STRENGTH IN NUMBERS

Strength in Numbers dedicated to my late mother Kay

Nurses claim NICE diabetes guidance will put patients at risk By Jo Stephenson for Nursing Times

Nurses claim new official guidance on drug treatments for type 2 diabetes has set the field “back 20 years” and could put patients at risk.

The guidance on the pharmacological management of blood glucose in adults with type 2 diabetes is due to be published by the National Institute for Health and Care Excellence later this year. But it has been criticised for actively recommending a limited range of treatments that may not be the best options for some patients. The draft guideline  http://www.nice.org.uk/guidance/indevelopment/gid-cgwave0612  has been consulted on twice but some nurses, charities and drugs companies have expressed concern.

“The 2009 version was very much about individualising care and making the patient the centre of the consultation,” said Debbie Hicks, co-chair of Training Research and Education for Nurses in Diabetes. “It incorporated all the classes of drugs… and felt like NICE was giving us the ability to choose what was best for the individual. But the new draft took away all of that.”

One issue, highlighted by Diabetes UK, is that some recently approved drugs are only mentioned in passing, such as sodium-glucose co-transporter-2 (SGLT-2) inhibitors, which the charity says now risk being overlooked.

Click on the link below to read more

Nurses claim NICE diabetes guidance will put patients at risk

1310099_Diabates

 

Filed under: 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

images

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, , , ,

NHS patient safety fears as health watchdog scraps staffing guidelines

Nice says it has stopped devising ratios of nurses to patients, recommended in report into Mid Staffs scandal, with NHS England taking over the work

The NHS has been accused of backtracking on improvements to patient safety brought in after the Mid Staffordshire hospital scandal in an effort to tackle its escalating financial problems. The National Institute of Health and Clinical Excellence (Nice) watchdog has unexpectedly scrapped work to set out how many nurses are needed in different parts of hospitals to ensure safe patient care. The move drew sharp criticism from nurses’ leaders, patient safety campaigners and Sir Robert Francis, the QC whose official report into Mid Staffs recommended Nice draw up guidelines on NHS-wide safe staffing levels, because understaffing had contributed significantly to the scandal.

Nice – which is an independent body – said it had stopped devising a raft of patient to staff ratios intended to help guarantee patient safety in A&E units and mental health settings at the request of NHS England, which will now take over the work. However the fear is that NHS England will either introduce lower standards – in terms of the number of nurses required – that are cheaper for hospitals to meet, or that the guidelines on the safe number of nurses will be abandoned altogether.

Click on the link to read more

http://www.theguardian.com/society/2015/jun/04/nhs-patient-safety-fears-nice-scrap-staffing-level-guidelines-mid-staffs-scandal

e54e2bac-5c0e-4791-8d24-15e6653015de-1020x612

Sir Robert Francis QC, whose report into the Mid Staffs scandal recommended staffing guidelines, has criticised the scrapping of the work. Photograph: Martin Godwin/Martin Godwin

Filed under: NHS, , ,

NICE outlines draft guidance for safe nurse staffing in A&E – Press Release

The National Institute for Health and Care Excellence has issued a draft guideline to advise NHS A&E departments on how to ensure there are safe levels of nursing staff.

The number of people attending A&E departments has increased steadily since 2002/03². The guidance will help hospitals to plan safe staffing for nursing and best meet demand for their A&E services.

Click on the link to read

https://www.nice.org.uk/news/press-and-media/nice-outlines-draft-guidance-for-safe-nurse-staffing-in-a-e

nice_2014_10_24_12_40_10

 

Filed under: Uncategorized, , ,

Safe nurse staffing levels could cost £414m, says NICE

Ensuring safe nursing staff levels on adult hospital wards will cost the NHS up to £414m, according to an official estimate by the National Institute for Health and Care Excellence. But some leading nurses say the true cost will be at least double that.
The impact assessment estimated the cost of implementing the NICE staffing guidance for adult acute wards, which was published earlier this month, could be anything from £0 to £414m.
The guidance said less than two registered nurses on a ward at any time was a patient safety “red flag” that required action, and acknowledged a ratio of more than eight patients to one registered nurse could increase the risk of a red flag occurring.
Last week NICE followed up the guidance by publishing a separate analysis on its predicted financial impact. NICE said a realistic mid-point when it came to the cost would be around £207m – a 5% increase on current planned staffing levels.
However, it said the extra costs of safe staffing were likely to be offset by savings from fewer pressure ulcers and healthcare-acquired infections, shorter stays in hospital due to more effective care and reduced risk of being sued because of poor care.

Click on the link to read more from Nursing Times.Net
Safe nurse staffing levels could cost

Click on the link to read the full five-page NICE resource impact commentary
http://www.nice.org.uk/Guidance/SG1

1285910_nurse_clinic_hospital_clinic_bed

Filed under: Uncategorized, , ,

Blog views to date

  • 92,118 hits

Enter your email address to subscribe to The Last Six Months and receive notifications of new posts by email.

Join 1,399 other followers

Helpful Pages, Templates etc

Recent Posts

Pages