service already at “tipping point”. The results of the poll, conducted by the NHS Confederation, which represents the healthcare system in England, Wales and Northern Ireland, show that 88% of the leaders think the demands on their organisation are unsustainable, and 87% believe a lack of staffing in the NHS as a whole is putting patient safety and care at risk. Matthew Taylor, the chief executive of the NHS Confederation, said: “Almost every healthcare leader we’ve spoken to is warning that the NHS is under unsustainable pressure, and they are worried the situation will worsen, as we head into deep midwinter, unless action is taken. They are also sounding alarm bells over risks to patient safety if their services become overwhelmed, on top of a severe workforce crisis." Read full story Source: The Guardian, 10 November 2021
  6. News Article
    The quality and performance of services will suffer if medical training is not ‘prioritised and funded’ by trusts, Health Education England (HEE) has warned. HEE has set out actions in its “Covid training recovery interim report” that must be done alongside NHS England, the Department of Health and Social Care and others to protect post-covid workforce recovery. At the beginning of the pandemic, junior doctors’ training was severely disrupted because thousands of staff were redeployed to covid wards, while most routine elective operations and diagnostic procedures were stopped. HEE says training has still not returned to pre-covid levels, and fears there could be further disruptions over winter if significant volumes of elective care are cancelled. According to its report, if medical training is not “prioritised and funded”, the “long-term costs to service are significantly greater”. “If delivery recovery is prioritised over training recovery there will be an initial increase in service delivery time and value, but this will be followed swiftly by a reduction in service delivery time and value,” it warned. Read full story Source: HSJ, 13 October 2021
  7. News Article
    New research examining the effect of minimum nurse-to-patient ratios has found it reduces the risks of those in care dying by up to 11%. The study, published in The Lancet, also said fewer patients were readmitted and they had shorter stays in hospital. It compared 400,000 patients and 17,000 nurses working in 27 hospitals in Queensland, Australia to 28 other hospitals. The state has a policy of just one nurse to every four patients during the day and one to seven at night, in a bid to improve safety and standards of care. The research said savings made from patients having a shorter length of stay, which fell 9%, and less readmissions were double the cost of hiring the extra nurses needed to achieve the ratios. NHS England has resisted moves towards minimum nurse to patient ratios, suspended work by the National Institute for Health and Care Excellence (NICE) on safe nurse staffing in 2015. This came as the watchdog was preparing to call for minimum ratios in accident and emergency departments. It has advised that eight or more patients to one nurse is the point at which harm can start to occur. Read full story Source: The Independent, 12 May 2021
  8. News Article
    Intense pressures on the already overstretched NHS are being exacerbated by the tens of thousands of health staff who are sick with Long Covid, doctors and hospital bosses say. At least 122,000 NHS personnel have the condition, the Office for National Statistics disclosed in a detailed report that showed 1.1 million people in the UK were affected by the condition. That is more than any other occupational group and ahead of teachers, of whom 114,000 have it. Patient care is being hit because many of those struggling with Long Covid are only able to work part-time, are too unwell to perform their usual duties, or often need time off because they are in pain, exhausted or have “brain fog”. “Ongoing illness can have a devastating impact on individual doctors, both physically and by leaving them unable to work. Furthermore, it puts a huge strain on the health service, which was already vastly understaffed before the pandemic hit,” said Dr Helena McKeown, the workforce lead at the British Medical Association, which represents doctors. “With around 30,000 sickness absences currently linked to Covid in the NHS in England, we cannot afford to let any more staff become ill. Simply put, if they are off sick, they’re unable to provide care and patients will not get the care and treatment they need. “In the longer term, if more staff face ongoing illness from past COVID-19 infection, the implications for overall workforce numbers will be disastrous.” Read full story Source: The Guardian, 3 April 2021
  9. News Article
    Ministers are being warned of a mounting workforce crisis in England’s hospitals as they struggle to recruit staff for tens of thousands of nursing vacancies, with one in five nursing posts on some wards now unfilled. Hospital leaders say the nursing shortfall has been worsened by a collapse in the numbers of recruits from Europe, including Spain and Italy. The most recent NHS figures reveal there are about 39,000 vacancies for registered nurses in England, with one in 10 nursing posts unfilled on acute wards in London and one in five nursing posts empty on mental health wards in the south-east. Thousands of nursing shifts each week cannot be filled because of staff shortages, according to hospital safe staffing reports seen by the Observer. Patricia Marquis, England director for the Royal College of Nursing (RCN), said: “There just aren’t enough staff to deliver the care that is needed, and we now have a nursing workforce crisis. We should never have got into a position where we were so dependent on international nurses. We are on a knife-edge.” Read full story Source: The Guardian, 9 October 2021
  10. News Article
    Concerns have been raised amid allegations that hospital managers have told minority ethnic staff to adopt 'Western work names' as their original names were 'too difficult to pronounce'. In a letter from the Care Quality Commission, published in the trust's July board papers, workers at University Hospitals Bristol and Weston Foundation Trust told inspectors about their experiences during an unannounced visit in June. “This is not acceptable, individuals can only truly thrive in a work environment where they feel safe as themselves and belong rather than having to ‘fit in’.” Wrote the CQC’s head of hospital inspections Amanda Williams. Read full story (paywalled). Source: HSJ, 4 August 2021
  11. Event
    This Westminster Health Forum conference will discuss the next steps for diagnosis, treatment and management of conditions that cause chronic pain, and the priorities for supporting people living with its effects. Delegates will examine the development of integrated healthcare in local communities and developing best practice for delivering patient-centred care - as well as the support required for the health workforce to deliver quality care and pain management for patients. It will be an opportunity to evaluate the recent updates to NICE’s guidance for chronic pain management, and the development of integrated care systems in the context of the Health and Care Bill. There will also be discussion on alternative approaches to chronic pain management including psychological therapies, social prescribing and complementary medicine, with NICE commencing medical cannabis clinical trials for people with chronic pain. Overall, areas for discussion include priorities and next steps for: long-term management of chronic pain conditions improving diagnosis and treatment of chronic pain, and developing person-centred community care widening awareness and understanding of chronic pain conditions understanding risk factors for developing chronic pain conditions, and approaches to prevention supporting the wellbeing of people living with chronic pain, and improving access to mental health services new, diverse treatment programmes for sufferers of chronic pain regulation and guidance for new treatments for chronic pain. Register
  12. Event
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    With general practice in crisis due to workforce shortages, an increasingly complex workload, rising public expectations, and further pressures caused by the Covid-19 pandemic, The King's Fund are providing the time and space for you to reflect, think differently, share and learn. Join peers and experts from The King’s Fund to explore: what the future of general practice looks like how the experience for patients and staff can be improved how to ensure those actions are building blocks towards the future. This event is for GPs, commissioners, nurses, practice managers, allied health professionals, Additional Roles Reimbursement Scheme (ARRS)-funded roles, and other professionals working in multidisciplinary general practice teams and those responsible for general practice at place or neighbourhood level. Register
  13. Event
    Sensemaking, according to Karl Weick, is the process through which the complex and unpredictable world is given order, within which people can orient themselves, find purpose, and take effective action. Organisations unravel when sensemaking collapses, when they no longer supply meaning, and when they cling to interpretations that no longer work. As we enter the third year of a global COVID-19 pandemic, when nearly every aspect of our care and caring has faced disruption, how do we make sense of and take action to prevent the unraveling of organisations and sustainably reverse setbacks in patient and workforce safety? Join IHI’s annual Patient Safety Awareness Week webinar on March 16, 2022 from 11:00 AM to 11:50 AM ET with speakers Don Berwick, MD, MPP, and Jessica Berwick, MD, MPH, for a conversation on sensemaking during times of uncertainty, complexity, and chaos. This session will provide insights and perspective to foster sensemaking and action to reinforce patient and workforce safety in your organisation. Register
  14. Event
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    This free virtual conference is hosted by NHS Employers in partnership with The Prince’s Trust and Health Education England. It celebrates the achievements of The Prince’s Trust health and social care programmes, and the opportunities created for the NHS and local communities by recruiting young people into the workforce. It is aimed at staff working at NHS provider organisations with a responsibility for widening participation, equality, diversity and inclusion, recruitment and retention, or any other relevant HR role. Themes Widening participation – reaching young people who may be underrepresented in the workforce. Recruitment – engaging with and preparing young people to enter the workforce. Retention – supporting young people to remain in the workforce. Download the agenda Register to attend
  15. Event
    This Westminster conference will examine policy and funding priorities for general practice. The agenda also looks at wider issues around GP wellbeing, patient access, service integration, and service recovery in the wake of disruptions caused by the pandemic. Stakeholders and policymakers will discuss progress, issues and next steps for ambitions to increase capacity within general practice for urgent same-day care, tackle areas of inefficiency, and improve transparency and accountability - in the context of the NHS Long Term Plan and the Winter Access Fund. Overall, the agenda will bring out latest thinking on priorities and key issues moving forward, including: integration - implementing reforms within the Health and Care Bill and the role of primary care workforce - recruitment and retention, the role of locum and other support staff, supporting mental health and wellbeing, and tackling burnout primary care networks - progress in development and their role in improving local health outcomes innovation and infrastructure - taking forward innovation from the pandemic and how the estate can support innovative working, tackle inefficiencies, and improve patient access going forward personalised care - opportunities and challenges, the role of community services, and ways to improve the delivery of patient-centred care. The conference will be an opportunity for stakeholders to consider the issues alongside key policy officials who are due to attend fromthe DHSC; CQC; the OHID; National Audit Office; and DWP. Agenda Register
  16. Event
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    As the health service continues to absorb covid-19 pressures, and with Omicron adding further strain to an already debilitated workforce, this webinar will look into the core issues and gaps around staff safety and wellbeing and the subsequent risk to patients. Join this webinar to engage in an open and honest discussion with valuable perspectives from frontline clinicians on some of the key emerging challenges around workforce safety and contingency options and innovation solutions that will help ensure essential services can be maintained safely. The realities of dealing with continued service disruption and uncertainty: A perspective from frontline clinicians on the impact on patient safety. Is enough being done around staff wellbeing? Find out what kind of support staff really need to ensure they can maintain high standards of care Safety education: How to bring organisational safety standards to the forefront with sections on People, Processes and Performance and discuss the impact of multidisciplinary team training on patient. Register
  17. Event
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    The King's Fund's flagship event brings together senior leaders working in health and social care to celebrate the latest best practice and explore the most pressing opportunities and challenges facing the system. Hear about: the role of the NHS and the wider health and care system in tackling health inequalities what the new health and social care Bill means for the system in England how the recovery from the impact of the COVID-19 pandemic is being managed and plans to meet the backlog challenge how to meet the needs of the health and care workforce. Register
  18. Content Article
    After 12 years of brutal service, Neil Barnard, an NHS emergency medicine consultant, is leaving his NHS post to work abroad. His decision to leave is driven by financial and personal reasons. More than anything, he says he's tired and has little more left to give to the NHS. 
  19. Content Article
    In this episode of Speak Up, Listen Up, Follow Up, Dr Jayne Chidgey-Clark, National Guardian for the NHS, speaks to Chris Hopson and Saffron Cordery, Chief executive and Deputy Chief executive of NHS Providers, about speaking up’s role in work force retention and how they will use speaking up in their new roles.
  20. Content Article
    Nursing workforce shortages are an issue of international concern, with the gap between demand for services and the limited numbers of nurses widening. Recruiting nurses internationally is one solution that is helping to bridge this gap in some health systems. This systematic review in the International Journal of Nursing Studies Advances aimed to explore the lived experiences of international nurses working and living in different countries globally. The authors identified factors that can help nurses from other countries to adapt culturally to the UK health system, and that may support retention of international staff. The authors found that in order to improve the long term retention of international nurses, cultural integration and language barriers should be sensitively managed to enable effective acculturation. Culturally sensitive leadership should also be promoted to ensure zero tolerance of inappropriate racist and discriminatory behaviours.
  21. Content Article
    The NHS is not in a place where it can lose staff, but many workers in the health service have faced almost unimaginable difficulties during the pandemic. How worried should we be about NHS staff health and wellbeing? Nigel Edwards and Andy Cowper look at how bad the situation is and what can be done to improve things.
  22. Content Article
    COVID-19 is more likely to lead to Long COVID among persons of working age. In this paper, Darja Reuschke  and Donald Houston outline the first estimates of the impact of Long Covid on employment in the UK. Using estimates of cumulative prevalence of Long Covid, activity-limiting Long COVID in the working-age population and of economic inactivity and job loss resulting from Long COVID, they provide evidence of the profound impact of Long COVID on national labour supply. Since the start of the pandemic, cumulatively 2.9 million people of working age (7% of the total) in the UK have had, or still have, Long ovid. This figure will continue to rise due to very high infection rates in the Omicron wave. Since the beginning of the pandemic, economic inactivity due to long-term sickness has risen by 120,900 among the working-age population, fuelling the UK’s current labour shortage. An estimated 80,000 people have left employment due to Long COVID. The authors argue that governments need to tackle the twin challenges to public health and labour supply and provide employment protection and financial support for individuals and firms affected by Long COVID.
  23. Content Article
    Even before the pandemic struck, there was a shortage of nurses in the UK. In January 2020, a survey by the Royal College of Nursing (RCN) found that almost three-quarters of nurses said the staffing level on their last shift was not sufficient to meet the needs of patients safely and effectively. Yet this month NHS England predicted that the government will not meet its manifesto pledge to boost the NHS’s nursing workforce by 50,000 by March 2024. The key reason? NHS workers are quitting in droves, citing burnout, fatigue and pay as factors. Filling these gaps are nurses from overseas. Recently released figures for 2021 and 2022 from the Nursing and Midwifery Council (NMC) show that record numbers of nurses trained overseas are coming to work in the UK – almost half of new registrations. The Guardian spoke to four of them about their experience working in the UK.
  24. Content Article
    In this briefing paper for the Social Market Foundation, Lord Norman Warner sets out a radical change programme that could reverse the decline in NHS services. It examines long-term issues that have been exacerbated by the impact of Brexit and the Covid-19 pandemic—the care backlog, workforce issues and loss of public confidence.
  25. Content Article
    This document summarises the findings of The Health Foundation's analysis on workforce supply and demand in general practice in England up to 2030/31. It focuses on patient care staff including GPs and general practice nurses. The Health Foundation developed three scenarios of potential workforce supply through a mix of in-house modelling and publicly available data: a scenario based on current policy, a more optimistic scenario and a pessimistic scenario. The analysis demonstrates that in all three scenarios, the supply of GPs and general practice nurses is projected to fall short of demand. Under current policy, the NHS faces a shortfall of over 1 in 4 GP and general practice nurse posts by 2030/31. In the pessimistic scenario this increases to around 1 in 2 GP and nurse posts, raising concerns about patient safety, quality of care and equity of access. In the optimistic scenario, the GP shortfall can be substantially mitigated by 2030/31, but this would require sustained and concerted policy action to boost GP retention and integrate newer roles within multidisciplinary practice teams.
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