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Found 144 results
  1. News Article
    The NHS faces an alarming mass exodus of doctors and dental professionals, health chiefs have said, as a report reveals 4 in 10 are likely to quit over “intolerable” pressures. Intense workloads, rapidly soaring demand for urgent and emergency healthcare and the record high backlog of operations are causing burnout and exhaustion and straining relationships between medics and patients, according to the report by the Medical Defence Union (MDU), which provides legal support to about 200,000 doctors, dental professionals and other healthcare workers in the UK. In an MDU survey of more
  2. News Article
    Thousands of extra hospital beds and hundreds of ambulances will be rolled out in England this year in a bid to tackle the long emergency care delays. The 5,000 new beds will boost capacity by 5%, while the ambulance fleet will increase by 10% with 800 new vehicles. Details of the £1bn investment will be set out later in a joint government and NHS England two-year blueprint. Questions have also been raised about how the extra resources will be staffed - 1 in 10 posts in the NHS is vacant. The government believes the measures, which will be introduced from April, will help t
  3. News Article
    Experienced emergency department nurses are “leaving in droves” because they feel unable to do their jobs properly under the current conditions, a doctor has warned. Giving evidence to the Health and Social Care Select Committee yesterday, Dr Adrian Boyle, president of the Royal College of Emergency Medicine, raised concern about nurse retention and morale in emergency departments. “We are haemorrhaging experienced emergency nurses because they are finding it very frustrating" He said: “What I'm also seeing is that a lot of nurses, particularly the experienced nurses, they're al
  4. Content Article
    The census had responses from all 12 major Emergency Departments in Wales and found: There is one WTE Consultant per 7784 annual attendances, considerably less than the RCEM recommended figure of 1:4000. Of these 101 consultants, 19 are planning to retire in the next six years – a fifth of the consultant workforce. There were 90 gaps in the consultant rota, 33 in the middle grade rota and eight in the junior rota. Inability to recruit was the primary reason for rota gaps. This is leading to departments in Wales not meeting RCEM best practice recommendations of having
  5. Content Article
    Changes in the way staff work, including staff taking on new roles and responsibilities, is a well-known policy solution in the NHS, and there are some really good instances where skill mix works well and has real benefits. But are there downsides to the drive to employ new types of staff to help doctors and nurses? What are the implications for continuity of care, staff experience and outcomes? Is the idea of ‘top of the licence’ working a reason for concern in terms of burnout, the fragmentation of care or is it an unavoidable response to the workforce crisis? Chair: Nigel Edwar
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  7. News Article
    Pressures on emergency health services are so bad that the UK government should declare a “national emergency” and call a meeting of the Civil Contingencies Committee (COBRA)—the body summoned periodically to deal with matters of major disruption—peers have said. The cross party House of Lords Public Services Committee said in a report that the government needed to respond with an emergency approach and steps to remedy the situation in the longer term. A recurring theme of the report is the substantial delays highlighted by the media in recent months, which peers said were caused by
  8. Content Article
    The report's action plan for emergency health services: An emergency response: Recognising this is a national emergency, the Government should refer the crisis in emergency health services to a COBR Committee. Deliver care at the right place, right time: In the short term, boost the number of clinicians in 999 and 111 services so that patients are being directed to the right services at the right time. Unlock the gridlock: Incentivise faster safe discharges from hospitals and increase capacity in hospitals and social care to make sure people can move through the health syste
  9. Content Article
    NHS services are under extreme pressure. Recent testimonies from healthcare professionals, patients and journalists have highlighted the scale of these problems, which go significantly beyond the usual increase in pressure over the winter period. One key area of concern is a lack of hospital bed capacity, which as noted by the Nuffield Trust, is an important indicator of wider pressure on the system: "Hospitals cannot operate at 100% occupancy, as spare bed capacity is needed to accommodate variations in demand and ensure that patients can flow through the system. Demand for hospita
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    The number of NHS staff quitting their jobs has reached worrying new heights. According to the latest official data, over 42,400 staff voluntarily resigned from the health service in quarter two of this year – the highest number in any equivalent quarter over the last decade. Some trusts have been very open about the measures they are being forced to resort to just to keep things running. The University Hospitals of North Midlands Trust confirmed corridor care has been officially brought back and risk-assessed, with staff recruited specifically to look after patients in corridors. Th
  14. Content Article
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  16. News Article
    NHS trusts in England lost more than a million working days to long-Covid absences last year, analysis suggests. Thousands of doctors, nurses and other health professionals have been forced to take long periods off work because of the lingering effects of coronavirus infection. Data released to the all-party parliamentary group on coronavirus suggests that long-Covid absences are now higher than they were a year ago. Layla Moran, who chairs the group, said: “Long Covid has upended the lives of millions and these figures suggest that the deeply damaging impact it is having on our
  17. News Article
    Elderly people who fall may only be sent an ambulance after they have spent four hours on the floor, and some category 2 calls may not be responded to under one of the first agreements with ambulance unions about next week’s strikes. But the deal between South East Coast Ambulance Service and the GMB union will see many union staff continue to work on ambulances and in control rooms – and others may be asked to come off the picket line if operational pressures escalate. HSJ has seen the details of the deal – thought to be one of the first agreed before next Wednesday’s strike. Some o
  18. News Article
    Medics and nurses have been urgently called upon to support London Ambulance Service during next week’s strike action, as it will otherwise have to rely on staff only able to provide ‘first aid’. The North East London primary care team has sent out a request for clinical staff working for integrated care boards to be released from duties ahead of industrial action on 21 December. Unison members are preparing to walk out, alongside thousands of other staff at nine other ambulance trusts across the country, in a dispute over pay. The letter, seen by HSJ, was sent yesterday afterno
  19. Content Article
    Key points The study found successful strategies are typically associated with a concert of activities that simultaneously ensure sufficient supply of health care, manage demand and optimise the conditions within the health care system itself. In England in the 2000s, a number of activities were associated with reduced waiting times. These activities were concentrated within the categories of increasing supply and optimising conditions within the health care system itself to achieve the goal of an 18‑week referral to treatment target by 2008. These activities were underpinned by
  20. Content Article
  21. Content Article
    Key messages 90% of National Nurses Associations (NNAs) are somewhat or extremely concerned that heavy workloads, and insufficient resourcing, burnout and stress related to the pandemic response are the drivers resulting in increased numbers of nurses who have left the profession, and increased reported rates of intention to leave this year and when the pandemic is over. 20% of NNAs reported an increased rate of nurses leaving the profession in 2020 and studies from associations around the world have consistently highlighted increased intention to leave rates. More than 70%
  22. News Article
    A consultant surgeon refused to attend hospital to carry out urgent surgery at a trust which later had upper gastrointestinal surgery suspended after an unannounced Care Quality Commission visit. The CQC report into upper GI surgery at the Royal Sussex County Hospital in Brighton – based on an inspection in August – said incident reports revealed occasions when upper GI surgeons could not be contacted or refused to come into hospital to treat patients. In one case, a consultant would not come in to carry out urgent surgery, it added. Low numbers of surgeons meant the on-call rota for
  23. Content Article
    Survey highlights Across the 10 high-income countries included in this study, most doctors reported increases in their workload since the beginning of the pandemic. Younger doctors (under age 55) were more likely to experience stress, emotional distress, or burnout and, in nearly all countries, were more likely to seek professional help compared to older doctors. Doctors who experienced stress, emotional distress, or burnout were more likely to report providing worse quality of care compared to before the pandemic. Half or more of older doctors in most countries report
  24. News Article
    Nurses across the UK will go on strike for the first time over two days in the fortnight before Christmas after ministers rejected their pleas for formal talks over NHS pay. The Royal College of Nursing (RCN) said its members would stage national strikes – the first in its 106-year history – on 15 and 20 December. Senior sources said the industrial action was expected to last for 12 hours on both days – most likely between 8am and 8pm. The unprecedented national industrial action will seriously disrupt care and is likely to be the first in a series of strikes over the winter and into
  25. News Article
    The NHS staffing crisis will be solved only if doctors and nurses get more flexible about their job descriptions and break down barriers between roles, according to Rishi Sunak’s health adviser. Bill Morgan argues that training times for doctors and nurses may have to be reduced, and suggests developing “sub-consultants” and entirely new medical professions, He wants ministers to create an Office for Budget Responsibility-style body to predict future workforce needs. The Treasury has held down the numbers of doctors and nurses Britain trains to prevent “supply-induced demand”, which
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