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Found 635 results
  1. News Article
    “Frustration with the system was why I went off in the end,” said Conor Calby, 26, a paramedic and Unison rep in southwest England, who was recently off work for a month with burnout. “I felt like I couldn’t do my job and was letting patients down. After a difficult few years it was challenging.” While he usually manages to keep a distinct divide between work and home life, burnout eroded that line. He also lost his sleep pattern and appetite. The final straw came when what should have been a 15-minute call resulted in three hours on the phone trying to persuade the services that were supposed to help a suicidal patient to come out. “I was on a knife edge. That was due to the system being broken. That’s the trigger.” Doctors and nurses are struggling under the strain too. After her third time with burnout - the last resulting in her taking six months off work – Amy Attwater, an A&E doctor, considered leaving the profession altogether. Attwater, 36, said in the Covid crisis, during which a colleague killed himself, she started having suicidal thoughts and doubting her own abilities. She twice reported that she was being bullied but said no action was taken. “The only thing I was left with was to take time off work. I ended up having therapy, seeing a psychiatrist and being on two antidepressants,” said Attwater, the Midlands-based committee member for Doctors’ Association UK. Read full story Source: The Guardian, 5 February 2023
  2. News Article
    A health minister has called for more staff to take part in an inquiry into deaths at a mental health trust. An independent review into 1,500 deaths at the Essex Partnership University Trust (EPUT) over a 21-year period was launched in 2020. It emerged earlier this month that 11 out of 14,000 staff members had come forward to give evidence to an independent inquiry. The trust said it was encouraging staff to take part in the inquiry. During a parliamentary debate, Health Minister Neil O'Brien said the trust was being given a "last chance" before the government intervened and instigated a statutory inquiry. A statutory inquiry would allow staff to be compelled to give evidence. In December, a further 500 deaths were made known to the review chair, Dr Geraldine Strathdee. She said the inquiry could not continue without full legal powers. Chelmsford MP Vicky Ford said she had been told by the chief executive of EPUT that staff were "very scared" to give evidence. Read full story Source: BBC News, 31 January 2023
  3. Event
    Everyone makes stories during sleep that can metaphorically depict our waking life experiences and concerns. Have you wondered what waking life memories have led to a dream? Discuss a recent or important or intriguing dream you have had. While you discuss it, Julia Lockheart captures your dream narrative in a work of art drawn and painted onto pages taken from the first English translation of Freud’s book The Interpretation of Dreams. After the session the dreamer will receive a high quality mounted Giclée print of the artwork to display at home and discuss with family and friends. The event is part of the DreamsID (Dreams Illustrated and Discussed, Dreams Interpreted and Drawn) art science collaboration. Dr Julia Lockheart is Associate Professor at Swansea College of Art, University of Wales Trinity Saint David, and Associate Lecturer at Goldsmiths, University of London. Professor Mark Blagrove is Professor of Psychology at Swansea University and researches the science of sleep and dreaming. Register
  4. News Article
    Thousands of NHS staff across the UK are facing pay cuts because of a change in Covid sickness policy. Analysis by BBC Panorama suggests that between 5,000 and 10,000 NHS workers could be off sick with Long Covid. Unions are accusing the government of failing to support health staff who worked during the coronavirus pandemic. The government says the Covid-19 public inquiry will examine these issues when it begins taking evidence in May. Changes to special sick pay rules introduced during the pandemic mean that some NHS staff unable to work due to Long Covid may soon no longer receive full pay. Enhanced provision ended last year. Many had a six-month transition, so expect their wages to go down soon. Some face losing their jobs. Professor David Strain is the chair of the Board of Science at the British Medical Association (BMA) and says this makes him "genuinely angry". He explains: "We've got a group of people that have put themselves forward to look after the population, they've been left with an illness and they're not being supported. "They're just in a no man's land." He believes that health workers with long Covid should be allowed to focus on their recovery without money worries. Read full story Source: BBC News, 30 January 2023
  5. Content Article
    Recommendations from the study Just Culture: define an agreed vision of what Just Culture means to the Trust. Investigations: introduce incident management familiarisation training. Learning Culture: increase face-to-face communication of outcomes of investigations and incident review. Investigators: establish an incident investigation team to improve the timeliness and consistency of investigations and the communication and implementation of outcomes.
  6. Content Article
    Changes in the way staff work, including staff taking on new roles and responsibilities, is a well-known policy solution in the NHS, and there are some really good instances where skill mix works well and has real benefits. But are there downsides to the drive to employ new types of staff to help doctors and nurses? What are the implications for continuity of care, staff experience and outcomes? Is the idea of ‘top of the licence’ working a reason for concern in terms of burnout, the fragmentation of care or is it an unavoidable response to the workforce crisis? Chair: Nigel Edwards, Chief Executive, Nuffield Trust Prof Alison Leary, Chair of Healthcare and Workforce Modelling, London South Bank University Dr Louella Vaughan, Senior Clinical Fellow, Nuffield Trust
  7. News Article
    Patients and staff are in danger as regulators are accused of poor handling of sexual assault allegations made against doctors and nurses, The Independent has been told. Campaigners and frontline staff who spoke to The Independent warned that professional regulators are not dealing adequately with allegations of sexual assault, harassment and domestic violence. A study of rulings by the Nursing and Midwifery Council (NMC) has also revealed that male nurses account for 80% of striking-off orders relating to sexual assault allegations, despite only making up 11% of the register. The warning comes after horrific details of rape and abuse by police officer David Carrick were uncovered this week. Dr Rebecca Cox, who helped sparked a major #MeToo movement in medicine and is co-founder of the Surviving in Scrubs campaign group, told The Independent: “There are great similarities, in the recent cases of prolific sexual harassment and assault, between the Met Police and the NHS. “As an organisation, we have had multiple healthcare professionals contacting us desperate to seek support after facing repeated barriers when trying to report harassment and assault to their employing NHS organisation and regulators such as the GMC. “Victims find their cases ignored or dropped without good reason, and perpetrators being able to continue working without repercussions. We need a public inquiry into sexism, sexual harassment and sexual assault in healthcare.” Read full story Source: The Independent, 22 January 2023 You may also be interested in: Calling out the sexist and misogynist culture within healthcare: a blog by Dr Chelcie Jewitt, co-founder of the Surviving in Scrubs campaign
  8. News Article
    Two in five GPs are facing verbal abuse every single day, a new poll suggests. Some 74% of family doctors have claimed they or their staff have experienced verbal abuse on a weekly basis, including almost 40% who say it occurs daily, according to the survey conducted by GP publication Pulse. And 45% said practice staff experience physical abuse every year, according to the poll of 1000 GPs. As well as facing abuse in GP surgeries, a third reported practice staff have faced abuse on social media on a weekly basis. The Royal College of GPs described the survey findings as deeply disturbing. One GP told the journal: "Last week a patient, without any mitigating circumstances, was desperately abusive to one of my receptionists bemoaning the fact it wasn’t the US where she could buy a gun and 'sort us all out'. "Primary care seems to be bearing the brunt and blamed by all and sundry for the current issues and the public are picking up on this." Read full story Source: Medscape, 19 January 2023
  9. News Article
    Patients will suffer if ministers bow to nurses’ demands for pay rises, the health secretary has warned as tens of thousands of NHS staff walk out on today. Steve Barclay told the Independent said any boost to wages would “take billions of pounds away from where we need it most”. He wrote: “Unaffordable pay hikes will mean cutting patient care and stoking the inflation that would make us all poorer.” Today tens of thousands of nurses will strike across 55 trusts. NHS data shows 4,567 operations and 25,009 outpatient appointments were cancelled during the nurse’s strikes on 15 and 20 December. The NHS also faces further ambulance strikes next Monday, which sources indicate will go ahead, and new strikes are to be announced for February by union GMB. The Royal College of Nursing (RCN) criticised Mr Barclay for “pitting nurses against patients”, branding the comments “a new low for the health secretary”. Read full story Source: The Guardian, 18 January 2023
  10. Content Article
    Five themes were identified: lack of practical knowledge (skills dexterity, real-world knowledge) impostor syndrome safety culture (unsafe environment, lack of supplies lack of mentoring/management) internalized fear seeking the sage. Authors conclude that transition to practice is overwhelming and uncertain. Academic faculty and practice nurses’ cooperative efforts can aid novice nurses in safe transition to practice through academic curriculum enhancement, preceptors, and nurse residency programs working toward narrowing the academic practice gap.
  11. Content Article
    The number of NHS staff quitting their jobs has reached worrying new heights. According to the latest official data, over 42,400 staff voluntarily resigned from the health service in quarter two of this year – the highest number in any equivalent quarter over the last decade. Some trusts have been very open about the measures they are being forced to resort to just to keep things running. The University Hospitals of North Midlands Trust confirmed corridor care has been officially brought back and risk-assessed, with staff recruited specifically to look after patients in corridors. The trust has been clear – it does not want to treat patients in this way, but has no choice. There is a risk to patients and to the staff who care for them. Helen Hughes, chief executive of charity Patient Safety Learning, said it would be valuable for trusts to have clear guidance and examples of good practice of corridor care that “prioritise patient safety”. However, she stressed this should be a temporary measure and not be normalised. But many frontline staff would argued this has already happened – they have had to contend with corridor care off and on for the last decade. Ms Hughes also stressed the negative impact caring for patients in corridors and other areas has on healthcare professionals themselves, “raising the risk of moral injury if they are unable to provide the appropriate level of care”.
  12. News Article
    John Watkinson was one of the country's top ear, nose and throat surgeons. But Mr Watkinson's life and career were turned upside down when he was accused of shortening the lives of three patients, suspended and investigated. General Medical Council investigators would eventually close his case, taking no further action, and Mr Watkinson would receive an apology for what he had experienced from his employer University Hospitals Birmingham (UHB) NHS Trust. But that was six years after he was first suspended - six years that would see him pushed to the brink. "As doctors, we're trained in communication skills, we have appraisals, mandatory training," he says. "But the one thing we're not trained to cope with is when somebody declares war on you." The hospital trust stands by its decision to suspend Mr Watkinson and says its referral to the General Medical Council was "appropriately made following a clinical colleague raising significant concerns" about patient care. UHB has been in the spotlight in recent weeks, with reviews launched into its culture, leadership, and allegations of poor patient care aired in a Newsnight investigation late last year. It says a review into patient care is now well under way. Mr Watkinson says he was at the sharp end of this culture when he was suspended and suddenly went "from hero to zero". He accepts mistakes were made, but not just by him and not ones that would have affected the patients' outcomes. Read full story Source: BBC News, 13 January 2023
  13. News Article
    An inspection of a hospital has found all wards were understaffed, while ‘tearful [and] exhausted’ clinicians raised patient safety concerns to the Care Quality Commission (CQC). The CQC’s visit to Colchester hospital, run by East Suffolk and North East Essex Foundation Trust, also found patients going unfed because of low staffing ratios and patient confidentiality concerns. The concerns were raised in a letter sent by the CQC to the trust, which also runs Ipswich hospital, ahead of publication of an inspection report for older people’s medical services, which is due later this month. The CQC’s letter, published in board papers for a meeting on Thursday, said: “All wards’ actual staffing levels and skill mix meant staff were often overstretched. All staff we spoke with expressed concern about the impact on patient care and personal wellbeing. Some staff we spoke with were tearful, reported feeling exhausted and concerned that they were unable to care for patients well enough to keep them safe.” The letter also said significant positives were found. Inspectors “found staff to be welcoming, hardworking and supportive of each other… We found staff at all levels working together with the aim of putting the patients first and providing a safe and effective service”. Read full story (paywalled) Source: HSJ, 11 January 2023
  14. News Article
    NHS England has shelved priorities on Long Covid and diversity and inclusion – as well as a wide range of other areas – in its latest slimmed down operational planning guidance, HSJ analysis shows. NHSE published its planning guidance for 2023-24, which sets the national “must do” asks of trust and integrated care systems, shortly before Christmas. HSJ has analysed objectives, targets and asks from the 2022-23 planning guidance which do not appear in the 2023-24 document. The measures on which trusts and systems will no longer be held accountable for include improving the service’s black, Asian and minority ethnic disparity ratio by “delivering the six high-impact actions to overhaul recruitment and promotion practices”. Another omission from the 2023-24 guidance compared to 2022-23 is a target to increase the number of patients referred to post-Covid services, who are then seen within six weeks of their referral. Several requirements on staff have been removed, including to ”continue to support the health and wellbeing of our staff, including through effective health and wellbeing conversations” and ”continued funding of mental health hubs to enable staff access to enhanced occupational health and wellbeing and psychological support”. Read full story (paywalled) Source: HSJ, 4 January 2022