Displaying items by tag: hospitals

The Government is expanding its ‘Advice and Guidance’ scheme to help GPs provide quicker, community-based care and reduce hospital waiting lists. With £80 million in new funding, the goal is to assist two million patients, avoiding unnecessary referrals and offering more convenient treatment for conditions like menopause symptoms, ear infections, and irritable bowel syndrome. The scheme enables GPs to consult directly with hospital specialists before formally referring patients, allowing many to be treated locally. Health minister Karin Smyth says the initiative is part of 'rewiring the NHS’, reducing strain on hospital services while saving patients time. GP surgeries can also claim fees for each use of the system. While the scheme has been welcomed as a step in the right direction, health charities stress the importance of clear communication and patient choice. Medical groups say this must be paired with greater investment and long-term reform to truly safeguard the future of family doctor services.

A panel of fourteen neonatal experts has questioned the convictions of Lucy Letby, claiming they did not find murders in their medical examination of evidence. Letby, a former neonatal nurse, was convicted in 2023 of murdering seven babies and attempting to murder seven others at the Countess of Chester Hospital. Her legal team continues to challenge the verdicts, with her case now under review by the Criminal Cases Review Commission (CCRC). At a press conference, retired medic Dr Shoo Lee argued that medical failings, not murder, were responsible for the babies' deaths. He cited poor hospital procedures, staff shortages, and delays in care as contributing factors. His evidence was previously rejected in Letby’s failed appeals. The CCRC is now assessing her case, though it does not determine guilt or innocence. Meanwhile, Letby is serving fifteen whole life orders in prison, with previous appeals unanimously dismissed by judges.

Several NHS trusts in England have declared critical incidents amid a significant rise in flu cases. Hospitals are facing 'exceptionally high' demand, particularly in emergency departments, driven by a surge in respiratory illnesses. NHS data shows that the number of patients hospitalised with flu in England has quadrupled over the past month, exacerbated by cold weather. The Royal Liverpool University Hospital, the largest in Merseyside and Cheshire, stated that while it has a comprehensive plan to address the challenges, some patients will experience delays as priority is given to the most critical cases. It is working with partner organisations to discharge medically fit patients promptly to free up space. Non-emergency patients are being urged to use alternative services like GPs, pharmacies, walk-in centres, or the NHS 111 helpline.

A recent ransomware attack by the Russian cybercriminal group Qilin has significantly impacted pathology services at several major London hospitals. The attack disrupted NHS services, leading to the cancellation or redirection of procedures and operations. Ciaran Martin, former chief executive of the National Cyber Security Centre, explained that these criminals, seeking financial gain, operate freely from within Russia and have a history of targeting various organisations globally. This attack, involving the shutdown of systems rather than data theft, has severely affected healthcare operations, reflecting the serious nature of such ransomware incidents.

A UN report has warned that tens of millions in coastal areas of the Caribbean and Latin America face severe healthcare and infrastructure risks due to climate change-induced extreme weather. The UN sexual and reproductive health agency (UNFPA) states that around 41 million people, or 6% of the region's population, are at risk from storm surges, flooding, and hurricanes. This includes 17% of the Caribbean population. Vulnerable groups, especially women and girls, are disproportionately affected. The report, using satellite imagery, identified over 1,400 key hospitals in at-risk coastal areas; in some Caribbean nations over 80% of hospitals are in these vulnerable zones. This year a highly active Atlantic hurricane season, exacerbated by hotter ocean waters and the La Nina phenomenon, is expected. The report coincides with a meeting in Antigua of Small Island Developing States (SIDS) leaders to discuss climate change impacts and economic solutions.

March marked the busiest month on record for A&E departments in England, with 2.35 million attendances. This surpasses the previous high, in December 2022. The total for the year up to March was also a record at 26.2 million. While there were slight improvements in waiting times, cancer response, and ambulance response times, these often fell short of NHS targets. Only 74.2% of patients were seen within four hours, missing the interim target of 76%. The number of patients waiting over 12 hours decreased from February, but remains high. For urgent cancer referrals, 75% of cases were diagnosed or ruled out within 28 days, yet the wait for first treatment after a cancer referral increased. Healthcare professionals are overstretched, highlighting the need for a comprehensive cancer strategy. Ambulance response times improved slightly but still exceeded the target times. The data coincide with a period of strikes and increased scrutiny of NHS performance. Research revealed that nearly half of NHS staff are considering work outside the health service; stress and workload are key factors.

Junior doctors in England are currently engaged in the longest strike in NHS history, demanding a 35% pay increase from their current hourly rate of £15-£17 to around £20. Despite five weeks of unsuccessful talks last year with the British Medical Association, the Government remains firm in its refusal to negotiate during the strike. The doctors, who claim strong public support, argue that their six-day strike is the only way to get the government's attention regarding their pay and working conditions. Health secretary Victoria Atkins is accused of pushing medics out of the negotiation room. Dr Robert Laurenson, co-chair of the BMA’s junior doctors committee, stressed the necessity of the strike, citing a workforce crisis and the government's alleged unresponsiveness to other forms of dialogue. Public opinions are mixed, with some expressing sympathy for the doctors’ plight, acknowledging their critical role and the current economic pressures. Others, however, suggest gratitude for employment during difficult times. The strike has sparked concerns about junior doctors moving abroad for better pay and conditions; Dr Georgia Blackwell notes a growing trend of doctors relocating to countries like Australia for improved work-life balance and higher earnings.

Matthew Taylor, chief executive of the NHS Confederation, has warned that upcoming strikes by junior doctors could push the NHS to a tipping point early in the new year. The strikes coincide with typical winter pressures, including cold weather illnesses, bed shortages, and increases in norovirus cases, potentially overwhelming the health service. Junior doctors in England have been on strike this week, and are planning a six-day stoppage from 3 January. The strikes have already led to the postponement of outpatient appointments and operations, with Cheltenham general hospital closing its A&E unit due to staff shortages. The dispute centres on their demands for a 35% pay rise. Recent talks between the British Medical Association and the department of health have not resolved the issue. Dr Vivek Trivedi, for the BMA, argues that the Government's offer of an additional 3% pay rise is insufficient. He emphasises that junior doctors need fair pay to prevent them from seeking employment abroad, and believes the public still supports their right to strike.

A study suggests that 95,000 to 167,000 people in England may have contracted Covid-19 in hospitals during the second wave of the pandemic, from June 2020 to March 2021. Researchers from Oxford University analysed data from 145 English NHS acute hospital trusts, considering factors like the availability of single rooms and vaccination of healthcare workers. The study found that 1% to 2% of all hospital admissions during this period led to hospital-acquired infections. The highest infection rates were observed in the north-west regions of England. The research underscores the importance of improving hospital design to limit the transmission of future pathogens and the need for measures to reduce hospital transmissions. Vaccination of healthcare workers was associated with lower infection rates. The findings are significant for protecting vulnerable patients, healthcare workers, and communities.

The CEO of a large NHS trust has expressed his concerns about the ongoing industrial action by NHS consultants and junior doctors, comparing the situation to going into a battle with one arm tied behind their backs. The joint action by consultants and junior doctors has led to the cancellation of over 10,000 outpatient appointments, more than 1,000 non-urgent surgeries, and some urgent surgeries. Hospitals have even stopped booking appointments for strike days, exacerbating the disruption to elective care. The industrial action, now in its tenth month, is causing significant challenges for patients and healthcare staff. Trainer highlighted two main issues: patients not receiving the care they need and healthcare staff working in increasingly difficult circumstances, especially in emergency departments. The situation poses significant challenges as the NHS prepares for the winter season.