STRENGTH IN NUMBERS

Strength in Numbers dedicated to my late mother Kay

NHS whistleblowers claim patients ‘are being woken up at 4.30am for a wash as hospital staff are too busy to do it during the day

 

  • Elderly patients are being left hungry at mealtimes, whistleblowers revealed
  • Other patients are moved to different wards during the middle of the night
  • Some are being washed at 4.30am because staff can’t do it during the day

Hospital patients are being woken at 4.30am to be washed because staff have no time to care for them during the day, NHS whistleblowers have revealed.

The elderly are left hungry at mealtimes as no one has time to help them eat, while others are moved to different wards in the middle of the night.

The reports were made to the Care Quality Commission confidential whistleblowing helpline. Charity Age UK called them ‘profoundly dispiriting’ and said they highlighted ‘basic’ failings in care.

In one hospital, newly-qualified junior doctors were doing ward rounds instead of consultants. At another, whistleblowers revealed there were only four nurses for a ward of 46 patients.

Click on the link to read more

http://www.dailymail.co.uk/news/article-4413426/NHS-whistleblowers-say-patients-woken-4-30am.html

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Filed under: Hospital, Whistleblowing,

I’m a junior doctor in the NHS, and I’m terrified for this winter… By Aislinn Macklin-Doherty

The deaths in Worcestershire are tragically no surprise. Decades of reshuffling, top-down disorganisation, and now private sector demands have hammered the NHS, and it can barely cope any more.

Widespread concerns that the NHS will face the “toughest winter ever” are not exaggerated or unfounded – just look at the terrible news today from Worcestershire. We really should be worried for ourselves and our relatives. As a junior doctor and a researcher looking after cancer patients in the NHS, I am terrified by the prospect of what the next few months will bring. But we must not forget this is entirely preventable.

Click on the link to read more 

https://www.theguardian.com/commentisfree/2017/jan/06/nhs-crisis-winter-deaths-worcestershire-private-sector

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Acutely ill children waiting nine hours for beds in intensive care. Some paediatric units now at 115% capacity, warns doctors’ body

Seriously ill children are waiting up to nine hours for an intensive care bed to become available, while others are being transported up to 120 miles from their homes to receive the medical treatment they urgently need, senior paediatricians have revealed.

In the last two weeks, at least 17 children with acute illnesses requiring intensive care have had to be transported out of their regions because of a lack of beds. Some paediatric intensive care units, treating the most seriously ill children, are working at 115% of their capacity, such is the level of demand and lack of resources, according to the Paediatric Intensive Care Society. As of Friday night, there were just four beds available in England and one in Belfast.

The revelations illustrate the stress being faced by the NHS this winter. New figures provided by the Labour party additionally show that, in October, only 67.3% of ambulances for the most seriously ill adults and children, who are not breathing or do not have a pulse, arrived on the scene within eight minutes of being called, against a target of 75%.

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goo.gl/YG6rfN

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Surgeons should ‘let patients choose’ to avoid litigation, new guidance states

Surgeons should stop being “paternalistic” towards patients and instead simply give them their options and “let them choose”, according to new guidance for medics.

The Royal College of Surgeons (RCS) has warned that if NHS trusts do not make changes to the processes they use to gain consent before surgery, they risk facing a dramatic increase in the number of litigation payouts. In the wake of a landmark-ruling at the Supreme Court last year, which changed the rules of gaining patient consent, it has published new instructions for its 20,000 members.

Leslie Hamilton, a Royal College of Surgeons (RCS) council member, said the changes introduced by the case of Nadine Montgomery, who won a £5.25m payout in 2015, were a “real wake-up call”. He said: “It is really about focusing on the individual patient,” adding: “We now need to sit down and tell the patient all the other options and let the patient choose and not tell them.”

Ms Montgomery won the money from Lanarkshire Health Board in Scotland after accusing medics of failing to properly advise her of the risks of being a “diabetic of small stature” before she gave birth to son Samuel. He was born with serious disabilities as a result of complications during delivery in 1999 and she argued if she had been advised of the risk of shoulder dystocia – when a baby’s shoulders are too wide to pass through the pelvis – she would have had a caesarean.

NHS practice has traditionally been to leave it to doctors to decide what risks to communicate to patients – in what the RCS called a more “paternalistic approach”.

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goo.gl/TK0THw

Surgeons should take a less 'paternalistic' approach, the RCS has advised

Surgeons should take a less ‘paternalistic’ approach, the RCS has advised

Filed under: Hospital, NHS,

NHS plan to shut child heart surgery units causes outcry

NHS England defied as it seeks to boost surgeons’ skills with bigger pool of patients at fewer sites, shutting Royal Brompton, Leicester and Manchester units

Two large hospitals, the Royal Brompton in London and Glenfield hospital in Leicester, have defied plans from NHS England to close their heart surgery units for children. NHS England has tried to settle a bitter 15-year argument following the deaths of babies at the Bristol Royal Infirmary, whose heart surgeons were not as skilled as others elsewhere. The 2001 Kennedy review into the tragedy said some units had to close so that the remaining surgeons operated on enough tiny hearts to be as good as they could be at the complex procedures. But nobody can agree which units these should be.

The new review by NHS England says the units at Royal Brompton and Glenfield must child heart surgery. Both fought judicial reviews against earlier closure proposals and they appear prepared to do so again. The third hospital trust named was Central Manchester, which operates on children and adults born with heart defects.

Click on the link to read more

https://goo.gl/RFvswU

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Filed under: Hospital,

Care quality set to worsen this year, warn finance directors

More than one in five finance directors in the NHS in England believes that the quality of patient services will worsen over the coming year, while one in three thinks the decline will continue the following year as well.

The findings come from the latest biannual NHS Financial Temperature Check survey of around 200 finance directors in England in May-June this year, and published by the Healthcare Financial Management Association (HFMA), which represents finance staff working in the NHS

For the third consecutive year, the financial performance of the NHS worsened, with NHS Trusts and Foundation Trusts reporting a deficit, and for the first time, CCGs also racking up an overspend in 2015-16. More than one in five finance directors (21% of CCG chief financial officer and 23% of trust finance directors) believes the quality of patient services will deteriorate this financial year, while one in three provider trusts anticipate quality will decline further next year.

The most vulnerable aspects of patient care include waiting times (76%), access to services (69%) and the breadth of services offered (61%).

Click on the link to read more

http://www.onmedica.com/newsArticle.aspx?id=c5f2b5b0-873f-4237-8fbb-13f72854a98b

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Filed under: Hospital,

North Middlesex hospital A&E faces closure on safety grounds

Exclusive: Move would be first in NHS history, as internal documents seen by the Guardian show junior staff often left in charge of casualty unit.

An A&E unit has been threatened with closure on safety grounds for the first time in the NHS’s history, amid fears that its 500 patients a day are at what the medical regulator calls “serious risk” of suffering harm. The General Medical Council, which regulates doctors, and Health Education England, the NHS’s staffing agency, have both issued the unprecedented warnings to North Middlesex hospital over what one local MP described as “a catalogue of failings” in its emergency department.

Unpublished internal confidential NHS documents seen by the Guardian reveal widespread alarm in the NHS locally and nationally that some of the hospital’s A&E doctors lack the basic skills to do their jobs, and that young, inexperienced doctors have been asked to perform tasks they were not qualified to undertake.

There are also occasions on which, despite their lack of experience, “junior staff [are] being left in charge of the [emergency] department, highlighting a probable risk to patients”, a private meeting of NHS chiefs was told last month. There is also serious concern that just two of the 26 junior doctors in training in the A&E have ever worked in an emergency department before and that care in the unit overnight is described as “an area of significant risk” to patient safety.

Click on the link to read more

https://www.theguardian.com/society/2016/jun/14/north-middlesex-hospital-ae-faces-closure-on-safety-grounds

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Ambulances outside A&E at North Middlesex hospital.

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Patients ‘will be put at risk and operations delayed’ as shortage of anaesthetists in the NHS is set to grow

  • In 2033 there may only be 8,000 anaesthetists instead of promised 11, 800
  • A shortage of anaesthetists could jeopardise the safety of patients
  • 74% of hospitals are forced to bring in locum anaesthetists from outside 

New research has shown that by 2033 we will not have enough anaesthetists in hospital to cater for rising patient demand. The Royal College of Anaesthetists (RCoA) has warned that while the NHS has promised there will be 11,800 anaesthetists by 2033, in reality there may only be 8,000  – 33 per cent less than anticipated.

Anaesthesia is just one area of medical care which suffers a shortfall in staff despite their work being vital to the smooth running of hospitals. Their roles include the preoperative preparation of surgical patients, pain relief in labour and obstetric anaesthesia and transport of acutely ill and injured patients. A shortage of anaesthetists could jeopardise the safety of patients.

According to the college’s latest census of the UK’s anaesthesia workforce, 74% of hospitals are forced to bring in locum anaesthetists from medical employment agencies – all of which adds to the NHS’s £3.7billion annual bill for temporary staff. Moreover more often than not staff anaesthetists are called on to perform other duties around hospitals in extra shifts to fill up the rota.

Click on the link to read more

http://goo.gl/SL45Lk

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Hospitals hit by a 36% rise in heart failure cases: Number up by a third in a decade… because more people are surviving heart attacks

  • Record numbers of people are reporting to hospital with heart failure
  • Number of people diagnosed in England have increased by 9,000
  • Heart failure is where the heart struggles to pump blood around the body
  • It is often caused by a heart attack, when the heart muscles are damaged

Record numbers of people are reporting to hospital with heart failure, according to alarming NHS statistics. Hospitals have seen visits by patients with heart failure increase by more than a third in the last decade, the figures reveal. And the number of people diagnosed with the condition in England have increased by 9,000 in the last 12 months alone, according to GP lists.

Experts today warn that the unexpected growth in the problem demands radical new treatments. Heart failure is a debilitating and incurable condition, in which the heart struggles to pump blood properly around the body.

Click on the link to read more

http://goo.gl/q0tlhM

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Filed under: Hospital,

Communication and the 6Cs: the patient experience … Author Christopher Barber for Nursing Times

One patient’s story highlights the importance of nurses and staff communicating effectively, and how poor communication can have a negative impact on patients.

In this article…

  • One patient’s experience of nursing care in a hospital setting
  • Examples of poor communication skills
  • What to be aware of when communicating with patients

5 talking points

1. How can communication affect the patient experience? 2. Can you think of a situation when better communication could have prevented a patient becoming frustrated, upset or receiving inappropriate care? 3. What should health professionals bear in mind when giving patients information about their condition or treatment? 4. How can you check whether patients have understood everything they have been told? 5. How can health professionals improve their communication skills?

Click on the link to read the article

Communication and the 6Cs The patient experience

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Exclusive: Charity nurses warn of ‘postcode lottery’ in specialist children’s care by Jo Stephenson for Nursing Times

Expert children’s nurses have highlighted wide variations in services and standards for children with complex health needs as the ground-breaking charity nursing scheme celebrates its 10th anniversary.

The WellChild Children’s Nurse Programme, which has been in existence for a decade as of last month, was set up to address gaps in care for children with multiple health needs.

Services provided by its nurses have made a dramatic difference to families including reducing distressing emergency hospital admissions and cutting lengthy stays in hospital.

However, nurses and managers involved in the scheme warn that many children with complex health conditions still face a “postcode lottery” when it comes to getting all-round support. Problems include reductions in children’s community nursing teams, huge variation in the types of services available and a lack of emotional support and training for parents caring for seriously ill children.

Click on the link to read more

Exclusive Charity nurses warn of ‘postcode lottery in specialist children’s care

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Filed under: Hospital,

Mother gave birth in her bedroom after being ‘turned away’ from hospital

A FURIOUS mum is suing health chiefs over claims they turned her away from a maternity unit because “they needed the beds”

Kerry Symington was in labour and her waters had broken when midwives at Kirkcaldy’s Victoria Hospital rejected her pleas to be allowed into the hospital’s labour suite. She went home in tears and immediately had her fourth child in her bedroom.

It was delivered by partner Andrew Cairns and paramedics, but she suffered massive complications. She haemorrhaged and lost so much blood she had to be placed on a long-term course of iron tablets afterwards.

The “traumatic” episode has now prompted Kerry to sue for damages. “I want to prevent this happening to other mums,” the 30-year-old said. “It is only a matter of time before someone dies.”

Click on the link to read more

https://www.sundaypost.com/news/scottish-news/mother-gave-birth-bedroom-turned-away-hospital/

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Kerry Symington and daughter, Lacey

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Senior nurses emphasise need to target ‘shocking’ staff retention rates – By Nicola Merrifield for Nursing Times

Successful strategies by employers to retain nurses are only found in “pockets” across the country and more work must be done to tackle sometimes “shocking” turnover rates, senior nurses have warned.
Redeploying staff between wards, unfixed rotas that are published last-minute and a perception of an increasing focus on targets over quality of care are among the problems of greatest concern.

Senior nurses and advisors pointed to poor roster management as one of the main issues when they spoke at Nursing Times’ Deputies Congress event last week.
Nicola Ranger, director of nursing at Frimley Health NHS Foundation Trust, said it was often the newly qualified nurses who suffered the most from highly variable rotas and being moved between wards. At her own trust, she said around 400 nurses were lost each year, which she described as “shocking”.

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Senior nurses emphasise need to target

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Junior doctors’ row: The dispute explained

Ministers and junior doctors are locked in an increasingly fraught dispute in England. But what exactly is this row about?

What has caused the dispute?

Junior doctors’ leaders are objecting to the prospect of a new contract in England. The government has described the current arrangements as “outdated” and “unfair”, pointing out they were introduced in the 1990s. Ministers drew up plans to change the contract in 2012, but talks broke down in 2014.

They restarted at the end of last year at the conciliation service Acas but a deal could not be reached and so ministers announced in February they would be imposing the contract from this summer. There are two legal challenges to that imposition which are now being planned, one by the British Medical Association and another by campaign group Just Health.

Click on link to read more

http://www.bbc.co.uk/news/health-34775980

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Filed under: Hospital,

NHS has 70,000 fewer staff after new headcount

Official numbers of doctors, nurses and midwives were inflated, latest figures show

The NHS, already struggling to meet rising demand with a chronic lack of staff, has 70,000 fewer personnel working for it than ministers have previously believed, new official figures show. Its own data collection experts have found that the official head count of the number of people staffing frontline services, which was only produced in December, inflated its workforce.

At the time, a total of 1,083,545 health professionals were said to be working in the 228 NHS trusts and 209 GP-led local clinical commissioning groups across England. But the NHS’s Health and Social Care Information Centre (HSCIC) now says that the true number was 1,014,218. That means the NHS had 69,317 fewer staff last September than the 1.1 million that ministers identified in December, including just over 15,000 fewer nurses, midwives and health visitors and 3,000 fewer doctors.

“These figures reveal that the staffing crisis in the NHS is actually far worse than we had feared,” said Heidi Alexander, Labour’s shadow health secretary. “Patients will rightly be concerned that there are 18,000 fewer doctors and nurses working in the NHS than ministers had thought only four months ago.”

Click on the link to read more

http://www.theguardian.com/society/2016/apr/02/nhs-staffing-crisis-70000-go-missing

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Terminally ill patient tells ITV News: I want to die at home – hospitals don’t care as much

As an audit found “unacceptable” variation in some aspects of end of life care in England, one terminally ill patient told ITV News that it is better for dying patients to be cared for at home or in hospices.

Kathleen Wickremer was diagnosed with cancer three years ago which has spread to her lungs and is now terminal. She cares deeply about being at home with her family for her final weeks, and says the prospect of dying in hospital makes her feel very sad.

Click on the link to watch her interview with ITV

http://www.itv.com/news/2016-03-31/hospitals-dont-care-as-much-about-the-dying-says-terminally-ill-patient/?

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Nursing training places shortfall revealed in report “sneaked out” before Parliament’s Easter break

Thanks to the release of a Migration Advisory Committee report, it’s been uncovered that a tenth of the essential nursing training spots have been commissioned

A report which critics claim has been “sneaked out” on the day Parliament broke up for Easter revealed the Government has only commissioned a tenth of the nurse training places said to be needed. The Migration Advisory Committee report said that Health Education England had recommended an extra 3,000 places in 2016/17. But because of cuts which were made in the spending review, it said it had only commissioned 331 places.

Shadow Health Minister Justin Madders said: “This report, sneaked out on the last day before Easter, is further proof that the Tories are failing NHS nurses and failing patients .”

Last year it was revealed that the NHS had lost 1,200 senior nurses since Tories came to power – and fears were voiced that it could have serious impact on patient safety. Community matrons – who organise care outside hospital – dropped from 1,536 to 1,214. The total number of NHS matrons in England has fallen from 6,338 to 5,133. And, as the NHS tried to save £22billion, hospitals have slashed senior nursing posts or failed to replace those who are retiring.

The Mirror 23:01, 26 MAR 2016 By Keir Mudie

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Agency nurse paid £100 an hour at Walsall Manor Hospital

An agency nurse picked up £1,100 for a 11 and a half-hour shift at Walsall Manor Hospital, it has emerged.

Walsall Healthcare NHS Trust paid out more than £14.4 million to agency nurses and locum doctors in three years. The trust paid the nurse £337.25 for the five hours worked between 7pm and midnight at a night rate of £67.45.  The same nurse was then paid £766 for a six and a half-hour shift the next morning – an hourly rate of £117.95. The total payments to the agencies and locum doctors amounted to £14.4m between 2012 and 2015.

During this period there have been seven occasions where the trust paid more than £1,000 for a locum doctor to cover a shift. The highest payout for a locum doctor last year was £1,150 for a medicine and long terms conditions consultant who was on call for three days in March. The highest payout for the previous financial year was in November 2013 when a paediatric consultant was paid £1,417 for a 17-hour night shift.

In the 2014/15 financial year, the trust paid £2,310,000 to locum doctors and £3,335,000 to agency nurses – a total of £5,645,000. Both the 2014/15 and 13/14 figures are a huge increase on the £3,059,000 spent in 2012/13, including £1,627,000 on locum doctors and £1,432,000 on agency nurses.

Click on the link to read more

http://www.expressandstar.com/news/2016/02/20/agency-nurse-paid-100-an-hour-at-walsall-manor-hospital/

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Filed under: Hospital

Pensioner dies of thirst in hospital after nurse ‘refused to give her water in case she wet the bed’

Edna Thompson, 85, was admitted to hospital with a rare eye condition – but died of severe dehydration and renal failure eight days later

Edna, a former librarian from Harrietsham, subsequently suffered severe dehydration and renal failure. She passed away just eight days after her admission to hospital last September. Now, Maidstone and Tunbridge Wells NHS Trust chief executive Glenn Douglas has admitted a catalogue of errors in the mother of three’s care and has apologised to her family.

Mr Douglas said an investigation found that Edna’s condition was exacerbated by the prescription of medication known to cause dehydration, including mannitol, used to lower eye pressure. It is usually prescribed for 48 hours – but was given to Edna five days in a row. Mr Douglas told the pensioner’s family: “I would like to offer an unreserved apology for the errors. “Regrettably we cannot alter the sad outcome. “However, I can assure you we have recognised the need to ensure this type of event does not occur again.”

Click on the link to read more

http://www.mirror.co.uk/news/uk-news/pensioner-dies-thirst-hospital-after-7358823?ICID=FB_mirror_main

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Tragic: The pensioner was admitted to hospital with suspected malignant glaucoma – but passed away eight days later

Filed under: Hospital

Junior doctors’ strike: BMA totally irresponsible – Jeremy Hunt

Health Secretary Jeremy Hunt has accused the British Medical Association (BMA) of being “totally irresponsible” over a lengthy industrial dispute.

The doctors’ union had refused to sit down and talk about improving patient care and had spread “misinformation”, he told the BBC’s Andrew Marr Show. Mr Hunt wants to change junior doctors’ contracts, which he says are “unfair”.

The BMA said its door was open to talks and blamed the strikes on Mr Hunt’s “shambolic mishandling” of the matter.

Click on the link to read and hear part of the BBC’s Andrew Marr Show in which Andrew Marr read out junior doctors’ concerns for Jeremy Hunt to respond to

http://www.bbc.co.uk/news/uk-35515732

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Junior doctors and their supporters staged a “masked march” protest in London

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Junior doctors row: David Cameron asks doctors to call off strike

David Cameron has urged junior doctors to call off their planned strike.

He warned Tuesday’s strike will cause “real difficulties for patients and potentially worse”. The strike begins across England at 08:00 GMT, from when junior doctors will only provide emergency care.

Talks between the doctors’ union – the BMA – and NHS bosses continue. The BMA has said the strikes “demonstrated the strength of feeling amongst the profession”. Issues being disputed by the BMA and NHS include weekend pay and whether there are appropriate safeguards in place to stop hospitals over-working doctors.

Three strikes are set to take place from:

  • 08:00 Tuesday 12 January to 08:00 Wednesday 13 January (emergency care will be staffed)
  • 08:00 Tuesday 26 January to 08:00 Thursday 28 January (emergency care will be staffed)
  • 08:00 to 17:00 Wednesday 10 February (full walk-out)

Click on the link to read more

http://www.bbc.co.uk/news/health-35280399

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8 years ago today my darling mother passed away

8 years ago today on the 8th January 2008 my darling mother passed away after being in hospital for 6 months for a routine hip operation. She will now be dancing in heaven with my dear dad. Love you mum, always and forever xxxxx

You can read my mother’s story which was published in The Mail on Sunday on 5th June 2011

Click on the link to read

http://www.dailymail.co.uk/health/article-1394300/NHS-hip-operation-mother-died-Daughters-harrowing-account.html

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Some hospital trusts make millions a year from car parks

Some hospital trusts in England are making more than £3m a year from car parking fees, Freedom of Information (FOI) requests have shown.

Of more than 90 trusts that responded to FOI requests, half are making at least £1m a year, the news agency Press Association (PA) found. The Patients Association said the charges were “morally wrong”. But many trusts defended their revenues, saying some or all of the money was put back into patient care.

The investigation showed hospitals were making increasing amounts of money from staff, patients and visitors – including those who are disabled – who used their car parks. It also found hospitals were giving millions of pounds to private firms to run their car parks for them, with some receiving money from parking fines. Others are tied into private finance initiative contracts, where all the money charged from car parks goes to companies under the terms of the scheme.

Click on the link to read more

http://www.bbc.co.uk/news/uk-35157425

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Junior Doctors – emotional video about NHS Staff working at Christmas

Mini-documentary. An emotional collection of personal stories from Junior Doctors from around England, from their own Christmas shifts.

When we left medical school, we had to take an oath to “do no harm”. The new proposed contract being imposed will cause harm to our patients, as it is unsafe. We cannot let this happen – we have one the first battle in recommencing proper negotiations. But we have been given

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Shortage of nurses ‘kills hundreds of patients after emergency surgery’: Investigation finds hospital with highest staffing levels have lowest death rates

  • Experts analysed the chance of dying within 30 days of being admitted for an emergency operation
  • Discovered five-fold variation in death rates across 156 NHS hospital trusts
  • Crucially, the hospitals with the worst survival records had far fewer nurses, doctors and surgeons 
  • Researchers linked a 7 per cent difference in death rates to staffing alone

Hundreds of patients die every year after emergency surgery because there are not enough nurses to care for them, research suggests. A five-year investigation into death rates in English NHS hospitals found those with the highest staffing levels had the lowest death rates.

Experts who analysed the chance of dying within 30 days of being admitted for an emergency operation discovered a five-fold variation in death rates across 156 NHS hospital trusts – from 1.6 per cent at the best trust to 8 per cent at the worst.  Crucially, the hospitals with the worst survival records had far fewer nurses, doctors and surgeons.

When the hospital trusts were divided into the best, middle and worst groups in terms of the number of nurses and doctors per patient – researchers linked a 7 per cent difference in death rates to staffing alone. This was despite the fact that patients at the best hospitals – many of which have specialist or trauma units – were often more seriously ill before surgery and more likely to suffer complications following operations.

Click on the link to read more

http://www.dailymail.co.uk/health/article-3363527/Shortage-nurses-kills-hundreds-patients-emergency-surgery-Investigation-finds-hospital-highest-staffing-levels-lowest-death-rates.html

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Call to review baby death rates at more than 20 NHS trusts and boards

Inquiry urges those with higher than average stillbirth and newborn death rates to examine their maternity care to see if mistakes were made

More than 20 NHS trusts and health boards in the UK should investigate why they have a higher stillbirth and newborn baby death rate than their peers, an inquiry has recommended.

The trusts and boards should review their maternity care to find out whether mistakes were made or if there were other reasons for a death rate that was more than 10% higher than average, said a national team of experts from MBRRACE-UK  https://www.npeu.ox.ac.uk/mbrrace-uk  (Mothers and Babies: Reducing Risk Through Audits and Confidential Enquiries Across the UK), led by the University of Leicester.

It is the first time potential issues in childbirth have been highlighted at individual trust level. Out of 162 trusts and boards, 21 have been red flagged by the investigators and told they should hold a review. A further 52 have an orange flag, which means they are advised to consider a review.

“These data provide NHS trusts and health boards from around the UK with the clearest insight yet in helping them understand their performance against their peers. Whilst there is always room for improvement, the data flags those trusts and health boards which need to review their performance as a priority,” said Prof David Field, from MBRRACE-UK.

Click on the link to read more

http://www.theguardian.com/society/2015/dec/16/call-to-review-baby-death-rates-at-more-than-20-nhs-trusts-and-boards

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Hospitals run out of beds as NHS strained by norovirus

Health service figures show several casualty units were shut around the country and no spaces free even before onset of full winter conditions

Hospitals have run out of beds, had to temporarily close their A&E unit and been battling outbreaks of norovirus this month, even though winter has not yet brought its usual major problems for the NHS, such as flu and bad weather. Official figures released on Friday by NHS England, for hospital performance in the first week of December, show many are already struggling to cope with the extra pressures, even before the heaviest strain of norovirus, which usually arrives in January.

NHS England’s first set of situation reports data covering the previous week, which it will release every Friday until the spring, shows that 12 hospital trusts did not have a single bed available from 4-6 December, and another 30 had fewer than 10 beds free for patients. That so many hospitals have so few beds available at this early stage of the winter will increase the widespread concern in the NHS that hospitals will not be able to cope with the influx of very sick patients that usually happens in January.

Click on the link to read more

http://www.theguardian.com/society/2015/dec/11/hospitals-run-out-of-beds-as-nhs-strained-by-norovirus

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Are agency staff to blame for hospital deficits?

In May 2015, the chief executive of the NHS, Simon Stevens, claimed that the entire NHS deficit of £822m in 2014-15 could be accounted for by the “run-up in temporary staffing costs”. Six months into the new financial year, hospitals had overspent by £1.6 billion, the largest NHS deficit ever recorded.

In its report, the hospital regulator, the Trust Development Authority and Monitor, points to ever-growing demand – highlighting an 8% increase in the number of people waiting for treatment, 5% more ambulance calls and a quarter of a percentage point increase in A&E attendances than a year before. “These pressures”, the report says, “coupled with high agency costs for the additional staffing to meet that demand” have compromised the ability of hospitals to manage their finances.

The cost of agency staff has been singled out as the main culprit. Companies providing temporary staff have been accused by the health secretary Jeremy Hunt of “ripping off” the NHS, citing “unscrupulous companies charging up to £3,500 a shift for a doctor”.

The government’s response has been to impose price caps on the hourly rate paid to agency staff. From April 2016, the hourly rate the NHS can pay agency staff will be capped at 55% above the pay levels of permanent staff. Maximum rates have been set out for each staff group. The solution is appealingly simple, but it won’t solve the problem.

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http://theconversation.com/are-agency-staff-to-blame-for-hospital-deficits-51605?

The new chief executive of the NHS, Simon Stevens (C) meets staff during a visit to Shotley Bridge Hospital in Consett, northern England April 1, 2014.   REUTERS/Owen Humphreys/Pool   (BRITAIN - Tags: POLITICS HEALTH) - RTR3JHOL

The new chief executive of the NHS, Simon Stevens (C) meets staff during a visit to Shotley Bridge Hospital in Consett, northern England April 1, 2014. 

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Morecambe Bay NHS trust should come out of special measures, says inspector

Prof Sir Mike Richards says trust has taken steps to reduce risks to patient safety but that it must secure partnerships to improve maternity services

An NHS trust running three hospitals in south Cumbria and north Lancashire should come out of special measures following progress in reducing risks to patient safety, the chief inspector of hospitals has said.

His recommendation will be considered by another NHS regulator, Monitor, within the next few days and is dependent on University Hospitals of Morecambe Bay NHS foundation trust securing a partnership with another trust to support ongoing improvements in maternity services. This was a recommendation of a scathing independent report into the unnecessary deaths of a mother and 11 babies at Furness general hospital, Barrow, between 2004 and 2013. The trust also runs Royal Lancaster Infirmary and the Westmoreland general hospital in Kendal, Lancashire.

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http://www.theguardian.com/society/2015/dec/03/morecambe-bay-nhs-trust-should-come-out-of-special-measures-says-inspector

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Chief inspector of hospitals Prof Sir Mike Richard

Filed under: Hospital, NHS, ,

Junior doctors’ strike called off but disruption still widespread

A survey of NHS trusts shows 600 operations and 3,500 outpatient appointments have been cancelled despite temporary agreement

Thousands of patients have had their operations and appointments cancelled despite a strike by junior doctors being called off. A temporary agreement reached on Monday night between the government, the British Medical Association (BMA) and NHS employers means three days of strikes will now no longer go ahead as long as a final settlement can be agreed. There has already been mass disruption to the NHS, with thousands of patients unable to undergo operations or attend appointments on Tuesday alone.

A survey of almost 20 NHS trusts by the Press Association has revealed around 600 operations and procedures cancelled alongside around 3,500 outpatient appointments. This represents less than a fifth of the trusts across England.

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http://www.theguardian.com/society/2015/dec/01/thousands-operations-cancelled-strike-called-off

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Filed under: Hospital, NHS, ,

Poor hospital care blamed for thousands of deaths from sepsis every year: Nearly half of patients die or end up disabled because cases are diagnosed late

  • Condition affects estimated 200,000 people a year in UK and kills 37,000
  • Sepsis occurs when bacterial infection sparks violent immune response
  •  Early signs of condition include fever, inflammation and blood clotting
  •  But warnings are often missed by doctors and can lead to heart failure

Basic failings in hospital care are contributing to thousands of deaths from sepsis every year, according to a damning report. Known as the ‘silent killer’, the condition affects an estimated 200,000 people a year in Britain and kills 37,000 – more than breast, bowel and prostate cancer combined. Early signs of sepsis – which usually occurs when a bacterial infection sparks a violent immune response in which the body attacks its own organs – include fever, inflammation and blood clotting. But these warnings are often missed by doctors and, if not recognised quickly, can lead to failure of the heart, liver, kidneys or lungs. It is the leading cause of avoidable death in the UK.

An audit, conducted by the National Confidential Enquiry into Patient Outcome and Death, found that there were delays in diagnosing sepsis in 36 per cent of cases, rising to 52 per cent in severe cases.  Even when the condition was suspected, treatment to bring it under control was not always given quickly. The report found that a third of hospitals had no formal protocol for tackling the problem and that 45 per cent of patients admitted with sepsis either died or suffered a major disability.

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http://www.dailymail.co.uk/news/article-3331180/Poor-hospital-care-blamed-thousands-deaths-sepsis-year-Nearly-half-patients-die-end-disabled-cases-diagnosed-late.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490

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Stafford Hospital deaths: NHS Trust admits four charges

The NHS trust that ran Stafford Hospital has pleaded guilty to criminal charges in relation to four deaths.

Charges were brought by the Health and Safety Executive (HSE) against the now defunct Mid Staffordshire NHS Foundation Trust. There were four allegations of health and safety breaches relating to patients who died between October 2005 and May last year. The trust remains in place as a legal entity but was dissolved last November. A new trust began to run the hospital, now called County Hospital, on 1 November 2014.

The HSE said the charges related to the deaths of:

  • Patrick Daly, aged 89, on 13 May 2014
  • Edith Bourne, aged 83, on 22 July 2013
  • Ivy Bunn, aged 90, on 6 November 2008
  • Lillian Tucker, aged, 77 on 21 October 2005

The court heard three of the deaths occurred after falls, while another happened after a patient was given penicillin despite hospital staff being told she was allergic to the antibiotic.

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http://www.bbc.co.uk/news/uk-england-34719361

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Jack Adcock trial: Nurse guilty of six-year old’s manslaughter

A nurse has been found guilty of the manslaughter of a six-year-old boy whose resuscitation was mistakenly called off.

Jack Adcock, who had Down’s syndrome, died of a cardiac arrest at Leicester Royal Infirmary in February 2011. Portuguese-born agency nurse Isabel Amaro, 47, was found guilty of manslaughter by gross negligence. The jury is deliberating on the same charge for two other medics – Dr Hadiza Bawa-Garba and nurse Theresa Taylor.

Jack, who had a heart condition, was admitted to the hospital with pneumonia and died from a cardiac arrest after sepsis was triggered by a bacterial infection about 11 hours later. The trial has heard the boy’s death was caused by “serious neglect on the part of the doctor and the two nurses”. They failed to recognise his body was “shutting down” due to sepsis and close to death, the prosecution claimed.

Click on the link to read more

http://www.bbc.co.uk/news/uk-england-leicestershire-34704404

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Jack Adcock

Filed under: Hospital, Named & Shamed, ,

Gosport panel appeals for concerned relatives to come forward

Gosport Independent Panel would like to hear from anyone who is concerned about the treatment of patients at Gosport War Memorial Hospital from the 1980s through to the early 2000s.

More than 80 families – concerned at the way in which their loved ones died at the Gosport War Memorial Hospital – have contacted an inquiry examining the way patients were treated there.

An independent investigation into the deaths of 92 elderly people between 1988 and the year 2000 is being chaired by Bishop James Jones – who led the Hillsborough Inquiry. He says more relatives must come forward.

Andrew Pate has spoken exclusively to two sisters, whose mother AND father both died at the hospital within just three years of each other.

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http://www.itv.com/news/meridian/story/2015-07-29/gosport-panel-appeals-for-concerned-relatives-to-come-forward/

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The concerns at the hospital date back to the 1980s

Filed under: Hospital, ,

Three-quarters of NHS hospitals inspected need to do more on safety, says CQC

Three-quarters of NHS hospitals in England are not safe enough, inspectors have found.

Some 13% of hospitals are “inadequate” for safety while 61% “require improvement”, according to a study from the Care Quality Commission (CQC). The report offers the fullest picture yet of the state of care across England under a new “tougher” inspection regime headed by chief inspector of hospitals Professor Sir Mike Richards.

It includes inspections of half of hospitals in the country but the study also found problems with safety at GP practices and nursing homes. A quarter of GP practices or GP out-of-hours services required improvement relating to safety, alongside a third of adult social care services. One in 10 social care facilities visited were ranked the lowest possible rating of “inadequate” for safety.

In hospitals, inspectors found examples of “disregard for patient safety”, including inadequate record-keeping, staff not being trained properly, incomplete safety checks and medicines not being kept properly. There was also “poor management of patients at risk of health complications” and examples of “disregard” for infection control.

The report said: “A major reason for failings in safety is insufficient numbers of staff and use of temporary staff. “This is particularly prevalent in medical care departments, where key safety risks are not always recognised, patient assessments can be poorly carried out and deteriorating patients are not always recognised.” Inspectors also reported “intense concern” about all places of care that were regarded as inadequate.

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http://www.dailymail.co.uk/wires/pa/article-3273507/Three-quarters-NHS-hospitals-inspected-need-safety-says-CQC.html

Some 13% of hospitals are 'inadequate' for safety, according to a study from the Care Quality Commission

Some 13% of hospitals are ‘inadequate’ for safety, according to a study from the Care Quality Commission

Filed under: Hospital, NHS, ,

UK end-of-life care ‘best in world’ Get in touch with the BBC to air your views

Now’s your chance to air your views….From the BBC… Has a family member or a friend of yours experienced end-of-life care in the UK? Let us know about their experiences. Email haveyoursay@bbc.co.uk.
Please include a contact number if you are willing to speak to a BBC journalist. You can also contact us in the following ways:
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The study of 80 countries said thanks to the NHS and hospice movement the care provided was “second to none”. Rich nations tended to perform the best – with Australia and New Zealand ranked second and third respectively. But the report by the Economist Intelligence Unit praised progress made in some of the poorest countries. For example. Mongolia – ranked 28th – has invested in hospice facilities, while Uganda – 35th – has managed to improve access to pain control through a public-private partnership.

The rankings were worked out following assessments for the quality of the hospitals and hospice environments, staffing numbers and skills, affordability of care and quality of care. Just 34 out of 80 countries provided what could be classed as good end-of-life care – and these accounted for just 15% of the adult population.

The report said the quality of end-of-life care was becoming increasingly important with the ageing population, meaning people were increasingly facing “drawn-out” deaths. The UK received top marks for affordability – as would be expected for a service that is provided free at the point of need – but also got a perfect score for quality of care.

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http://www.bbc.co.uk/news/health-34415362

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Filed under: Elderly, Hospital, NHS,

Hospitals Have ‘No Plan’ For Seven-Day Services – Sky News investigation

Four out of five hospital trusts tell Sky they are still unsure over the costs and extra staffing needed to boost weekend care.

Most hospitals still have no idea how they are going to introduce comprehensive weekend care for patients despite months of political pressure, according to a Sky News investigation.

Freedom of Information requests show four out of five hospital trusts in England have not calculated the number of consultants they need, nor the likely cost of extending weekday services. The few trusts that have done the maths expect costs to run to several million pounds, piling more money worries on those already in deep deficit.

NHS England set out a plan two years ago to “drive seven day services across the NHS” and the Prime Minister said last May that it was a key priority for the Government. But our findings suggest that sense of urgency has yet to reach hospitals.

Dr Paul Flynn, chair of the British Medical Association’s consultants’ committee, told Sky News that hospitals are still confused over what services they have to provide and daunted by the likely costs.

Click on the link to read more and watch the video’s

http://news.sky.com/story/1559923/hospitals-have-no-plan-for-seven-day-services

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Filed under: Hospital, NHS, ,

Probe launched into first C difficile increase in eight years – By Will Hazell for Nursing Times.Net

The public health watchdog has launched an investigation after the number of Clostridium difficile incidents in the English NHS rose last year for the first time since 2007.

Public Health England said it was concerned by the increase in cases of the bacterial infection, which can lead to life threatening complications in some infected patients.  According to data in this month’s NHS England board papers, 2014-15 saw a 6% increase in cases of C difficile compared to the previous year.

Between April 2014 and  March this year, 14,165 cases were reported across the NHS, compared to 13,361 in 2013-14. This is the first annual rise since enhanced mandatory surveillance of the infection was introduced in 2007 as part of a major campaign by the Labour government against hospital bugs”.

Alan Johnson, head of PHE’s department of healthcare associated infection and antibiotic resistance, said the increase in cases of C difficile was “a concern”. However, he said it was too early to tell whether it was “just a short term fluctuation” in the downward trend which has been observed since 2007, or a “more sustained” increase. “PHE will continue to monitor the numbers of cases and is working with the NHS and wider health service to better understand the underlying epidemiology,” he said. Dr Johnson added: “Tackling C difficile infection continues to be a priority for PHE and across the NHS.”

While the number of C difficile incidents increased last year, it remains about 75% below the number of infections in 2007-08. The number of MRSA cases has continued to fall, decreasing by 7% in 2014-15 compared with the previous year. By Will Hazell 

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Filed under: Hospital, NHS, , ,

Baby death at Shropshire maternity unit should be re-examined, says NHS review

The death of a baby girl hours after she was born at a Shropshire maternity unit should be re-examined, an independent review by NHS England has concluded.

Six years after the avoidable death of baby Kate Stanton-Davies, born at Ludlow’s midwife-led unit in March 2009, a review of the case has said a previous investigation into the case was “not fit for purpose” and called for it to be done again.

The report comes after years of parents Richard Stanton and Rhiannon Davies calling for an inquiry. A jury inquest in 2012 and an investigation by the Parliamentary Health Service Ombudsman in 2013 both concluded Kate’s death was avoidable and the result of serious failings in care. Shrewsbury and Telford Hospitals NHS Trust (SaTH) apologised to the couple in January but has now agreed to fully re-investigate the case and its handling of complaints.

Kate Stanton-Davies was born with anaemia at Ludlow Hospital before being transferred to Birmingham’s Heartlands Hospital but died six hours after she was born. The 2012 inquest found that Kate would have survived if she had been born elsewhere and that the original classification of the pregnancy as low-risk was a contributory factor in her death.

Click on the link to read more

http://www.shropshirestar.com/news/2015/09/22/baby-death-at-shropshire-maternity-unit-should-be-re-examined-says-nhs-review/

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Rhiannon Davies, of Ludlow, with daughter Kate

Filed under: Hospital, NHS Blunders, ,

CQC report into Addenbrooke’s reflects ‘perfect storm’ facing NHS trusts, says Unison

Union officials have said they are “shocked” that Addenbrooke’s and The Rosie hospitals have been rated ‘inadequate’ by the Care Quality Commission and said increasing demand and shrinking government budgets meant trusts were “set up to fail”.

Unison Cambridge Acute Hospitals Branch said in a statement the financial pressures facing the trust and the “insistence of the Government to implement efficiency savings within the NHS severely impedes the trust’s ability to cope with the increased demand. “The Government is expecting the trust to cope with budgets that are decreasing proportional to demand. Meanwhile, the CQC is expecting the trust to cope with this significantly increased demand on services.

“This has created a perfect storm and sets the trust up to fail. CUH is not the only trust to find themselves in this position. Monitor has already written to 40 trusts earlier this year to instruct them to amend their financial plans.”

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http://www.cambridge-news.co.uk/CQC-report-Addenbrooke-s-reflects-perfect-storm/story-27840278-detail/story.html?#1

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Filed under: Hospital, NHS, , ,

Care of vulnerable people ‘put in danger’

The dignity, heath and wellbeing of older people and those with disabilities in England are in danger, health and care groups warn.

In a joint submission to the Treasury ahead of November’s Spending Review, 20 organisations said the care sector was facing a “deepening crisis”. They have called for funding to councils to be protected, as is happening with the NHS. Ministers said investment in health would also benefit the care sector.

The government pointed out that plans were being put in place to ensure greater joint working between the two sectors that would relieve some of the pressures. However, the signatories of the submission, who include leaders of councils, the NHS, care providers and charities, said that they still feared for the future.

The document said that the market was “fragile” with councils forced to freeze fees and providers exiting the sector. The submission said this was driving up prices for those who fund themselves and leading to fewer people getting state-funded support. While the government has pledged an extra £8bn a year for the NHS by 2020, social care has received no such assurances.

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http://www.bbc.co.uk/news/health-34310729?SThisFB

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Filed under: Care Homes, Disabilities, Elderly, Hospital, , , ,

Could robot nurses ease the pain at NHS? By Rachel McKenzie

Crazy and no substitute for the human touch, where does compassion come in, Joanna

The increasing care needs of an ageing population will be difficult to meet without help, says Rachel McKenzie. An automated service might be the answer

ROBOT nurses may soon provide companionship as well as practical care to pensioners according to the UK government strategy for Robotics and Autonomous System. Who else, indeed, will do this for the now 11 million people aged 65 or over in the UK? By 2050 the elderly will comprise 16 per cent of the global population and three-quarters of them will have a care need. Few human care professionals will be equipped or willing to take this responsibility.
The present surge towards the silver economy targets robotics entrepreneurs to get ready to fill the gap. Our mission, says government innovation specialist, Jackie Marshall-Balloch, is “to demonstrate that through innovations in technology … dependent lifestyles can become an engine for economic growth, leading to a reduction in the financial burden on state”.

 The 80 plus age group in the UK represents an expanding market at £ 21.4 billion a year.

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http://www.scotsman.com/news/could-robot-nurses-ease-the-pain-at-nhs-1-3887443

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Filed under: Hospital,

Tragic infant died following delayed Caesarean delivery caused by hospital IT blunder

Inquest hears how devastated Natasha and Sean Butler lost baby Spencer following catalogue of ‘missed opportunities’ at Royal Oldham hospital

An infant was delivered tragically late after an IT blunder at a major maternity unit, an inquest heard. Natasha and Sean Butler lost their baby Spencer after a catalogue of errors and “missed opportunities” at the Royal Oldham Hospital in May 2014. And the devastated Oldham couple suffered further distress when they accidentally received a letter congratulating them on the birth just days after he had died.

Spencer was one of seven baby deaths at the centre of an investigation into two maternity units ran by Penine Acute Trust. Medical staff from the Royal Oldham Hospital wept as they gave evidence at an inquest into Spencer’s death on Wednesday. The court heard how Mr and Mrs Butler’s concerns about their unborn child were ignored over four days by busy medical staff on Royal Oldham’s maternity unit.

The mum-to-be was already 42 weeks pregnant when admitted on May 16 – yet she repeatedly went hours without being examined by a doctor.

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http://www.manchestereveningnews.co.uk/news/greater-manchester-news/tragic-infant-died-following-delayed-10072341

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Filed under: Hospital, NHS Blunders, , , ,

Firefighters to carry out health checks to ease strain on NHS

NHS will “piggyback” on fire safety visits, asking firefighters who check smoke alarms to also carry out basic health checks

Firefighters will be trained to carry out basic health checks and remind elderly people to get flu jabs during home visits to check smoke alarms, under plans to ease the strain on the NHS. The fire service already carries out 670,000 fire safety checks in homes each year and Simon Stevens, the chief executive of NHS England, said it now planned to “piggyback” on these visits in order to relieve pressure on the health service.

Fire crews would be expected to identify trip hazards, check that homes are heated properly and remind people about immunisations, under plans agreed with the Chief Fire Officers Association (CFOA). They could also be trained to look out for other health issues such as eyesight problems in order to encourage people to seek medical help, under the new partnership.

The deal comes after accident and emergency departments faced sustained pressure last winter, with waiting time targets missed for 33 consecutive weeks from last September to May.

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http://www.telegraph.co.uk/news/health/11862375/Firefighters-to-carry-out-health-checks-to-ease-strain-on-NHS.html

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Filed under: Care Homes, Hospital, NHS, , ,

Jeremy Hunt’s ‘24/7’ plan for the NHS proves it – he should be sacked By Jullien Gaer

Overworked, stressed health professionals are cured with a secretary of state who knows nothing of service they work in and its ideals

The current impasse between Jeremy Hunt and the medical profession over what the secretary of state likes to call 24/7 working in NHS hospitals is expected to come to a head this weekend. This says far more about political imperatives in Whitehall than it does about realities on hospital wards.

Allow me to illustrate my argument referring to a patient recently admitted to our care. After lengthy discussions with the patient’s family, when all hope of recovery was extinguished, the medical team at the hospital where I am a cardiac surgeon switched off the artificial heart that had been supporting their mother, sister and daughter.

As is so often the case, the family was embarrassingly grateful for the care that we had given them, despite the unhappy outcome. Our patients don’t expect guaranteed results, nor do they expect infallibility. They expect honesty and sincerity; and, unlike too many politicians, they are quick to acknowledge professionals doing their utmost in the face of formidable odds.

This particular patient (let us call her Mrs W) presented with a condition that is both common and, if untreated, uniformly fatal. An attempt to deal with the problem without recourse to open surgery (and the significant attendant risk of paraplegia) resulted in a complication that necessitated emergency surgery.

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http://www.theguardian.com/commentisfree/2015/sep/12/jeremy-hunt-nhs-sacked-health-service?CMP=share_btn_tw

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‘The notion that I or my colleagues have succumbed to a nine-to-five, Monday-to-Friday culture would be laughable, were it not frankly slanderous.’ Jullien Gaer

Filed under: Hospital, NHS, , ,

MPs set to vote on ‘right to die’ for first time in 20 years

Controversial ‘right to die’ laws are to be debated in parliament today for the first time in almost 20 years. Labour MP Rob Marris will introduce the Assisted Dying Bill after coming top of the Private Members’ Bill ballot following the general election.

The legislation, which passed an initial vote in the House of Lords last year but failed to become law, is a first key question of conscience for the new House of Commons. Mr Marris said his Bill was about offering people “choice and dignity”.

In a blog post ahead of the debate, the Wolverhampton South West MP said: “With appropriate, strong safeguards, terminally ill adults of sound mind should be legally allowed to choose to have assistance to end their own lives.”

“I value life, and I do understand that some people believe very deeply that ending one’s own life is always wrong. Nevertheless, the depth and sincerity of their belief should not mean that they deny choice to those of us who do not share their beliefs”. ROB MARRIS MP

Click on the link to read more

http://www.itv.com/news/2015-09-11/mps-set-to-vote-on-right-to-die-for-first-time-in-20-years/?

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Filed under: Dementia, Disabilities, Elderly, Hospital, ,

Hospital patients far more likely to die if sent home at weekend – Alarming’ findings

‘Alarming’ findings from the first major study to examine differences in hospital discharge times shows patients are far more likely to die after being sent home at weekends

Hospital patients are up to a third more likely to die if they are sent home from hospital at weekends, the first major research into discharge times has revealed. The 13 year study of one million hospital patients shows far higher mortality rates among those who are discharged on Saturdays and Sundays – especially for the elderly.

Experts said patients are being put at risk from a lack of senior doctors involved in discharge decisions, gaps in key hospital services, and the failure of GP, community and social care services to look after patients sent home at weekends. Charities said the findings were “alarming” and showed an urgent need to increase levels of care at weekends. The research comes as doctors unions agreed on Thursday night to reopen negotiations on the contract for consultants, in order to increase levels of weekend cover, or see them imposed.

The British Medical Association (BMA) had been given a deadline of the end of Friday to agree changes to future consultants’ contracts, to lose the right to opt out of non-emergency work or see a new deal forced upon them by the Government.

Click on the link to read more

http://www.telegraph.co.uk/news/health/news/11856761/Hospital-patients-far-more-likely-to-die-if-sent-home-at-weekend.html

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Filed under: Elderly, GP's, Hospital, NHS, , ,

Exclusive: Hunt orders investigation of ‘regulatory gap’ baby death case – By Crispin Dowler, Shaun Lintern for HSJ

The health secretary has promised an independent investigation of the death of a baby whose ‘incredibly distressing’ case highlighted a regulatory ‘gap’ in the NHS’s ability to probe historic complaints.

Jeremy Hunt told HSJ he had intervened in the “frankly heart breaking” case of Elizabeth Dixon after her family’s concerns had been “passed around the system” for “far too long”.

He said NHS England patient safety director Mike Durkin would commission an independent investigation of the case in his new role in charge of patient safety at NHS Improvement – the regulator to be formed by merging Monitor and the NHS Trust Development Authority.

Elizabeth was born prematurely at Frimley Park Hospital in 2000. She was left with permanent brain damage after hospital staff failed to monitor or treat her high blood pressure, and in 2001 she died of suffocation when a newly qualified nurse failed to keep her breathing tube clear. The cause of her brain damage was only confirmed in 2013.

http://www.hsj.co.uk/news/acute-care/exclusive-hunt-orders-investigation-of-regulatory-gap-baby-death-case/5090149.article

Click on the link below to read the artical in full

Exclusive Hunt orders investigation of regulatory gap baby

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Elizabeth Dixon

Filed under: Hospital, NHS Blunders, ,

Families of dying excluded from ‘critical conversations’ about what happens at the end of life

The families of people who are dying are too often excluded from “critical conversations” about what happens at the end of life, experts have warned.

More needs to be done to involve the dying and their loved ones to ensure people have the death they want, they said. Dr Jonathan Koffman, senior lecturer in palliative care at King’s College London, said a round 500,000 people die in England every year, with around a fifth dying from cancer.

“How will we identify these individuals and provide them with impeccable assessment?,” he said, adding “you can’t undo these moments”. He said NHS care was variable for those who were dying and there were examples of poor care. “There’s inconsistency and poor quality care meted out to people at critical moments in their life,” he said. “Then there’s poor management of really distressing symptoms.

“This is not a vocal constituency – they can’t talk. And, of course, the family members who are subsequently bereaved are too wounded by those experiences to then talk and help us work out what to do better.”

Around 50% of people die in hospital despite the fact most want to die at home, Dr Koffman said. “The reality is that they don’t get what they want.”

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http://www.expressandstar.com/news/uk-news/2015/09/03/families-of-dying-excluded-from-critical-conversations/

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Nurses and doctors need better training on end of life care, experts said

Filed under: Hospital, NHS,

Every hospital patient will be given a barcode as part of plan to create a ‘paper free’ NHS

Every patient in hospital will be given an individual barcode to ensure they are given the correct drugs and treatment, as part of plans to make the NHS “paper free” by the end of the decade.

Under proposals to be outlined on Tuesday, patients will also be able to book appointments, order repeat prescriptions and access their GP records using NHS smartphone apps.

The Government is also going to examine the feasibility of installing free wi-fi in every hospital and GP surgery in England. By 2020, NHS England says, it will have digitalised every patient and care record in the country – meaning that whenever patients come into contact with the health service, medics will have all of their clinical notes and test results available immediately. The changes will not apply in Scotland and Wales, but similar plans are being developed in the devolved regions.

In addition, patients, pieces of medical equipment and drugs will be identified using barcodes for the first time. This, it is claimed, will help to ensure that the right patient will be given the right drug, at the right dose and at the right time.

Click on the link to read more

http://www.independent.co.uk/life-style/health-and-families/health-news/every-hospital-patient-will-be-given-a-barcode-as-part-of-plan-to-create-a-paper-free-nhs-10480338.html

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Filed under: A&E, GP's, Hospital, NHS

Walsall NHS Trust in bottom 20% in UK for staff stress, bullying and violence

The NHS trust that runs Walsall Manor Hospital has been ranked in the bottom 20 per cent in the country for staff suffering work-related stress, bullying and physical violence.

The results have emerged following a national NHS staff survey, organised by NHS England, which was carried out between October and December last year. Scores for Walsall Healthcare NHS Trust deteriorated from 2013, with the trust ranking within the worst 20 per cent nationally in 12 out of 29 categories. In 2013, it ranked in the bottom fifth in six categories.

The percentage of staff saying that they had suffered work-related stress in the previous 12 months rose from 36 to 42 per cent in a year and the percentage reporting bullying, harassment and abuse from patients rose from 30 to 33 per cent.  The willingness to recommend the Trust as a place to work fell from 58 to 47 per cent, whilst willingness to recommend the trust as a place for treatment fell from 56 to 48 per cent.

Chief executive Richard Kirby said it reflected the level of pressure on the trust over the last 12 months but added that measures were being taken to offer support and make improvements.

Click on the ink to read more

http://www.expressandstar.com/news/2015/03/26/walsall-nhs-trust-in-bottom-20-in-uk-for-staff-stress-bullying-and-violence/

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Filed under: Hospital, NHS, , , ,

Department of Health misses own waiting time targets

New figures show that the Department of Health has missed its own waiting list targets.

At the end of June, almost 86,000 patients had been waiting for more than 18 weeks for a first outpatient appointment. The target is for nobody to wait longer than that. The number of people waiting for a first appointment has risen by more than 45%.

The quarterly figures from the health department for April to June of this year revealed an 11% rise in patients waiting for a first outpatient appointment.  That means more than 212,000 people have been referred to a specialist or consultant by their GP but have yet to be seen. Of those, the number of patients waiting longer – more than 18 weeks – increased by over 45% to nearly 86,000. The number of people waiting for diagnostic services, which can include a test for a potentially fatal illness, increased by nearly 12% from March to June.

Click on the link to read more

http://www.bbc.co.uk/news/uk-northern-ireland-34082381

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Filed under: A&E, Hospital, , , ,

National health review into care for newborns after death of baby in 2001

Fourteen years on from the tragic death of her newborn daughter Elizabeth, grieving Anne Dixon is still seeking answers

A national healthcare regulator is undertaking a review into the care of newborn babies who need extra support after a Fleet woman tragically lost her baby.

Anne Dixon’s daughter Elizabeth was born at Frimley Park Hospital in 2000 and was brain damaged after her high blood pressure was not treated for 15 days. She was left disabled and needed a tracheostomy, or tube, to breathe, but suffocated and died at home in Church Crookham days before her first birthday, when her tube was not maintained during a home visit by an agency nurse who transpired to be newly-qualified.

Now, the Care Quality Commission (CQC) is undertaking a national review into care for infants who need more support and how they are cared for both in hospital and by community services. It is the first time the body has used its powers to investigate a particular aspect of care across the NHS.Announcing the review, the CQC said it would examine 20 services across England, exploring how well fetal medicine, obstetrics, neonatal and community services work together to care for newborn babies with declining health problems, particularly those with high blood pressure and tracheostomies. The regulator said it did not expect the review, which will begin in September, to give a national picture of the quality of care, but hopes it will lead to development of clinical guidelines where needed.

But Mrs Dixon said she felt it did not stretch far enough and that an inquest into Elizabeth’s death, held in 2008/9, failed to get to the truth. She also said her concerns were ignored constantly and she felt she had been dubbed an “over-anxious mother”.

Click on the link to read more

http://www.gethampshire.co.uk/news/local-news/national-health-review-care-newborns-9937075

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Lizzie Dixon

Filed under: Hospital, NHS, NHS Blunders, , ,

Complaints about cancelled NHS appointments soar in one year

New figures show the number of patients complaining about cancelled appointments has risen by one fifth in a year

Complaints about cancelled and delayed NHS appointments have shot up by one fifth in a year, new figures show. Official data shows the number of patients raising concerns about appointments has risen from 9,040 in 2013/14 to 10,800 in 2014/15. There was a similar rise in complaints about ambulance services, the new figures from the Health and Social Care Information Centre show.

Experts said the figure could reflect the fact a number of ambulance services took over the running of the 111 “non-emergency” line. In total, 8,039 patients raised concerns with ambulance trusts, compared with 6,873 the previous year, an increase of 17 per cent in one year, the statistics show.

Overall, there were 205,000 written complaints about NHS services in England in 2014/15 – 562 per day. The figures include 121,000 complaints about hospital services, up 5.7 per cent on the 114,000 in 2013/14.

Click on the link to read more

http://www.telegraph.co.uk/news/11825284/Complaints-about-cancelled-NHS-appointments-soar-in-one-year.html

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About 500,000 die in hospital in England each year

Filed under: Hospital, NHS, ,

Nearly 500 complaints were made about councils in the West Midlands in a year, new figures reveal

The number in the Black Country, Staffordshire and Wyre Forest has fallen from 551 in 2013/14 to 471 in 2014/15, mirroring the trend across the country, where it dropped from 18,211 to 18,436.

But the Ombudsman saw a 10 per cent increase in complaints about adult care services. Meanwhile, complaints about benefits and tax dropped 11 per cent, and complaints about planning and development were down six per cent.

Of the 10 councils in the Black Country and Staffordshire areas, the ombudsman received the most complaints and enquiries regarding Sandwell Council. Of the 118 received, 19 were upheld, with 59 referred back for local resolution. The majority related to benefits and tax (33 complaints), with 24 regarding education and children’s services, 21 about housing, and 15 about adult care services. There had been 138 complaints the previous year.

Click on the link to read more

http://www.expressandstar.com/news/2015/08/24/west-midlands-council-complaints-near-500-in-a-year/

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Filed under: Hospital, Named & Shamed, NHS, NHS Blunders,

X-ray blunders: Mistakes and faulty equipment put patients at risk

A RECORD number of hospital patients are being exposed to potentially harmful levels of radiation due to mistakes and faulty equipment.

There were 1,116 recorded incidents in 2014 in which a patient was exposed to too much radiation, which can cause burns, poisoning and lead to cancer. In three cases, a mistake by the operators caused patients undergoing tests to be exposed to more than 100 times the recommended level of radiation. In most cases, staff either set machines incorrectly, scanned the wrong part of a patient’s body, or, in some cases, the wrong patient. In just 13 cases, the overexposure was down to faulty equipment.

Radiation is employed in X-ray machines and scanners for diagnoses while targeted radiation is used to treat some cancers. Experts say that although the number of radiation errors is logged at more than 20 a week, the chance of such a blunder happening is about one in 81,000. Some of the errors in which a worker was to blame included 23 mammograms to seek breast cancer.

In total, 435 patients were overexposed, with 151 patients given the right exposure but on the wrong part of the body and in 517 cases the wrong patient was exposed. In 2013, there were 983 cases of overexposure.

Click on the link to read more

http://www.express.co.uk/news/uk/600100/X-ray-blunders-mistakes-faulty-equipment-patients-risk-UK-hospitals

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Filed under: Hospital, , ,

Caroline Tully shares the story of her daughter Clara, who died shortly after birth and please sign the petition

Please sign the petition

Coroners Inquests into Stillbirths where signs of life are present during labour

https://petition.parliament.uk/petitions/104893

Read Caroline’s story

In March 2014, at 37+1, I went into labour with our first daughter Clara. My waters didn’t break but we waited until my contractions were 2 minutes apart before setting off to the hospital. On arrival basic checks were carried out and we were advised to go home as labour with your first baby can take up to 24 hours. My daughter’s heartbeat was listened to once.

We were concerned and recorded the increasing frequency and length of each contraction ourselves. We did not feel we were listened to. We said that we didn’t want to be sent home but the midwife was determined she knew best and it took us 25 minutes to struggle back to the car. Within an hour we were back at the hospital and our daughter was born within minutes. There was no sound from Clara after she was born and emergency procedures were then followed. We were told after 30 minutes that resuscitation was unsuccessful and that Clara had been stillborn.

Click on the link to read more

https://www.rcog.org.uk/en/guidelines-research-services/audit-quality-improvement/each-baby-counts/claras-story/

clara-tully-hardman Clara Tully-Hardman

Filed under: Hospital, ,

Woman who suffered a miscarriage is left ‘hysterical’ after hospital staff ‘left foetus in a plastic bag at the end of her bed following surgery’

  • Sarah Howard, 33, lost her baby eight weeks after becoming pregnant
  • She had foetus surgically removed at Birmingham Women’s Hospital
  • But after barmaid got up to get a blanket she saw head of foetus in bag
  • Nurse ‘snatched’ it and took it away – and hospital has since apologised 

A mother-to-be who suffered a miscarriage was left ‘hysterical’ after hospital staff allegedly left the foetus in a plastic bag at the end of her bed following surgery.

Sarah Howard was told she had lost her baby eight weeks after becoming pregnant – and opted for the foetus to be surgically removed at Birmingham Women’s Hospital. But after the operation the 33-year-old barmaid claimed she got up to get a blanket and saw the head of the foetus in the bag – before a nurse ‘snatched’ it off her and quickly took it away.

Miss Howard, of Woodgate Valley, Birmingham, told the Birmingham Mail: ‘I wanted it to be something else, but I knew what it was. I was hysterical. I couldn’t believe what I was looking at. ‘I was crying and took it to a nurse. It’s an image I’ll never forget. I can’t forgive the hospital for leaving the remains there like that.’

Click on the link to read more

http://www.dailymail.co.uk/news/article-3201824/Woman-suffered-miscarriage-left-hysterical-hospital-staff-left-foetus-plastic-bag-end-bed-following-surgery.html

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Sarah Howard

Filed under: Hospital, NHS, ,

Locum doctor paid £11,000 for a weekend shift: ‘Outrageous’ sum spent on NHS consultant to be on call… who wasn’t even required to work

  • Hired on rate equivalent to £452 an hour to do a bank holiday weekend 
  • County Durham trust paid £10,852 for services of locum consultant
  • Doctor was on call to respond to emergencies but none took place
  • It will raise more concerns about NHS waste and temporary workers

A locum doctor was paid £11,000 by an NHS trust for a single weekend shift – the highest sum on record. Despite being hired on a rate equivalent to £452 an hour to do a bank holiday weekend, the doctor was not even required to work.

County Durham and Darlington Foundation Trust paid £10,852 for the services of the locum consultant from the agency Locum Vision, according to Freedom of Information disclosures. The doctor, who covered three 9am to 5pm shifts last Easter, was on call to respond to emergencies but none took place. The huge pay packet will raise more concerns about NHS waste and reliance on temporary workers. Trusts have spent £3.3billion in the past financial year on agency staff, contributing to a huge deficit.

Click on the link to read more

http://www.dailymail.co.uk/health/article-3200451/Locum-paid-11-000-weekend-shift-Record-sum-NHS-doctor-call-wasn-t-required-work.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490

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Hospital: Aberdeen Royal Infirmary (above) flew in a doctor more than 4,000 miles from India to cover a weekend, while an agency nurse in Dumfries and Galloway was also paid £1,400 to work a single shift

Filed under: Hospital, NHS, , ,

Hospitals still not doing enough to safeguard dementia patients: Warning noisy and cluttered wards are causing sufferers to become distressed or suffer harm

  • Figures published today show the worst hospitals scoring just 42 in 100
  • They show a huge variation between the worst and best, which scored 98 
  • Some hospitals had even failed to install hand rails to prevent harmful falls
  •  Nurses have warned many A & E units have become ‘places of terror’ 

Hospitals are failing dementia patients by not doing enough to prevent them becoming distressed or suffering harm, official figures show. Wards are often too noisy, unfamiliar and frightening, or cluttered with bedside tables and chairs which can cause serious falls. Figures published yesterday show that the worst hospital scored only 42 out of 100 in terms of how well it was set up to care for patients with dementia.

Many had failed to install handrails to prevent falls or put up clear signs so patients did not get lost, and some were deemed to be too clinical and unwelcoming. Up to a quarter of patients in hospital have dementia. Many become extremely distressed when in such unfamiliar surroundings. Nurses recently warned that A&E units have become ‘places of terror’ for sufferers.

Hospital managers were urged to make wards more ‘dementia-friendly’ under a strategy launched by David Cameron in 2012. Health bosses were told to take measures to prevent patients falling over or becoming distressed. The Daily Mail has long campaigned for an improvement in the care for patients with dementia as part of our Dignity for the Elderly campaign.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3194470/Hospitals-not-doing-safeguard-dementia-patients-Warning-noisy-cluttered-wards-causing-sufferers-distressed-suffer-harm.html

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Filed under: A&E, Dementia, Hospital, NHS, , , ,

The scandal of dirty wards in Nottingham’s hospitals

Patients caught superbugs in city hospital wards after the private firm paid £200 million to clean them failed to do its job properly.

The number of hospital beds out of action due to outbreaks of viruses almost doubled under the care of Carillion, which has a contract to maintain the City Hospital and Queen’s Medical Centre. A decontamination unit has now been set up by NHS bosses and dirty wards are being deep-cleaned. Nurses are also being trained to do more cleaning. But patients say the news, published in a report by Nottingham Hospitals University Trust, is “beyond belief”.

David Jones, chairman of Nottingham Pensioners’ Action Group, said two of the group’s members had recently contracted infections while in hospital. He said: “This is a major concern. It’s quite worrying that we’ve had two members who have had problems recently where they have been in hospital and caught infections; it takes a long time to recover. “Members have been worried about the fact that it has gone out to private contract because companies need to keep that profitability. This is the effect that we are seeing now. “We expect the contract to be met, considering all the money they are being given.”

Click on the link to read more

http://www.nottinghampost.com/life-death-says-horrified-MP/story-27581081-detail/story.html

GV of QMC (Queen's Medical Centre), Nottingham.  PICTURE BY DAN MATTHAMS.

GV of QMC (Queen’s Medical Centre), Nottingham.
PICTURE BY DAN MATTHAMS.

Filed under: Hospital, NHS, , , ,

Over 350 complaints made about care at Black County hospital

The complaints to Walsall Manor chief executive Richard Kirby were made during the 2014/15 financial year.

The main causes were clinical care, assessment and treatment, waiting time and discharge arrangement. The annual report from Walsall Healthcare NHS Trust has shown there were 380 written complaints direct to the chief executive. Health chiefs say they aim to respond within 30 days and have already made some changes. These include more staff working in the outpatient booking office, extra clinics and working in partnership with social services.

The annual report said: “In 2014/15 we responded to 60.4 per cent of complainants within 30 working days. Since November 2014, the average number of complaints responded to within 30 working days has improved significantly to 86.2 per cent. “We will be working to improve the response rate still further over the next 12 months. “We have fully embraced the parliamentary and health service ombudsman’s vision for ‘good; complaint handling which was published in November 2014 following widespread consultation with patients and social care users. “Our complaints handling process is quality assured to ensure the complainant has the opportunity to be engaged in the complaint process from the beginning, and is fully informed of any lessons learned and changes made as a result of an investigation.”

Article by The Express and Star

 

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Filed under: Hospital, NHS, ,

You Will Survive: Guide for newly qualified doctors from the BMJ

Tips for students and junior doctors

The BMJ’s social networking site, doc2doc, has just published an e-book that resulted from an online discussion on how to survive as a junior doctor. Here is a selection of tips. Download the whole e-book for free at at http://doc2doc.bmj.com.

http://student.bmj.com/student/view-article.html?id=sbmj.b3175

You can download “You Will Survive” PDF guide here….  you will survive

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Filed under: GP's, Hospital, NHS, , ,

NHS patients may face widescale charges, warns financial thinktank

Health budget must rise, or patient fees increase and services diminish, public finance institute warns ministers in bleak assessment of ‘short-term’ pledges

Ministers will have to consider charging patients for seeing a GP, attending A&E, and using the food, power and water of hospitals, unless better long-term solutions for funding the NHS can be found, public finance experts have warned. Contributions towards the cost of treatments and patients taking out health insurance are among other options that must be on the table if the comprehensive spending review in November fails to address the issue, the Chartered Institute of Public Finance (Cipfa) says in a briefing.

The document says that the hope of NHS leaders to save £22bn over five years to 2020-21 is optimistic and does not take account of David Cameron’s pledge to increase seven-day services nor of the introduction of the new national living wage.  Other general aspirations, such as making the UK a “world leader” in tackling cancer and dementia and raising spending on mental health, have not been explicitly costed either, Cipfa says.

Click on the link to read more

http://www.theguardian.com/society/2015/aug/05/nhs-patients-may-face-widescale-charges-warns-financial-thinktank

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Filed under: A&E, GP's, Hospital, NHS, ,

British hospitals near bottom of league tables for botched ops

Research shows that hospitals in the UK have one of the worst records in the industrialised world for leaving surgical instruments in patients after surgery

British hospitals are among the worst in the Western world for leaving surgical instruments in the body after surgery, international research has found. A report by the Organisation for Economic Co-operation and Development shows that the UK has the sixth worst record for foreign bodies after surgery, with 5.5 cases per 100,000 people discharged from hospital. The rate is three times that of Poland, with 1.9 cases per 100,000 patients, and twice that of Slovenia, at 2.9 cases per 100,000. Such incidents are classed by the NHS as “never events”  because they are should be avoided by systems of checks.

Leaving foreign bodies in patients increases the risk of deadly infections and other complications, and can result in fatal blood poisoning and organ failure. In the year 2014/15, there were 102 such cases in England, latest data shows

Click on the link to read more

http://www.telegraph.co.uk/news/health/news/11769158/British-hospitals-near-bottom-of-league-tables-for-botched-ops.html

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Filed under: Hospital, NHS, , , , ,

Recommendations on NHS safe staffing not published

Health officials have pulled out of publishing recommendations on safe staffing after Health Secretary Jeremy Hunt gave the responsibility to the newly-formed NHS Improvement body.

The National Institute of Health and Care Excellence (Nice) was going to go ahead with publishing them anyway, but announced tonight it would not do so. Chief executive Andrew Dillon said: “The work on safe staffing will now be taken forward by the newly-formed NHS Improvement, in conjunction with NHS England.

“The conclusions reached by our advisory committee on safe nurse staffing in accident and emergency departments will now become part of a wider review.

Click on the link to read more

https://home.bt.com/news/uk-news/recommendations-on-nhs-safe-staffing-not-published-11363995136502

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Filed under: A&E, Hospital, NHS, ,

Mother releases harrowing pictures of her daughter, 23, wasting away in hospital before she died after doctors failed to notice she was malnourished

  • Kayleigh Compton died after being treated at Peterborough City Hospital 
  • The 23-year-old had lost six stone in eight months before being admitted
  • Doctors failed to note weight loss and did not offer feeding tube on arrival
  • She died a month later after being placed in a medically induced coma

A mother has released harrowing photographs of her daughter wasting away in hospital after doctors failed to notice her severe malnutrition. Kayleigh Compton died in hospital after plummeting to less than five stone in just one year. The 23-year-old had developed a condition which made her sick every time she ate.  Doctors at Peterborough City Hospital carried out a malnutrition test when she was first admitted but it failed to give an accurate assessment of her condition.

When the correct reading was obtained doctors assumed her malnutrition was the result of an eating disorder despite the aspiring photographer’s protestations.  She refused a feeding tube for weeks, failing to understand that another condition may have caused her to become so malnourished. Miss Compton eventually died after being placed in a medically induced coma having collapsed.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3176125/Mother-releases-harrowing-pictures-daughter-23-wasting-away-hospital-died-doctors-failed-notice-malnourished.html

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Kayleigh Compton above, 23-year-old aspiring photographer

Kayleigh Compton below two days before her death
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Filed under: Hospital, Named & Shamed, NHS, NHS Blunders, , ,

Mers outbreak: Manchester Royal Infirmary A&E closes over suspected cases

The A&E department of the Manchester Royal Infirmary has been closed after two suspected cases of the respiratory virus 

Two patients have been isolated and are being examined for Middle Eastern Respiratory Syndrome, which can cause fever, coughing, shortness of breath, diarrhea and vomiting, amongst other symptoms.

Around 1,000 cases of the disease have been reported worldwide since May this year, and around 40 per cent of those infected die from it.

Click on the link to read more

http://www.independent.co.uk/news/uk/home-news/mers-outbreak-live-manchester-royal-infirmary-ae-closes-over-suspected-cases-10419409.html

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Filed under: A&E, Hospital, NHS, , , ,

A scalpel in the back: How hospital buried evidence that could clear surgeon jailed over patient’s death after 40-year ‘exemplary’ career

  •       BMI Healthcare heaped blame over death of James Hughes on David Sellu
  •       Surgeon was convicted of gross negligence manslaughter and jailed
  •       Senior consultant claims that surgeon was made a ‘scapegoat’ by BMI 
  •       Accused of wanting to cover up broader failings at the Clementine Churchill Hospital

Britain’s biggest private healthcare firm concealed an internal report that identified ‘systemic failings’ at one of its hospitals where a patient died after a routine knee operation, a Mail on Sunday investigation can reveal. The hospital’s owner, BMI Healthcare, heaped blame for the death of a retired builder on one of its surgeons, David Sellu. He was convicted at the Old Bailey of gross negligence manslaughter and jailed for two and a half years, ending a 40-year career described by colleagues as ‘exemplary’.

James Hughes had complained of stomach pains after the operation and died just over a week later of cardiac arrest following a ruptured bowel while he was under the care of Mr Sellu. The Root Cause Analysis (RCA) report ordered by BMI into what went wrong was hidden from Mr Sellu’s trial in 2013. Documents obtained by this newspaper reveal that BMI executives not only read the report, but were taking advice from the firm’s lawyers on its ‘status’.

Last night, Peter McDonald, a senior colorectal consultant at London’s world famous St Mark’s Hospital, told this newspaper in an exclusive interview that he considers BMI made Mr Sellu a ‘scapegoat’ for the broader failings at the Clementine Churchill Hospital in North-West London.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3174741/A-scalpel-hospital-buried-evidence-clear-surgeon-jailed-patient-s-death-40-year-exemplary-career.html

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Scapegoat’: Surgeon David Sellu, left,  was jailed for two-and-a-half years for gross negligence manslaughter over the death of James Hughes, right

 

Filed under: Hospital, Named & Shamed, Whistleblowing, ,

Radiography students in hospitals tell stories that make me want to weep

In the NHS, students are at the bottom of the pile with little voice. It’s time the health service acknowledged that they can help improve services

I am a diagnostic radiographer; one of the allied health professions often forgotten by the public and media in a world where the NHS seems to consist of only doctors and nurses. Diagnostic radiographers often see tens, if not hundreds, of new patients each day. We get very little time with our patients; it can take as little as two minutes to complete a chest x-ray. During this time, we are expected to build a relationship of trust with our patient to enable us to get the best possible image while ensuring that the patient is cared for. It is a difficult balance to achieve but one that is vitally important. That two minute x-ray could be a life changing event; something that is easy to forget when you are x-raying the chests of over 100 people each day.

It isn’t as easy to forget for student radiographers though. I am currently a senior lecturer in diagnostic radiography and my students spend 50% of their three-year degree on placement in imaging departments. First year students generally aren’t used to the healthcare environment and tend to view it as a member of the public would. This means that they notice things that radiographers, through familiarity, no longer see. Students should, therefore, be used as an early warning system – someone on the inside looking with an outsiders eyes.

Click on the link to read more

http://www.theguardian.com/healthcare-network/views-from-the-nhs-frontline/2015/jul/27/radiography-students-hospitals-stories-make-me-weep

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Filed under: Hospital, NHS, , ,

NHS England announces new plan to meet emergency care targets

A drive to make more one-stop shops for urgent and emergency care will be announced on Friday as the NHS in England seeks to remedy its failure to meet its target for dealing with 95% of A&E patients within four hours last winter.

NHS England announced eight “vanguard” areas to transform services. Among the measures are the acceleration of the development of GP services in hospitals, mobile treatment centres using ambulance staff, and same-day crisis response teams including GP’s and other acute home-visiting professionals. More mental health street triage services will also be rolled out, along with initiatives involving a broader role for community pharmacists.

The moves, designed to break down barriers between primary care and hospitals, are among £200m worth of experiments. The NHS hopes these will be as successful as the setting up of regional major trauma units three years ago, which are said to have brought about a 50% increase in the odds of survival for patients and saved hundreds of lives.

Click on the link to read more

http://www.theguardian.com/society/2015/jul/24/nhs-england-announces-eight-vanguard-areas-emergency-care-targets

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Filed under: A&E, GP's, Hospital, NHS, , , , ,

Exposure: NHS Out of Hours Undercover

An undercover probe into  Care UK , Britain’s biggest provider of out-of-hours services, has revealed patients are put at “huge risk”.

Click on the link below to watch. Only on ITVplayer for 30 days. Don’t miss it  

https://www.itv.com/itvplayer/exposure-nhs-out-of-hours-undercover

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Healthcare providers face fines for missing the national four-hour target for all emergency departments to conclude 95% of cases. But covert footage has suggested doctors are discharging patients when they near the limit. They continue to receive treatment later on, but off the books. Suzanne Mason, professor of Emergency medicine at the University of Sheffield, said: “By discharging somebody off your system before they’ve left the department, there’s a huge risk something could happen to that patient.”

The month-long probe by ITV’s Exposure, presented by Mark Austin was broadcast on Wednesday night 22nd July which exposed major concerns at Care UK’s 24-hour Ealing Urgent Care Centre, West London.

One doctor told an undercover reporter he discharged a patient to meet the target. He said: “It’s all… playing the game. I’ve discharged her, but I’m still dealing with her. So as far as statistics are concerned she was discharged within four hours.” Two days later, the same doctor said he had discharged another patient before treatment finished. He added: “It happens a lot.”

Care UK said both the firm and doctor “refuted any suggestion patients have been discharged before treatment is complete”. The probe into Health Secretary Jeremy Hunt’s NHS also revealed patients were given thermometers to take their temperature, to determine which were seen first. Care UK, which had a turnover of more than £700million last year, said “this does not appear to be good practice”, and it “will undertake any retraining necessary.” Other alleged failings included empty medicine cabinets, and work experience students being told to check up on patients when staff were busy. Care UK said: “Stocks of medications are monitored closely.” It added students should not have been asked to check up on patients.

 

Filed under: GP's, Hospital, Named & Shamed, NHS, NHS Blunders, Whistleblowing, , , ,

New app to record patients’ medical information

A ‘REALLY USEFUL’ TOOL

Katherine Murphy, chief executive of the Patients Association says the app could help offset problems caused by the loss of medical notes, and adds: “Notes going missing is a big problem – they frequently go missing and are not with patients when they have appointments, so to have an app that records your information will be really useful.”

Click on the link to read more

http://www.irishnews.com/lifestyle/2015/07/22/news/headline-195604/

Click on the link to support MyNotes Medical

http://www.crowdfunder.co.uk/mynotesmedical

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Filed under: GP's, Hospital, NHS, NHS Blunders, , ,

Scandal of patients sent home too early

One million NHS patients are re-admitted to hospital as emergency cases within 30 days of discharge after being ‘rushed out of the door’, report finds

The misery endured by patients because of the NHS’s “revolving door” policy of early discharge and emergency re-admission is exposed for the first time today in a scathing report. One million NHS patients are re-admitted to hospital as emergency cases within 30 days of discharge because they are being “rushed out of the door” too quickly, at a cost of £2.4 billion per year.

Healthwatch England said it had gathered “thousands of shocking stories” about patients being sent home without the right care and support. They included a mentally ill man discharged after a suicide attempt with no follow-up care who killed himself a week later. The NHS’s official watchdog concluded that “an undercurrent of ageism” persists within the NHS, and that some of the most vulnerable people in society – pensioners, the homeless and the mentally ill – are being badly let down.

Click on the link to read more

http://www.telegraph.co.uk/news/nhs/11752276/Scandal-of-patients-sent-home-too-early.html

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Filed under: Elderly, Hospital, NHS, ,

Doctor who slapped A&E patient’s face struck off

A SCOTTISH doctor who was planning his retirement after an unblemished 40-year career has been struck off in disgrace after he slapped a patient who had become abusive in a hospital A&E department.

Consultant Dominic McCreadie, 64, used his right hand to hit the 66-year-old in the face after he lost his temper when the pensioner began struggling violently and swearing at him whilst receiving treatment. The unnamed patient, who had been flailing his arms around whilst being given an injection, was said to have “calmed down” after being slapped. But McCreadie was reported by a junior colleague who witnessed the incident and described the medic’s actions as “inappropriate”. He was subsequently quizzed by police under caution and during an interview with officers admitted: “I accept that I was frustrated and exasperated by this patient.”

At a fitness to practise hearing of the Medical Practitioners Tribunal Service, McCreadie, formerly of Glasgow, now of Warwick, agreed to “voluntary erasure” from the General Medical Council register after being found guilty of misconduct.

Click on the link to read more

http://www.scotsman.com/news/health/doctor-who-slapped-a-e-patient-s-face-struck-off-1-3836122

Dr Dominic McCreadie said that he held the patients mouth shut with his hand. Picture: Cavendish Press

Dr Dominic McCreadie said that he held the patients mouth shut with his hand. Picture: Cavendish Press

Filed under: Hospital, Named & Shamed, NHS, ,

‘Dear Mr Cameron’: Junior doctor’s angry letter to PM over NHS plans wins support of thousands

A junior doctor’s furious letter to David Cameron over the Government’s plans to overhaul the NHS has won the support of thousands.

Janis Burns, 26, who works at the Royal Brompton and Harefield NHS Foundation Trust, challenged the Prime Minister to attempt to treat a patient “on the brink of death” after a long stint of night shifts. “You try managing that after you’ve been up all night and then tell me the NHS isn’t 24 hours 7 days a week 365 days a year,” she wrote in the letter which has now been shared more than 80,000 times on Facebook.

She also accused Heath Secretary Jeremy Hunt of “deliberately attacking” the profession and being “hell bent” on convincing the public that doctors do not provide a seven-day service. Burns – who reportedly tried to hand deliver the letter to Number 10 after coming off a weekend of graveyard shifts – wrote the letter in reaction to the ongoing row over the UK’s NHS service.

Click on the link to read more

http://www.itv.com/news/2015-07-19/thousands-share-doctors-letter-to-pm-over-nhs-row/

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Filed under: Hospital, NHS, , , ,

Using technology to negotiate medical minefields

MyNotes Medical  http://www.mynotesmedical.com   will be designed to enable patients and carers to make text, video, audio and photo notes on digital devices while with a doctor, or soon after. Notes can be saved in date order to a fully secure server and/or PC. Personal files are visible through logging in with an ID and password. Personal information and treatment/medication details can also be added.

Click on the link to read more

http://www.heraldscotland.com/news/13439253.display/

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Filed under: GP's, Hospital, NHS

Jeremy Hunt announces new measures to improve safety across NHS

Freedom to Speak Up, Morecambe Bay Investigation and the clinical incidents investigations review recommendations accepted.

The government has published (16 July 2015) Learning not Blaming* its full response to the Freedom to Speak Up consultation, the Public Administration Select Committee (PASC) report on investigating clinical incidents in the NHS and the Morecambe Bay Foundation Trust Investigation.

Jeremy Hunt told Parliament today that when things go wrong “they will no longer be swept under the carpet” and that the NHS must “listen, learn and improve”.

Click on the link to read more

https://www.gov.uk/government/news/jeremy-hunt-announces-new-measures-to-improve-safety-across-nhs

Click here to download full report

Learning not blaming The Department of Health *

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Filed under: Hospital, Named & Shamed, NHS, , , ,

I’m determined that my mother’s death won’t be in vain – Belfast Telegraph

Blogger and health campaigner Joanna Slater has developed an app in a bid to help tackle communication breakdowns between medics and patients. By Lisa Salmon

Have you ever left a medical appointment and suddenly thought you didn’t understand or can’t remember exactly what the doctor said? Or are you one of the patients whose notes have gone missing?

Health campaigner Joanna Slater is developing an app to help address these very things, called MyNotes Medical, which will enable people to make audio or text recordings of consultations and list treatments and medications they’ve received.

Along with co-founder Brad Meyer, she has now set up a crowdfunding site in a bid to raise money to put the finishing touches to the app, and they hope to be able to launch it later this year.

For Slater, reaching this point was triggered by personal experience. Her 85-year-old mother, Kay, died in hospital in January 2008, six months after being admitted for hip surgery.

Click on the link to read more

http://www.belfasttelegraph.co.uk/life/features/im-determined-that-my-mothers-death-wont-be-in-vain-31380133.html

Mum 10th Oct 2007

My mother in hospital on her 85th Birthday and me with my two sisters

Filed under: GP's, Hospital, NHS, , , ,

Large numbers of older patients experience lack of dignity in hospital

Older hospital patients in England face a “widespread and systematic” pattern of inadequate care, according to a detailed statistical analysis of inpatient experience data in NHS hospitals in England.

The analysis* by Drs Polly Vizard and Tania Burchardt of the Centre for Analysis of Social Exclusion at the London School of Economics uses data from the Adult Inpatient Survey for 2012-13 to give a detailed picture of older people’s reported experiences during hospital stays. The results showed that experiences of poor or inconsistent standards of dignity and help with eating were too high in the “vast majority” of NHS trusts. Over a fifth of older people (23%) reported experiencing poor or inconsistent standards of dignity and respect and more than one in three patients who needed help with eating did not receive enough assistance.

Poor or inconsistent care was more likely to be experienced by women, those aged over 80 and those with a long-standing illness or disability such as deafness of blindness. The likelihood of poor or inconsistent care was particularly high for patients whose hospital stay had been long or if they had stayed on three or more wards.

Click on the link to read more

http://www.onmedica.com/newsArticle.aspx?id=dd0ea49d-0d5f-480d-b17b-7f6cbf282737

Click on the link to download the full analysis*

Older peoples experiences of dignity and nutrition during hospital stays

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Filed under: Elderly, Hospital, NHS, , , ,

750 avoidable deaths a month in NHS hospitals, study finds

“THIS IS WHY YOU NEED MYNOTES MEDICAL”

One in 28 deaths can be attributed to poor care and study says standard death rates should not be used to rank quality of care

About 750 patients a month in NHS hospitals are dying unnecessarily, the largest review of “avoidable deaths” has found. Researchers at the London School of Hygiene and Tropical Medicine said “One in 28 deaths could be attributed to poor care such as inattentive monitoring of the patient’s condition, doctors making the wrong diagnosis or patients being prescribed the wrong medicine”.

In February, the health secretary, Jeremy Hunt, announced that hospitals in England would be required to monitor the rate of avoidable deaths and that officials would rank trusts on this measure. Hunt said the rate of avoidable deaths in hospitals was the “biggest scandal in global healthcare” and estimated that 1,000 patients died needlessly each month. He said healthcare should learn lessons from the airline industry, where annual deaths worldwide had fallen from 2,000 in the 1970s to 500 now.

Click on the link to read more

http://www.theguardian.com/society/2015/jul/14/avoidable-deaths-nhs-hospitals-study

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Filed under: Hospital, NHS, , , , ,

Why do I need MyNotes Medical? Warning: Lack of notes can kill

We want to ask you:

What if better communication between patient and NHS could prevent needless illness or death?

Warning: Lack of notes can kill!

Every year, thousands of NHS patients suffer needlessly. Doctors are over­worked, mistakes are made and billions of pounds are wasted. The question is, why?

If you have ever been a patient, or your loved one has, you may know for yourself the confusion and stress that often occurs:

  • You don’t understand what the doctor or consultant is saying
  • Your story is not taken seriously
  • You find it difficult to recall your diagnosis or treatment, since you have no notes to refer to
  • Perhaps, as a result you are sent away with the wrong diagnosis, or you have to make several appointments.

This is critical:

You don’t understand everything that the medical professionals are asking or saying to you; no one seems to have access to your loved one’s medical history and you are worried that you may generalise, delete or distort something critical when telling people what they need to know. All of this wastes precious time in which you or your loved one could be receiving proper treatment.

The problem is down to a breakdown in communication between patient and consultant. And, the problem has been publicly recognised and acknowledged.

Trouble is, all too often the solution has been developed by medical professionals for the ‘benefit’ of patients but NOT by patients themselves and NOT from a patient’s perspective.

Would you feel better if you could

Take Video’s,  Record conversations, Take Photo’s that are automatically synchronised with your PC in date order to review, share and keep you in control?

Yes! That’s why you and your loved ones need MyNotes Medical. Written by Patients for Patients.

You are just one click away  http://goo.gl/3rf9c7

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Filed under: GP's, Hospital, NHS, NHS Blunders, Self Help, , , ,

Medical blunders cost NHS billions

An analysis by The Telegraph shows 20 hospital trusts have paid out £1.1 billion for medical blunders in just five years. While below we tell the tragic story of a mother left severely brain damaged after giving birth to her daughter

More than £1.1bn has been paid out for blunders at just 20 NHS trusts in the past five years, a Telegraph investigation can disclose.

A league table reveals the trusts with the largest medical negligence bills in England – topped by a hospital trust which was embroiled in a scandal over the deaths of babies and mothers. In total, NHS trusts have paid out more than £4.5 billion in the past five years for medical mistakes. About a quarter was paid to law firms to cover legal costs and most of the rest in compensation to patients harmed by medical blunders.

The legal bill for medical blunders has quadrupled in the past decade, The Telegraph investigation shows.  Action against Medical Accidents, the patient safety charity, said last night the growing scale of payouts was of huge concern and a massive burden on the NHS. “Clinical negligence is a huge and growing strain on the finances of the NHS, but the human cost is far greater,” said Peter Walsh, the charity’s chief executive, “Millions could be saved if there were more honesty and earlier admissions of liability.”

Click on the link to read more

http://www.telegraph.co.uk/news/health/news/11733719/Medical-blunders-cost-NHS-billions.html

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Filed under: Hospital, NHS, NHS Blunders, , ,

NHS 111 helpline service to undergo major revamp following undercover investigation by The Telegraph

All negotiations over the running of local NHS 111 services have been suspended following a Telegraph investigation which exposed major safety risks to patients.

Health officials will issue a new blueprint this autumn promising a new model of care, and national standards on how the helpline should work with ambulances, GP out of hours and urgent care providers.

NHS England’s chief operating officer has written to all providers and commissioners of 111 services, calling for all current tender processes to be halted, until a new “functionally integrated” service has been designed.

The letter was issued last Friday, two days after The Telegraph disclosed concerns about the way 111 helplines are being run. South Central Ambulance Service launched an inquiry after an undercover investigation found call handlers being put under pressure to avoid sending ambulances. Some told how they phrased questions so as to minimise health concerns.

Click on the link to read more 

Speeding ambulance

Speeding ambulance

Filed under: A&E, Hospital, NHS, , , , ,

Nice to publish report on NHS staffing levels despite being told to stop work

Ministers and NHS bosses face an embarrassing row over safe staffing levels for nurses in hospital A&E departments in England after it emerged that the government body told to stop work in this area is going to publish its recommendations anyway.

The National Institute of Health and Clinical Excellence (Nice), which is legally independent of the NHS, plans to release its work at the end of the month. It is also continuing evidence reviews for staffing mental health care for both inpatients and those in the community, for learning disability services and for other community health services.

The move, revealed by the Health Service Journal (HSJ), comes a month after news that NHS England, which is far more tightly controlled by the Department of Health (DH), had decided to take such work in-house. This was seen by critics as likely to lead to lower, and cheaper, standards in terms of staffing within the financially challenged service, which has already been told by health secretary Jeremy Hunt to stop using expensive staffing agencies, which, he says, have been “ripping off the NHS”.

The Nice publications will not be billed as official guidance but will be sent to NHS England in any case. Nice is concerned also that both its own work and that of NHS England has been hampered by only looking at nursing numbers.

Click on the link to read more

http://www.theguardian.com/society/2015/jul/10/nice-publish-report-safe-nhs-staffing-levels-told-stop-work

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Jeremy Hunt, the health secretary, has said expensive staffing agencies are ‘ripping off the NHS’. Watchdog Nice plans to release its report into safe staffing levels

Filed under: A&E, Hospital, NHS, , , ,

REVEALED: At least a third of hospitals ‘could go BUST’ in NHS debt timebomb

An in-depth survey of 196 finance directors covering NHS hospitals, community care, mental health and ambulance services has uncovered a financial ticking time-bomb.

If savings aren’t made and the Government doesn’t plug the funding gap by 2020, experts say “a debate” will be needed about what services the NHS can continue to offer. The frightening figures come from a survey of NHS finance bosses across England, Northern Ireland, Wales and Scotland.

Out of those questioned, 77 per cent of hospital bosses predict they will be in debt by the end of this financial year. They represent 36 per cent of the nation’s hospitals. However, the true figure of those spiralling into debt could be considerably higher as not all finance directors took part in the survey.

Click on the link to read more

http://www.express.co.uk/news/uk/589553/NHS-debt-hospitals-bust-health-service-summer-Budget-2015

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Filed under: Hospital, , , , ,

NHS bullying is a threat to patients: Health ministers warning of ‘toxic’ culture after survey finds quarter of doctors, nurses and other staff have fallen victim

  • A quarter of all NHS employees have been victimised by their colleagues
  • Staff introduced to each other by their pay scales instead of their names
  • Hierarchical Attitudes impede ability to improve care and patients safety
  • NHS told to be more like Asda where staff have sense of pride over work 

A ‘toxic’ culture of bullying amongst NHS staff is putting the safety of patients at risk, a health minister has warned. Lord Prior revealed that a quarter of employees have been victimised by their own colleagues, a rate unheard of in other organisations. He said the health service needed to learn lessons from the supermarket chain Asda where staff feel valued and turn-up to work with a sense of pride.

By contrast, he spoke of how many doctors, nurses and back-office healthcare staff had become ‘switched-off’ and disillusioned. He also warned of the culture of hierarchy in the NHS with nurses routinely introducing themselves to other workers by their pay-scales, or ‘bands’, rather than their names. The health minister suggested that bosses should be ‘pushing the panic button’ over the high rates of bullying and taking urgent action to improve staff morale. He warned that the this attitude was impeding the NHS’s drive to improve care and safety, in the face of tighter financial constraints and the increasing elderly population.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3152886/NHS-bullying-threat-patients-Health-ministers-warning-toxic-culture-survey-finds-quarter-doctors-nurses-staff-fallen-victim.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490

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Filed under: Hospital, NHS, , , , , ,

Senior doctor urges Welsh NHS to improve medical training after ‘unimaginable mistakes’ were made prior to his mother’s death

  • Dr Amer Jafar claims ‘unimaginable mistakes’ led to his mother’s death
  • Concerns led to investigation into her care at University Hospital of Wales 
  • Three-and-a-half hour delay identifying and treating her condition, three-hour delay giving her pain relief and six-hour delay giving her antibiotics
  • Dr Jafar says he wants to make sure all doctors are trained adequately

A leading doctor is today leading calls for the Welsh NHS to improve its medical training after his mother died of a heart attack following ‘inadequate care’.

Dr Amer Jafar, one of Wales’ most senior medical consultants, was awarded £4,000 compensation after an investigation uncovered a spate of failings in the care of his 79-year-old mother. Dr Jafar called for the investigation after he said ‘unimaginable mistakes’ were made at the University Hospital of Wales in Cardiff over his mother Zahar Al Hasani’s death. A report found there was a three-and-a-half hour delay in identifying and treating her condition when she was taken into hospital.It also found there was a similar three-hour delay in giving her pain relieving paracetamol and then a six hour delay in giving her antibiotics.

Dr Jafar made a complaint to the health board after claiming his mother’s poor care had led to her suffering a fatal heart attack in March 2014. He said his elderly mother, who had a history of heart disease, was assessed wrongly by a doctor in his final year of training who ‘misdiagnosed and mismanaged’ her sepsis and failed to follow the ‘sepsis pathway’.

Click on the link to read more

http://www.dailymail.co.uk/health/article-3148460/Senior-doctor-urges-Welsh-NHS-improve-medical-training-unimaginable-mistakes-prior-mother-s-death.html

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Dr Amer Jafar

Filed under: Hospital, NHS, NHS Blunders, ,

Are you caring for a loved one or know someone that is? Is it going well? Are you worried?

Are you caring for a loved one? Is it going well? Would it be really useful to have a tool that you could keep notes instantly, keep an eye on what the doctors are saying and be able to go back on your notes?

Yes! well please look at MyNotes Medical which is to safeguard our loved ones.
MyNotes Medical will single-handedly revolutionize the health care system!

This little app will prevent so much suffering, anguish and heartache on the part of patients, their carers and families. It will also unquestionable save many, many lives

MyNotes Medical is long overdue, and needs your financial support now!

It is imperative that we get the funding we need to launch this project. Your help is desperately needed, however small. Please go to our website http://goo.gl/3rf9c7

Please help us to help you and your loved ones and Together we can make a difference

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Filed under: GP's, Hospital, NHS, , , , ,

Royal Glamorgan Hospital given a damning ‘one out of five’ food hygiene rating

A South Wales hospital has been given a damning food hygiene rating of just “1” – the second lowest on the official six-point scale.

Environmental health officers from Rhondda Cynon Taf Council who toured the Royal Glamorgan Hospital near Llantrisant  on June 17 ruled the hospital needed a “major improvement”. Health board bosses insist they have since carried out necessary changes but admitted the low rating on the 0-5 scale had left them “very disappointed”.

In a statement issued at the time, the Cwm Taf University Health Board – which administers the facility and which received the results last Thursday – said: “We are very disappointed with this rating and apologise for what was an unacceptable inspection outcome.” The “1” rating meant the 570-bed hospital in Ynysmaerdy was told it had to make a “major” improvement – something it says it has now done.

The inspection had found that improvements were required in relation to food hygiene – and, in particular, safety procedures. There was no evidence of structural problems or pest control issues, Rhondda Cynon Taf Council has noted.

Click on the link to read more

http://www.walesonline.co.uk/news/wales-news/royal-glamorgan-hospital-given-damning-9570556#ICID=FB-Wales-main

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Filed under: Hospital, NHS, ,

NHS needs more funding this year or patient care could suffer, say health experts

The NHS needs another funding boost this year or patient care could suffer, health experts have said, in the latest bleak assessment of the health service finances.

Researchers at the King’s Fund found that an unprecedented nine out of 10 hospitals in England are predicting an end-of-year deficit, with estimates suggesting that NHS providers could go £2bn into the red.

The stark warning from the respected think tank, which comes ahead of next week’s Budget, also undermines some of the Government’s flagship NHS pledges, stating that an £8bn funding increase for the NHS in England by 2020 – announced before the election – is a bare minimum and cannot pay for David Cameron’s promise of seven-day working across the health service.

Click on the link to read more

http://www.independent.co.uk/life-style/health-and-families/health-news/nhs-needs-more-funding-this-year-or-patient-care-could-suffer-say-health-experts-10361673.html

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Filed under: Hospital, NHS, , ,

NHS 111 investigation: 10 things we’ve learned

Failing to send ambulances to potential emergencies; watching Game of Thrones in between calls; changing data to meet targets – and more

Patients who call the NHS 111 service are being denied ambulances, even if they are experiencing symptoms of a heart attack, a Telegraph investigation has revealed.

The 111 service was set up as a non-emergency alternative to 999 to relieve pressure on the health system, including A&E departments.

An undercover investigation found that staff at a 111 call centre in Oxfordshire were told that there were not enough ambulances to send to everyone in need.

“People are having heart attacks, they’re not breathing, they’re not getting ambulances,” the undercover reporter was told.

Here we examine 10 of the details to have emerged in our seven-week investigation.

Please click on the link to read more

http://www.telegraph.co.uk/news/nhs/11708938/NHS-111-investigation-10-things-weve-learned.html

Speeding ambulance

Speeding ambulance

Filed under: A&E, GP's, Hospital, NHS, ,

Heart patients’ lives ‘at risk as NHS 111 hotline won’t send ambulances’ due to shortage in paramedics

  •  Shortage of paramedics means ambulances are not being dispatched
  •  Undercover reporter wasn’t able to send help to a man with chest pain
  •  Mentor told trainee staff: ‘Everyone in this room has killed someone’
  • South Central Ambulance Service (SCAS) has announced investigation  

Patients’ lives are being put at risk by the NHS 111 helpline because call- handlers are being told not to dispatch ambulances, it was claimed last night. One call-centre mentor chillingly told trainee staff that ‘everyone in this room has killed someone’, an undercover investigation found. Patients are being denied ambulances even if they are suffering the symptoms of a heart attack, the Daily Telegraph investigation reported.  The NHS 111 helpline was launched in 2013 to provide round-the-clock advice to the public as an alternative to the former advice line NHS Direct, which was run by medically-qualified staff. The new helpline was intended to prevent unnecessary visits to A&E.

Staff on the 111helpline have previously been criticised for merely asking callers questions as guided by computer algorithms – and sending too many tohospital as a result.  Call-handlers working on the service are expected to dispatch the emergency services if patients describe symptoms of serious illnesses. However, they are now said to be under pressure not to send out ambulances at certain times due to a shortage of paramedics and a backlog of requests.

An undercover reporter spent seven weeks working on the 111 helpline – which has had numerous problems since its launch – in a call centre in Bicester, Oxford.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3145355/Heart-patients-lives-risk-NHS-111-hotline-won-t-send-ambulances-shortage-paramedics.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490

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Filed under: A&E, Hospital, NHS, , , ,

Please show me that you really care

Do you want to make people’s lives better?

Do you want to make your children’s and your parents lives better?

Are you concerned with the amount of medical mistakes in the news?

Are you a thinker or a doer?

Do you really care? 

Click on the link and show me that you really care http://goo.gl/3rf9c7

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Filed under: A&E, Cancer, Care Homes, Dementia, Disabilities, Elderly, GP's, Hospital, Mental Health, Named & Shamed, NHS, NHS Blunders, Self Help, Uncategorized, Whistleblowing, , ,

New ‘duty of candour’ rules instruct medics to admit mistakes

 

New guidelines are being unveiled for doctors, nurses and midwives across the UK on being honest and open with patients when things go wrong.

Known as a “duty of candour”, the guidelines make clear that patients should expect a face-to-face apology. In April, the NHS introduced a rule that told NHS and private healthcare organisations to admit their mistakes candidly, and as soon as possible. Now the same rule is to be applied to individual medics.

Say Sorry

Detailed guidance makes clear staff should tell the patient as soon as possible when something has gone wrong, and what it might mean for their health. The guidance also makes clear that patients or their families should receive a face-to-face apology. For the avoidance of doubt, it even spells out words that such an apology might include, such as “I am sorry”. The guidance was drawn up by the General Medical Council and the Nursing and Midwifery Council and applies to more than 950,000 doctors, nurses and midwives working in the UK.

Click on the link to read more

http://www.bbc.co.uk/news/health-33286601

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Filed under: Hospital, NHS, NHS Blunders, , , , , ,

How Will MyNotes Medical work for you? Watch our walk-through slides

We have had a fantastic response regarding MyNotes Medical, but people are still unsure how MyNotes Medical works.

Here is a short slide presentation walkthrough how the programme will work. We NEED your support to help us to help you. Please pledge your support on our link http://goo.gl/3rf9c7  Thank you, Together We Can Make A Difference Joanna 

 

Filed under: A&E, Cancer, Care Homes, Dementia, Disabilities, Elderly, GP's, Hospital, Mental Health, Named & Shamed, NHS, NHS Blunders, Self Help, Uncategorized, Whistleblowing, ,

Superhospital, episode 1: The Telegraph review the NHS in action

The first episode of the documentary series was a derivative but tear-jerking look at hospital life

It’s amazing how many hospital documentaries there are, giving you a ringside seat to every catheter insertion and scan result. They’re meant to fill you with respect for the NHS and make you cry, but surely we’ve all spent too much time in real, broken, depressing hospitals to fall for that one.

Click on the link to read the review

http://www.telegraph.co.uk/culture/tvandradio/tv-and-radio-reviews/11699565/Superhospital-episode-1-review.html

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The staff of the Royal Derby Hospital in Derby appear in the ITV observational documentary series Superhospital

Filed under: A&E, Hospital, NHS, ,

When it’s time to fire your doctor by Dr Owen Wiese

Dr Owen Wiese says the difference between negligence and an honest mistake is a fine line in the medical profession. Here are some examples of just plain bad doctoring he’s seen.

“Doctors bury their mistakes” is a sad, but unfortunately not completely untrue saying.

A study published in the British Medical Journal Quality and Safety in 2013 estimates that 10 to 15% of diagnoses made by doctors are completely wrong. (The study also found major diagnostic discrepancies in 10-20% of autopsy cases.). In fact, medical care is the third leading cause of death in the United States. I’m sure in South Africa things may not be much different, even if they are for different reasons.

As a GP in my ‘previous life’, I encountered rather strange diagnoses made by my colleagues in clinical practice.

Click on the link to read more

http://www.health24.com/Columnists/When-doctors-are-negligent-misdiagnose-and-make-mistakes-20150624

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Filed under: GP's, Hospital, , ,

A&Es are places of terror for the old: Nurses warn that bewildered elderly patients are constantly being left on trolleys in corridors

  •    30 hospitals have declared major incidents and cancelled routine surgery because they were so busy during the busy winter season
  •    Some nurses blame the GP and 111 helpline for the rising numbers of patients who are not seriously ill but are turning up in A&E
  •    Elderly patients are considered less urgent than cases of road traffic accidents, brain haemorrhages and heart attacks

Casualty units have become ‘places of terror’ for the elderly, senior nurses have warned. They say patients are being abandoned on trolleys in corridors in mid-summer, when hospitals should be less busy. The so-called ‘winter pressures’ are now carrying on year-round with a steady stream of patients arriving. And it is the elderly who are most affected, with many routinely having to wait up to 20 hours on trolleys.

This winter was one of the worst on record for A&E units, with 30 hospitals declaring major incidents and cancelling routine surgery because they were so busy. But nurses say the crisis is continuing, with patients turning up after failing to get an appointment with their GP or being referred inappropriately by the 111 helpline.

It is the elderly who wait the longest, however, because they are less urgent than cases of road traffic accidents, brain haemorrhages and heart attacks.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3136833/A-Es-places-terror-old-warns-nurses-Bewildered-patients-left-trolleys-corridors.html

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Filed under: A&E, Elderly, Hospital, NHS, , , ,

Beware what the doctor asks you to sign: The terrifying stories of patients who have been misled or even had forms altered when they consent to surgery

Before you receive any treatment from a doctor, you’ll be asked to give consent. It may be a simple question ‘May I take your blood pressure?’, to which you might nod or show agreement by rolling up your sleeve. Or if it’s a more complex procedure involving a general anaesthetic, you’ll be asked to sign a form to show you know the full facts about what’s being planned. The only time we won’t be asked for our consent is when emergency treatment is needed or when a patient lacks the mental capacity to give consent.

The idea is that the patient shares the decision-making. You bring your own expertise to the table: your knowledge of how your health problem affects your daily life and what risks you’re prepared to take. At least that’s the theory. Yet two recent cases have shown that too often doctors aren’t obtaining proper informed consent for surgery, putting patients at risk of harm. When you sign a consent form, often just before surgery, there are two sections: one for the doctor to write down details of the procedure and another to include a list of any risks that the patient needs to know about. Once you’ve signed it, one of the two copies is meant to be given to you.

But that’s not what happened when Marlene Clarke, a retired bank sales manager from Derby, underwent surgery for suspected lung cancer. According to the consent form she signed in 2010, Mrs Clarke, now 69, was due to have a biopsy to confirm the diagnosis at Nottingham University Hospital NHS Trust.

Click on the link to read more

http://www.dailymail.co.uk/health/article-3135084/Beware-doctor-asks-sign-terrifying-stories-patients-misled-forms-altered-consent-surgery.html

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Filed under: Hospital,

Six out of 10 doctors in Wales bullied for raising safety concerns, says damning BMA report

Dr Phil Banfield, chair of the association, says the figures from a survey of doctors and consultants in secondary care are ‘hugely worrying’

Six out of 10 doctors and consultants in Wales say they have been bullied or harassed for raising concerns about patient safety to senior managers. That is just one of the damning statistics from a survey of doctors and consultants in secondary care released today by the British Medical Association (BMA). The association’s Welsh Council chairman, Dr Phil Banfield, has called the findings “hugely worrying” and called on the Welsh Government to “create a culture of support”.

The report goes on to suggest that doctors and consultants think the NHS in Wales is riven with poor leadership and a lack of direction from hospital managers, and that serious mistakes are avoided more by luck than sound planning and robust systems.

Click on the link to read more

http://www.dailypost.co.uk/news/north-wales-news/six-out-10-doctors-wales-9497328

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Filed under: GP's, Hospital, Named & Shamed, NHS, ,

New duty of candour legislation creates ‘two-tier health system’

The Health Secretary has been warned that he faces legal action unless he revises the new regulations requiring NHS and social care institutions to hold their hands up and admit when something has gone wrong in a patient’s treatment.

The new regulations, called duty of candour, were widely welcomed when they were brought in following the scandal at Mid-Staffordshire trust. They require patients or their relatives to be told when an incident during treatment has caused significant harm. The rules apply to NHS and private health care and social care providers.

But now leading patient charity, Action Against Medical Accidents (AvMA) has said the way the regulations have been drafted means that private clinics and hospitals and GP surgeries could avoid admitting harm in cases where cause and effect are less obvious.

AvMA has now given the Department of Health until Friday 19th June to respond or it will seek a judicial review. Their argument hinges on the words “could lead to”.

Click on the link to read more

http://blogs.channel4.com/victoria-macdonald-on-health-and-social-care/duty-candour-rules-applied-equally/3076http:/bit.ly/1GuT7vx

 

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Filed under: GP's, Hospital, NHS,

Petition to Investigate and stop the murder of vulnerable people, remove closed courts and meetings which should be public.

You wake up hungry, thirsty, forced to be alone, trapped in a bed with people lying about you, making you scared and wanting you dead. 

This is what is happening to the old and people who medicine is considered too expensive in the UK but not else where in the world! And then this is being hidden.

I Dr Jones want a proper Independent public jury investigation including coroner on the death of my mother Mavis Banks. Who in her last days had tears in her eyes and wanted to live. But was forced to die. My mother said someone from Chester City council was trying to sell her home and land cheap and hit her in 2010 before her stroke that lead her to be in a nursing home. The strange actions of Chester City council were all done to shut her up and shows massive corruption in Cheshire.

Please click on the link and sign to stop this before it affects your loved ones.

https://www.change.org/p/prime-minister-david-cameron-investigate-and-stop-the-murder-of-vulnerable-people-remove-closed-courts-and-meetings-which-should-be-public?tk=QN4CFOc1IAvW4X6zOg2DWBOA_OV-wo0a0nwbplDPVDM&utm_source=petition_update&utm_medium=email

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Filed under: Elderly, Hospital, NHS, ,

NHS recruiter says the Government needs to recruit more foreign doctors to meet its targets

The Government must allow the NHS to recruit more doctors from abroad if it is to meet its targets to boost GP numbers, a leading recruiter has said.

The Conservative manifesto called for the health service to take on 5,000 more GPs to help surgeries extend opening hours. The reform is part of a long-term strategy to move care out of hospitals and into local surgeries, thought to be a more efficient way of delivering treatment.

But ManpowerGroup Solutions UK, one of the biggest recruiters of GPs for the NHS, said there were not enough “homegrown” GPs to accomplish the policy. “David Cameron has pledged to recruit 5,000 new GPs to extend surgery opening hours. That will improve care for millions, but it’s hard to see where those doctors will come from,” said James Hick, managing director of the group.

“As a major recruiter of GPs, we see that there are not enough homegrown new clinicians. There’s no simple fix – even if we were to double the number of medical school graduates from British universities, it still wouldn’t solve the problem. “We’re already reliant on doctors and nurses from abroad. Twenty six percent are non-British and that number could rise by 50% over the next five years.”

Click on the link to read more

http://www.independent.co.uk/news/uk/politics/nhs-recruiter-says-the-government-needs-to-recruit-more-foreign-doctors-to-meet-its-targets-10306941.html

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Hiring an extra 5,000 GPs would be very difficult without overseas recruitment, major recruiter says

 

Filed under: GP's, Hospital, NHS, , , ,

NHS scandal: 1,000 babies die a year due to ‘shocking’ standards – costing us £1 BILLION

CAMPAIGNERS have slammed the NHS after “shocking” figures revealed that more than 1,000 babies were killed in maternity units last year.

Officials paid just under £1billion to settle 1,316 claims of negligence, including maimed babies – up from £488 million 10 years ago.  James Titcombe, whose son Joshua died nine days after his birth in 2008, condemned the NHS for not “leaning from mistakes”  He said: “That we’re spending £1billion is absolutely shocking. “There should be no room for failing to learn, yet the system that we have at the moment is woefully inadequate.” A police investigation into Joshua’s death was widened to include 18 other premature deaths at the same maternity unit.

Death rates in Britain vary from 5.4 to 7.1 per 1,000 births, with experts urging the worst performing areas to investigate wrongdoings.

Click on the link to read more

http://www.express.co.uk/news/uk/583400/NHS-maternity-midwife-stillbirth-James-Titcombe-health-babies-dead

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Filed under: Hospital, NHS, NHS Blunders, , , ,

This is a short film developed as part of an investigation by Ombudsman Peter Tyndall into how public hospitals handle complaints in Ireland.

The Office of the Ombudsman, Ireland, examines complaints from members of the public who feel they have been unfairly treated by certain public bodies.

The investigation has found that people are afraid to complain about the care and treatment they receive in hospitals because they are concerned about the repercussions for themselves or their loved ones. More details are available on the website ombudsman.gov.ie
Dara Gantly looks at how a ‘root and branch’ reform of our complaints process can enhance patient safety and the provision of care
Please click on the link to read
The Irish Medical Times Unlocking the patient complaints box

Filed under: Hospital, , ,

A&E swamped as thousands can’t get in to see GPs: Patients placing huge pressure on units after being refused same-day appointments at surgeries

  • Many have non-urgent issues but can’t be seen quickly by family doctors
  • Experts want more GPs, nurses & primary care staff at A&E departments 
  • People refusing to use alternative services such as 111 or walk-in clinics 
  • Patients see A&E as recognisable ‘brand’ so will continue to go there

Thousands of people are flooding A&E because they have been refused a same-day appointment with their GP, a report has found. Patients are placing huge pressure on casualty wards as they arrive in ever larger numbers. Many have non-urgent health problems that could easily be dealt with at a localsurgery but they are unable to be seen promptly by family doctors.  Now experts have called for more GPs, nurses and other primary care staff to be stationed at A&E departments to deal with patients who do not really need emergency care.

The report, published today by the Royal College of Emergency Medicine and the Patients Association, found that many Britons are also refusing to use alternative services such as the NHS 111 helpline, walk-in clinics or out-of-hours GP services. The document says A&E is seen as a recognisable ‘brand’ by patients so they will continue to go there even if other services are available.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3108414/A-E-swamped-thousands-t-GPs-Patients-placing-huge-pressure-units-refused-day-appointments-surgeries.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490

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Filed under: A&E, GP's, Hospital, , ,

Nurse sought for NHS to handle ‘irate surgeons and aggressive patients’

A newspaper advert for a job at an NHS hospital in Glasgow has been pulled after the controversial description caused fury among staff.

The post for a theatre nursing support worker at Gartnavel General Hospital warned applicants about “complaints from irate surgeons due to the pressures and constraints of the environment”. Interested parties also risked dealing with “verbal and physical aggressive behaviour from patients” under the influence of drugs, alcohol or anaesthetic.

However despite the advert’s wording it has been reported 61 people still applied for the vacancy with a starting salary of £15,358 to work 37.5 hours including nightshifts and weekends.

Click on the link to read more

http://news.stv.tv/west-central/1322036-gartnavel-hospital-job-advert-causes-fury-among-nhs-glasgow-staff/

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Gartnavel Hospital: The advert still attracted 61 applicants.

Filed under: Hospital, NHS, , ,

Hospital CEO: ‘We have failed’

A hospital trust chief executive has admitted his hospital did not act quickly enough after concerns were raised over patient deaths.

Matthew Kershaw, CEO of Brighton and Sussex University Hospitals NHS Trust, apologised to the families of the patients involved and said the standard of care they received was “nowhere near good enough”. The apology came as the father of Stephen Palmer, who died in 2013, spoke of his fury at what happened to his son.

The Argus exclusively revealed yesterday how serious flaws in the care of five patients in the acute medical unit (AMU) at the Royal Sussex County Hospital in Brighton contributed to their deaths.

Click on the link to read more

http://www.theargus.co.uk/news/12980754.Hospital_CEO___We_have_failed_/?ref=twtrec

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Matthew Kershaw, CEO of Brighton and Sussex University Hospitals NHS Trust

Filed under: Hospital, NHS, NHS Blunders, ,

NHS slumps to worst performance in decade as 20,000 operations cancelled at last minute

Tens of thousands of patients have had their operations shelved at the last minute as the NHS slumped to its worst performance in a decade, it was revealed today. More than 20,000 operations were cancelled by NHS hospitals in England during the last quarter. Figures released by NHS England show 20,464 operations were cancelled at the last minute for non-clinical reasons from January to the end of March. During the same period in 2013/14, there were 17,868 cancelled operations. It is the highest number since the last quarter of 2004/5, when patients saw 21,500 operations cancelled.

Hospitals are experiencing growing bed shortages, with too many patients being admitted because of a lack of care in the community, and ending up stuck in hospital because there is no help available in their home.

Click on the link to read more

http://www.mirror.co.uk/news/uk-news/nhs-slumps-worst-performance-decade-5704158

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Filed under: Hospital, NHS, ,

Hunt reveals priorities for his NHS ‘mission’ By Will Hazell, Dave West. LGC

Prime minister David Cameron confirmed Mr Hunt would stay in his role, which he has held since autumn 2012, as he reshuffled his Cabinet in the Conservative Party’s new majority government. Responding to the news that he had been reappointed as health secretary, Mr Hunt said he was “humbled…not least because of the enormous responsibility for hundreds of thousands of doctors, nurses and other NHS staff who are working incredibly hard right now and under enormous pressure”.

Mr Hunt said the NHS had “started a journey” to make the NHS the “safest, most caring and highest quality healthcare system in the world” but added “there is still further to go”.  “My biggest priority now is to transform care outside hospitals – just as we have dramatically improved the quality of care inside hospitals in the last few years.”  He said to ensure older and vulnerable people were treated with “the highest standards of care” there needed to be a “step change” in services delivered by GP surgeries, community care and social care.

“That is my mission, and I know it is the mission of the whole NHS too,” he added.

Click on the link to read more  Hunt reveals priorities for his NHS

 

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Filed under: GP's, Hospital, NHS, ,

4 WEEKS OF HELL: Royal Blackburn Hospital doctors diagnose woman with cancer – only to find it was inflamed appendix moments before surgery

A GRANDMOTHER said ‘goodbye’ to her family after being told she needed a cancer operation – only for doctors at Royal Blackburn Hospital to discover she had been misdiagnosed moments before surgery.

Sandra Lord was left heartbroken last month when a pain in her stomach was diagnosed as bowel cancer following a scan at the hospital on April 16. The 69-year-old was due to have part of her bowel removed when she went under the knife at the hospital on Tuesday. But when the surgery team performed a colonoscopy before the operation they discovered that what they thought was a lump on the bowel was actually caused by an inflamed appendix rubbing against the bowel. Having been told she was due to stay in for seven to 10 days, Mrs Lord, from Waterfoot, woke up from the operation just two hours after she was given an epidural and was told it had all been a big mistake.

She said: “It’s obviously a relief that I haven’t got cancer but I shouldn’t have had to go through that. It’s been a living hell for a month.

Click on the link to read more

http://www.lancashiretelegraph.co.uk/news/12948789.4_WEEKS_OF_HELL__Blackburn_doctors_diagnose_woman_with_cancer___only_to_find_it_was_inflamed_appendix_moments_before_surgery/

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Sandra Lord

Filed under: Hospital, NHS Blunders, ,

£10m payout to Harrogate boy left disabled at birth

A young boy from Harrogate has been awarded almost £10m in a payout from the NHS after medical errors at his birth left him severely disabled.

Medical staff failed to spot that Kit vanBerckel, who was born 10 days overdue, was suffering distress before his birth in 2008.  Medical staff failed to spot that Kit van Berckel, who was born 10 days overdue, was suffering distress before his birth in 2008. The High Court heard that staff had failed to correctly interpret and act on a pathological CTG pre-birth heart scan. As a result of this Kit, who is now six years old, was born at Harrogate District Hospital, without a heartbeat and needed resuscitating. Soon after his birth he was diagnosed with cerebral palsy, which means he can’t sit without help, can’t move on his own, is unable to feed himself and can’t speak.

The £9.872 million payment awarded to the family will provide lifelong care and rehabilitation for Kit. The youngster, who is a pupil at Richard Taylor School in Harrogate, needs to use eye gaze technology and other hi-tech systems to communicate with his classmates.

Click on the link to read more

http://www.harrogateadvertiser.co.uk/news/health/local-health/10m-payout-to-harrogate-boy-left-disabled-at-birth-1-7258846

Kit van Berckel was left severely disabled after medical errors at his birth. (S)

Kit van Berckel was left severely disabled after medical errors at his birth. 

Filed under: Hospital, NHS, NHS Blunders, ,

East Surrey Hospital nurse struck off for ‘bullying’ a bipolar patient

A NURSE has been struck off for “bullying” a “vulnerable” bipolar patient at East Surrey Hospital.

Mary Majella Kenny, who was a nurse on the acute medical unit at the Redhill hospital, has been removed from the Nursing and Midwifery Council (NMC) register after being found guilty of common assault by beating. The decision was taken by the NMC’s Conduct and Competence Committee during a two-day hearing, split between days in January and March this year. According to a report of the hearing, Claire Paget, who represented the council at the first hearing, told the panel that on January 3, 2013, a patient, known as Patient X, was taken to use a commode by members of staff when she started to shout and flail her arms around. During the incident, a health care assistant was struck on the arm.

 Ms Paget then informed the panel that Ms Kenny arrived and “took over”. Ms Paget said two other nurses had described how Ms Kenny grabbed the patient by the upper arms and forced her to sit down on the commode. The report stated: “She [Ms Kenny] was described as shouting aggressively and saying words to the effect of, ‘If you hit me I will hit you back twice as hard’.”

Click on the link to read more

http://www.surreymirror.co.uk/East-Surrey-Hospital-nurse-struck-bullying/story-26449553-detail/story.html

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Filed under: Hospital, NHS, ,

Robbie Powell died 25 years ago aged 10. Difficult to believe that this 4 part ‘Wales This Week’ documentary was aired 11 years ago and yet the NHS cover up continues 25 years after Robbie’s needles death

There was sufficient evidence to prosecute the killer/dishonest GPs in 2003 but Crown Prosecution Service said NO! The three reasons below were given for not prosecuting the GPs and their secretary:

1. Passage of time! [Not relevant in cases of child sex abuse and other crimes]

2. Police/CPS FAILURES! [More like Police/CPS corruption to protect the establishment employed police doctors]

3. Police IMMUNITY! [The Police does not have the gift of immunity and even if they had it is only given when the perpetrators assist in the prosecution of others and not as a favour for police employed doctors]

When will the 25 year cover up of Robbie’s death be investigated and the perpetrators of these heinous crimes IMPRISONED?

Will the Director of Public Prosecutions do the right thing this time? Will Powell

Part 1 of 4

Click on the link below to watch the 3 other parts of  “Wales This Week” documentary  https://strength-in-numbers.co.uk/r/

Filed under: GP's, Hospital, NHS, NHS Blunders, , ,

Women in the UK ‘more than twice as likely to die in pregnancy and childbirth as many European countries

Women in the UK are more than twice as likely to die in pregnancy and childbirth as those in Poland, Austria or Belarus, according to research.

Britain failed to rank in the top 20 places to be a mother for the third consecutive year, coming 24th globally. Experts said the poor rating was partially due to higher infant and mother mortality rates than in other parts of Europe. The UK was ranked 30th out of 179 countries on maternal health, with women facing a one in 6,900 lifetime risk of maternal death. This was far greater than Poland (19,800), Austria (19,200) and Belarus (45,200) as well as many other Eastern European countries. In the US, there is a one in 1,800 lifetime risk of maternal death – the worst performance of any developed country in the world.

High risk pregnancies in the UK are thought to be linked to obesity, IVF, social deprivation, multiple pregnancies as well as increased maternal age and poorer access to health care, especially in some ethnic minority communities and among asylum seekers.

Click on the link to read more

http://www.telegraph.co.uk/news/health/news/11581302/Women-in-the-UK-more-than-twice-as-likely-to-die-in-pregnancy-and-childbirth-as-many-European-countries.html

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Filed under: Hospital, Uncategorized, ,

Have you been treated on the NHS? Was your experience good or bad? The Mirror is working on a big feature about the NHS, to be published this weekend and they want to hear from you

Our public health system costs more than £100billion ayear, and is one of the world’s largest employers. Around 1.5million of us are affected by it every day, but recent years have seen huge changes in one of our proudest institutions.

We’re working on a big feature about the NHS, to be published this weekend, and need to find out what YOU think.

Have you been treated on the NHS or worked for the health service in the past five years? Was your experience good or bad? We want to know what you think is wrong with it, what is right with it, and what could be improved.

No complaint or praise is too small – email yourmirror@mirror.co.uk  or tweet us at @YourMirror

Or Let us know through the form on the link below

http://www.mirror.co.uk/news/uk-news/you-been-treated-nhs-your-5603585

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Filed under: Hospital, NHS,

Frank Foster – Campaign for dignity in death – Please sign petition

Frank Fowler 1920 – 2014. Frank was diagnosed with brain cancer and was deaf and blind and was receiving treatment at Pembury, Tunbridge Wells. In his final days Frank suffered unbearable pain but was left to suffer throughout his painful last moments. His was not a dignified death and one that no ones loved ones should have to endure. Please support the campaign to have Dignity in Death debated in the Houses of Parliament.

Sign the petition and please share this video. Joanne Fowler is the daughter of Frank and is campaigning for Dignity in Death to be heard in Parliament.

The petition can be signed at http://fb.me/6uo9GARXZ

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Filed under: Elderly, Hospital, NHS, , , ,

UK’s newest hospital set to open later in Glasgow

The South Glasgow University Hospital is one of the biggest critical care complexes in Europe.

It has been nicknamed the “Death Star” by locals because of its imposing 14-storey star-shaped design, topped by a landing pad for aircraft. The hospital cost £842m but the medical equipment inside has brought the final total closer to £1bn. The project was funded by the Scottish government.

The hospital features interactive displays for children developed in collaboration with the city’s science museum, along with a cinema and roof garden in the children’s wing. Patients enter the main hospital through a dramatic atrium which stretches up the entire height of the building. There are self-service check-in machines, and nearly all of the 1,100 beds have their own room, with an en-suite bathroom and views out over the city. A fleet of robots deliver linen and other goods via a network of underground tunnels. The hospital replaces four ageing hospitals across Glasgow, some of which date back to Victorian times.

Click on the link to read

http://www.bbc.co.uk/news/uk-scotland-glasgow-west-32450836

 

 

Filed under: Hospital, ,

Two doctors face manslaughter charges as woman died after emergency caesarean. An international arrest warrant has been issued for Dr Azeez

Frances Cappuccini, 30, died just a few hours after her son was delivered at Pembury Hospital in Tunbridge Wells, Kent.

Anaesthetists Dr Nadeem Azeez, 52, from Tunbridge Wells, and Dr Errol Cornish, 67, from Bromley, Kent, have been charged with gross negligence manslaughter in connection with her death.

An international arrest warrant has been issued for Dr Azeez, who is thought to have left the UK and returned to Pakistan.

The Crown Prosecution Service has also authorised a corporate manslaughter charge to be brought against Maidstone and Tunbridge Wells NHS Trust.

Click on the link to read more

http://www.express.co.uk/news/uk/571987/Two-doctors-manslaughter-woman-died-emergency-caesarean

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Frances Cappuccini died within hours of giving birth

Filed under: Hospital, NHS, NHS Blunders, , ,

How to save the NHS – by the people who work for it. By Homa Khaleeli, paramedic for the NHS

Paramedic: ‘Binge drinkers should get a bill of £60 to £80 when they are discharged from hospital’

I have been a paramedic for the NHS for 13 years. We are under a lot of pressure; an ambulance crew in my service is often sent out on 10-14 calls a day. Some calls can take an hour, to an hour and a half – and we work 12-hour shifts. The majority of the time we have to work overtime, anything from 20 minutes to several hours.

We rarely get breaks; you may try to snatch lunch, get a coffee and a rest in the 14 minutes between passing a patient on to the hospital and leaving. Some of my colleagues are on new rotas – working nights getting hardly any rest, and then being put on early shifts. In my opinion, two sets of people are being killed here – ambulance personnel, slowly and surely before we retire; and patients dying because we are on unnecessary call-outs when they need us. Paramedics and ambulance personnel are leaving their jobs in droves. Private ambulances are now attending emergency calls.

NHS 111 is partly to blame – especially the privately owned parts. All they care about is not being sued so they send ambulances out for everything. If someone has had a cough for three days, so has chest pains from that, they will call us out. Some even tell patients they might be having a heart attack! It’s disgusting.

Click on the link to read more

http://www.theguardian.com/society/2015/apr/20/how-to-save-nhs-election-labour-conservative-billions

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Homa Khaleeli, paramedic for the NHS

Filed under: A&E, Hospital, NHS, , , ,

NHS in war on staff drug use

DOZENS of stressed out NHS workers have been suspended, disciplined or sacked for alcohol and drugs abuse in Scotland.

Around 80 medical staff were temporarily banned from their duties because of substance abuse, with a further 54 facing additional disciplinary action. Up to 20 lost their jobs because of drink and drugs issues while some 50 were offered treatment to overcome their addiction. But it is thought the figures, obtained under Freedom of Information legislation and excluding Tayside and Grampian health boards, represent only the tip of the iceberg.

UK wide, around 100 cases involving substance abuse end up in front of the regulatory body, the General Medical Council (GMC), every year. A support organisation for dentists and doctors struggling with drugs and alcohol admitted it was a huge issue which was simply not being discussed.

Click on the link to read more

http://www.express.co.uk/news/uk/571443/NHS-war-staff-drug-use

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Filed under: GP's, Hospital, NHS, , , , ,

Doctor on call for major disasters needed in struggling A&E department

A DOCTOR on call for major disasters was sent to a crisis-hit hospital emergency department after severe bed shortages led to patients being treated in corridors.

The Worcestershire Royal Hospital’s A&E department was under so much pressure West Midlands Ambulance Service had to send in its medical incident officer to help beleaguered staff after months of problems. Unions said it was “totally unacceptable”, adding that its members were “furious”. The Worcestershire Acute Hospitals NHS Trust, which runs the hospital, apologised but said the circumstances were “less than ideal”. Pressure on beds had been “a constant issue” for more than a year. It simply could not discharge patients quickly enough, resulting in a backlog.

Click on the link to read more

http://www.express.co.uk/news/uk/571270/The-Worcestershire-Royal-Hospital-doctor-disasters-A-E

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A medical incident officer has to help beleaguered staff after months of problems

Filed under: A&E, Hospital, NHS, ,

Need your help. Has anyone lost parents to nursing home or hospital on LCP?

Has anyone lost parents to nursing home or hospital on LCP? please email joannaslater2@gmail.com in confidence Thank you

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Filed under: Care Homes, Elderly, Hospital, Uncategorized,

NHS stress: a third of GPs plan to retire in next five years

A third of GP’s in the UK plan to retire in the next five years because of high stress levels, unmanageable workloads and too little time with patients, in a move that would exacerbate the existing difficulty of getting an appointment.

A poll of 15,560 GPs by the British Medical Association (BMA) has found that 34% intend to stop working by 2020, with many others going part-time, moving abroad or even abandoning medicine altogether. The findings thrust the issue of GP numbers into the election spotlight as the BMA accused the political parties of making “absurd” promises to tackle what it called a “crisis” and of ignoring the reasons why NHS general practice is facing a worsening shortage of medics.

Dr Chaand Nagpaul, chair of the BMA’s GPs committee, said: “It is clear that incredible pressures on GP services are at the heart of this problem, with escalating demand having far outstripped capacity. “GPs are overworked and intensely frustrated that they do not have enough time to spend with their patients, especially the increasing numbers of older people with multiple and complex problems who need specialised care.”

Click on the link to read more

http://www.theguardian.com/society/2015/apr/15/nhs-stress-third-gps-plan-retire-five-years

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Filed under: GP's, Hospital, NHS, , , , ,

Our account of the appalling lack of duty of care and the terrible death of our mother on unauthorised LCP, who died on 14 June 2013. By sisters Rosalind Brewer and Marilyn Ealy

All your stories, Strength in Numbers. Please read this in-depth shocking account written to the hospital complaining of the course of events which led to Rosalind Brewer and Marilyn Ealy’s mother’s death.

Dear Sir/Madam

We’re writing to you to make a complaint about the lack of care, attention, compassion, and appalling communications received from the staff at Frimley Park Hospital to both our Mother and ourselves, and the circumstances that led to our Mother’s recent death.

Before our Mother Mrs Gerda Ealy (who was 88) was admitted into Frimley Park Hospital, and before the media announced the abuse of the Liverpool Care Pathway, we already feared the outcome of our Mother’s admission into hospital. We also expressed our concerns to the ambulance drivers and staff at A&E.

Our Mother was not terminally ill, but was elderly and as a result of this we feel it underlines the fact that she was targeted by putting her on LCP in order to hasten her death.

Please continue to read by clicking on the PDF below. It will surely shock you. The family want justice.

OUR ACCOUNT – COMPLAINT OF THE LACK OF CARE OF OUR MOTHER WITHOUT NAME

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Filed under: Elderly, Hospital, NHS Blunders, Uncategorized, , , ,

Midlands hospitals pay out £45 million in just 12 months for clinical negligence

CASH-strapped hospitals in the West Midlands spent £45 million in just one year on clinical negligence claims.

The Heart of England NHS Trust, which runs Heartlands, Good Hope and Solihull hospitals had the biggest bill in the region – £13.9 million for 2013-14. The Trust also paid more for lawyers than any other group in England – coughing up £1.5 million in legal fees. Payouts include patients of surgeon Ian Paterson, who carried unlicensed and unnecessary operations on hundreds of women at Solihull Hospital.

Click on link to read more, and the full list of total costs for the region:

http://www.birminghammail.co.uk/news/midlands-news/midlands-hospitals-pay-out-45-9032811?

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Filed under: Hospital, NHS, NHS Blunders, , ,

Coroner condemns hospital over death of newborn twin who died an hour after birth from brain damage after a doctor’s errors

Doctors at a scandal-hit hospital covered up a series of horrendous mistakes that led to the death of a twin baby boy, a coroner has ruled.

Thor Dalhaug died an hour after birth following a difficult delivery during which he suffered fatal brain damage due to a doctor’s errors, ruled Stuart Fisher, senior coroner for Central Lincolnshire. In a damning report, he said an unsupervised junior surgeon tried to deliver the baby using forceps in an ‘unorthodox and unacceptable’ way. The coroner also concluded that senior managers at Lincoln County Hospital had tried to remove the fact that forceps had been used from an account of the birth.

The report will come as a blow to the hospital, which has just been taken out of ‘special measures’. United Lincolnshire Hospitals NHS Trust was put on a turnaround regime almost two years ago because of concerns over high death rates.

Click on the link to read more

http://www.dailymail.co.uk/news/article-3035331/Coroner-condemns-Lincoln-County-Hospital-death-newborn-twin-died-hour-birth-brain-damage-doctor-s-errors.html

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Doctors at the Lincoln County Hospital covered up a series of horrendous mistakes that led to the death of a twin baby boy (pictured above with his mother Michelle), a coroner has ruled

Filed under: Hospital, NHS Blunders, , ,

Mother suing Watford General claiming medical negligence led to son, 10, heart attack and brain damage

A mother is suing Watford General Hospital claiming medical negligence led to her ten-year-old son suffering a heart attack and being left with severe brain damage.

Elijah Aldea, now aged 11, remains in a quadriplegic state after he was without a heartbeat for 45 minutes at Watford General following the cardiac arrest in April last year. Elijah, a former pupil of Sacred Heart Catholic Primary School, was born with a cleft lip and palate and two holes in his heart and had been a long-standing patient at Great Ormond Street Hospital (GOSH) in London. Days before his heart attack he had an operation at GOSH. Follow up tests showed he was anaemic and he was admitted to Watford General. Mum Gabrielle Ali, 30, thought he would just be given iron tablets, but under the instruction of GOSH, doctors decided Elijah needed a blood transfusion and to be given anti-clotting drug heparin.

Gabrielle, a biochemist employed by the NHS trust in charge of Watford General for eight years, begged doctors not to give the heparin after she had talked to Elijah’s registrar of five years, but eventually agreed when staff at Great Ormond Street threatened to report her for child neglect.  She said she even considered sneaking her son out of the hospital, but there was no way of getting past the nurses’ station unseen. As the drug was administered, Elijah’s heart stopped. Gabrielle said: “I know my son, these doctors didn’t.

Click on the link to read more

http://www.watfordobserver.co.uk/news/12881267.Mother_suing_Watford_General_claiming_medical_negligence_led_to_son__10__heart_attack_and_brain_damage/

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Gabrielle Ali and son Elijah Aldea about two years ago.

 

 

Filed under: Hospital, NHS, NHS Blunders, ,

Hospital in Ashya King case reveals ‘outpouring of hatred’ directed at staff

Would you take your very ill child out of hospital against the doctor’s advice?

Please fill in our one question survey by clicking on the link

https://www.surveymonkey.com/r/Ashya

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Medics tell BBC documentary of overwhelming volume of vitriolic messages received – and defend their approach to the five-year-old’s treatment

Staff at the hospital where five-year-old Ashya King was treated for brain cancer before he was taken abroad by his parents have spoken about the “outpouring of hatred” they received – but said they would act in the same way if the situation arose again. Medical staff at Southampton general hospital told a BBC documentary how the torrent of abuse effectively shut down the hospital’s switchboard after it “became a story of a hospital [that] was chasing down a family”. One doctor said he received hate mail from someone telling him they wished his own children would get cancer and die.

The hospital came under the glare of the world’s media last August after Ashya’s parents took him abroad for treatment, against the advice of the NHS specialists who had been caring for him in Southampton.

Click on the link to read more

http://www.theguardian.com/uk-news/2015/apr/10/hospital-in-ashya-king-case-reveals-outpouring-of-hatred-directed-at-staff

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Ashya – The Untold Story will be broadcast on BBC1 at 7.30pm on Friday 10 April

Filed under: Cancer, Hospital, NHS, Self Help, Uncategorized, , ,

NHS crisis: Bosses under fire after nurse paid £2,200 to cover ONE shift

AN NHS trust has been blasted for wasting public money after it emerged that it paid a temporary nurse £2,200 to cover ONE shift.

The shocking figure, which works out at a whopping £183.33-an-hour, was handed to the nurse by the Shrewsbury and Telford Hospital NHS Trust for just one 12-hour shift. Incredibly, the unbelievable sum, which was revealed following a Freedom of Information Act request, is more than DOUBLE the rate of a neurologist. It also emerged there were 47 agency nurses working at the Shropshire trust in December last year. The trust, which runs the Royal Shrewsbury Hospital and the Princess Royal Hospital in Telford, Shropshire, has now been criticised for its spending.

Click on the link to read more

http://www.express.co.uk/news/uk/569228/NHS-under-fire-nurse-paid-2-200-for-one-shift-cover

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One nurse (not pictured) was paid £2,200 for one 12-hour shift

Filed under: Hospital, NHS, , ,

Policy guide: Where the parties stand – Health and Care

This is a guide to political parties’ positions on key issues and will be updated as each manifesto is launched.

This issue includes NHS funding, GP access and social care, particularly of older people.

Click on the link to read

http://www.bbc.co.uk/news/election/2015/manifesto-guide#tab=issue!issue=health!party=!nation=uk

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Filed under: Elderly, GP's, Hospital, NHS, Uncategorized, , ,

Senior doctors assess government’s record on NHS – letter in full

More than 100 senior professionals write in a personal capacity outlining their view of how the NHS in England has fared under the coalition

After five years of a government which pledged to protect the NHS, this election campaign makes it timely to assess its stewardship, since 2010, of England’s most precious institution. Our verdict, as doctors working in and for the NHS, is that history will judge that this administration’s record is characterised by broken promises, reductions in necessary funding, and destructive legislation, which leaves health services weaker, more fragmented, and less able to perform their vital role than at any time in the NHS’s history.

In short, the coalition has failed to keep its NHS  pledges.

Click on the link to read in full and the doctors who have put their name to the letter.

http://www.theguardian.com/society/2015/apr/07/senior-doctors-assess-governments-record-on-nhs-letter-in-full

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Pledge to protect the NHS … a Conservative party election poster from 2010

Filed under: GP's, Hospital, NHS, , , , , , ,

Survival guide all NHS patients must read: A leading doctor’s insider tips on getting the treatment you need – By Dr Phil Hammond For The Daily Mail

When I first walked on to an NHS ward, in 1984, patients were often discouraged from taking an active part in their own care. Some weren’t even told if they had a serious diagnosis, such as cancer or dementia. We assumed that you weren’t able to contribute, didn’t want to know, or that telling you might make you more anxious and unable to cope. And doctors didn’t waste emotion or energy on those difficult conversations about death and disability. But not knowing your diagnosis meant you couldn’t possibly participate in crucial decisions about your care, involve your loved ones or plan properly for the future. So patients had to fend for themselves.

Thankfully, times have changed. Evidence now suggests that the more involved you are – and are allowed to be – as a patient, the more likely you are to get the right care for you. Humans often take the path of least resistance and, when you’re ill, it’s usually easiest to lie back and let the professionals get on with it. But if you have a long-term illness, there comes a time when you need to get more involved and speak up, so your care can be built around your needs and priorities.

Click on the link to read more

http://www.dailymail.co.uk/health/article-3027921/Survival-guide-NHS-patients-read-leading-doctor-s-insider-tips-getting-treatment-need.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490

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Carrying a printed copy of your medical records with all the key information can make a huge difference

Filed under: GP's, Hospital, NHS, , , , ,

Proton beam centres to be opened

The UK is to get its first three proton beam therapy centres in what is being hailed as a cancer treatment milestone.

Cardiff-based Proton Partners International Ltd is to open the treatment centres in Cardiff, London and Northumberland by 2017 and the first – Cardiff – will be operational next year. The announcement comes not long after the parents of brain cancer survivor Ashya King told how the five year old made a ”miracle” recovery after receiving proton beam therapy which was initially not available to him on the NHS.

Brett and Naghmeh King sparked an international manhunt after taking their son out of hospital in Southampton without doctors’ consent. The Proton Therapy Centre (PTC) in Prague, where Ashya received the treatment last year, said it was ”thrilled” to hear news that a recent scan showed no sign of a tumour. The new UK centres will be available for NHS patients from England, Scotland and Wales, medically-insured private patients and self-paying patients.

Please click on the link to read more

http://www.dailymail.co.uk/wires/pa/article-3025350/Proton-beam-centres-opened.html

Ashya King treatment

The case of Ashya King made headlines

 

Filed under: Cancer, Hospital, NHS, , ,

Five prescriptions to transform the NHS

The future of the NHS remains a key issue in the run-up to the general election.

As part of its Healthy Visions series, Radio 4 invited five leading practitioners and thinkers to share their prescriptions for the future of healthcare. How does our approach need to change, if the National Health Service is to cope with future demand?

Click on the link to read more

http://www.bbc.co.uk/news/health-32072847

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Filed under: Hospital, NHS, Uncategorized

Photographer wins £2.4m damages payout from the NHS after hospital negligence wrecked her career and left her incontinent and ruined her sex life

A mother-of-three whose sex life was ruined after a negligent delay in spinal surgery has won £2.4million in damages from the NHS.

Heather Tait was in tears yesterday when the award was announced at London’s High Court. The 34-year-old photographer had told an earlier hearing in Birmingham that her ‘passionate’ sex life with her husband Russel had been ruined by the complications she continues to suffer from. Judge Martin McKenna, who made the award, said Mrs Tait had told doctors that she ‘now feels that to a degree there is no point in having intercourse’. She also felt her closeness with her husband had been ‘jeopardised’ by her lack of enjoyment in sex.

Judge Martin McKenna, who made the award, said Mrs Tait had told doctors that she ‘now feels that to a degree there is no point in having intercourse’. She also felt her closeness with her husband had been ‘jeopardised’ by her lack of enjoyment in sex.

Click on link to read more

http://www.dailymail.co.uk/health/article-3019805/Mother-three-wins-2-4m-damages-payout-NHS-hospital-negligence-wrecked-career-left-incontinent.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490

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Heather Tait (left) was suffering from acute back pain when medics sent her home without carrying out an MRI scan

 

Filed under: Hospital, NHS, NHS Blunders, , , ,

Why are some doctors STILL so rude to patients’ loved ones? After two very different encounters at the same hospital, this lament that’ll strike a chord with many

  • Sarah Foot says a consultant talked down at her and her sick husband
  • Her ‘hostile body language’ was ‘telling me to shut up and know my place’
  • Says that like all relatives, what she needed was kindness and support

Here’s the scene: My husband Tony is desperately ill and I’m sitting by his hospital bed. He’s been sick for weeks and at one stage I was told he was expected to die. He’s now out of a coma and no longer, thank God, one of the ten sickest people in the vast teaching hospital. But still no one knows what’s wrong with him. He’s been moved from the intensive care unit into a small room when suddenly a consultant descends.

She crashes through the door, followed by half a dozen of her juniors, who crowd round the bed and wait for her to speak. No one’s in any doubt who’s in charge. She talks not at us, but down to us, like some reincarnation of the monstrous Sir Lancelot Spratt (played by James Robertson Justice) from the Doctor In The House films. Except this isn’t funny. Tony has been in hospital for more than a month, but how or why he got ill so suddenly no one really knows.

Click on the link to read more

http://www.dailymail.co.uk/health/article-3018726/Why-doctors-rude-patients-loved-ones-two-different-encounters-hospital-lament-ll-strike-chord-many.html?ITO=1490&ns_mchannel=rss&ns_campaign=1490

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Filed under: Hospital, Uncategorized, , , ,

Woman loses leg after NHS staff accidentally inject it with disinfectant – By Ollie McAteer for Metro.co.uk

The woman, who has only been named as Gina, was mentioned in a report by MPs into the work of the Parliamentary and Health Service Ombudsman.

Gina lost her leg through a catastrophic error at Doncaster Royal Infrimary in 2013. Hospital bosses said that the shocking incident is now being used as an example of good practice to show how lessons had been learned. Her case has been used by Doncaster and Bassetlaw Hospitals NHS Foundation Trust as part of a YouTube clip called ‘The Human Factor: Learning from Gina’s Story’ which has been shown to NHS staff and organisations to show how lessons can be learned from local investigations.

Sewa Singh, Medical Director at Doncaster and Bassetlaw Hospitals, said: ‘We are pleased that the enquiry recognised that Gina’s story is an example of good practice for the NHS. ‘Patient safety is at the forefront of everything we do at DBH and if there are any mistakes we make sure that we carry out a thorough investigation, share the findings with patients and their families and ensure Trust wide learning. ‘We worked closely with Gina and her husband to make an educational video called Gina’s Story that drives home the importance of patient safety and our safety culture and we can’t thank them enough for helping us with this.

‘The inspiring educational video was shared widely both within the organisation, and to other hospitals as we wanted to ensure that no-one else goes through the same experience.’ Please watch this tragic video where one moment loss of concentration cost Gina the loss of her leg.

The Department of Health believes that more than 12,000 hospital deaths could be avoided every year.

More than 10,000 serious incident are reported to NHS England each year.

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Filed under: Hospital, NHS, NHS Blunders, , , ,

Dementia patients stay in hospital ‘because of home help care shortage’

Patients with dementia are being condemned to needlessly long stays in hospital because of a shortage of care to help them at home, a charity has warned.

New research shows that in the last financial year, people with the condition spent more than 3 million days in hospital – with average stay in some hospitals three times as long as in others. The Alzheimer’s Society said dementia sufferers were being forced to endure long stays in frightening and unfamiliar hospital surroundings, for want of support at home.

Official data shows that the NHS spent nearly £900m on the care of dementia patients who spent 3.42 million days in hospital during 2013/14. If the hospitals with the slowest discharge rates matched the national average, the health service would have saved £70 million – equal to the total amount spent on dementia research each year – the charity said. The figures show that while some hospitals had an average stay of six days for a patient with the condition, in others, the typical stay was more than three weeks.

Click on the link to read more

http://www.telegraph.co.uk/news/health/elder/11502563/Dementia-patients-stay-in-hospital-because-of-home-help-care-shortage.html

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Filed under: Dementia, Elderly, Hospital, NHS, , , ,

Meningitis B vaccine deal agreed – Jeremy Hunt

All UK babies will soon have access to a vaccine against meningitis B, after a deal with drug manufacturers, Health Secretary Jeremy Hunt has announced.

The agreement with GlaxoSmithKline will mean the vaccine can be introduced on the NHS “this year”, Mr Hunt said. Government advisers said in 2014 that every child over two months old should be given the vaccine, but negotiations over costs have delayed this process. Mr Hunt said it was important to get value for money. Campaigners had warned the delays put children’s lives at risk.

The drug will now be added to the national childhood immunisation scheme, meaning babies will receive the first vaccine at two months old, followed by two further doses. Scotland’s health secretary, Shona Robison, said the vaccine would be provided to all infants in Scotland “as quickly as possible” following the deal – which was also made on behalf of the devolved government.

Click on the link to read and watch the video’s

http://www.bbc.co.uk/news/health-32101921

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Filed under: Hospital, NHS, Uncategorized, , ,

Could the statutory duty of candour backfire? By Will Powell

I was very interested to read an article recently published by the British Medical Association [“BMA”] with the heading: “Statutory duty of candour could backfire”.  It never ceases to amaze me that any individual doctor let alone an organisation associated with the medical profession could claim publicly that being open and honest about medical mistakes could in any way be detrimental to patient safety. This is the very culture, in my view, that made the need for the introduction of a ‘legal’ duty of candour absolutely necessary – honesty should be the foundation for all doctor patient relationships!

Although rarely accepted and denied by the government the absence of a duty of candour was first exposed in the High Court in Cardiff in 1996. It was highlighted by the case of our son Robbie Powell who died in April 1990. Doctors responsible for Robbie’s death had been untruthful about the circumstances of Robbie’s negligent death, falsified the child’s medical records and post death caused psychological damage to my wife and me by exacerbating our grief as a consequence of their dishonesty. The UK Courts ruled that because doctors had no post death ‘legal’ duty to be honest to parents, in such circumstances, the case was struck-out.

Click on the link to read more

http://www.mistreatment.com/news/article/could-the-statutory-duty-of-candour-backfire-269/#.VRZt2fmsXuK

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Will Powell

Filed under: GP's, Hospital, NHS, Uncategorized, , , ,

NHS ombudsman accused of being ‘defensive’ by MPs

The NHS ombudsman has been “defensive” and caused “pain” by its reluctance to admit mistakes when investigating patients’ complaints, a report by the Public Administration Select Committee (PASC) has found.

The report adds that “serious questions” have been raised about the Parliamentary and Health Service Ombudsman (PHSO) which has caused “considerable anguish” when it has failed to uncover the truth, it said. MPs now want a new independent body to investigate clinical failures before they reach the ombudsman to “transform the safety culture of the NHS”. Current systems are “complicated, take far too long and are preoccupied with blame or avoiding financial liability”, the committee warned.

Some of the PHSO’s shortcomings are systemic and can only be addressed through legislation, which is needed early in the next Parliament. Our proposals for a new investigatory body will help transform the safety culture of the NHS and help to raise standards right across the NHS.

– BERNARD JENKIN, CHAIRMAN OF THE PASC

The PASC said patients and NHS staff deserved to have clinical incidents “investigated immediately” at a local level to establish facts and evidence, “without the need to find blame, and regardless of whether a complaint has been raised”. There also needs to be a “clear, effective central system” for disseminating lessons learned from local incidents across the national NHS, it added. A spokeswoman for the PHSO said: “We will carefully study this report which raises important issues about the investigation of clinical incidents for the health system, as well as about our service.”

Click on the link to read the report here… Investigating clinical incidents in the NHS

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ITV News

Filed under: Hospital, NHS, NHS Blunders, , , ,

BREAKING NEWS: East Sussex Healthcare NHS Trust is branded ‘inadequate’ by CQC inspectors in report

A report published today (Friday, March 27) by the Care Quality Commission (CQC) said the hospital’s maternity, surgery and outpatients services were ‘inadequate’.

Inspectors made an unannounced inspection of the hospital on The Ridge, together with its sister site, Eastbourne DGH, yesterday (Thursday) and on Wednesday.  The health watchdog branded East Sussex Healthcare NHS Trust, which runs both hospitals, as ‘inadequate’. An inspection took place in September last year before the CQC returned this week to assess the progress the trust had made addressing concerns raised. The CQC said in most cases, a rating of ‘inadequate’ would lead to the Chief Inspector of Hospitals recommending that the trust be put in special measures.

 

Click on the link to read more

http://www.sussexexpress.co.uk/news/county-news/breaking-news-east-sussex-healthcare-nhs-trust-is-branded-inadequate-by-cqc-inspectors-in-report-1-6658553

Eastbourne Hastings Bexhill Rye Battle Herald Observer

Filed under: Hospital, NHS, ,

My name is Bernard Benton and I need the right to live, I need treatment

Toni Curry is fighting for the right for her father to live.

I have had to ask my poor dad the hardest question in my entire life today , and that was whether or not he chooses to be treated or allowed to die naturally without any treatment at all, in preperation for judgement day tomorrow at the surgery, so that I can fully express his current wishes as a consequence of Billingham district nursing team and Stockton PCT wanting a clear cut beurogratic case.

My dad is called bernard benton and he is bed bound with multiple co morbidities. He is 87 yrs old and is cared for at home by myself Toni Curry his daughter.

Due to dads illnesses the gp back in January 2015 thought it would be of no benefit to dad to send him back into hospital for treatment. I reserved the right to disagree at any point as it all depended on dads views at the end of the day. The division would have to lie with him to refuse any treatment. As with all elderly people when suffering an infection, they then can become confused and disorientated with fluctuating capacity. This is no different for my father.

Please click on the link below to read the rest of my fathers story

My dad is called bernard benton and he is bed bound with multiple co morbidities

 

This was my dads reply , and I fully support him on this.

Love and respect you dad xxxxxxxxxxx

Filed under: Elderly, Hospital, NHS, Uncategorized, , ,

NHS England’s condition ‘deteriorating’ – The King’s Fund

Services in the NHS in England are deteriorating in a way not seen since the early 1990s, according to the health think-tank, The King’s Fund.

In the second part of its pre-election review of the NHS this Parliament, The King’s Fund says that waiting times for A&E, cancer care and routine operations have all begun to get worse.

Dominic Hughes reports.

Please click on the link to see the video from the BBC

http://www.bbc.co.uk/news/health-32062992

Please click on the link to read the report  The NHS under the coalition government nhs performance Kings Fund-Mar15

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Filed under: Hospital, NHS, ,

I loved being a midwife but bullying, stress and fear made me resign

Please read this very moving account from a midwife who has now resigned, Joanna

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I am tired of the paperwork, the audits, the inspections and the nights on the sofa sobbing after another dreadful shift

I am a midwife with eight years experience and I love my job. I practise in a large, bustling unit where the sounds of the doorbell, fridge alarms, emergency bells and birthing women create a glorious symphony. Eight years on I still get a frisson of excitement when I go on shift and see a full board and a busy delivery ward. But I practise in a unit where women’s needs and autonomy are quashed under reams of risk assessments, individual needs forms, care plans, catheter forms, cannula forms, ankle measurements and tick boxes on what leaflet was given to each woman and when. I work in an environment where my dedicated, courageous colleagues who want the best birth for every woman they care for now work from a place of fear – and that is a great tragedy. I am supposed to be the guardian of normal birth.

Click on the link to read more

http://www.theguardian.com/healthcare-network/views-from-the-nhs-frontline/2015/mar/23/i-loved-being-a-midwife-but-bullying-stress-and-fear-made-me-resign?CMP

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Filed under: Hospital, NHS, Uncategorized, ,

Thousands die of thirst and poor care in NHS

Up to 40,000 patients die annually because hospital staff fail to diagnose a treatable kidney problem, a figure that dwarfs the death toll from superbugs like MRSA

At least 1,000 hospital patients are dying needlessly each month from dehydration and poor care by doctors and nurses, according to an NHS study. The deaths from acute kidney injury could be prevented by simple steps such as nurses ensuring patients have enough to drink and doctors reviewing their medication, the researchers say. Between 15,000 and 40,000 patients die annually because hospital staff fail to diagnose the treatable kidney problem, a figure that dwarfs the death toll from superbugs like MRSA.

The report comes less than a year after the NHS watchdog NICE was forced to issue guidelines on giving patients water after it found that 42,000 deaths a year could be avoided if staff ensured the sick were hydrated.

Click on the link to read more

http://www.telegraph.co.uk/news/health/news/10778537/Thousands-die-of-thirst-and-poor-care-in-NHS.html

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Filed under: Hospital, NHS, , , , , ,

NHS: Britain’s top doctor says hospitals ”bursting at seams” and slams Government’s ”sticking plaster solutions”

Patients’ lives are at risk because the Government has failed to find any “real solutions” to the NHS crisis, Britain’s top doctor warns today.

Dr Mark Porter, chair of the the British Medical Association, which represents more than 150,000 doctors, blames the Tory-led coalition for the growing chaos in the health service as hospitals are “bursting at the seams” after A&E units across the country suffered “one of the worst winters on record”. In a major blow for the Government, Dr Porter, one of the most powerful people in the health service, will today go on the attack over new BMA research which exposes the scale of the NHS crisis for the first time.  And he slammed both prime minister David Cameron and Health Secretary Jeremy Hunt for their “series of headline grabbing initiatives and sticking plaster policies to bail out accident and emergency departments”. He accused the Government of failing to develop “a long-term, sustainable solution”.

Please click on the link to read and watch the video’s

http://www.mirror.co.uk/news/uk-news/nhs-britains-top-doctor-says-5394984

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Attack: Dr Porter slammed A&E crisis

Filed under: Hospital, NHS, Whistleblowing, , ,

Mum slams NHS for ‘shocking failures’ over death of meningitis baby Leo Radcliffe

How many more will suffer before their life has already started, Joanna

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A mother has slammed the NHS for ‘shocking failures’ over the death of her baby, including an NHS Direct call-handler who classed the emergency as non-urgent because the desperate parent failed to use the word ‘severe’.

Katie Corry, 22, held up her feverish baby Leo to the phone so the call handler could hear his ‘rapid’ breathing. An inquest heard the call was classified as non-urgent because Katie had not used the word ‘severe’ which would have prompted a speedier response in accordance with the script of questions and potential answers the call handler was using at the time.

Click on the link to read more

http://www.manchestereveningnews.co.uk/news/greater-manchester-news/leo-radcliffe-meningitis-mum-nhs-8910030

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Baby Leo Radcliffe

Filed under: Hospital, NHS, NHS Blunders, , ,

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