asterisk2a + nice   25

Doctors paying for sons to have cancer jab - BBC News
recent news was throat neck cancer rising (non related to smoking or drinking but related to HPV)
HPV  NICE  public  health  Austerity  NHS  Cancer 
7 weeks ago by asterisk2a
GPs offered cash to refer fewer people to hospital | Society | The Guardian
NHS Coastal West Sussex CCG has offered to give groups of practices working together in its area 50% of savings made from GPs referring fewer patients for dermatology care, ear, nose and throat treatment in the community, and minor surgery and wound closure. [...] Peter Swinyard, chair of the , said: “From a patient perspective it means GPs are paid to not look after them. It’s a serious dereliction of duty, influenced by CCGs trying to balance their books.” [...] would let hospitals treat the most needy cases. [...] The Department of Health and Social Care made clear that no patient should be denied care. “Patients must never have their access to necessary care restricted - we would expect local clinical commissioning groups and NHS England to intervene immediately if this were the case,” a spokesperson said. //&! making GPs ever more unpopular - https://www.theguardian.com/society/2018/feb/28/satisfaction-with-gps-at-lowest-level-for-30-years-survey-finds https://www.theguardian.com/society/2018/feb/27/fifth-of-prescribed-antibiotics-are-unnecessary-study-finds
NHS  Crisis  rationing  chronic  sick  population  Diabetes  CVD  Cancer  sickcare  demand  A&E  ageing  premature  demographic  bubble  Austerity  GP  waiting  times  patient  safety  treatment  delay  CCG  NICE  guidelines 
february 2018 by asterisk2a
Anti-obesity programmes in primary schools 'don't work' - BBC News
http://www.bmj.com/content/360/bmj.k211 // An oxymoron, a contradiction in and of itself "working with industry to make food healthier." Sorry @Conservatives @PHE_uk, you can't make apples healthier. Nor ultra-processed food, bc would not taste morish & no +++shelve life = $. #obesogenicenvironment - http://www.bbc.co.uk/news/blogs-magazine-monitor-27601593 &! http://www.bbc.co.uk/news/health-27586149 &! https://www.theguardian.com/science/2018/feb/02/ultra-processed-products-now-half-of-all-uk-family-food-purchases //&! http://www.bmj.com/content/354/bmj.i4980 - Obesity treatment—are personalised approaches missing the point? - duh yes! //&! PHE UK thinks also vegan whole-food plant-based is unrealistic! https://twitter.com/minoritybeef/status/834651889572642816 - Dr Alison Tedstone @PHE_uk thinks whole-food plant-based vegan (@nutrition_facts @DrEsselstyn et al) is unrealistic. - http://www.bbc.co.uk/news/health-39057146
UK  obesity  childhood  overweight  public  health  crisis  NHS  sickcare  demand  CVD  chronic  sick  population  obesogenic  environment  prevention  NICE  Cancer  diabetes  intrinsic  motivation  Capitalism 
february 2018 by asterisk2a
Patients' concerns over chronic pain treatment removal - BBC News
"The difficulty is that if you look at really well controlled randomised trials of this form of treatment there isn't an overwhelming evidence that it's effective in the population."
NHS  CCG  rationing  NICE  placebo  effect  crisis  Austerity  chronic  sick  population  sickcare  demand  premature  ageing  GP  referral 
january 2018 by asterisk2a
Jeremy Hunt orders NHS England bosses to stick to waiting time limits | Society | The Guardian
Jeremy Hunt orders NHS England bosses to stick to waiting time limits
Health secretary swiftly rejects service chiefs’ public warning that meeting targets is impossible with current funding [...] In an unprecedented move reflecting a widening gulf with the government, NHS England used its board meeting to warn that it had to make “difficult choices” next year that would involve limiting what it could provide for patients. [ only providing basics life saving treatments - not life improvement treatments (elective surgery) ] [...] NHS England has also said it is unable to implement best practice as advised by Nice on a routine basis – an extraordinary state of affairs. We have now reached a point where the NHS constitution will be routinely breached and NHS services are being withdrawn.”
NHS  Jeremy  Hunt  Simon  Stevens  Philip  Hammond  Theresa  May  budget2017  rationing  treatment  delay  waiting  times  CVD  Cancer  A&E  diabetes  overweight  obesity  chronic  sick  population  ageing  premature  demographic  bubble  sickcare  demand  healthcare  CCG  CEP  STP  GP  elective  surgery  OAP  disabled  bedblocking  bed  blocking  Council  Austerity  adult  social  care  elderly  NICE  patient  safety  CQC  mental  health 
november 2017 by asterisk2a
Review of the Year: Transition and transformation for the NHS - PharmaTimes Magazine December 2017
Accountable Care System (ACS) (also known as ACO) removing NHS decisions (CCG CEP STP rationing, denying care, not offering IVF etc etc) further away from Westminister NHS England Jeremy Hunt. &! https://www.theguardian.com/society/2017/nov/07/vital-nhs-account-acos-legal-challenge
NHS  STP  CEP  ACS  ACO  A&E  GP  rationing  sickcare  demand  ageing  chronic  sick  population  Cancer  CVD  NICE  diabetes  obesity  public  health  prevention  overweight  budget2017  Jeremy  Hunt  Austerity  Simon  Stevens  Tories  Conservative  Party  nasty  Privatisation  management  CCG  Council  bedblocking  bed  blocking  mental  Disabled 
november 2017 by asterisk2a
At last, we seem to be awakening from the bad dream of “tick-box medicine”
Doctors allowed themselves to be reduced to automatons. [...] NICE has recently changed the rubric that prefaces its guidelines, stressing that they are not mandatory and that they must be tailored to each individual patient. This would once simply have been good practice. That it has become necessary for NICE to spell it out shows just how far the profession has been degraded by the tick-box culture. [...] reduced to automatons, and their patients to pill-swallowing machines.
NHS  GP  public  health  prevention  incentive  QOF  NICE  chronic  sick  population  CVD  Cancer  obesity  overweight  healtcare  demand  care  ageing  premature  diet  lifestyle  demographic  bubble 
october 2017 by asterisk2a
Cancer patients need more than survival | Fay Schopen | Opinion | The Guardian
A century after the rise of the Bolsheviks, the young are reading Karl Marx again // 60% of new cancer drugs no benefit to survival or QoL! yet developed, applied for trial, and by regulator prermitted
Cancer  big  pharma  pharmaceutical  self-regulation  Regulation  regulators  NHS  NICE 
october 2017 by asterisk2a
Leading doctor warns frontline NHS services in danger of "disappearing altogether" | HeraldScotland
“We are unable to attract high quality candidates from throughout the UK as a result of Scottish Government policy in relation to remuneration and working conditions,” he said.

“This pattern is slowly eroding the calibre of the workforce as well as the numbers available to provide the service.”

He added: “It is only a matter of time before every health board in the land is so afflicted as services deteriorate and, in some areas, it is inevitable that the day will come when some services will disappear altogether. This is not scaremongering. This is what is happening.”
NHS  Scotland  England  recruitment  hiring  crisis  staff  shortage  training  education  policy  UK  locum  morale  health  care  demand  rationing  waiting  time  delayed  treatment  chronic  sick  population  ageing  demographic  bubble  medical  advances  STP  CEP  Austerity  paycap  public  services  CCG  NICE  mental  Council 
october 2017 by asterisk2a
Baby heart images could help reduce miscarriage, Leeds research suggests - BBC News
CCGs still have to approve new stuff not approving bc no money for existing health care demand. thus new medical advances to improve care can and will not be improved and or at best rationed: Another example. http://www.bbc.co.uk/news/health-41399159 - 'Instant' blood test for heart attacks // or the recent evidence based findings of the anti-inflammatory jab after heart attack reducing recurrent attack. 13% ish reduction. NICE can recommend it. But clinicians need CCG money to buy use it.
NHS  CEP  STP  Austerity  rationing  health  care  demand  medical  advances  NICE  CCG 
september 2017 by asterisk2a
NHS slams big pharma in High Court row over drug pricing powers
The row is over powers introduced in April giving NHS England the right to ration costly medicines, including if they are expected to cost more than £20m in any of their first three years of use. Previously medicines signed off as clinically effective and good value for money by public drug price regulator Nice had to be automatically funded and made available by the NHS within three months. [...] The drugmakers argue the changes will limit patients’ access to cutting-edge treatments, particularly for rare diseases where the benefits are large but the patient numbers are small. In their claim the drug firms argue Nice acted beyond its powers to introduce the so-called budget impact test and failed to consult properly with ­industry on the detail of the proposals.
NHS  NICE  big  pharma  Cancer  CVD  health  care  demand  Austerity  STP  CEP  rationing  waiting  times  delay  treatment  chronic  sick  population  prevention  babyboomers  baby  boomers  premature  ageing  demographic  bubble  cost  Council  bedblocking  social  adult  elderly  bed  blocking  dementia  diabetes  obesity  overweight 
september 2017 by asterisk2a
Doctors and patients unaware diabetes can be reversed, says report - BBC News
NHS Scotland T2Diabetes cost 10% of budget // evidence has been known for a decade by now! thoe ppl who treated t2d have been called quacks by "everything in moderation" - the evidence based medicine hubbub. // but the main reason for the low recording is probably that few patients are attempting or achieving remission. - GPs don't have time to worry about patient adherence and some do not want to change and rather take pills (intrinsic motivation, health motivated). / salt sugar fat // &! http://www.ndtv.com/food/controlling-your-weight-may-help-reverse-diabetes-5-foods-that-diabetes-patients-must-include-in-the-1750177 &! http://www.bbc.co.uk/news/health-41279050 &! http://www.huffingtonpost.co.uk/entry/patients-at-highest-risk-of-type-2-diabetes-should-go-on-intensive-lifestyle-programme-nice-guidance_uk_59baa132e4b02da0e13fd6bf &! http://www.bbc.co.uk/news/health-40123846 &! https://www.nice.org.uk/news/article/more-than-a-million-people-should-be-offered-lifestyle-tips-as-a-way-to-avoid-type-2-diabetes &! https://soundcloud.com/bmjpodcasts/diabetes-remission-treating-blood-glucose-when-the-disease-process-is-to-do-with-body-fat
NHS  Diabetes  prevention  diet  lifestyle  CVD  obesity  overweight  sedentary  S.A.D.  western  premature  ageing  chronic  sick  population  big  pharma  NICE  GP  A&E  bariatric  surgery  Scotland  England  health  care  demand  self-medication  coping  mechanism  addiction  stress  food  junk  fast  ready  meals 
september 2017 by asterisk2a
IVF cut back in 13 areas of England to save money, new data shows | Society | The Guardian
which means cost-cutting CCGs are defying advice set out by the government and the NHS’s own advisers.
CCG  Trust  rationing  STP  Austerity  IVF  chronic  sick  population  mental  health  NICE  LGBT  Transgender  care  demand  medical  advances  NHS  UK  healthcare  prevention  fertility 
august 2017 by asterisk2a
Doctors forced to plead with NHS for treatments for patients, BMJ finds | Society | The Guardian
Growing healthcare rationing means GPs are having to submit exceptional requests for treatments including cataract removals and new hips and knees // &! When care is not being funded on the NHS, doctors can use the the exceptional cases system to appeal to local health bosses to get the treatment for their patients.
It is normally associated with new drugs not yet available on the NHS, to pay for expensive treatments in unusual circumstances or to get care that there are legitimate restrictions on, such as cosmetic surgery.
But the BMJ has gathered evidence from clinical commissioning groups which shows the special requests are increasingly being used for vital non-emergency services. - http://www.bbc.co.uk/news/health-40485724
NHS  Austerity  STP  rationing  health  care  demand  A&E  GP  ageing  population  chronic  sick  demographic  bubble  medical  advances  waiting  times  locum  staff  Doctor  Nurses  shortage  NICE 
july 2017 by asterisk2a
'Monumental U-turn' on cancer drug - BBC News
Kadcyla, the undiscounted cost of which had been £90,000 per patient, adds an average of six months of life to women with a form of terminal breast cancer.
Campaigners have praised the "monumental" U-turn, which will benefit about 1,200 women a year.
"Tough negotiation and flexibility between the NHS and Roche means both patients and taxpayers are getting a good deal," said NHS England chief executive Simon Stevens. [...] The full price drug worked out at £166,000 for every "quality adjusted life year" of good health.
NHS  NICE  big  pharma  pharmaceutical  Cancer  Austerity  Breast 
june 2017 by asterisk2a
Caroline Wyatt: MS 'brain fog' lifted after stem cell treatment - BBC News
chemo w stem cell transpant to reboot a new immune system which does not attack the body - trials in uk w patients in wheelchair have been succesful. but chemo for stemcell transplant is one expensive and two risky (complications) (risk benefit analysis + and cost benefit analysis - thus NHS will ration treatments, only for extreme patient cases ie in wheelchair where support and treatment would be more expensive long-term keeping people in wheelchairs than a risky and expensive chemo and stemcell treatment)
Autoimmune  immune  system  disease  chronic  health  care  demand  medical  advances  multiple  sclerosis  public  inflammation  sick  population  NHS  NICE  rationing  Simon  Stevens  Jeremy  Hunt  diet  lifestyle  CVD  cancer  Diabetes 
february 2017 by asterisk2a
Half of GPs unaware of drug's use in cancer prevention – study | Society | The Guardian
A “worrying” number of family doctors are not offering at-risk patients a preventive breast cancer drug, a charity has said.

A study found that only half of GPs were aware the drug tamoxifen could be used to reduce the risk of breast cancer.

In 2013 the National Institute for Health and Care Excellence (Nice) recommended that women deemed to be at moderate or high risk of breast cancer should be offered chemoprevention drugs including tamoxifen.
Cancer  health  care  demand  prevention  diet  lifestyle  sick  population  breast  estrogen  oestrogen  ageing  demographic  bubble  NICE  rationing 
february 2017 by asterisk2a
Quitting EU regulator 'would leave UK waiting longer' for new drugs | Politics | The Guardian
Ministers are coming under growing pressure to scrap plans to quit Europe’s medicines regulator as part of Brexit, with drug firms saying doing so could force Britons to wait a year longer than patients in the EU to access new drugs.
Brexit  NICE  NHS 
january 2017 by asterisk2a
Breast cancer patients' distress at withdrawal of Kadcyla - BBC News
[ value for money ] Advisory body NICE is reviewing drugs made available through the old cancer drugs fund, and has rejected Kadcyla for use on the NHS in England.
It believes the price per patient set by manufacturer Roche is too expensive. Roche says discussions are continuing.
One patient said the move felt "cruel".
In clinical trials, Kadcyla - £90,000 at full cost per patient - was shown to extend terminal breast cancer patients' lives by an average of six months, and to dramatically improve quality of life when compared with other treatments.
It is used to treat people with HER2-positive breast cancer that has spread to other parts of the body and cannot be surgically removed.
NHS  Austerity  rationing  cancer  CVD  sick  population  diabetes  NICE 
january 2017 by asterisk2a
AA Gill said NHS could not give him new cancer treatment in final column | Media | The Guardian
[ putting a price on someones days. life extension. doing a cost benefit analysis. can I save more lifes w 100k than just extending someones life by circa 1-2 years ] AA Gill, the award-winning writer and restaurant critic who died on Saturday aged 62, described in his final article how the NHS could not give him a cutting-edge, potentially life-extending cancer treatment. [...] But he said he was denied immunotherapy [...] A consultant told Gill that the treatment – which is about four times the cost of chemotherapy – would be “particularly successful” with his kind of cancer and that he would have recommended it if the writer had had private health insurance. //&! Response - Reaction to Gill’s death has included a wave of letters and comment along the lines of: “God help me if I get cancer and have to rely on the NHS.” [...] And the main factor the summary highlights is the fact that we smoke, drink and overeat more than the OECD average. - https://www.theguardian.com/commentisfree/2016/dec/19/aa-gill-death-nhs-broken-private-healthcare-cancer
sick  population  cancer  NHS  Crisis  Austerity  CVD  diabetes  ageing  demographic  bubble  health  care  demand  budget  rationing  chemotherapy  medical  advances  NICE 
december 2016 by asterisk2a
Doctors excited by cystic fibrosis therapy - BBC News
Data presented at the North American Cystic Fibrosis Conference shows that a drugs combination - which enables production of runnier mucus - slows the irreversible decline in lung function. [...] The drug combination is clearly not a cure, but the researchers said the untreated patients would expect their lung function to decline by 2.3% a year, but this fell to 1.3% in those given the therapy.
NHS  Crisis  health  care  advances  budget  big  pharma  Scotland  England  NICE  Austerity  sick  population  Demographic  bubble  ageing  premature  CVD  cancer 
october 2016 by asterisk2a
'Breakthrough' lung cancer drug made available on NHS | Society | The Guardian
The once-a-day tablet will be available immediately for patients with non-small-cell lung cancer who have a specific mutation, known as EGFR T790M-positive, that means they have stopped responding to earlier treatments. Experts predict about 300 patients in England and Wales will be eligible for Tagrisso every year.
NHS  Crisis  cancer  Austerity  England  Simon  Stevens  Jeremy  Hunt  NICE  medical  advances  health  care  budget  demand  premature  ageing  population  sick  diet-related  lifestyle  demographic  bubble  public  prevention  rationing 
october 2016 by asterisk2a
The cost of the curing Hepatitis C - BBC Newsnight - YouTube
[ max profits regardless of human cost ] New drugs are now available to cure Hepatitis C, but why are they so expensive? Filmmaker Kate Brown explores the cost of curing Hepatitis C, and Evan Davis speaks to Virginia Acha, Executive Director of the Association of the British Pharmaceutical Industry.
Hepatitis  Hepatitis  C  NHS  minority  NICE  NHS  England  pharmaceutical  industry  pharma  big  pharma  profit  maximisation  shareholder  value  monopsony  Wall  Street  stigma  medical  profession  medical  research  medical  advances 
march 2016 by asterisk2a
Jenni Murray: 'I had 75% of my stomach removed' - BBC News
NORMALISATION OF THE EXTREME! // Dr Garth Davis reports himself that patients who dont radically change diet & lifestyle will initially lose weight. But will come back 2-3 years having put on weight again (in one of his two interviews/podcast appearance on RichRoll.com) //&! NICE: Weight loss ops 'good for obesity-linked diabetes' [] 10% of NHS budgets is spent treating diabetes & its complications. Weight loss surgery is "good for patients & cost saving for the NHS", the advisory body said. Obesity had a "huge personal health cost to individuals & an enormous financial cost to the NHS", it said. [] "Obesity [] is a major issue, if not the major issue, for the health service in the coming years." - bbc.in/1vntsk4 - LOL AS IF OBESITY ITSELF MAKES U A DIABETIC. & AGAIN, NO TALK ABT PREVENTION: RADICAL DIETARY & LIFESTYLE INTERVENTION ( vs as usual handing out advice and pamphlet following the S.A.D and sending them home ... ) FIRST! //&! The Report podcast saved - bbc.in/1QYHqRK
Bariatric  Surgery  Weight  Loss  Surgery  obesity  epidemic  obesity  childhood  obesity  sick  population  pre-diabetic  diabetes  metabolic  syndrome  non-alcoholic  fatty  liver  disease  high  blood  pressure  atherosclerosis  heart  disease  Standard  American  Diet  Western  pattern  dieting  fad  Whole-Food  Plant-Based  Diet  lifestyle  medicine  lifestyle  active  lifestyle  sedentary  lifestyle  lifestyle  Speciesism  Carnism  omnivore  animal  cruelty  animal  rights  animal  testing  peer  pressure  peer  group  medical  profession  Positioning  food  industry  Meat  Dairy  Egg  Milk  lobbyist  lobby  Lobbying  NHS  health  care  health  care  budget  health  care  spending  health  crisis  public  health  policy  public  health  Poultry  Fish  Makers  short-term  quick  fix  chronic  diseases  chronic  low-grade  inflammation  coronary  artery  disease  autoimmune  disease  cancer  Cardiovascular  disease  vascular  disease  inflammation  anti-inflammatory  medical  research  medical  advances  medical  care  prevention  NICE 
october 2015 by asterisk2a
Ex-Betsi Cadwaladr boss Mary Burrows dies after moving to England for drug - BBC News
&! Rise in Welsh cancer patients moving to England for drugs - The number of admissions of Welsh cancer patients to English hospitals has more than doubled in a decade, the BBC has learnt. In March this year BBC Breakfast met cancer patient Irfon Williams, who moved to England in desperation to secure life-saving treatment unavailable to him in Wales. Graham Satchell caught up with a now cancer free Ifron and his wife Becky back in Wales. - bbc.in/1VNLomE //&! https://www.nice.org.uk/about &! http://www.nhs.uk/NHSEngland/thenhs/healthregulators/Pages/nice.aspx
post  code  lottery  NHS  cancer  inequality  Gini  coefficient  big  pharma  pharmaceutical  industry  pharma  NICE  Jeremy  Hunt  prevention  sick  population  health  care  budget  health  care  spending  health  crisis  public  health  policy  public  health  chronic  diseases 
october 2015 by asterisk2a

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