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Found 324 results
  1. Content Article
    How to offer safety-netting advice Build safety-netting into the entire consultation; it should not be rushed at the end. Use simple terms and avoid jargon and abbreviations (but include appropriate technical terms); tailor advice and address potential sources of anxiety (for instance being young or a first-time parent). Consider grouping chunks of information to help the patient remember the advice. Give people the opportunity to share their expectations and concerns, and address these in the safety-netting plan. What advice to give: the safety-netting plan
  2. News Article
    The waiting list for endoscopies has broken the record set during the height of the covid pandemic, as referrals for suspected colorectal cancer surged, HSJ analysis shows. In November 2022, 110,00 people were waiting for a colonoscopy (or flexible sigmoidoscopy) and the median wait was 4.2 weeks, double the median wait in November 2019. The pandemic peak waiting list for these tests was 107,000 in September 2020. Nearly a quarter of those waiting as of November 2022, the most recent figures, were on the list for more than 13 weeks. In November 2019 only 2.9 per cent of the list wait
  3. News Article
    The chairman of Covid vaccine giant AstraZeneca has said that investment in technology can help the NHS cut costs. Leif Johansson said more spending on areas such as artificial intelligence and screening could prevent illness and stop people going to hospital. The NHS is under severe pressure, with A&E waits at record levels and strike action exacerbating ambulance delays. Mr Johansson said about 97% of healthcare costs come from "when people present at the hospital". He said only the remaining 3% is made up of spending on vaccination, early detection or screening.
  4. Content Article
    Recommendations Every person to receive an early and accurate diagnosis based on a guideline-defined approach and a plan for their care Care to be provided to people with asthma and COPD within the recommended timeframe after hospital admission, to support optimal outcomes People with asthma and COPD to receive care by appropriately trained healthcare professionals, at each stage of their care pathway, and Primary, secondary and community services to implement ways to work together, offering people with asthma and COPD a seamless pathway of care.
  5. News Article
    The Society to Improve Diagnosis in Medicine (SIDM) has announced that Congress in the final FY 2023 Omnibus spending bill has doubled dedicated federal funding for research to reduce patient harm from diagnostic error. Statistically, each of us is likely to experience a meaningful diagnostic error in our lifetime. The significant human and financial toll of diagnostic errors, which occur in all settings of care, was first highlighted in a landmark 2015 National Academy of Medicine (NAM) report, Improving Diagnosis in Health Care. The report found that missed, delayed, or un-communicated
  6. Content Article
    Summary recommendations The National Screening Committee should reconsider the case for a targeted national screening programme to detect high fracture risk in 2023. The Government should instigate a public health campaign to address the lack of awareness and complacency in the public about bone health. Osteoporosis must be given parity with other long-term conditions, and defined as such within the NHS, to allow enhanced and equitable care and management. NHS England must outline plans to expand DXA services to deliver and exceed their recommended 4% increase in capac
  7. News Article
    Some patients waiting for an endoscopy in Guernsey may be "at risk" because of a large backlog in procedures, the States medical director has warned. The government has announced a tender process to bring in clinicians to help clear the list, which is three times longer than before the Covid pandemic. More than 430 people were on the gastroenterology waiting list as of Tuesday, Dr Peter Rabey said. "We're worried that there is risk to patients in waiting too long," he said. "Although a lot of patients who get an endoscopy have completely normal results, and some have benign
  8. News Article
    As many as 250,000 people die every year because they are misdiagnosed in the emergency room, with doctors failing to identify serious medical conditions like stroke, sepsis and pneumonia, according to a new analysis from the US federal government. The study by the Agency for Healthcare Research and Quality estimates roughly 7.4 million people are inaccurately diagnosed of the 130 million annual visits to hospital emergency departments in the United States. Some 370,000 patients may suffer serious harm as a result. Researchers from Johns Hopkins University analysed data from two deca
  9. Content Article
    Although estimated ED error rates are low (and comparable to those found in other clinical settings), the number of patients potentially impacted is large. Not all diagnostic errors or harms are preventable, but wide variability in diagnostic error rates across diseases, symptoms, and hospitals suggests improvement is possible. With 130 million U.S. ED visits, estimated rates for diagnostic error (5.7%), misdiagnosis-related harms (2.0%), and serious misdiagnosis-related harms (0.3%) could translate to more than 7 million errors, 2.5 million harms, and 350,000 patients suffering potentially pr
  10. News Article
    Rare genetic disorders will be diagnosed and treated in babies thanks to a project to sequence the complete DNA of 100,000 newborns. It should spare hundreds of families in England months, or years, of anguish waiting to find out why their children are ill. The project is the first time that whole genome sequencing (WGS) has been offered to healthy babies in the NHS. It will screen for around 200 disorders, all of them treatable. The Newborn Genomes Programme, to begin next year, is thought to be the biggest study of its kind in the world. If successful, it could be rolled out a
  11. Event
    This conference from the Westminster Health Forum will focus on the future for diagnostics and medical devices in England - looking at developments and next steps for strategy and regulation. The discussion takes place in the context of the upcoming MedTech strategy from DHSC, and will be an opportunity to examine priorities for improving flexibility and transparency in MedTech supply and procurement, securing value for money, and supporting the adoption of innovation in healthcare settings. Delegates will discuss implementation of the MHRA update to the regulation of medical devices
  12. Content Article
    Jenny, my mother Jenny was a much-admired mother, grandmother and friend. She had a strong determination and an uplifting zest for life; she was loyal and we, her family, miss her. Her passions were many, from her love of travel to places of geographic interest, to line-dancing and amassing a curious Tupperware collection. Jenny attended university in the 1960s, a time when women from her background were discouraged from attending further education. Having graduated, Jenny then worked for British Leyland and later moved to Germany with my father where she taught English. During which
  13. News Article
    The number of people waiting more than two months to start cancer treatment remained over 30,000 — double the pre-covid level — for three months to the end of October, according to new data published. NHS England previously committed to bringing the number of people waiting longer than 62 days to be diagnosed and begin treatment, after referral for suspected cancer, to pre-pandemic levels – roughly 14,000 – by March 2023. But the number has been generally growing since the spring, and remained above 30,000 from August through to the end of October, the latest figures available. Septe
  14. Content Article
    The urgent need to reduce the serious harms of overuse in healthcare led to a global movement, Choosing Wisely, launched in the United States in 2012 and now active in more than 30 countries across six continents, including the UK. Choosing Wisely campaigns are national grassroots efforts, led by clinicians in partnership with patients, other clinicians, and professional societies. They provide evidence based recommendations about changes to practice and develop tools to help clinicians implement those recommendations in partnership with patients.
  15. Content Article
    Findings For healthcare staff, carrying out a robust assessment of risk factors for VTE is challenging, particularly in the complex and busy environment of antenatal clinics, the labour ward and on postnatal wards. Multiple competing demands, exacerbated by distractions and interruptions, mean healthcare professionals are constantly having to balance risk and safety for the pregnant women/pregnant people they care for and are trading off the thoroughness of assessments to improve efficiency. Midwives are asked to complete a number of risk assessments and screening tools to a
  16. Content Article
    Key findings from the report: There were 400 excess deaths attributable to pulmonary embolism misdiagnosis from March 2021 to April 2022 in England and Wales. In parts of England and Wales the number of deaths due to pulmonary embolism were almost 3 times the national average. The clinical guidelines and diagnostic processes used in England and Wales are out of step with our European counterparts and, in Jenny’s case, were not used correctly. Clinical teams too often lack the training, expertise and/or equipment to deliver safe and effective pulmonary embolism care.
  17. News Article
    The government is setting up 19 more diagnostic centres in communities across England to help tackle the Covid backlog. Ninety one are already open and have delivered more than 2.4 million tests, checks and scans since last summer, ministers say. It is hoped the centres will speed up access to services for patients, thereby reducing waiting times. Seven million people in England are now waiting for hospital treatment. GPs can refer patients to community diagnostic centres so that they can access life-saving checks and scans, and be diagnosed for a range of conditions, witho
  18. Content Article
    Key points from the briefing A Royal College of Radiologists’ survey found 41% of clinical radiologists do not have the equipment they need to deliver a safe and effective service. There is insufficient equipment in place to process scans quickly. The UK has fewer scanners than most comparable countries in the OECD. This equipment is also outdated. 10% of CT scanners to diagnose pulmonary embolisms are over 10 years old. The Royal College of Radiologists’ Workforce Census found that there is a shortfall of clinical radiology consultants specialising in chest & lung:
  19. News Article
    Five million people were unable to book a GP appointment in October, analysis of NHS data suggests. The Labour party, which studied figures from the GP Patient Survey, warned the struggle to see a doctor will mean many patients will not have serious medical conditions diagnosed until it is “too late”. According to the survey, some 13.8% of patients, or around one in seven, did not get an appointment the last time they tried to book one. With almost 32 million GP appointments reported in England in October, the party said it means that more than 5 million people could have been u
  20. Content Article
    What is an Adjournment Debate? There is a 30 minute Adjournment Debate at the end of each day's sitting of the House of Commons. They provide an opportunity for an individual backbench MP to raise an issue and receive a response from the relevant Minister. Unlike many other debates, these take place without a question which the House of Commons must then make a decision on. Diagnosis of pulmonary embolisms In this debate Helen Hayes, MP for Dulwich and West Norwood, outlined significant patient safety issues relating to misdiagnosis of pulmonary embolisms. She highlighted concerns