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Showing results for tags 'Community care facility'.
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News Article
Supermarket lung cancer checks find 10,000 cases in England
Patient Safety Learning posted a news article in News
Mobile NHS scanning units, strategically placed in supermarket car parks, sports stadiums, and high streets across England, have detected lung cancer in over 10,000 individuals, new figures reveal. Crucially, more than three-quarters of these cases were identified at early stages one and two, significantly boosting treatment success rates, NHS England confirmed. This vital initiative forms part of the NHS Lung Cancer Screening Programme, which began in 2019, specifically targeting areas most affected by the disease. Early detection is paramount, with officials stating that patients diagnosed in the initial stages are 13 times more likely to survive for five years compared to those whose cancer is found later. Mobile NHS scanning units, strategically placed in supermarket car parks, sports stadiums, and high streets across England, have detected lung cancer in over 10,000 individuals, new figures reveal. Crucially, more than three-quarters of these cases were identified at early stages one and two, significantly boosting treatment success rates, NHS England confirmed. This vital initiative forms part of the NHS Lung Cancer Screening Programme, which began in 2019, specifically targeting areas most affected by the disease. Early detection is paramount, with officials stating that patients diagnosed in the initial stages are 13 times more likely to survive for five years compared to those whose cancer is found later. Professor Peter Johnson, NHS England’s national clinical director for cancer, said: "Lung cancer checks and scans save lives, so it’s fantastic the NHS has now diagnosed over 10,000 people – the majority at an early stage, when treatment is most effective. The Lung Cancer Screening Programme has been designed around where people already are, bringing scanners into their local communities to make it easier for people to get checked." Read full story Source: The Independent, 25 May 2026 -
News Article
Leaked review warns CDCs a ‘burden’ on trusts
Patient Safety Learning posted a news article in News
Community diagnostic centres could become a financial “burden” on providers without extra funding and changes to how tests are paid for, the programme’s architect has warned in an internal review obtained by HSJ. The NHS England review, led by Sir Mike Richards, follows ministers making community diagnostic centres a central plank of their elective recovery plan and mission to shift care into the community. The review concluded prices for some imaging tests are making significant amounts of CDC work loss-making – and says additional central funding over “multiple years” is required. It also called for CDCs to be rebranded and a major publicity campaign to address “low level[s] of awareness and understanding” among clinicians and the public about what they do. It also highlighted substantial digital challenges. The report declared the programme has “successfully” established 170 operational CDCs “delivering more than 20 million tests, primarily in new community settings”. But it also warned more funding and national directives are needed to “fully utilise” the centres. Read full story (paywalled) Source: HSJ, 5 May 2026- Posted
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News Article
It is a revolution that might just save the NHS – and the high street. Imagine being able to have your eyes tested, mole examined or get an appointment with a consultant without going to your local hospital – and maybe fit in some shopping or a cinema visit afterwards. That, increasingly, is what people in Barnsley are doing after an unprecedented relocation of medical services from the district general hospital into a purpose-built outpatients centre in the Alhambra shopping centre, which is getting a new lease of life thanks to the experiment. Those involved say the initiative – the first of its kind in the NHS – is trailblazing and revolutionary. After a recent visit, Wes Streeting, the health secretary, described it as “really inspiring”. He said: “What we’re seeing right here in the heart of Barnsley town centre is the future of the NHS.” The outpatients centre has been created as a result of a collaboration between Barnsley hospital NHS foundation trust and the town’s Labour-run council. Hundreds of people a week are visiting it to have tests or treatment, including minor operations,for example to treat cataracts, blocked tear ducts or ingrowing eyelashes. Soon the number will rise to 1,000 or more. It gives patients easier access to a range of non-urgent services than at the hospital on the town’s outskirts, where parking is limited. Through the extra footfall it is generating, it is also boosting custom for shops, cafes, restaurants and leisure facilities. “It’s about having your mammogram while your husband wanders around at Sports Direct, or meeting your friend for a coffee after a dermatology appointment where someone looked at your rash,” says Michael Brown, the architect who designed the new facility. The outpatient centre’s location is proving a hit with patients, partly because it is a quick walk from the bus and rail station, says Alan Heathcote, Barnsley hospital’s project manager. “Patient feedback has been very positive. And the themes are consistent: easier access, a better location, less walking, shorter waits and no need to battle for hospital parking”, he says. Parking near the Alhambra is plentiful and cheap. The experience of the CDC so far suggests that offering care in a town centre location has helped to reduce “DNAs” – patients who don’t show up – by 24%. Read full story Source: The Guardian, 16 April 2026- Posted
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News Article
Small hospices ‘probably unsustainable’, says Mackey
Patient Safety Learning posted a news article in News
Some small hospices are “probably unsustainable”, Sir Jim Mackey has told MPs, while also warning integrated care boards they needed to clarify their local commissioning intentions this year. The NHS England CEO told the Commons public accounts committee evidence session on the sector, held last week, that “an awful lot of rebuilding” was required for ICBs to develop clearer payment mechanisms for hospices. He admitted publication of the new “modern service framework” for palliative and end of life care, which promises to overhaul the sector, including its funding, had now been delayed from spring to autumn. However, he said he still expected ICBs to work this year to “provide a clarity of direction about what will be commissioned over time”. Read full story (paywalled) Source: HSJ, 20 January 2026- Posted
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Content Article
A set of eLearning modules designed to educate and update clinicians on the importance of involving families wherever possible during mental health crises to improve patient care, avoid harm and reduce deaths. They were developed as a partnership between Oxford Health NHS Foundation Trust and Making Families Count, with funding from NHS England South East Region (HEE legacy funds). The resources have been co-produced by people with lived experience as patients, family carers and clinicians, supported by an Advisory Group drawn from a wide range of expertise, tested in eleven NHS Trusts and independently evaluated. The resources can be downloaded by NHS Trust Learning and Development teams to support a Trust-wide approach to essential learning and training. Through short film and audio scenarios and case studies, Life Beyond the Cubicle shows why it is so important to involve family and friends, helps clinicians reflect on why they don’t do so routinely, and how they can overcome these barriers. The resources are engaging and interactive. The modules are: Introduction (includes guidance on how to use this resource) Module 1: Why do families and friends matter? Module 2: Assumptions and expertise Module 3: Feelings and fears Module 4: Confidentiality and Information Sharing Module 5: Safety planning Resources for family and friends They are free to the health and social care workforce. Further reading on the hub: Safer outcomes for people with psychosis Patient Safety Spotlight interview with Rosi Reed, Development and Training Coordinator at Making Families Count The future has been around for too long—when will the NHS learn from their mistakes?- Posted
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Content Article
Good practice guidance for integrated care boards (commissioners and providers) produced by NHS England. This community rehabilitation and reablement model, published alongside the intermediate care framework, aims to ensure that the individual (and their families) is at the centre of discussions and that any transition points will be as seamless as possible. -
News Article
Funding for winter clinics axed despite NHSE backing
Patient Safety Learning posted a news article in News
Community clinics credited with easing pressure on A&E and GP practices nationally last winter have not yet been funded for this year, and many may not be able to open, HSJ has learned. Several local and regional sources said they were concerned no funding had been announced for acute respiratory hubs, despite respiratory illness already starting to rise. Last year national funding was announced in December and – despite the late notice – NHS England collected evidence showing that, once they were opened, ARI hubs reduced acute respiratory infection attendances by up to two-thirds, and released GP appointments. The hubs, normally held at community clinics, offer urgent same-day appointments for those with suspected ARI problems to patients referred in by other services. David Bramley, deputy director in NHSE’s NHS@Home team, said on a webinar on Tuesday: “This year, perhaps unsurprisingly, we are seeing ARI rates beginning to climb… but we’re also not expecting any additional funding for ARI hubs this year.” Read full story (paywalled) Source: HSJ, 10 November 2023- Posted
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Event
Couldn't care less: The permanent crisis of care
Sam posted an event in Community Calendar
untilWe all need care at some point in our lives. And as many as 8.8 million of us are already carers. Despite that, in just two years, the number of older people living with an unmet care need has risen by 19%. Why is our care system so neglected? Our care system was in crisis before the pandemic and remains in crisis now. It'll continue to be in crisis long after we're vaccinated against COVID-19. A system under stress, carers under pressure and those in need of care facing neglect. This is our new normal. Can nothing be done about this? Join our host, Claret Press publisher Katie Isbester PhD, and our three guests, as they grapple with the big issues that affect us all. They will talk with Professor of Sociology Dr Emma Dowling and the Director of UNICARE at UNI Global Union Mark Bergfeld, as well as acclaimed writer, with lived experience of care, Sarah Gray. Register- Posted
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Event
untilThis Westminster Health Forum event discusses key priorities and next steps for improving older people’s care. The conference will be an opportunity to assess the management of care through the pandemic and the policy support required to tackle the critical challenges currently being faced around community support, integrated care, and managing and preventing long-term conditions. Areas for discussion include: progress on integrated care systems and on community care rollout of urgent rapid response teams and reducing the length of hospital admissions delivery of care during the COVID-19 crisis, and the vaccination programme digital remote management of long term conditions self-funding of older people’s care prevention, including weight management service tackling loneliness. Register -
News Article
Infection control experts issue open letter on care home visiting
Patient Safety Learning posted a news article in News
A group of experts in nursing and infection prevention and control (IPC) is today warning against the use of IPC measures as a “rationale” for stopping safe and compassionate visits in care homes during the Covid-19 pandemic. In a new open letter published in Nursing Times, the specialists say that preventing people from visiting loved ones in social care settings in the name of IPC is a “misinterpretation and at times even abuse” of IPC principles. The letter is the brainchild of independent global health consultant and former Infection Prevention Society (IPS) president, Jules Storr. Among the signatories are five former IPC presidents, current president Pat Cattini as well as incoming president Jennie Wilson. Dr Ron Daniels, chief executive of the UK Sepsis Trust, is also on the list, Helen Hughes, chief executive of Patient Safety Learning, as well as leading IPC nurse specialists, nurse academics, a GP and carers. Ms Storr, a nurse by background, and the hub topic lead, said she was motivated to take action after hearing “the most heart-breaking” stories from health professionals and relatives of residents about restricted visits in the UK in the wake of COVID-19. Some had not seen relatives for weeks or months, whilst others were only allowed to see their loved one once a week for 20 minutes at a distance, she said. One individual had told her how when their father had died only one family member was permitted in the home and they were not allowed to sit close enough to hold his hand. Ms Storr said these practices were “absolutely outrageous and wrong from an infection prevention point of view”. Read full story Source: Nursing Times, 16 October 2020- Posted
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- Infection control
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News Article
Social care at breaking point in England after 'lost decade'
Patient Safety Learning posted a news article in News
Policymakers’ failure to tackle chronically underfunded social care has resulted in a “lost decade” and a system now at breaking point, according to a new report. A team led by Jon Glasby, a professor of health and social care at the University of Birmingham, says that without swift government intervention including urgent funding changes England’s adult social care system could quickly become unsustainable. Adult social care includes residential care homes and help with eating, washing, dressing and shopping. The paper says the impact has been particularly felt in services for older people. Those for working-age people have been less affected. It suggests that despite the legitimate needs of other groups “it is hard to interpret this other than as the product of ageist attitudes and assumptions about the role and needs of older people”. Read full story Source: The Guardian, 9 August 2020- Posted
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News Article
Residential homes 'desperate' for PPE, as two care workers die
Patient Safety Learning posted a news article in News
The first two coronavirus deaths among care workers in England were announced, as industry leaders hit out at chronic shortages of protective equipment and urged the government to start treating social care as “a second front line”. Carol Jamabo, 56, a community carer for Cherish Elderly Care in Bury in Greater Manchester, died last Wednesday. Another carer died in a home run by MHA, the UK’s largest charitable social care provider, which said it was unclear where she contracted the virus. The death of a West Dumbartonshire care worker that emerged on Sunday was also confirmed by the Scottish first minister, Nicola Sturgeon. The fatalities came amid rising concern that those working in social care still do not have the protection they need amid the Covid-19 pandemic and that, without testing for the virus, staff risk contaminating care homes where elderly people are supposed to be “shielded”. Read full story Source: The Guardian, 6 April 2020- Posted
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News Article
Non-acute services to receive 30 million PPE products
Patient Safety Learning posted a news article in News
Adult social care services are to receive millions of personal protective equipment products following a national audit of personal protective equipment (PPE), HSJ can reveal. The government will deliver more than 30 million items to local resilience forums in the coming days, for distribution among social care and other front-line services, according to a letter seen by HSJ. The stock should not be sent to acute trusts or ambulance services, the letter, from health and social care secretary Matt Hancock and housing, communities and local government secretary Robert Jenrick, stated. Describing an “urgent need” for PPE in front-line services, Mr Hancock and Mr Jenrick asked local planners to distribute this latest batch of stock “only where there is a clear and pressing need”. Read full story Source: HSJ, 6 April 2020- Posted
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News Article
Coronavirus: Nearly 400 care groups 'face protection shortages'
Patient Safety Learning posted a news article in News
Almost 400 care companies which provide home support across the UK have told the BBC they still do not have enough personal protective equipment (PPE). Without protection, providers say they may not be able to care for people awaiting hospital discharge. Of 481 providers, 381 (80%) said they did not have enough PPE to be able to support older and vulnerable people. The government said it was working "around the clock" to give the sector the equipment it needs. The BBC sent questions to the nearly 3,000 members of the UK Homecare Association. About a quarter of respondents said they have either run out of masks or have less than a week's supply left. Read full story Source: BBC News, 6 April 2020- Posted
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- Virus
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News Article
Oak Springs: Third fatality at Liverpool care home where 52 have symptoms
Patient Safety Learning posted a news article in News
On any normal day the Oak Springs Care home in Liverpool is a hive of activity, laughter ringing out as its elderly residents enjoy dancing, creative crafts and bingo. Yesterday it was quiet, the inhabitants confined to their bedrooms and stark notices on the door warning visitors against entering, as word spread that a third resident had died in hospital that morning after a corona-virus diagnosis. Of the 66 remaining residents, 52 are exhibiting symptoms. Four were put on end-of-life care plans this week, a situation described by Andrea Lyons, the general manager, as “our absolute worst nightmare”. She said: “These are people who we love, who we spend more time with than our families. It has been difficult beyond the worst you can imagine”. Read full story Source: The Times, 2 April 2020 -
News Article
Nurses treating coronavirus spat at and called ‘disease spreaders’
Patient Safety Learning posted a news article in News
Nurses caring for patients in the community have been spat at and called ‘disease spreaders’ by members of the public, according to England’s chief nurse and the Royal College of Nursing (RCN). The nursing union urged members of the public to support the UK’s “socially critical” nursing workforce during the coronavirus outbreak. The RCN said it had received anecdotal reports of community nurses receiving abuse while working in uniform. Separately, England’s Chief Nurse Ruth May said she had heard reports of nurses being spat at. Susan Masters, the RCN’s director of policy, said abuse of nurses was “abhorrent behaviour”. She said a number of nurses had raised concerns about abuse on forums used by members to talk confidentially. Describing one incident she told The Independent: “These were community nurses who had to go into people’s homes and were in uniform. Members of the public who saw them called out to them and said they were ‘disease spreaders’.” She added: “We don’t know how big this problem is, it is anecdotal, but it is absolutely unacceptable. Read full story Source: The Independent, 21 March 2020- Posted
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News Article
COVID-19 health management service to care for patients at home
Patient Safety Learning posted a news article in News
NHS England is commissioning a “COVID-19 home treatment service” of primary and community healthcare for self-secluding patients. It is introducing “urgent primary care services to patients diagnosed with COVID-19” who are self-secluded at home. The service will care for patients’ symptoms relating to COVID-19 as well as other conditions until they are discharged from home isolation and referred back to their GP. “There is likely to be a gradual handover of patients to CHMS providers as they come onstream to provide the service,” according to a letter from NHSE’s primary care directors sent to GPs today. “As soon as the new service is up and running in your area, your clinical commissioning group will be able to tell you who will be providing care for patients in your locality.” Read full story (paywalled) Source: HSJ, 11 March 2020- Posted
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News Article
Former minister says government would lose human rights challenge
Patient Safety Learning posted a news article in News
Sir Norman Lamb, chair of South London and Maudsley Foundation Trust and a former Liberal Democrat MP, has suggested the government would lose a legal challenge over its national programme for patients with learning disabilities and said the national Transforming Care programme was at the “very least a partial failure”. “I regard this as a human rights issue. We’re locking people up when we don’t need to lock them up. We’re subjecting them to force, when we shouldn’t do so, and this is how I think we need to frame it. If the government were challenged in court on this, I think there’s a very good chance, as an ex-lawyer, that they would lose.” Transforming Care was launched in 2011 following the Winterborne View scandal and aimed to discharge patients with learning disabilities and autism out of institutional inpatient units into the community. However, the most recent figures, from NHS Digital, show there were still more than 2,000 patients within inpatient units, ahead of the national programme’s expiration this month. Kevin Cleary, deputy chief inspector for hospitals and lead for learning disability and mental health services for the CQC, said: “We have allowed our patients to be placed within places like Whorlton Hall. I think the NHS provides very few services of this type, it has withdrawn from providing these services, and has become comfortable with providing that service, within the independent sector, several hundred miles away and that’s not right… absolutely not right." “We cannot say we are providing patient centred care or say we are placing the patient at the heart of everything we do and have that response from the system. We are all responsible for that.” Read full story (paywalled) Source: HSJ, 10 March 2020- Posted
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News Article
Although community-based treatment can improve outcomes for people with eating disorders, it must not be at the expense of vital inpatient services, says Lorna Collins in an article today in the Guardian supporting Eating Disorders Awareness Week. No single treatment or approach works for every patient experiencing an eating disorder and it is extremely hard to get help; there is too little money in the system to provide enough care. "Speaking to patients, carers and clinicians, I am struck by the sheer desperation of so many people saying the system has failed them. Too many find that nothing is done until they are at death’s door. Others say no one talks about binge-eating disorder, which is still too often seen as a weakness or a problem that dieting can fix, rather than a real eating disorder," says Lorna. Clinicians, too, paint a gloomy picture of the state of services. Oxford-based eating disorder consultant Agnes Ayton, who chairs the faculty of eating disorders at the Royal College of Psychiatrists, is frank about the problems. She believes NHS eating disorder services are on their knees and desperately need more money after years of austerity. However, there are some encouraging signs. In West Yorkshire and Harrogate, consultant psychiatrist William Rhys Jones, who works for the Connect community and inpatient eating disorders service, says he is seeing real change. Connect’s community outreach teams deliver home-based treatment for people with severe and enduring eating disorders. This is one of the NHSE new care models and Jones says results so far have been very positive. Clinical community services and early intervention result in a good prognosis, he says – and it is cost effective. While inpatient treatment costs about £434 a day, community treatment costs about £20 to £35 a day, with similar or even improved clinical outcomes. While there are concerns about limiting inpatient treatment and prioritising community treatment simply because it may be cheaper, positive examples like this can help hold the NHS to its promise to make treatment truly open to all who need it. Read full story Source: The Guardian, 2 March 2020- Posted
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News Article
Coronavirus ‘drive through’ testing service
Patient Safety Learning posted a news article in News
The NHS is currently rolling out services on NHS sites to test people for coronavirus, including a new service now in action in west London, offering ‘drive through’ coronavirus testing. The new service, provided by Central London Community Healthcare NHS Trust in Parsons Green, is only accessed through a referral from NHS 111, and means people worried about the virus can safely and quickly get checked close to home. The model is one of the ways in which community testing and home testing are being rolled out nationwide, with the NHS’ strategic incident director for coronavirus, asking health services in every part of England to set up home and community testing. After being referred through NHS 111, people are invited to an appointment in their car, during which two community nurses carry out a swab in the nose and mouth, which are checked and assessed within 72 hours. People are asked to self-isolate while checks are completed, to prevent any potential onward transmission of the virus. Dr Joanne Medhurst, medical director for Central London Community Healthcare NHS Trust, said: “Anyone who is worried about coronavirus should call NHS 111 for up to date advice. We’ve set up the ‘drive through’ service to make sure people in our community can get safe, convenient and quick checks for coronavirus, as part of NHS efforts to keep everyone safe." “It’s crucial that, as a community service, we help residents in our area to get accurate, timely advice while managing extra pressure on the NHS, and so far this week we’ve had good feedback from people that the swabbing service offers reassurance at what can be a difficult time.” Read full story Source: NHS England, 28 February 2020- Posted
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News Article
Hundreds of social care residents allegedly sexually assaulted, watchdog reveals
Patient Safety Learning posted a news article in News
Hundreds of elderly and vulnerable social care residents have allegedly been sexually assaulted in just three months, a shock new report from the care regulator has revealed. According to the Care Quality Commission there were 899 sexual incidents reported by social care homes between March and May 2018. Almost half were categorised as sexual assault. In 16% of the cases members of staff or visiting workers were accused of carrying out the abuse. The watchdog said it was notified of 47 cases of rape and told The Independent local authorities were informed and 37 cases were referred to police for investigation. Kate Terroni, Chief Inspector of adult social care at the regulator, said: “Supporting people as individuals means considering all aspects of a person’s needs, including sexuality and relationships. However, our report also shows all too starkly the other side of this – the times when people are harmed in the very place they should be kept safe. This is utterly devastating, both for the people directly affected and their loved ones." “It is not good enough to put this issue in a ‘too difficult to discuss’ box. It is particularly because these topics are sensitive and complex that they should not be ignored.” Read full story Source: The Independent, 27 February 2020- Posted
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News Article
Dementia patients being 'dumped in hospital'
Patient Safety Learning posted a news article in News
Dementia patients are being dumped in hospitals in England because of a lack of community care, a charity says. The Alzheimer's Society called for action, highlighting data showing one in 10 dementia patients spends over a month in hospital after being admitted. The figures also suggested the overall number of emergency admissions among people with dementia is rising - with some patients yo-yoing back and forth. Ministers said they were "determined" to tackle the problems. Central to this, the government said, would be plans for reforming the social care system, which encompasses care home places and support in people's homes. Alzheimer's Society Chief Executive Jeremy Hughes said people were falling through the "cracks of our broken social care system". "People with dementia are all too often being dumped in hospital and left there. Many are only admitted because there's no social care support to keep them safe at home. They are commonly spending more than twice as long in hospital as needed, confused and scared." Read full story Source: BBC News, 22 January 2020 -
News Article
Two patients die after hospitals ignore key safety warning
Patient Safety Learning posted a news article in News
Two patients have died as a result of NHS hospitals failing to heed warnings about the use of super-absorbent gel granules, which patients mistakenly eat thinking they are sweets or salt packets. A national patient safety alert has been issued by NHS bosses to all hospitals, ambulance trusts and care homes instructing them to stop using the granules unless in exceptional circumstances. An earlier alert in 2017 warned the granules, which are used to prevent liquid being spilled, had caused the death of one patient who choked to death after eating a sachet left in an empty urine bottle in their room. The 2017 alert warned hospitals there had been a total of 15 similar incidents over a six-year period between 2011 and 2017. The latest warning from NHS England says most hospitals concentrated on “raising awareness” rather than stopping the use of gel granules. Read alert Read full story Source: The Independent, 4 December 2019 -
Content Article
The Queen’s Nursing Institute has published a resource for community nurses caring for people living with COVID-19. Commissioned by NHS England and NHS Improvement, ‘Living with COVID-19 (Long Covid) and Beyond’ provides information to support nurses working in community, care homes and primary care and also to the wider multi-disciplinary team including clinical knowledge, care responses and skills when caring for people during their recovery and rehabilitation. It is predicted that there will be a ‘new wave’ of physical, mental and emotional health challenges as individuals enter recovery from COVID-19 infection – and for some this is combined with issues resulting from the social and economic impact of lockdown, such as isolation and unemployment. The resource also aims to help nurses assist people, families, carers and employers to work towards managing post COVID-19 symptoms, regaining everyday life activities and returning to independent living wherever possible. It includes information on physical care, psychological and neuro-psychological care, social impact and features several case studies.- Posted
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News Article
Huge variation in referrals to flagship ‘urgent response’ service
Patient Safety Learning posted a news article in News
Ground breaking new data on community services appears to show enormous variation between areas in the number of referrals for a “two-hour urgent response” being recorded. NHS England has published new provisional data on the performance of urgent community response services against a key NHS long-term plan target of reaching at least 70% of patients referred to them within two hours by December 2022. It is the first time performance data has been published for community health services. It also includes the number of referrals made which are reported as “in scope” of the target, and the total number of service contacts. There is huge variation in both referrals and contacts, not accounted for by the size of areas or population need. The publication of the first national performance data for community services was described as “an important moment for community providers” by Siobhan Melia, chair of the Community Network, which is part of NHS Providers and the NHS Confederation. She added it would “raise the profile of community services, and shine a light on the important work taking place in the sector”. Read full story (paywalled) Source: HSJ, 21 June 2022- Posted
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