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Found 111 results
  1. Content Article
  2. News Article
    Heart surgery patients in London have died “unnecessarily” and faced increased risk of death as botched NHS investigations into dozens of deaths reduced a hospital’s ability to treat people, a coroner has warned. “Unnecessary” patient deaths have occurred as a result of heart surgery at St George’s University Hospital Trust being restricted and emergencies diverted to other “over stretched” hospitals, following investigations by national NHS bodies. The warning that deaths have occurred and may occur in the future, comes following the conclusion of a series of inquest hearings in Mar
  3. Content Article
    In 2005, while in a consultation about an unrelated problem, my gynaecologist asked me whether I ever experienced incontinence. When I said that occasionally I did, very slightly, while exercising, he suggested I have a transvaginal mesh inserted while I was having a coil fitted. It would “future proof” me against incontinence and I would be in and out of hospital in a day. So without thinking much of it, I agreed to the surgery. That was a mistake that I have bitterly regretted for the past 17 years; I have never been well since I had that surgery. Straight afterwards, I had a UTI, the
  4. Content Article
  5. News Article
    Suspended Belfast neurologist Michael Watt has offered his "sincere sympathy" to those affected by Northern Ireland's biggest patient recall. Dr Michael Watt worked at the Royal Victoria Hospital as a neurologist diagnosing conditions like epilepsy and Parkinson's Disease. He was suspended after 3,000 patients were given recall appointments last year. Dr Watt said he recognised the "distress these events have caused". On Tuesday, a BBC Spotlight investigation found that he had carried out hundreds of unnecessary procedures on patients. The programme also obtained details of
  6. Content Article
    One of the three areas of patient harm investigated by the Independent Medicines and Medical Devices Safety (IMMDS) Review (also known as the Cumberlege Review) related to implanted pelvic mesh. Complications with mesh implants can have a life-changing impact, resulting in severe and chronic pain, infections, reduced mobility, sexual difficulties, autoimmune issues and psychological strain. The Review made a number of recommendations in regard to the shocking scale of avoidable harm experienced by mesh-injured patients, including the establishment of a network of specialist centres that c
  7. Content Article
  8. Content Article
    Key recommendations For Commissioners 1. Investment should be provided to: (a) establish prehabilitation services; (b) enable integrated Care Systems (England), Health Boards (Wales), Regional Health Boards (Scotland) and Health and Social Care Trusts (NI); and (c) expand perioperative services For NHS X 2. Ongoing work to bridge the Primary - secondary care interface should be accelerated. For primary care providers, surgeons, anaesthetists and multidisciplinary teams 3. Shared Decision Making (SDM) should be embedded throughout perioperative pathways. beginning
  9. News Article
    Barts Health NHS Trust has been told to take action to prevent future deaths after an elderly woman was unlawfully killed at one of its hospitals. East London acting senior coroner Graeme Irvine sent a report to the trust in which he raised concerns over the death of 78-year-old Surekha Shivalkar in 2018. The report follows an inquest into Mrs Shivalkar's death, which reached a narrative conclusion incorporating a finding of unlawful killing. A Barts spokesperson said the trust had made a number of changes after carrying out an investigation. Mrs Shivalkar underwent hip rep
  10. Content Article
    In this report, the Coroner states their concerns as follows: No formal risk assessment tool was adopted to assess preoperative risk prior to Mrs Shivalkar's total hip replacement revision surgery. Despite policy changes at Barts Heath NHS Trust since 2018, there remains no requirement to utilise such a tool. Poor communication between the orthopaedic surgical team and the anaesthetist during surgery led to a collective failure to identify a critically ill patient. General and non-specific questions regarding the patient's welfare passed between the two teams but no targeted que
  11. Content Article
    The College’ s guidance is a practical guide for setting up, running and participating in high quality surgical M&M meetings. Preparation and organisation of meetings to ensure they are well-supported and attended. Effective chairing of meetings. Types of behaviours that participants should display to ensure discussions are held in an open and inclusive atmosphere. Presentation and discussion of cases Ensuring that actions arising from meetings are sucessfully completed and that lessons are learned and implemented. Read the guidance here. The fol
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    This report being issued to the General Medical Council, Care Quality Commission and NHS organisations and makes the following seven recommendations: 1 Establish structured senior support This can be done by re-establishing the team structure with consultants at the forefront of the delivery of care. Time should be made for safe handovers and structured ward rounds, utilising every opportunity to train. Finally, opportunities should be identified each day when Foundation Doctors and Core Trainees can contact seniors to discuss problems. 2 Reintroduce the hospital mess It is
  16. Content Article
  17. News Article
    A surgeon who burned his initials on to the livers of two patients during transplant surgery has been struck off the medical register. Simon Bramhall, 57, admitted using an argon beam – used to stop livers bleeding during operations and to highlight an area to be worked on – to sign “SB” into his patients’ organs in 2013 while working at Birmingham’s Queen Elizabeth hospital. On Tuesday, a review by the Medical Practitioners Tribunal Service (MPTS) concluded Bramhall’s actions were “borne out of a degree of professional arrogance” and that they “undermined” public trust in the medica
  18. News Article
    Women who are operated on by a male surgeon are much more likely to die, experience complications and be readmitted to hospital than when a woman performs the procedure, research reveals. Women are 15% more liable to suffer a bad outcome, and 32% more likely to die, when a man rather than a woman carries out the surgery, according to a study of 1.3 million patients. The findings have sparked a debate about the fact that surgery in the UK remains a hugely male-dominated area of medicine and claims that “implicit sex biases” among male surgeons may help explain why women are at such gr
  19. Content Article
    Following the recent House of Commons debate on the prevention of surgical fires in the NHS, the AfPP is calling for: the Expert Working Group to reconvene and produce guidance on the prevention of surgical fires for review by NHS England. the four recommendations made by the Expert Working Group in their 2020 report to be implemented in both the NHS and the independent sector: Professional associations to explore the value of a national awareness campaign for healthcare professionals. Mandating of surgical perioperative education and training syllabus on surgical
  20. Content Article
    Background A surgical fire is one that occurs in, on or around a patient undergoing a surgical procedure and is an internationally recognised patient safety issue. Although rare, these incidents can cause serious harm to both patients and healthcare professionals and, in some cases, result in life-changing injuries. House of Commons Debate Key points raised in this debate included: There is a discrepancy in how surgical fires are reported, which raises questions about the true numbers of how many of these incidents occur annually in the NHS. Training courses and educ
  21. News Article
    The government has committed “in principle” to creating a public repository of consultants’ practice details that sets out their practising privileges and key performance data, including how many times they have performed a particular procedure and how recently. The commitment was part of the response to an independent national inquiry, launched in 2017, following the malpractice of rogue surgeon Ian Paterson. Now serving a 20 year prison sentence, Paterson had undertaken numerous unnecessary breast operations in both private and NHS practice, causing harm to hundreds of patients. Th
  22. Content Article
    The Independent Inquiry into the Issues raised by Paterson was prompted by the case of Ian Paterson, a breast surgeon who was convicted of wounding with intent some of the 11,000 patients he treated and jailed for 20 years in 2017. More than 200 patients and family members gave evidence as part of the Inquiry and it is estimated that he could have harmed more than 1000 patients. Its findings and recommendations were set out in a report published on the 4 February 2020. Summary of the Government response to each of the recommendations Recommendation 1 – We recommend that there sho
  23. Content Article
    The prevention of surgical fires (one that occurs in, on, or around a patient undergoing a surgical procedure) is an internationally recognised patient safety issue. Although rare, these incidents can cause serious harm to both patients and healthcare professionals and, in some cases, result in life-changing injuries. How frequently do surgical fires occur in the NHS? The Short Life Working Group for the prevention of surgical fires looked at this issue in their report published last year, A case for the prevention and management of surgical fires in the UK.[1] They found that: fr
  24. News Article
    An inquest into whether a pioneering surgery technique played any role in a Gloucestershire woman's death has opened. Jacqui Kingston, from Marshfield, died on 16 March 2020 after having mesh fitted for a prolapsed bowel at Southmead Hospital in Bristol. On Monday an inquest opened at Avon Coroner's Court examining whether the surgery performed by colorectal surgeon Tony Dixon contributed to her death. It is due to run until Thursday. Pathologist Edward Sheffield told the hearing that the use of the mesh for a prolapsed bowel - which was fitted in 2016 - may have contributed to
  25. Content Article
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