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Found 117 results
  1. Content Article
    Key findings These findings are from a survey to UK doctors which closed on 18 June 2020. Over 45% of hospital doctors and just over half of GPs say they are not very or not at all confident of their ability to manage a second peak of COVID-19. 80% of hospital doctors have seen some increase in the levels of demand with a fifth experiencing levels back a pre-March level. Over a quarter of GPs and 33% of hospital doctors who consider themselves to be suffering from depression, anxiety, stress, burnout, emotional distress or another mental health condition, say it is worse during the pandemic than before. 81% of GPs have been asked to carry out new investigations and manage ongoing care that would normally have been done in hospitals.
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  3. News Article
    Regulators have uncovered multiple examples of patients being put at risk when junior doctors are left with tasks they are not trained for, lacking support, and facing bullying and inappropriate behaviour. Inspection teams have had to intervene ā€“ in some cases contacting senior trust staff ā€“ to ensure urgent issues are addressed, after the inspections. Health Education England oversees training nationally, which includes making the checks at trusts which have been put under ā€œenhanced monitoringā€ by the professional regulator, the General Medical Council, because of concerns from trainees. HSJ has obtained and examined 20 reports, all produced since the beginning of 2019. Themes running through the reports included: Lack of support from consultants. Trainees struggled to contact consultants out of hours. Bullying and inappropriate behaviour was reported at several trusts. Inspectors found a reluctance to report concerns and/or a lack of knowledge of how to do it. Teaching was often of poor quality or cancelled ā€“ and sometimes trainees struggled to attend sessions because of how their shifts and rotations were scheduled. Trainees in several trusts reported IT problems, such as being locked out of systems so being unable to access clinical notes and blood tests, and IT systems taking up to 30 minutes to start up, sometimes delaying patient care. Read full story (paywalled) Source: HSJ, 29 June 2020
  4. News Article
    Dozens of hospitals are running short of scrubs in the latest problem to hit the NHS over the supply of personal protective equipment (PPE) during the coronavirus pandemic. The shortages are revealed in a survey of UK doctors undertaken by the Doctorsā€™ Association UK (DAUK), which found that 61% said that the hospital where they worked was facing a shortage of scrubs. In recent months, many more NHS staff have begun wearing scrubs, which are usually used mainly by surgical staff, to protect themselves against COVID-19. The prevalence of coronavirus in hospitals has prompted many to switch from wearing their own clothes at work to using scrubs, and handing them in to be washed at the end of their shift. However, the big increase in demand for scrubs from doctors, nurses, physiotherapists and occupational therapists has left many hospitals unable to keep up and also put unprecedented pressure on hospital cleaning services. Some staff have even worn pyjamas intended for patients when scrubs have run out. ā€œProtective clothing must be considered to be at a par with other PPE by Public Health England and must be provided to staff by the NHS," said said Dr Samantha Batt-Rawden, the president of the DAUK. She added: ā€œA failure to adequately supply scrubs to staff may risk further community spread of Covid-19.ā€ Read full story Source: The Guardian, 15 June 2020
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    "I'm not sure I want to be a nurse anymore," she tells me. "I've seen more people die in the past two months than in the whole six years." Some 70% of health workers dealing with COVID-19 in Italy's hardest-hit areas are suffering from burnout, a recent study shows. "This is actually the hardest moment for doctors and nurses," says Serena Barello, the author of the study. Read story Source: BBC News, 26 May 2020
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    Key recommendations Ask the patient if they would like to have the conversation and how much information they would want. All healthcare professionals reviewing patients with chronic conditions, patients with more than one serious medical problem or terminal illness, should initiate shared decision making including advance care planning in line with patient preferences. Conversations about the future can and should be initiated at any point. The conversation is a process not a tick-box, and does not have to reach a conclusion at one sitting. Be aware of the language you use with patients and those they have identified as being important to them, and try to involve all the relevant people in agreement with the patient.
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    Listen to various audio sessions by BBC Radio 4 as Bradford Royal Infirmary cares for patients with COVID 19 in their hospital.
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    šŸš© Latest: ICS: Guidance for prone positioning of the conscious COVID patient 2020 National Patient Safety Alert Interruption of high flow nasal oxygen during transfer British Association of Critical Care Nurses (BACCN): COVID-19 nurse educational resource centre National Institute of Clinical Excellence (NICE): COVID-19 rapid guideline: critical care in adults COVID-19 guidance on DNACPR and verification of death Resuscitation Council (UK): COVID-19 Resources: Healthcare Settings NHS England: Specialty guides: Coronavirus treatment Royal College of Nursing (RCN): Frequently asked questions about COVID-19 and work Guidance on redeployment - COVID-19 World Health Organization (WHO): Coronavirus disease (COVID-19) technical guidance: Infection prevention and control / WASH (including PPE guidance) West Middlesex Hospital: Talking to relatives: a guide to compassionate phone communication during Covid-19 Share your #safetystories Have you noticed things that aren't working well, or seem unsafe? Help us raise awareness of safety issues by sharing your story here. Or perhaps you have introduced an initiative in your hospital to help improve safety for staff or patients during the pandemic? Like the nurse who introduced a PPE Safety Officer Role to reassure staff and prioritise their safety. Share your good practice and safety tips.
  18. News Article
    Frontline doctors have told the Independent they have been gagged from speaking out about shortages of protective equipment as they treat coronavirus patients ā€“ with some claiming managers have threatened their careers. Staff have been warned not to make any comments about shortages on social media, as well as avoiding talking to journalists, while NHS England has taken over the media operations for many NHS hospitals and staff. The Independent has seen a series of emails and messages warning staff not to speak to the media during the coronavirus outbreak. One GP has been barred from working in a community hospital in Ludlow after making comments about the lack of equipment, while another in London said they were told to remove protective equipment they had purchased themselves. NHS England confirmed it was controlling media communications, which it said was part of its national emergency incident planning to ensure the public received ā€œclear and consistent informationā€. Read full story Source: The Independent, 1 April 2020
  19. Content Article
    This guidance document seeks to provide a framework to help your local simulation-based endeavours achieve the most benefit for the needs in your organisation and department. Further resources and examples of practice to support each domain of the framework are currently being collated for sharing nationally in the immediate future. Working in collaboration, The Faculty of Intensive Care Medicine, Intensive Care Society, Association of Anaesthetists and Royal College of Anaesthetists have developed this website to provide the UK intensive care and anaesthetic community with information, guidance and resources required to support their understanding of and management of COVID-19. Intensive care practitioners and anaesthetists are integral to the safe and effective care of patients diagnosed with COVID-19, and play a role in informing and reassuring the public about this viral outbreak.
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  22. News Article
    NHS national leaders are set to reassure doctors they should not fear regulatory reprisals, within reason, if they end up working outside their areas of expertise during the coronavirus outbreak. HSJ understands the UKā€™s four chief medical officers and the General Medical Council are drafting a letter to be sent to all UK doctors, which will contain the reassurances, as the system braces for a sharp rise in covid-19 cases. The letter will also urge doctors to be flexible and not to resist new ways of working, with senior figures expecting many clinicians working in other specialities or locations during the outbreak. The letter will say doctors, while still expected to follow good medical practice, should not fear reprimand from their employers or national bodies such as the GMC, NHS England or other regulators. Read full story (paywalled) Source: HSJ, 11 March 2020
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    The British Medical Association (BMA) should not allow itself to become a campaign tool for vested interest groups seeking a dangerous change in the law, writes Dr Matthew Davis in the Guardian. "Doctors have a responsibility to first do no harm... Even when it may feel uncomfortable, doctors must continue to exercise their Hippocratic duty", says Dr Davies. "The BMA must remain opposed to assisted suicide if the medical profession it claims to represent is to have any credibility in safe, caring and trustworthy expertise. It must not allow itself to become a campaign tool for vested interest groups seeking an extreme and dangerous change in the law that has, even very recently, been rejected by parliament." Read full story Source: The Guardian, 25 February 2020
  25. News Article
    Doctors need to stop moaning and take responsibility for improving the NHS, the leader of Britainā€™s medics has said. Ministers have given the NHS a ā€œsubstantial sumā€ of money and doctors must now stop blaming the government for all its problems, Carrie MacEwen, Chairwoman of the Academy of Medical Royal Colleges, told The Times. Britainā€™s 220,000 doctors have a professional duty to make the health serviceā€™s ten-year plan work and can no longer ā€œsit on their handsā€, Professor MacEwen said. After years in which the loudest medical voices have tended to complain about government funding and staffing levels, she said that doctors should take advantage of a ā€œgolden opportunityā€. Read full story (paywalled) Source: The Times, 25 February 2020
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