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Found 16 results
  1. Content Article
    When Emma Powell experienced psychosis this year, she was told to go to A&E by the mental health crisis team. But she was left waiting for a bed for three and a half days, in conditions that only made her distress worse. In this article, Emma describes several experiences of trying to access crisis care for her schizoaffective disorder. She explains the impact of long waits at A&E and how they make her condition worse, with the overcrowded and busy environment causing overstimulation, and changing staff carrying out repetitive consultations causing confusion and exhaustion.
  2. Content Article
    To tackle the serious harms, up to and including death, associated with eating disorders it is crucial that more is done to identify them at the earliest stage possible so that the appropriate care and treatment can be provided. This new guidance by the Royal College of Psychiatrists is based on the advice and recommendations of an Expert Working Group. It provides a comprehensive overview of the latest evidence associated with eating disorders, including highlighting the importance and role of healthcare professionals from right across the spectrum recognising their responsibilities in this area.
  3. Content Article
    From Kiev to Khartoum to Gaza, people are losing all their rights, including the right to life itself. From his observations of healthcare conditions in Sudan, Dr Ahmed Khalafalla presents some ideas on how we can improve healthcare services during times of war and uncertainty to make healthcare services accessible for those who need them.
  4. News Article
    Violence against healthcare workers has become a “global crisis”, with 161 medics killed and 188 incidents of hospitals being destroyed or damaged last year, according to a new report. Data collected from 49 conflict zones by the Safeguarding Health in Conflict Coalition (SHCC), also found that 320 health workers were wounded in attacks, 170 were kidnapped and 713 people were arrested in the course of their work. The US-based group said on Tuesday that, although the total number of attacks was similar to those recorded in recent years, there had been an increase in violence in areas of new or renewed conflict in 2021, “underlining the fact that attacks on healthcare are a common feature in many of today’s conflicts”. Christina Wille, director at Insecurity Insight, which led the data collection and analysis, said: “Violence against healthcare resulted in widespread impacts on public health programmes, vaccination campaigns and population health, contributing to avoidable deaths and long-term consequences for individuals, communities, countries and global health writ large.” Read full story Source: The Guardian, 24 May 2022
  5. News Article
    GPs have received updated guidance on providing healthcare to people coming from Ukraine. In a bulletin to general practices on 10 March notifying them of the update from the Office for Health Improvement and Disparities, NHS England said that the health service was starting to see refugees and citizens returning from Ukraine and reminded practices that proof of identity is not required for registration at a practice. The guidance advises practices to explain to people coming from Ukraine how the NHS works and their entitlements to healthcare, to ensure that they are up to date with the UK immunisation schedule, and to ask about any travel plans they may have to visit friends and relatives in their country of origin. GPs are also advised to: Screen all new entrants, including children, for tuberculosis Ascertain any risk factors for hepatitis B infection that may indicate the need for screening (owing to its low prevalence in the UK) Consider screening for hepatitis C, because of a considerably higher prevalence in Ukraine than in the UK Ensure that travellers are offered typhoid immunisation and advice on preventing enteric fever Consider nutritional and metabolic concerns (anaemia, vitamin D, vitamin A, iodine) Work with a professional interpreter where language barriers are present Consider the effects of culture, religion, and gender on health Assess for mental health conditions, and Refer pregnant women to antenatal care. Read full story Source: BMJ, 14 March 2022
  6. News Article
    Hospitals across Ukraine are “desperate” for medical supplies, doctors have warned, as oxygen stores are hit and other vital health supplies run low amid bombardment from Russian forces. UK-based Ukrainian doctors have issued an urgent appeal for donations of supplies as they travel to eastern Europe in response to reports of shortages of medical equipment and medicines. The World Health Organisation warned on Sunday evening that oxygen supplies in Ukraine were “dangerously low” as trucks were unable to transport oxygen supplies from plants to hospitals across the country. Dr Volodymyr Suskyi, an intensive care doctor at Feofaniya Clinical Hospital in Kyiv, told The Independent he had been forced to use an emergency back-up system to supply oxygen to a patient on life support after the area near plant which supplies his hospital was bombed. Dr Dennis Olugun, a UK-based doctor who is leading the group of medics from the Ukrainian Medical Association of the United Kingdom (UMAUK) to deliver medical supplies, said the situation was “desperate” in some areas. He said some hospitals did not have basic necessities such as rubber gloves. He told The Independent: “What they need in the hospitals is portable ultrasound machines, portable x-ray machines because they have so many patients they much rather walk around the wards and do whatever diagnostic work rather than transporting patients." The Association of the British Pharmaceutical Industry and European Federation of Pharmaceutical Industries and Associations have called for medicines, pharmaceutical ingredients and raw materials to be excluded from the scope of sanctions being levied against Russian trade. Read full story Source: The Independent, 1 March 2022
  7. Content Article
    The NHS and social care system in the UK are under immense strain, and this is increasingly causing harm to patients. This is seen in the current crisis in urgent and emergency care, but is present throughout the system. This BMJ article looks at a collaborative document produced by the Royal College of Physicians (RCP), Royal College of Emergency Medicine (RCEM), Royal College of General Practitioners (RCGP), Royal College of Psychiatrists (RCPsych) and the Society for Acute Medicine (SAM). The document highlights key actions and priorities that may help mitigate part of the crisis facing the NHS. As part of these recommendations, the authors call on the UK governments to increase and prioritise investment in primary care, social care, mental health and ambulance services.
  8. Content Article
    Port-au-Prince, the capital of Haiti, has seen waves of clashes between armed groups. The violence has driven a stark need for emergency trauma care and surgery, and cut people off from the everyday healthcare services they need. Nurse Amadeus von der Oelsnitz explains how the Médecins Sans Frontières / Doctors Without Borders (MSF) principles of neutrality, impartiality and independence help teams provide vital healthcare in a city torn apart by insecurity.
  9. Content Article
    This letter to NHS mental health trusts, Integrated Care Boards and Commissioners outlines NHS England's position on the use of Serenity Integrated Mentoring (SIM) in NHS mental health services. SIM is a model of care that has been used with people with mental health issues who are considered high-intensity users of emergency services. It is a controversial approach as it instructs services providing emergency care not to provide support to these individuals.
  10. Content Article
    The Patient Safety Incident Response Framework (PSIRF) sets out the NHS's approach to developing and maintaining effective systems and processes for responding to patient safety incidents for the purpose of learning and improving patient safety It is intended to support one of the key aims of the NHS Patient Safety Strategy, to help the NHS improve its understanding of safety by drawing insight from patient safety incidents. This will replace the Serious Incident Framework with organisations expected to transition to PSIRF within 12 months of its publication, by Autumn 2023.
  11. Content Article
    This letter from NHS Confederation to Thérèse Coffey MP, the new Secretary of State for Health and Social Care, sets out what needs to be done to support the delivery of an emergency winter plan for health and social care services. It outlines the views of NHS Confederation members on what will be needed to deliver the ‘ABCD’ highlighted as priorities by the Secretary of State: ambulances, backlogs, care and doctors and dentists.
  12. Content Article
    This report by The Tony Blair Institute for Global Change sets out an action plan to save the NHS this winter. It highlights the pressures the health service faces, worsened by the Covid-19 pandemic, including a resurgent flu epidemic, the effect of the cost-of-living crisis, the unprecedented elective-care backlog and a depleted and exhausted workforce. The authors call for the Government to immediately: focus leadership minimise demand on the service improve patient flow and efficiency maximise capacity.
  13. Content Article
    Lucy is a world-leading authority on recovering from disaster. She has been at the centre of the most seismic events of the last few decades, advising on everything from the 2004 Boxing Day tsunami to the 7/7 bombings, the Christchurch earthquake in New Zealand, the Grenfell fire and the Covid-19 pandemic. In every catastrophe, Lucy is there to pick up the pieces and prepare for the next one. She holds governments to account, helps communities rally together, returns personal possessions to families, and holds the hands of the survivors.   In her moving memoir she reveals what happens in the aftermath and explores how we pick up and rebuild with strength and perseverance. She takes us behind the police tape to scenes of destruction and chaos, introducing us to victims and their families, but also to the government briefing rooms and bunkers, where confusion and stale biscuits can reign supreme. Telling her own personal story, Lucy looks back at a life spent on the edges of disaster, from a Liverpudlian childhood steeped in the Hillsborough tragedy to the many losses and loves of her career.
  14. Content Article
    Crisis resolution teams (CRTs) provide treatment at home to people experiencing mental health crises, as an alternative to hospital admission. This study in the International Journal of Mental Health Nursing aimed to measure whether CRTs adhere to a model of good practice, using one-day fidelity reviews of UK crisis teams. The authors found that despite a national mandate to implement the CRT model, there are wide variations in implementation in the UK and no teams in the sample achieved overall high fidelity.
  15. Content Article
    We should be! The NHS has declared climate change a health emergency, but are trust leaders and healthcare staff talking and acting on this? In her second blog for the hub, Angela Hayes, Clinical Lead Sustainability at the Christie Foundation Trust, discusses why as healthcare professionals we have a duty to care, to protect and promote public health, and why nurses are ideally placed to deliver this vital climate emergency health message.
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