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The downside of young people learning about ADHD on TikTok
Patient Safety Learning posted a news article in News
Less than half of the claims made about symptoms of attention deficit hyperactivity disorder (ADHD) in the most popular videos on TikTok align with clinical guidelines, a new study has found. Two clinical psychologists with expertise in ADHD also found that the more ADHD-related TikTok content a young adult consumes, the more likely they are to overestimate both the prevalence and severity of symptoms in the general population. People with ADHD are known to suffer inattention, hyperactivity and impulsivity – and may struggle to concentrate on a given task, or suffer extreme fidgeting. Prescriptions for drugs for ADHD have jumped 18% year-on-year in England since the pandemic, which underscores the need for accurate and reliable information, particularly on platforms popular with young people. In this latest study, published in the journal Plos One, the two psychologists evaluated the accuracy, nuance, and overall quality in the top 100 #ADHD videos on TikTok. They found the videos have immense popularity (collectively amassing nearly half a billion views), but fewer than 50 per cent of the claims made were robust. Read full story Source: The Independent, 31 March 2025- Posted
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Teen died from asthma attack after she was wrongly discharged from hospital
Patient Safety Learning posted a news article in News
A coroner has voiced serious concerns over a recurring "lack of observations" at London's Royal Free Hospital following the death of a teenager. Sixteen-year-old Billie Wicks died after suffering her first ever asthma attack. Her parents rushed her to the Hampstead hospital on 17 September last year, but a new report reveals the A&E department was "understaffed" that night. The coroner's concerns highlight a potential systemic issue at the hospital regarding patient monitoring. Senior coroner for Inner North London, Mary Hassell, said that Billie should have had routine checks, or observations, taken every hour. If she had these observations, then medics would have recognised the severity of Billie’s illness, Ms Hassell said. “Billie was inappropriately discharged at approximately 3.30am without adequate repeat observations or senior clinical review, and so her asthma was not diagnosed or treated. If it had been, she probably would have survived,” she wrote in a prevention of future deaths report. “Billie should have had observations every hour. If she had had these observations, the emergency registrar who discharged her would have recognised that she was not as well as he thought, and would have sought senior medical review. “That senior medical review would have changed the course of her management and saved her life.” Read full story Source: The Independent, 18 March 2025- Posted
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On 17 September 2024, Edwin Buckett, commenced an investigation into the death of Billie Wicks aged 16 years. The investigation concluded at the end of the inquest on 6 March 2025. Billie had been brought to the Royal Free Hospital just before midnight the night before her death with an asthma attack. A first presentation of asthma at the age of 16 years without any family history is unusual, and it was a busy night in the accident and emergency department. Billie was inappropriately discharged at approximately 3.30am without adequate repeat observations or senior clinical review, and so her asthma was not diagnosed or treated. If it had been, she probably would have survived. The MATTERS OF CONCERN are as follows: On the night Billie attended, the Royal Free emergency department was understaffed, and that it remains understaffed of doctors, nurses, and even a healthcare assistant who could take basic observations. Billie should have had observations every hour. If she had had these observations, the emergency registrar who discharged her would have recognised that she was not as well as he thought, and would have sought senior medical review. That senior medical review would have changed the course of her management and saved her life. The registrar who saw Billie the night before her death prescribed an antibiotic, but he was not in the habit of giving the first dose in the department and he did not on this occasion. This meant that Billie’s infection was not tackled as quickly as it could have been. This seems to indicate a training and potentially a guideline need. At the time of Billie’s presentation, the registrar was unaware of the possibility of adult onset asthma. This seems to indicate a training and potentially a guideline need. I heard that Billie was safety netted when she was discharged. Her parents were told to bring her back if they had any concerns. I have heard this safety netting advice being described many, many times in different inquests. What worries me about it in this context is that Billie’s parents had brought her to hospital because they were concerned. They were then reassured by hospital staff. It is therefore difficult to see how this particular advice could be a meaningful instruction. In reality, her parents’ initial concern was well placed and they had responded to it appropriately by bringing Billie to hospital. When Billie began to deteriorate again, her parents’ natural instinct had been blunted by their first visit to the hospital. Whilst I doubt that it would have made a difference in this case, I understand that blood pressure is not yet an observation included in the national paediatric early warning score (PEWS).- Posted
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Despite the well documented consequences of obesity during childhood and adolescence and future risks of excess body mass on non-communicable diseases in adulthood, coordinated global action on excess body mass in early life is still insufficient. Inconsistent measurement and reporting are a barrier to specific targets, resource allocation, and interventions. This article reports current estimates of overweight and obesity across childhood and adolescence, progress over time, and forecasts to inform specific actions. The authors found both overweight and obesity increased substantially in every world region between 1990 and 2021, suggesting that current approaches to curbing increases in overweight and obesity have failed a generation of children and adolescents. Beyond 2021, overweight during childhood and adolescence is forecast to stabilise due to further increases in the population who have obesity. Increases in obesity are expected to continue for all populations in all world regions. Because substantial change is forecasted to occur between 2022 and 2030, immediate actions are needed to address this public health crisis.- Posted
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Nurses at psychiatric unit called teens 'pathetic'
Patient Safety Learning posted a news article in News
Former patients at Scotland's biggest children's psychiatric hospital have spoken out about a culture of cruelty among nursing staff. Patients who were teenagers when they were admitted to Skye House, a specialist NHS unit in Glasgow, told BBC Disclosure some nurses called them "pathetic" and "disgusting" - and even mocked their suicide attempts. "It was almost as if I was getting treated like an animal," one young patient, being treated for anorexia, said. NHS Greater Glasgow and Clyde said it was "incredibly sorry" and has launched two inquiries into the allegations uncovered by the BBC's investigation. Programme-makers spoke to 28 former patients while making BBC Disclosure's Kids on The Psychiatric Ward documentary. One said the 24-bed psychiatric hospital, which sits in the grounds of Glasgow's Stobhill hospital, was like "hell". "I'd say the culture of the nursing team was quite toxic. A lot of them, to be honest, were quite cruel a lot of the time," she added. Read full story Source: BBC News, 10 February 2025- Posted
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When Sharren Bridges talks about her daughter’s last summer, in 2021, she chokes up and has to pause. In some ways, it was a good summer. Jen Bridges-Chalkley had a boyfriend and, like most parents of teenagers, Sharren would occasionally act as a taxi driver, taking them down to the local river to swim. On 12 October 2021, Jen killed herself at her mother’s home. She was 17. At the inquest, which concluded in April 2024, the coroner said her suicide could have been avoided if she had received the support she needed “in a timely manner”. It was “a multi-agency failure”, he concluded in the report, which is a devastating document: 81 pages of missed opportunities, bad communication and poor decision-making. “There was a failure of the agencies to work effectively together to ensure that Jen’s needs were met,” the coroner wrote. Safeguarding failure; failure by educational establishments; failure by child and adolescent mental health services (Camhs). “For much of the time between May 2018 and June 2020, she was on a waiting list for therapy from the psychology team and was awaiting assessment.” He concluded that Camhs had failed “properly to assess, diagnose and treat Jen … in order to manage her conditions and minimise her risk of suicide”. Camhs is the NHS service for children with emotional, behavioural and mental health issues. Its staff includes psychiatrists, psychologists, nurses, therapists and social workers. It aims to provide support and treatment, including therapy, medication and in-hospital care. Sharren’s assessment of Camhs, provided in Jen’s case by Surrey and Borders Partnership NHS foundation trust, is simple: “It’s not fit for purpose.” Sharren is angry when she speaks about Camhs. “Jen is a person, she’s my daughter, she’s my everything, and she’s not here any more because people didn’t do their job. They didn’t do their job when she was five, they didn’t do their job when she was 11, they didn’t do their job when she was 14, 15, 16, 17, and now she’s not going to get older than 17.” In a statement, Graham Wareham, the chief executive of Surrey and Borders Partnership NHS foundation trust, said: “We remain deeply saddened by Jennifer’s tragic death and we have expressed our deepest condolences to her family. Our investigation into the support we provided Jennifer found that while we gave care and consideration into delivering a person-centred therapeutic approach to meet Jennifer’s mental health needs, we acknowledge that there were shortcomings. Read full story Source: The Guardian, 6 February 2025- Posted
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A doctor has admitted to inappropriately messaging a vulnerable teen who he met in a hospital, and later went on to have a sexual relationship with. Dr Cian Hughes, who lists himself as research scientist at Google on LinkedIn, began privately messaging the 13-year-old while she was a patient at Bristol Royal Hospital for Children. Dr Hughes, who was a 23-year-old medical student at the time, had been present during surgery on the young patient and later approached her about a research project, a tribunal heard. Dr Hughes used his private email address to email the girl copies of her X-rays, and this began a chain of communication that ultimately led to a sexual relationship between them when the girl was 17, the tribunal heard. The General Medical Council (GMC) brought a case against the doctor saying that he used his professional position to pursue an inappropriate relationship with the vulnerable patient. Read full story Source: The Independent, 16 January 2025- Posted
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A Canadian teen is hospitalised in critical condition with what is believed to be bird flu, a British Columbia health official said Tuesday. It’s not clear how the teenager picked up the virus, which has been detected recently in wild birds and poultry in the province, said Dr Bonnie Henry, British Columbia's health officer. The teen is not known to have any contact with infected animals, she said. Officials have released few details about the patient. Henry said the teen was healthy before developing symptoms more than a week ago – initially eye redness, cough and fever – and has been hospitalised with a respiratory illness since Friday in Vancouver. Initial testing indicated the infection is from bird flu. Officials believe it is the Type A H5N1 bird flu but are awaiting confirmation. H5N1 has been spreading widely in the US among wild birds, poultry, cows and a number of other animals. This year, 46 people in the US – mostly farmworkers – have tested positive with mostly mild symptoms. In Canada, testing has been done on about three dozen people who were in contact with the teen. None of them have evidence of infection, Henry said. Read full story Source: The Independent, 13 November 2024- Posted
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'World-first' study examines period pain in teens
Patient Safety Learning posted a news article in News
A new study will seek to identify changes in the brain when teenagers experience period pain and whether it is linked to developing chronic pain in later life. In what is described as a world first, researchers at the University of Oxford will conduct a trial of 11 to 20-year-olds using a range of tests including MRI scans. Half of the 120 volunteers recruited into the RoADPain, external project will suffer from period pain and half will not. Dr Katy Vincent, Professor of Gynaecological Pain, said not enough was known about severe period pain despite it being "incredibly common". "I think it's really important that we take period pain seriously," she said. "About 30% to 40% of teenagers and young women will have periods that are so painful that they can't go to work, can't go to school, can't do their normal activities. "If we can reduce the risk of people developing chronic pain in the future, that would be so much easier than trying to treat it once it's developed." Read full story Source: BBC News, 17 October 2024- Posted
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Quarter of 17-19-year-olds have probable mental disorder study finds
Patient Safety Learning posted a news article in News
One in four 17- to 19-year-olds in England had a probable mental disorder in 2022 – up from one in six in 2021, according to an NHS Digital report. Based on an online survey, rates among teenage boys and girls were similar – but twice as high in 17- to 24-year-old women compared with men. The charity Mind said the UK government "will be failing an entire generation unless it prioritises investment in young people's mental-health services". Matthew Rimmington, 24, is working full-time after studying acting at university, but aged 18, he felt his life was falling apart. It started with symptoms of anxiety, which deteriorated until his feelings really started scaring him. Despite going to his GP and being referred to NHS mental-health services, Matthew received no early support. "I was put on one waiting list and then another one," he says. "It was a constant back and forth and we never got anywhere." Mind interim chief executive officer Sophie Corlett said funding should be directed towards mental-health hubs for young people in England, where they can go when they first start to struggle with their mental health. "The earlier a young person gets support for their mental health, the more effective that support is likely to be," she said. "Young people and their families cannot be sidelined any longer by the government, who need to prioritise the crisis in youth mental health as a matter of national emergency." Read full story Source: BBC News, 29 November 2022- Posted
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Children at similar risk for Long Covid as adults, study suggests
Patient Safety Learning posted a news article in News
A large study today from Germany shows that children and adolescents are at the same relative risk of experiencing COVID-19 symptoms 90 days or more after acute infection as adults are, according to findings in PLOS Medicine. Though kids and adolescents have far fewer deaths or severe outcomes from COVID-19 infections compared to adults, little is known about Long or post-Covid symptoms in this age-group, or symptoms that persist for more than 12 weeks after acute infection. Researchers from the Technical University of Dresden, Germany, used data from half of the German population to determine that kids and adults have the same relative risk of experiencing post-Covid symptoms at 90 days following infection. Martin Roessler, the lead author of the study, said there were significant symptom overlap among kids and adults who experienced symptoms 90 days or more after acute infection. "We found 5 identical outcomes among the 10 outcomes with the highest relative risk among children/adolescents and adults. These symptoms are cough, fever, headache, malaise/fatigue/exhaustion, throat or chest pain," he told CIDRAP News. Other symptoms were more commonly seen in adults, but not kids. Those included a loss of taste or smell, fever, and shortness of breath. Daniel Blatt, MD, a pediatric infectious disease physician at the post-COVID clinic at Norton Children's Hospital in Louisville, Kentucky, said he was not surprised by the study's findings. "It's unclear if Long Covid is the same in children and adults, in terms of pathophysiology, but it's just as real," he said. Blatt, who was not involved in the study, said his clinic also collects data on children and Long Covid. He said the most common symptoms reported in his patients are fatigue, anxiety, and "brain fog," followed by some shortness of breath or muscle pain. "The good news is kids tend to get better, regardless of what intervention is needed," Blatt said. As in adult Long Covid, there's no one-size-fits-all approach for pediatric Long Covid patients. "Some need reassurance; some need a graduated exercise program." Read full story Source: CIDRAP, 10 November 2022- Posted
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‘Squashed’ breathing tube may have caused teenager’s death, inquest hears
Patient Safety Learning posted a news article in News
A teenager died after a breathing tube was possibly squashed by a wheel of her hospital trolley during emergency surgery, an inquest has heard. Jasmine Hill, 19, had a cardiac arrest shortly after undergoing a procedure on her neck at Gloucestershire royal hospital in Gloucester. The inquest heard that a report commissioned by lawyers acting for Hill’s family referred to the tube being “squashed by the wheel of a trolley”. Hill, from Cirencester, had been readmitted to the hospital after her neck became swollen five days after a thyroidectomy – the removal of all or part of the thyroid gland – in September 2020. Doctors thought the site of the surgery in Hill’s neck, which was red and swollen, may have become infected and it was decided the wound should be cleaned under general anaesthetic. The procedure took less than an hour and the teenager went into cardiac arrest shortly after she was moved by staff from the operating table to a bed. Gloucestershire coroner’s court heard an endotracheal tube, which supports breathing, was positioned behind Hill’s head and away from her neck, fixed to a holder and connected to the ventilator. The assistant Gloucestershire coroner Roland Wooderson asked Dr Hiro Ishii, who carried out the procedure, whether he was aware that the anaesthetist had checked the position of the endotracheal tube. Ishii replied: “I didn’t make a formal inquiry at that stage.” Read full story Source: The Guardian, 7 November 2022- Posted
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Gender identity specialists accuse psychology body of ‘contributing to fear’
Patient Safety Learning posted a news article in News
Some of the most senior gender identity specialists in the UK have accused their professional body of “contributing to an atmosphere of fear” around young people receiving gender-related healthcare. More than 40 clinical psychologists have signed an open letter to the Association of Clinical Psychologists UK in protest at the organisation’s recent position statement on the provision of services for gender-questioning children and young people. They say they believe there was a failure to properly consult experts in the field or service users, resulting in a “misleading” statement that “perpetuates damaging discourses about the work and gender-diverse identities more broadly”. About half of those signatories are current or former holders of senior roles – including the current director – at what was the only NHS gender identity service for children in England and Wales, the Gender Identity Development Service (GIDS) at the Tavistock and Portman NHS foundation trust in London. NHS England announced in July it would be closing the GIDS and replacing it with regional hubs, after being warned by the interim report of the Cass Review into gender services for young people that having only one provider was “not a safe or viable long-term option”. In 2021, inspectors rated the service “inadequate” overall and highlighted overwhelming caseloads, deficient record-keeping and poor leadership, suggesting that record waiting lists meant thousands of vulnerable young people were at risk of self-harm as they waited years for their first appointment. In a position statement published last month, the ACP-UK wrote that “the new, regional services will have to offer a radical alternative [after the closure of GIDS] to meet the needs of all young people with gender dysphoria.” The letter suggests: “An alternative interpretation is that it is possible to provide support for distress related to gender identity where mental health needs and neurodiversity are also present, and remain cognisant of all factors within formulation-based practice”. Read full story Source: The Guardian, 2 November 2022- Posted
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‘This cannot go on’: rise in under-18s on adult psychiatric wards in UK
Patient Safety Learning posted a news article in News
A growing number of children with mental health problems are being treated on adult psychiatric wards as services struggle to cope with a surge in demand following the pandemic, the NHS watchdog has warned. There were 249 admissions of under-18s to adult psychiatric wards in England in 2021-22, according to data provided by NHS trusts to the Care Quality Commission (CQC), up 30% on the year before. Of the children admitted to adult wards, 58% of cases were because the child needed to be admitted immediately for their safety. But in more than a quarter of cases, 27%, the child was admitted to the adult ward because there was no alternative child inpatient or community outreach service available. The findings come more than 15 years after the government set a target to end inappropriate admissions of children to adult psychiatric wards. The number of admissions gradually reduced but has now risen again, the CQC figures suggest. Dr Elaine Lockhart, chair of the Child and Adolescent Faculty at the Royal College of Psychiatrists, said the figures were “a concern but not a surprise. We’ve got a lot of children and young people who have become more unwell. Services are really struggling to meet their needs,” she said. Read full story Source: The Guardian, 30 October 2022- Posted
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Ministers have been urged to launch a public inquiry into the care of mental health patients after The Independent revealed allegations that patients had suffered “systemic abuse” in inpatient units. A joint investigation with Sky News found that teenagers at facilities run by The Huntercombe Group had been left with post-traumatic stress disorder by their treatment despite hundreds of warnings to regulators and the NHS. Now the government is facing calls to review all mental health care services over fears that these cases are “the tip of the iceberg”. Labour’s shadow mental health minister Dr Rosena Allin-Khan has called for a “rapid review” by the government into inpatient mental health services, while Deborah Coles, the chief executive of charity Inquest, has called on the new health secretary Steve Barclay to launch a statutory public inquiry. Read full story Source: The Independent, 28 October 2022- Posted
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CQC prosecutes troubled provider over death of teenage girl
Patient Safety Learning posted a news article in News
A struggling mental health trust is being prosecuted over accusations it failed to protect a teenager at a children’s inpatient unit. Tees, Esk and Wear Valleys Foundation Trust ran the former West Lane Hospital in Middlesbrough until the Care Quality Commission (CQC) closed it in 2019. The CQC is now prosecuting the trust, alleging it breached the Health and Social Care Act 2008 in relation to the death of Christie Harnett, who took her own life at the facility in June 2019. In a statement, the regulator claimed TEWV “failed to provide safe care and treatment” by exposing the patient to a “significant risk of avoidable harm”. A CQC spokeswoman added: “Our main priority is always the safety of people using health and social care services, and if we have concerns we will not hesitate to take action in line with our regulatory powers. We will report further as soon as we are able to do so.” Read full story (paywalled) Source: HSJ, 30 June 2022- Posted
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Coroner issues warning on NHS mental health services after girl’s suicide
Patient Safety Learning posted a news article in News
A coroner has said Britain is failing young people and more will die because of under-resourced mental health services, as she ruled that neglect led to the death of a 14-year-old girl. Penelope Schofield, the senior coroner for West Sussex, said she would write to the health secretary, Sajid Javid, to raise concerns after the case of Robyn Skilton, who killed herself after being let down by “gross failures” in NHS mental health services. Robyn, from Horsham in West Sussex, disappeared from her family home and took her own life in a park on 7 May last year, her inquest in Chichester heard. Despite serious concerns about her mental health, Robyn did not get face-to-face consultations, was not seen by a child psychiatrist or assessed for mental health issues, and was discharged from an NHS service a month before her suicide though she was on its high-risk “red list”. Her father, Alan Skilton, told the inquest he pleaded for help, and he described the lack of care his daughter received as “astonishing”. He said he believed that if Robyn had been seen earlier, her mental health would have improved and she would not have killed herself. The coroner said: “As a society we are failing young people.” She said she was shocked to hear that the number of young people seeking mental health help had increased by 95%. “Trying to manage it without more resources means we are not providing the help that young people need. Robyn’s case is a testament to that. It’s a clear risk that more lives will be lost if we don’t address it.” Read full story Source: The Guardian, 29 June 2022- Posted
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The State of the World's Midwifery 2021
Patient Safety Learning posted an article in Maternity
The State of the World’s Midwifery (SoWMy) 2021 builds on previous reports in the SoWMy series and represents an unprecedented effort to document the whole world’s Sexual, Reproductive, Maternal, Newborn and Adolescent Health (SRMNAH) workforce, with a particular focus on midwives. It calls for urgent investment in midwives to enable them to fulfil their potential to contribute towards UHC and the SDG agenda.- Posted
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Transgender people lose NHS waiting times High Court case
Patient Safety Learning posted a news article in News
A group of transgender people have lost their legal case against NHS England over waiting times to get seen by a gender specialist. The two trans adults and two trans children had tried to get the wait times - more than four years in one of their cases - deemed illegal. But a High Court judge ruled on Monday the waiting times are lawful. The Good Law Project - which helped to bring the legal action - said it would seek permission to appeal. The four people brought the legal action against NHS England (NHSE) over the waiting time to get a first appointment with a gender dysphoria specialist. The claimants argued that NHS England was failing to meet a duty to ensure 92% of patients referred for non-urgent care start treatment within 18 weeks. They said the waiting times were discriminatory, arguing the delays faced by trans people were longer than for other types of NHS treatment. But the judge dismissed the claim on several grounds. Read full story Source: BBC News, 16 January 2023- Posted
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Developed in 2020, this Picker survey aims to understand the experiences of cancer and tumour care among children and their parents/carers. The results will help improve children’s cancer services across England. The survey, conducted by the charity Picker on behalf of NHS England, included children, young people, and their parents – with separate questions designed to be appropriate to different age groups. Children and young people were included in the survey if they had a confirmed cancer or tumour diagnosis, received inpatient or day case care from an NHS Principal Treatment Centre (PTC) in 2021, and were under 16 years of age at the time of their discharge. Children and young people treated for cancer in NHS hospitals in England have positive experiences with staff and the majority feel ‘very well looked after’, according to a new survey published from Picker. But children and their families also describe problems around continuity of care, which raises concerns about whether services are sufficiently person centred. Overall, 89% of parents/carers rate NHS cancer or tumour care for people aged under 16 as 8 or above on a scale of 0-10, and 77% of children said that they felt “very well” looked after. This compares favourably to other care settings: for example, in recent surveys ratings of 8 or above out of 10 were given by 85% of parents/carers of children and young people treated in hospital for all conditions and by only 70% of adult inpatients. Coupled with positive results about interactions with individual staff members, this suggests that NHS hospitals are providing good one-on-one care for young people with cancer. Despite these positive results, the survey shows problems around continuity of care. More than a third of respondents (34%) said that staff did not or only sometimes worked well together, and around two in five (38%) said that they were “always” or “sometimes” told different things by different members of staff, which left them feeling confused. This was particularly an issue for parents/carers of the youngest patients, those aged 0-7: 43% in this group reported being confused by inconsistent information. Problems with continuity were worse for those who received care from more than one hospital (77%); of this group, 46% said that different hospitals did not or only “sometimes” worked well together.- Posted
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Long-term health sequelae of COVID-19 are a major public health concern. However, evidence on Long Covid is still limited, particularly for children and adolescents. Using comprehensive healthcare data on approximately 46% of the German population, Roesller et al. investigated post-COVID-19-associated morbidity in children/adolescents and adults. What did the researchers do and find? The researchers used comprehensive healthcare data from a sample of almost half of the German population to investigate the risk of post-COVID-19 disease patterns in children, adolescents and adults. They identified all patients with polymerase chain reaction (PCR)-confirmed diagnosis of COVID-19 (157,134 individuals in total, 11,950 children/adolescents and 145,184 adults) and matched them to a control cohort of individuals with identical age and sex, and similar preexisting medical conditions without COVID-19. They recorded medical conditions documented by a physician at least 3 months after the date of COVID-19 diagnosis and compared them to the matched controls without COVID-19. The researchers observed increased rates of newly diagnosed physical and mental health problems in the COVID-19 group, compared to the control group, which differed according to age. What do these findings mean? Although healthcare utilisation may differ between those who have suffered COVID-19 and those who have not, the results of this study indicate that people of all age groups (children, adolescents, and adults) are at risk of Long Covid and that the spectrum of health problems differs between age groups.- Posted
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Young people and expert mental healthcare staff say patients are unlikely to receive in-patient mental health care unless they “have attempted suicide multiple times”, according to a new report published by Look Ahead Care and Support. Launched in the House of Lords, the report – funded by Wates Family Enterprise Trust and produced by experts Care Research – argues Accident and Emergency departments have become an ‘accidental hub’ for children and young people experiencing crisis but are ill-equipped to offer the treatment required. Based on in-depth interviews with service users, parents and carers, and NHS and social care staff from across England, the findings from the Look Ahead Care and Support report draws on experience of treating depression, anxiety, self-harm, suicidal thoughts and suicide attempts, eating disorders, addiction and psychosis. Key findings Report commissioned by Look Ahead Care and Support finds increasing demand for children and young people’s crisis mental health services amidst challenges with existing services. Yet researchers heard from professionals, service users and their families and carers found that you “had to have attempted suicide multiple times to be offered inpatient support". Interviewees say A&E departments have become an ‘accidental hub’ for children and young people experiencing crisis but are ill equipped to offer the treatment required. Private sector providers now deliver the majority of support for hospitalised young people with mental health difficulties at “exceptionally high” cost. Report recommends alternative community crisis services, including supported housing away from hospital settings to reduce pressure on A&E and reduce costs by more than 50%- Posted
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Event
untilNHS England (NHSE) and Picker are pleased to announce a National Insight Webinar designed to unpick the results of the 2021 Under 16 Cancer Patient Experience Survey (U16 CPES). The webinar is dedicated to helping NHS teams, providers, charities, commissioners, and the wider public to better understand their results, identify areas for action, and place person centred care at the heart of operations. Register -
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Funding overhaul for mental health beds revealed
Patient Safety Learning posted a news article in News
National NHS officials have proposed a major shift in the funding model for inpatient mental health beds for children and young people, information seen by HSJ reveals. A report on child and adolescent mental health services by Getting it Right First Time (GIRFT), an NHS England national programme, recommends a move away from the current ‘payment per bed day’ model to a system which funds particular outcomes or “therapeutic models”. It appears the proposal in the GIRFT recommendations seen by HSJ would apply to both NHS and independent provision, although some NHS providers are already less likely to receive funding on a ”per bed day” basis. Ananta Dave, consultant CAMHS psychiatrist at Lincolnshire Partnership Foundation Trust, told HSJ that having agreed therapy and outcome measures as recommended by the report would not only boost patient experience but also lead to better results. “One inpatient bed can actually be the equivalent of 100 young people being looked after in the community. So these are precious resources we are talking about, hence the quality of inpatient units is really important. “It should not just be a tick-box exercise that a bed exists. Instead, it is about the quality of that service. If you simply go by the number of bed days, you’re unlikely to meet your target or meet your ambition of reducing the spend on inpatient services.” Read full story (paywalled) Source: HSJ, 16 May 2022- Posted
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News Article
Autistic girl, 14, unlawfully detained in hospital, high court judge finds
Patient Safety Learning posted a news article in News
A 14-year-old autistic girl was unlawfully detained in hospital and restrained in front of scared young patients, a high court judge has found. On one occasion last month the teenager managed to break into a treatment room where a dying infant was receiving palliative care. She was restrained there by three security guards, Mr Justice MacDonald said in a judgment in the family court that ordered Manchester city council (MCC) to find the girl a suitable community care placement instead of what he described as the “brutal and abusive” and “manifestly unsuitable” hospital environment. Nurses witnessed the girl screaming “very loudly” and sounding “very scared” when repeatedly held down on her hospital bed so that she could not move her legs, arms or head, before being tranquillised. Other children on the ward were frightened to witness the frequent battles between the girl and security guards, the judge said. The judge noted that the teenager made “regular and determined” efforts to run away, sometimes using screwdrivers to try to unlock doors and windows, and running away from her family on walks. He described the teenager as having an autistic spectrum disorder and a learning disability. She demonstrated “complex and extreme behaviour” that could not be controlled even within a school environment involving six adults to one child supervision, he added. Despite this, the council and NHS trust decided to have the girl be detained in hospital on a general paediatric ward “solely as a place of safety”, without applying for the necessary court order to do so, the judge found. She did not require any medical treatment, the judge said. Read full story Source: The Guardian, 5 April 2022- Posted
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- Autism
- Adolescent
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