Displaying items by tag: NHS

In a letter to Boris Johnson, cabinet ministers and the NHS England chief executive, the NHS Providers group says demands on staff are rising. Many chief executives are saying that the overall level of pressure they are now experiencing is different in shape, but similar in scale to what they saw in January when the NHS was under the greatest pressure in a generation. The letter calls on the Government to make ‘the right decisions’ as it finalises NHS funding for the second half of the financial year. Hospital pressures include going ‘full speed’ to address the backlog of mental health and community care services, and record demands for urgent and emergency care. There are growing hospital admissions for Covid, along with more than a million cases of long Covid and people suffering poor mental health. Hospitals are currently running enhanced infection control measures, leading to ‘significant loss of capacity’, with staff self-isolating or suffering stress and mental health issues.

Health workers protested in July against a 1% pay rise which the Government insisted was all it could afford. 1% was rejected by unions representing the 1.2m NHS English personnel. Conservative MPs are worried that it made the government look ungrateful for frontline workers’ herculean efforts during the pandemic. Opinion polls suggested the public agreed, and health leaders warned that it would only increase the NHS’s debilitating problems in recruiting and retaining staff. The prime minister has now offered 3%. But unions called the offer an insult and are prepared to force an increase. The British Medical Association, the Royal College of Nursing, GMB and Unite are seriously considering taking action (work to rule or strike) by medics, including nurses and junior doctors, and are canvassing their members’ views on the offer.

Dr Dermot Kearney, who is a highly skilled doctor and former president of the Catholic Medical Association, has been blocked from providing an abortion reversal treatment while an investigation takes place. Dr Kearney provided emergency abortion rescue service to women who later regretted taking the first of two abortion pills (Mifepristone) and wanted to try to save their babies. He prescribed the natural hormone progesterone which inhibits Mifepristone effects. Abortion reversal is about 68% successful if treatment starts within 72 hours. The Christian Legal Centre is supporting Dr Kearney. He is still practising in his NHS hospital but not offering the abortion reversal service. There will be a final disciplinary hearing at which all options will be open about his continuing to practise and his future. He offered the service because the Catholic Medical Association was getting many queries from women, asking for help.

An open letter from ‘Don’t Screen Us Out’ has been sent to Arlene Foster, Edwin Poots, and other leading politicians. It was written on behalf of people with Down’s syndrome and their families, who are asking for their parties to support a bill which has been introduced to the NI Assembly. The bill seeks to amend the current abortion regulations, to no longer allow unborn babies with a ‘serious foetal impairment’ to be aborted to term. This bill would not amend the law in cases of ‘fatal foetal abnormality’. Currently NI abortion is legal up to birth if the foetus has Down’s syndrome, cleft palate, cleft lip, or club foot. This new bill proposes that non-fatal disabilities should not be grounds for abortion, and the current law is discriminatory against those with such disabilities. 90% of babies diagnosed with Down’s syndrome are aborted.

Lancashire NHS Trust is extending trials of an algorithm that creates music playlists to reduce suffering. They are offering it to staff who worked in critical care during Covid to ease anxiety and stress. It will also be offered to recovering critical care patients and outpatients with chronic pain, hoping to reduce opiate prescriptions. The technology is a musical ‘drip’, playing songs to patients and monitoring their heart rates as they listen. A 90-year-old might be prescribed big band music, while a 50-year old gets Paul McCartney. An algorithm allows the software, linked to a streaming service like Spotify, to change forthcoming tracks if the prescription doesn’t appear to be working. Its artificial intelligence assesses the tempo, timbre, key, time signatures, the amount of syncopation and the lowest notes. All these factors affect the heart rate and blood pressure response to the music. A trial of Alzheimer’s patients showed promising results.

Scientists are concerned that vaccines may be less effective against the Indian variant, which could become dominant in the UK by June. The double mutation Covid-19 variant is thought to be behind a sudden surge in cases in India which has overwhelmed hospitals. A total of 182 cases have been detected in the UK, 162 in the five weeks up to 16 April, forcing Boris Johnson to postpone his trip to India and the government to add India to its travel ‘red list’. Viruses regularly mutate but most are insignificant, however, some mutations can make the virus more infectious, deadly or resistant to vaccines. The Indian virus may be one of those - especially because two mutations have come together to help infect cells and evade the immune system.

Around 6,000 mothers will receive support for mental health problems through 26 new dedicated hubs being set up across the country to bring together maternity services, reproductive health, and psychological therapy under one roof. They will receive care and treatment for a wide range of mental health issues, from post-traumatic stress disorder to a severe fear of childbirth. An NHS executive said, ‘Pregnancy and the birth of a new child are special times, but if things go wrong it can have a huge impact on women, their partners, and other children. NHS staff have dealt with over 393,000 patients requiring treatment for Covid-19 while keeping mental health services running. I am delighted that we are now expanding help for new, expectant and bereaved mums despite the continuing pandemic.’

The NHS said anyone who currently qualifies for their Covid-19 jab (aged over 50 or in at-risk categories) should book their first dose of Covid-19 jabs before 29th March when slots are set to dry up. Officials expect a slowdown in vaccine supplies in April and medics will be focusing on providing second doses. Ministers say the plan to offer a first dose to all adults by July is on track. However NHS England said no first appointments should be booked next month for people under the age of 50 unless they fall into a higher priority group (those who are clinically vulnerable). The reduction in the UK's Covid vaccine supply is partly due to delays in deliveries from India of five million Oxford-AstraZeneca doses. Indian foreign ministry sources said they have placed a temporary hold on all exports of vaccines amid a rising number of domestic cases.

The Covid surge hit key NHS services including cancer and routine surgery. Less than half the expected number of operations or scans were done, pushing the waiting list to a record high of 4.6 million. More than 300,000 of those have been waiting more than a year for treatment, compared to 1,600 before the pandemic began. Surgeons described a dire situation which would take a long time to turn around. One surgeon said, ‘Behind today's statistics are people waiting in limbo. Many will be in considerable pain; others will have restricted mobility and be at risk of isolation and loneliness. Dealing with this daunting backlog will take time, and sustained investment in the NHS.’ The true picture could be much worse with nearly 6 million fewer referrals made by GPs for routine treatments, including knee operations and hip replacements creating an additional hidden backlog.

Work-induced stress is a significant problem in the health service. Health and social care have some of the highest rates of self-reported illness due to stress, anxiety and depression. 1/3rd of ill health in the NHS is stress-related. Two of the many over-stretched UK hospitals are Guy’s and St Thomas’s, caring for hundreds of coronavirus patients, while rolling out the vaccination programme to thousands and continuing to run vital services in the hospitals and the community. Staff are re-deployed to other areas of work, to keep patients safe and support colleagues in the areas under greatest pressure. Everyone is working tirelessly - battling fear, anxiety, flashbacks and exhaustion to tackle this pandemic. A senior nurse on the intensive care unit said nothing could have prepared him and his colleagues for what they are facing. ‘You've been sent to a Covid-19 unit, then suddenly, you're on the front line. It’s just like shell shock. It hits you all of a sudden.’