asterisk2a + chronic   993

More than 24,000 Scots hospitalised because of drinking
50p minimum price per one unit of alcohol, to come into effect March 2018, after years of legal fight against the alc lobby vested interest. (Sugar Tax, ) - - Minimum pricing has been broadly welcomed by health bodies and alcohol awareness groups, who say it will target the kind of drinking that leads to the greatest harm. //
People from the most deprived areas are nearly eight times more likely to need help, according to the NHS. There were 36,235 alcohol-related hospital admissions last year - the equivalent of more than 100 a day. They involved 24,060 individual patients - up from the 35,376 admissions involving 23,656 patients the previous year. Alcohol-related admissions had been falling for almost a decade but the latest figures show there were 685.2 hospital admissions per 100,000 people last year - an annual increase of almost 2%. //&!
NHS  Scotland  Alcohol  minimum  pricing  alcoholism  deprivation  addiction  coping  mechanism  maladaptive  Austerity  poverty  trap  Precariat  binge  drinking  Society  class  Gesellschaft  Sociology  working  poor  Council  childhood  care  Policy  public  health  prevention  sickcare  demand  chronic  sick  population  mental  psychology  psychiatry  depression  aus­sichts­los  hoffnungslos  hopelessness  hopeless  Aussichtslosigkeit  human  condition  humanity  homeless  homelessness  abuse  substance  Opioid  war  on  drugs  tobacco  food–industrial  complex  Sugar  processed  food  lobby  vested  interest  revolving  door  profit  maximisation  obesity  liver  overweight 
33 minutes ago by asterisk2a
Bluthochdruck: USA senken Richtwerte für Blutdruck - SPIEGEL ONLINE
see rose (chronic) sick population // Auch Paulus Kirchhof, Direktor des Instituts für Herz-Kreislauf-Wissenschaften an der britischen University of Birmingham, und ebenfalls Autor der europäischen Leitlinien, sieht jetzt sowohl die Ärzte als auch die Patienten in der Pflicht: "Viele Menschen könnten ihren Bluthochdruck senken, indem sie sich mehr bewegen, gesund essen, nicht rauchen, regelmäßig schlafen und wenig Alkohol trinken", sagt Kirchhof. "Ein solches Gespräch müssen Arzt und Patient führen, Medikamente sind nicht immer der richtige Weg." Im individuellen Fall müsse immer abwogen werden, ob das Herz-Kreislauf-Risiko größer sei oder die möglichen Nebenwirkungen einer medikamentösen Therapie.
CVD  high  blood  pressure  hypertension  Statins  Statin  evidence  based  medicine  big  pharma  pharmaceutical  public  health  chronic  sick  population  premature  ageing  sickcare  prevention  healthcare  GP  diet  lifestyle  S.A.D.  western  tobacco  alcohol  self-medication  addiction  food  obesity  Cancer  overweight  sedentary 
2 days ago by asterisk2a
My5 - Episode - Benefits and Bypasses: Billion Pound Patients S1 E1
25bn a year. diet lifestyle - smoking tobacco alcohl food - obesity cvd diabetes amputations complications medication - liver disease
NHS  Austerity  sickcare  demand  chronic  sick  population  obesity  CVD  Cancer  tobacco  alcohol  alcoholism  diet  lifestyle  public  health  prevention  self-medication  coping  maladaptive  mechanism  poverty  education  CEP  STP  CCG  rationing  elective  care  surgery  premature  ageing  demographic  bubble  food  S.A.D.  western  mental 
4 days ago by asterisk2a
NHS faces even worse winter crisis than last year, watchdog warns | Society | The Guardian
In an update on how the NHS in England performed between July and September, NHSI said hospitals did not succeed in freeing up the target of 2,000-3,000 beds by September, which would have helped them cope with the extra winter demand.

NHS leaders and the health secretary, Jeremy Hunt, told hospitals in the spring that they needed to reduce the number of beds occupied due to “delayed transfers of care” – patients who are fit to leave but cannot safely be discharged – to 3.5% of their total number by September. But 5% of beds are still occupied with such cases, NHSI said.
NHS  winter  crisis  bedblocking  bed  blocking  ageing  chronic  sick  population  elective  surgery  Cancer  CVD  diabetes  Council  STP  CEP  CCG  Austerity  rationing  treatment  delay  waiting  times  GP  A&E  adult  social  care  premature  demographic  bubble  sickcare  healthcare  demand 
5 days ago by asterisk2a
Emotional toll of diabetes 'needs more recognition' - BBC News
Three in five said their condition made them feel down. [...] The number of people diagnosed with diabetes - type 1 and type 2 - is on the rise.
According to Diabetes UK, about 700 people are diagnosed every day.
Diabetes  NHS  sickcare  demand  chronic  sick  population  diet  lifestyle 
7 days ago by asterisk2a
NHS battle for money: Where will it end? - BBC News
[ Simon Stevens could walk away, creating a new crate for May's government, as BOE Mark Carney did not extend his BOE gov role beyond Brexit ] If there is a significant financial settlement for the NHS in England, Mr Stevens can claim vindication for his strategy.
But if there isn't, he is faced with a difficult choice - either soldier on with a service under great strain and his five-year plan objectives under threat, or walk away.
He will be well aware of the risk he has taken with his speech.
But perhaps he is ready to go if he has to, arguing that at least he tried to get the NHS the money it needed. &! - Head of NHS England demands more money (Channel 4 News) &! One short picture of the winter crisis last time around 16/17 - &! 13/14 -
NHS  Austerity  Simon  Stevens  Crisis  winter  Theresa  May  Philip  Hammond  Jeremy  Hunt  CEP  STP  CCG  rationing  waiting  times  treatment  delay  GP  A&E  bedblocking  bed  blocking  Council  adult  social  care  elderly  sickcare  demand  healthcare  chronic  sick  population  Cancer  CVD  diabetes  overweight  obesity 
11 days ago by asterisk2a
'Bed-blocking' in Scottish hospitals falls by 9.6% - BBC News
About 400 people were left in hospital because the social care support they needed in order to live in their own home was not available, while more than 200 had to wait for a place in a nursing home.
Of those who could not leave hospital in September 2017, 1,140 had to wait for for more than three days.
A third of delayed patients had to wait in hospital for more than six weeks - a 2% increase from last year, despite the fall in the figures overall.
NHS  Scotland  bedblocking  bed  blocking  Council  Austerity  adult  social  care  ageing  chronic  sick  population  sickcare  demand  healthcare  public  health  demographic  bubble  premature  Crisis  rationing  elective  surgery  GP  A&E  referral  treatment  delay  waiting  times 
13 days ago by asterisk2a
NHS staff 'working on edge of safety' - BBC News
NHS staff in England are working on the "edge of safety" as rising demand is outstripping the increasing numbers being employed, health bosses say.
There are now 6% more staff than there were three years ago, but demand for services has risen by three times as much in some areas.
NHS Providers, which represents health chiefs, said staff shortages was now the number one concern in the NHS.
NHS  patient  safety  CQC  staff  shortage  Nurses  Doctors  GP  Crisis  recruitment  hiring  locum  Austerity  CEP  STP  rationing  waiting  times  Cancer  CVD  diabetes  premature  sickcare  healthcare  chronic  sick  population  demographic  bubble  ageing  public  health  Council  bedblocking  bed  blocking  demand  winter  A&E 
14 days ago by asterisk2a
Type 2 diabetes 'lowers life expectancies' - BBC News
Having type 2 diabetes lowered life expectancy by five and a half years for some people with the condition.
The health records of three million people in Scotland were used to generate estimated life expectancies.
About 5% of people in Scotland have diabetes, with type 2 making up 90% of cases.
diabetes  sickcare  NHS  Crisis  chronic  sick  population  premature  ageing 
14 days ago by asterisk2a
(4387) How the opioid crisis decimated the American workforce - YouTube
direct link between out of work (injury) and opioid addiction and dropping out of workforce. // &! - Neuroscientist Dr. Carl Hart: People Are Dying in Opioid Crisis Because of Politicians’ Ignorance - needle exchange and free drug purity checks is a step to reducing overdose deaths and first foot in door for rehab (liberal) //&! - American Epidemic: The Nation's Struggle With Opioid Addiction WSJ &! - The Opioid Effect: An Ohio Family Rebuilds After Addiction VICE //&! AMERICA ADDICTED - - A community overwhelmed by opioids &! - Who Profits from the Opioid Crisis? Meet the Secretive Sackler Family Making Billions from OxyContin - watering down regulation and oversight. &! - How Big Pharma & Cartels Got America Addicted to Heroin with Jason Smith &! - US Addiction Epidemic Fuelled By Pharma Corporations (2015) "pill mill" &! - Why Portsmouth, Ohio Became The Epicentre of America's Opioid Crisis &! - Opioid Crisis in Maine &! - Narcan On The Rise &! - Heroin's Children: Inside the US opioid crisis - Fault Lines
addiction  coping  chronic  stress  abuse  opioid  dopamine  crisis  epidemic  narcotics  war  on  drugs  USA  painkillers  economic  damage  workforce  Precariat  working  poor  structural  unemployment  food  S.A.D.  western  diet  lifestyle  insecurity  trap  poverty  inequality  American  Dream  secular  stagnation  wage  income  growth  Productivity  output  gap  GFC  history  Super  Rich  1%  trickle-down  Sociology  socioeconomic  Society  Gesellschaft  Xanax  fentanyl  alcohol  heroin  overdose  Consumerism  mental  health  well-being  wellbeing  Capitalism  Consumer  Selbstdarstellung  consumption  Austerity  welfare  state  neoliberalism  OxyContin  lobby  pharma  pharmaceutical  BigPharma  revolving  door  vested  interest  Regulation  regulators  self-regulation  substance 
14 days ago by asterisk2a
Wrexham woman's 999 call classed in 'wrong category' - BBC News
A post-mortem examination revealed evidence of a previous heart attack.
Assistant coroner Nicola Jones said it was a "ticking bomb" which nobody knew about. On the night she died, she was suffering heart failure.
public  health  UK  premature  ageing  CVD  Ambulance  A&E  sickcare  healthcare  demand  NHS  Crisis  chronic  sick  population  babyboomers  demographic  bubble 
15 days ago by asterisk2a
NHS offers smartphone GP appointments - BBC News
[privatisation cherry picking, another example, the easiest things ]
"We notice there is an extensive list of patient conditions such as frailty, pregnancy and mental health conditions that are the essence of general practice and which GPs deal with every day, but which are not eligible for this service. &! - NHS launches £100m drive to recruit foreign GPs &! - GP practices close in record numbers &! - Online GP consultation: Opportunity or threat? - two-tier system, creaming off the healthiest patients. cherry picking. see privatisation of elective care and non-challenging adult elderly care. [...] The RCGP argues that existing community practices will be left with lower revenue and having to look after the sickest with the most complex conditions, hence the claim that there was a danger of "twin-track" general practice evolving. ALSO How easy will it be to avoid prescribing antibiotics - just to be on the safe side?"
GP  NHS  Crisis  sickcare  demand  healthcare  chronic  sick  complex  diseases  population  ageing  demographic  bubble  recruitment  hiring  training  staff  shortage  locum  Nurses  Doctor  rationing  waiting  times  treatment  delay  Privatisation  profit  maximisation  Austerity  STP  CEP  elective  surgery  time 
15 days ago by asterisk2a
Jeremy Hunt faces legal action over attempts to 'Americanise' the NHS | The Independent
more two-tier options for users w ACO offering from the get go two-tier adult and social care services/options. AND like most private provides taking on NHS business, avoiding also tax! Hnt himself said in committee hearing that our ageing population is private money fest opportunity.
NHS  Privatisation  Austerity  ACO  CEP  STP  CCG  CQC  rationing  waiting  times  profit  maximisation  neoliberalism  public  health  good  neoliberal  bedblocking  bed  blocking  adult  social  care  Council  disabled  ageing  population  chronic  sick  sickcare  healthcare  demand  demographic  bubble 
16 days ago by asterisk2a
Study shows dementia is biggest killer in affluent areas - BBC News
Dementia and Alzheimer's disease is the leading cause of death in affluent areas in Wales, new figures have shown. [ statistical fluke attributed to longer lifes and better med patient adherens eg statins and reduce alcohol intake - poorer may die earlier - cancer cvd]
dementia  Alzheimer  public  health  sickcare  healthcare  demand  chronic  sick  population  premature  ageing  demographic  bubble  CVD  Cancer  diabetes  obesity  overweight  NHS  Council  adult  social  elderly  care  disabled 
16 days ago by asterisk2a
Gut bacteria 'boost' cancer therapy - BBC News
Two studies, in the journal Science, linked specific species and the overall diversity of the microbiome to the effectiveness of immunotherapy drugs. [...] Those that responded to therapy tended to have a richer, more diverse microbiome than those that did not.
Cancer  microbiome  immunotherapy  epigenetics  chronic  sick  inflammation  autoimmune  disease  gut  leaky  diet  lifestyle  S.A.D.  western  public  health  immune  system  immunesystem  antibiotic  antibiotics  post-antibiotic  chemotherapy 
16 days ago by asterisk2a
Record numbers dying while waiting for hospital appointments | Scotland | The Times & The Sunday Times
Regional differences are also exposed. In some parts of the country, including Greater Glasgow and Clyde, Grampian, and Ayrshire and Arran, the number of patients dying while waiting for a hospital consultation has more than doubled.
NHS  Scotland  Crisis  healthcare  demand  sickcare  chronic  sick  population  ageing  demographic  bubble  rationing  waiting  times  referral 
17 days ago by asterisk2a
GP leaders prepare for explosive vote on practices leaving the NHS | News Article | Pulse Today
Englands GP not able to take it anymore. want to private like a dentist who accepts private patients and NHS patients.
NHS  England  GP  Privatisation  Austerity  STP  CEP  healthcare  sickcare  demand  chronic  sick  population  ageing  demographic  bubble  A&E 
17 days ago by asterisk2a
NHS Scotland plots urgent measures to support practices at 'tipping point' | News Article | Pulse Today
Dr McDevitt had earlier told delegates that ‘you’re not going to vote for this contract because it becomes with a pay rise’.

Among the detail announced so far includes a wider healthcare team taking over some jobs traditionally done by the GP, including some chronic disease management, routine checks, and drug monitoring.

GPs will have access to NHS-run services including prescribing and treatment room services to reduce their workload.
NHS  Scotland  GP  Crisis  sickcare  healthcare  demand  chronic  sick  population  demographic  bubble  ageing  CVD  diabetes  Cancer  obesity  overweight  A&E 
17 days ago by asterisk2a
Just a few nights of bad sleep upsets your brain - BBC News
Dr Simon Archer, who helped run the experiment, found that getting an hour's less sleep a night affected the activity of a wide range of our volunteers' genes (around 500 in all) including some which are associated with inflammation and diabetes.
sleep  hygiene  epigenetics  public  health  chronic  stress 
19 days ago by asterisk2a
Acid reflux drug linked to more than doubled risk of stomach cancer – study | Science | The Guardian
[instead of changing diet - you give pills ] The study concluded no firm cause and effect could be drawn, but doctors should “exercise caution when prescribing long-term PPIs … even after successful eradication of H plyori”.

Responding to the study, Stephen Evans, professor of pharmacoepidemiology at the London School of Hygiene and Tropical Medicine, said: “Many observational studies have found adverse effects associated with PPIs.

“The most plausible explanation for the totality of evidence on this is that those who are given PPIs, and especially those who continue on them long-term, tend to be sicker in a variety of ways than those for whom they are not prescribed.”
Cancer  leaky  gut  microbiome  chronic  inflammation  stomach  acid  reflux  diet  western  S.A.D.  lifestyle  sick  population  GP  heartburn  sickcare  NHS  healthcare  demand  Crisis  prevention 
20 days ago by asterisk2a
'Radical changes' needed to £1bn stroke care - BBC News
[ 50% of disability in over 50 from Stroke ] Caring for people who have suffered from stroke is costing Wales £1bn annually, according to a leading charity.
The Stroke Association has also warned the figure could almost triple to £2.8bn by 2035 if immediate action is not taken.
The charity said the "vast majority" of the financial burden is placed on families and carers.
Strokes cost the UK as a whole £25.6bn per year.
NHS  Council  adult  social  care  Stroke  CVD  Cancer  diabetes  disabled  ageing  chronic  sick  population  prevention  sickcare  healthcare  demographic  bubble  public  health  Crisis  STP  CEP  rehabilitation  rationing  treatment  delay  A&E  GP  economic  damage  premature  Austerity 
21 days ago by asterisk2a
Patients are suffering while the SNP shamefully dithers | Kevin McKenna | Opinion | The Guardian
One senior health professional told me last week: “Yes, there is a backlog for operations, but the issue is the front and back door – not the bit in the middle. They are trying to solve the wrong problem and bringing on these new centres will only add to the problem. In addition, there is a huge problem with a lack of doctors across parts of the system. If they are moving planned care into these new elective centres, how are they going to staff them?”
NHS  Scotland  Austerity  healthcare  demand  sickcare  elective  surgery  GP  A&E  bedblocking  bed  blocking  Council  adult  social  care  waiting  times  treatment  delay  rationing  mental  health  complex  chronic  sick  population  ageing  demographic  bubble  premature  CVD  Cancer  diabetes  obesity  overweight  alcohol  self-medication  addiction  winter  staff  Crisis  recruitment  hiring  training  Nurses 
23 days ago by asterisk2a
NHS failing to tackle 'significant safety risks', warns its medical chief
Patients were being left at risk of suffering needless harm – including amputations, devastating maternity complications and deaths – because of the lack of action to protect them, the former heart surgeon said.

In an interview with The Telegraph, Sir Bruce said there were too many organisations vying for attention and instead, one simple system was needed to issue safety directives.

He also said too many hospitals were putting cost-cutting ahead of patient safety.
NHS  patient  safety  Austerity  STP  CEP  rationing  delayed  treatment  waiting  times  healthcare  demand  sickcare  ageing  chronic  sick  population  demographic  bubble  Disease  complex  staff  shortage  Nurses  recruitment  Crisis  winter  hiring  training  adult  social  care  Council  bedblocking  bed  blocking 
23 days ago by asterisk2a
BBC Radio 4 - Radio 4 in Four, How your mood affects what you spend
cosmetic counter and primark - treat on fr sat sun - A study out today by price comparison website says stressed, bored or sad people are more likely to make impulse purchases they later regret. The study reckons so-called 'stress buying' is costing us around £1,250 a year. Winifred Robinson talks to Siemon Scamell-Katz and Claudia Hammond.

"emotional spending" on way home or over weekend.
Consumerism  Advertising  coping  mechanism  self-medication  chronic  stress  dopamine  Materialism  Consumer  Capitalism  mental  health  well  being  wellbeing  well-being  debt  credit  card  Anarchism  Facebook  Instagram  Amazon  gratification  emotions  addiction  maladaptive  neuroscience  pleasure 
24 days ago by asterisk2a
Thanks but no thanks, CareRooms. In the NHS we need staff, not beds | Rachel Clarke | Opinion | The Guardian
Trained staff – carers – are what the sector lacks, not physical spaces in buildings. Urgent investment in trained, regulated carers is the only safe way to address this, not outsourcing the problem to random homeowners with no clearly defined standards for safeguarding, clinical governance and infection control, not to mention other risks to patients who are at their most vulnerable.
NHS  Crisis  bedblocking  bed  blocking  adult  social  care  Council  STP  CEP  Austerity  staff  hiring  recruitment  locum  shortage  rationing  waiting  times  treatment  delay  chronic  complex  diseases  ageing  demographic  bubble  population  premature  frail 
25 days ago by asterisk2a
Russell Brand: Society is collapsing - BBC News
"Society is collapsing," the comedian tells the BBC, "and people are starting to recognise that the reason they feel like they're mentally ill is that they're living in a system that's not designed to suit the human spirit.
Anarchism  Russell  Brand  mental  health  self-medication  coping  mechanism  maladaptive  chronic  stress  loneliness  social  isolation  Facebook  Selbstdarstellung  Selbstwertgefühl  addiction  book  neoliberal  capitalism  Exploitation  Consumer  Consumerism  consumption  Precariat  Generation  Rent  working  poor  poverty  trap  Materialism  inequality  mobility  income  meritocracy  meritocratic  Competition 
27 days ago by asterisk2a
NHS suspends operations over Christmas and new year - BBC News
NHS Tayside has put on hold all planned, non-urgent operations for three weeks over the festive period.
The health board said emergency surgery, urgent procedures and all cancer surgeries would still be carried out.
But there will be a "step-down of all planned procedures" at Perth Royal Infirmary, Ninewells Hospital in Dundee and Stracathro Hospital, near Brechin.
The disruption will last from 18 December to 8 January 2018. & - Tayside to save 200m over 5 years ... &! closed 60 beds
NHS  winter  crisis  Scotland  Austerity  healthcare  demand  sickcare  ageing  chronic  sick  population  demographic  bubble  CVD  cancer  diabetes 
4 weeks ago by asterisk2a
Badly-behaved surgeons are ​putting patients' lives in danger ​due to 'culture of bullying', report finds
The Sunday Telegraph says trainee surgeons have complained that an endemic culture of bullying among senior colleagues is putting patients' lives at risk.
The paper says some surgeons have reported being assaulted during operations for raising safety concerns, and an atmosphere of fear is said to be leading to failures in concentration that directly harm patients.
NHS  Austerity  chronic  staff  shortage  burnout  stress  Whistleblower  bullying  patient  safety  STP  CEP  rationing  waiting  times  treatment  delay  Culture  HR  human  resources  recruitment  hiring  training  CQC  excess  deaths  sick  population  healthcare  demand  sickcare  complex  diseases  governance  accountability 
4 weeks ago by asterisk2a
Einsame Menschen sterben früher - SPIEGEL ONLINE
without a friend (partner does not count), 4x likelihood to relapse and die - increase mortality - breast cancer patients.
public  health  crisis  mental  premature  ageing  death  inflammation  Depression  prevention  chronic  sick  population  disease  autoimmune  complex  loneliness  Einsamkeit  Gesellschaft  Society  Psychology  Sociology  Wertegesellschaft 
4 weeks ago by asterisk2a
Sex in surgery by BMJ talk medicine | Free Listening on SoundCloud
11:50 - how busy a surgeon is is critial for post surgery outcome. mistakes. burnout. chronic staff // 4% lower worst outcome. - to have female surgeon had statistical significance. //
NHS  patient  safety  staff  locum  recruitment  healthcare  demand  sickcare  chronic  sick  population  hiring  burnout  complex  diseases  gender  gap  gender-based  discrimination  pay  Austerity  rationing  waiting  times  treatment  delay 
4 weeks ago by asterisk2a
'Steep rise' in self-harm among teenage girls - BBC News
But it was likely that rising stress and psychological problems in young people were also behind the trend. // complex problem, many faceted
mental  health  Millennials  childhood  self-harm  Social  Media  Facebook  Instagram  Selbstdarstellung  chronic  stress  Parenthood  parenting  environment  Gesellschaft  Feminism  feminist  sexism  Sexismus  LGBT  Society  puberty  self-medication  maladaptive  coping  mechanism  education  policy  NHS  public  crisis  prevention 
4 weeks ago by asterisk2a
Doctors to breathalyse smokers before allowing them NHS surgery | Society | The Guardian
He said that by introducing “increasingly harsher policies” CCGs might believe they were alleviating financial pressure but they could actually cost more in the long term because of the risk of complications and the cost of healthcare in the interim. The CCGs said no financial savings were expected as a result of the measures, which they claimed were aimed at improving the long-term health of residents. They also stressed that if at any time the harm of waiting for surgery outweighed the benefit of losing weight or stopping smoking, then the patient would be referred.
NHS  CCG  STP  CEP  Austerity  rationing  obesity  overweight  healthcare  demand  sickcare  chronic  sick  population  demographic  bubble  Cancer  CVD  diabetes  referral  waiting  times  patient  safety  delayed  treatment  premature  ageing  GP  A&E  IVF 
4 weeks ago by asterisk2a
NHS waits for cancer care, A&E and ops worsen across UK - BBC News
Twelve out of 135 English hospital trusts, four out of five Northern Irish health trusts and five out of seven Welsh trusts have failed to hit any target in the past 12 months. //&! &! << ageing population w complex care needs for chronic diseases &! Wales worst -
NHS  sickcare  demand  healthcare  health  care  Austerity  ageing  chronic  sick  population  winter  crisis  demographic  bubble  bedblocking  bed  blocking  Council  CEP  STP  rationing  waiting  times  referrals  GP  A&E  delayed  treatment  burnout  staff  shortage  locum  Cancer  CVD  diabetes  obesity  overweight  England  Wales  Scotland  patient  safety  CQC  adult  elderly  social 
4 weeks ago by asterisk2a
Jeremy Hunt considers barring walk-in patients from A&E | Society | The Guardian
“We know that the main issue contributing to pressures in A&E is not inappropriate attendance, but a lack of hospital beds, and a lack of the community support services patients need when they are discharged, so they end up staying in hospital for longer than they needed to.” [...] She added: “Maybe a pilot will identify some good ways of reducing genuinely inappropriate use of A&E, but that this idea is even circulating speaks volumes about the consequences of the government’s decision to underfund the NHS. The chancellor must take note, and respond in his budget next month.”
NHS  A&E  healthcare  demand  111  GP  winter  crisis  referral  waiting  time  flu  fluseason  influenza  ageing  chronic  sick  frail  population  demographic  bubble  bedblocking  bed  blocking  elective  surgery  delay  treatment  times  care  adult  social  elderly  Council  Jeremy  Hunt  rationing  sickcare  Cancer  CVD  diabetes  obesity  overweight  Austerity  STP  CEP 
5 weeks ago by asterisk2a
Feinstaub: 400.000 vorzeitige Todesfälle jährlich in der EU - SPIEGEL ONLINE
Wegen Feinstaub in der Luft sterben nach Darstellung der Europäischen Umweltagentur EEA jährlich rund 400.000 Menschen vorzeitig, davon 66.000 in Deutschland.
air  pollution  ecology  environment  public  health  crisis  chronic  inflammation  premature  ageing  death  sick  population  EU  Germany  European  Union  self-regulation  Regulation  regulators  Diesel 
5 weeks ago by asterisk2a
NHS operations could be cancelled for months this winter, senior medics warn
"If, as we expect, we see a flu outbreak, I think the NHS - in terms of both beds and clinical staff - will break far worse than last year and elective activity will almost certainly cease for several months." [...] Meanwhile, leaked documents seen by Health Service Journal suggest that an NHS trust with a history of high death rates agreed savings plans, despite warnings from its then finance director that doing so could threaten patient safety.
NHS  winter  crisis  flu  influenza  Brexit  staff  shortage  Nurses  GP  A&E  elective  care  surgery  Cancer  CVD  recruitment  hiring  immigration  ageing  chronic  sick  population  demographic  bubble  premature  bedblocking  bed  blocking  Council  Austerity  norovirus  adult  elderly  social  Disabled  vulnerable  frail  STP  CEP  rationing  waiting  times  treatment  delay  patient  safety 
5 weeks ago by asterisk2a
Falling number of nurses in the NHS paints a worrying picture | The King's Fund
Similar recruitment and retention problems have arisen with GPs, but here, interestingly, the government is intending to pull the international recruitment lever with a vengeance. Time will tell how successful this will be in the current environment: the plan is to attract at least some of these from other EU countries and as the nursing numbers show us, the UK is no longer quite so attractive a destination for clinical staff for obvious reasons.

At a deeper level, Brexit has again exposed the fragility of NHS workforce planning. This may be most immediate for nursing but the need for an integrated short and long-term plan for the NHS workforce long precedes Brexit. After all, there will be little point in giving the NHS its (disputed) extra £350 million a week if there are no staff to spend it on.
NHS  Brexit  UK  immigration  staff  Nurses  GP  locum  recruitment  hiring  crisis  winter  healthcare  demand  sickcare  ageing  chronic  sick  population  demographic  bubble 
5 weeks ago by asterisk2a
Thousands of Scottish cancer scans 'not viewed for a month' - The i newspaper online iNews
?~30 day backlog? 4k images // Although the number of full-time radiologists working in Scotland has increased by 7 per cent over the past five years, the number of cancer diagnostic scans taken rose at a much higher rate. The number of MRI scans and CT scans, which are both important for diagnosing cancer, increased by 67 per cent and 62 per cent respectively. “These figures are further proof of the shortages that are impacting on cancer tests across the country,” said Gregor McNie, public affairs manager in Scotland for Cancer Research UK. //&!,_says_college_1208167 - A new report from The Royal College of Radiologists is warning that a severe shortage of radiologists in the UK is risking timely diagnosis of cancer. &! &! &
NHS  Scotland  Grampian  Cancer  healthcare  demand  babyboomers  ageing  premature  waiting  time  referral  treatment  delay  chronic  sick  population  staff  shortage  locum  hiring  recruitment  Radiology 
5 weeks ago by asterisk2a
Homes are not assets to be passed on to children, says minister | Society | The Guardian
houses became a mini-social welfare net among families. and a helping hand in social/income mobility for those benefiting/children and children children. // also current gen funding elderly care have less wage, less money (inflation), less prospects, no mobility, student debt, and high rents.
Erbschaftsteuer  dementiatax  dementia  taxation  property  bubble  UK  housing  crisis  rentier  economy  Alzheimer  demographic  ageing  premature  social  care  adult  elderly  Council  bedblocking  bed  blocking  chronic  sick  population  sickcare  demand  healthcare  health  NHS  Austerity  asset  inheritancetax  inheritance  Generationengerechtigkeit  Generation  Rent 
5 weeks ago by asterisk2a
(3907) Vegan is The Only Answer 2016 (Film) - YouTube
opening w operating theatre of removing cholesterol plaque string during open heart surgery/by-pass surgery. another example on channel4 or bbc ambulance docu - a man lost his leg after the accident due to cholesterol plague that got loose during the accident and blocked the main artery of his leg (died off due to no circulation for too long) lost leg not bc of bike accident by his diet & lifestyle.
CVD  cholesterol  sickcare  chronic  sick  population  healthcare  demand  health  care 
5 weeks ago by asterisk2a
Scottish GPs to access NHS-run 'treatment rooms' for procedural tasks | News Article | Pulse Today
treatment rooms = sickcare rooms - are they opening up extra clinics for diabetes CVD obesity and other chronic conditions? putting it out of GP services, but they are still there. &! GPs in Scotland will have access to prescribing and treatment room services and a chronic disease monitoring team to reduce their workload under plans being drawn up as part of the new contract. /... but have to
NHS  Scotland  GP  healthcare  demand  sickcare  chronic  sick  population  diabetes  Cancer  CVD  obesity  overweight  inflammation  health  care  ageing  premature  disabled  demographic  bubble  babyboomers 
5 weeks ago by asterisk2a
A Simple Way to Involve Frontline Clinicians in Managing Costs
NHS hospitals exploring how to tighten the belt // This testing in NHS Scotland has taught us several lessons about the approach to managing value in a busy health care environment. First, point-of-care leaders, if armed with information about costs and quality, can improve both. // debate abt value v overtreatment. nurses and doctors now not only have to navigate overtreatment, patient safety/satisfaction but also keep in mind the purse of the nation v every single one patient they are seeing.
NHS  Austerity  sickcare  healthcare  demand  STP  CEP  rationing  waiting  times  delayed  treatment  delay  bedblocking  Council  care  social  adult  elderly  Disabled  chronic  sick  population  CCG  staff  shortage  locum  Nurses  hiring  GP  accountability  stress  Burnout  recruitment  demographic  bubble  premature  ageing  babyboomers 
5 weeks ago by asterisk2a
Council and NHS in £19.5m funding row over patients staying in hospital too long - Stoke Sentinel
[first NHS Councils blame each other for little progress, now NHS Department withholding funds bc no progress from Council ] But now NHS England is threatening to withhold the cash (one tranche from the Better Care Fund) because the authority is failing to reduce its bed-blocking figures by ensuring care packages are in place. Council leaders say the target – cutting social care-related delayed transfers of care by two-thirds in eight weeks – was unrealistic and set at ‘extremely short notice’. Now they are lobbying the Government on the issue, and working with the local NHS to find alternative ways of paying for the affected services. It comes after the council had to make cuts in areas such as drug and alcohol services after the NHS withdrew £15 million last year.
NHS  England  Council  bedblocking  bed  blocking  elderly  social  adult  care  sickcare  healthcare  demand  health  UK  ageing  demographic  bubble  premature  chronic  sick  population  complex  diseases  CVD  Cancer  diabetes  obesity  disabled  overweight  Austerity  CEP  STP  rationing  treatment  delay  patient  safety  waiting  time  public  Crisis  winter  CCG 
5 weeks ago by asterisk2a
'High risk' of NHS Tayside failing to balance budget - BBC News
NHS Tayside delivered £45.5m in efficiency savings in 2016/17, nearly double the savings of the previous year.
However, the auditor general said that was still £1.3m below target.
The main overspends last year were on workforce, prescribing costs, and clinical supplies.
NHS Tayside chief executive Lesley McLay said the board was "actively addressing" its issues. &! &! - NHS Tayside must save £214m over next five years
NHS  Scotland  Austerity  healthcare  demand  health  care  sickcare  chronic  sick  population  demographic  bubble  ageing  premature  Cancer  CVD  diabetes  obesity  overweight  rationing  waiting  times  referral  treatment  delay  patient  safety  bedblocking  bed  blocking  Council  adult  elderly  social  Disabled 
5 weeks ago by asterisk2a
What to do if your child is overweight - BBC News
One in ten young people in the UK, aged between five and 19, is obese, according to new research that looks at obesity trends in over 200 countries. Consultant paediatrician Prof Mary Rudolf, who advises the government on obesity, says many parents would not know that "a healthy 10-year-old's ribs should be clearly visible - many parents would consider that such a child was quite underweight". //&! &! &! - Childhood obesity: Plan attacked as 'weak' and 'watered down' &! - Public health cuts 'could hamper anti-obesity effort' &! WHO World Obesity Day // In the UK, one in every 10 young people aged five to 19, is obese. Obese children are likely to become obese adults, putting them at risk of serious health problems, say experts.
These include type 2 diabetes, heart disease, stroke and certain types of cancer, such as breast and colon. [...] "Even skinny people are heavier than they would have been ten years ago.
"We have not become more weak-willed, lazy or greedy. The reality is the world around us is changing." - &! bariatric surgery - &! hidden sick environment to navigate:
NHS  public  health  Crisis  healthcare  demand  care  obesity  CVD  overweight  diabetes  Cancer  immune  system  inflammation  economic  damage  prevention  intervention  nudge  food–industrial  tax  obesogenic  chronic  sick  population  ageing  premature  bedblocking  bed  blocking  Disabled  elderly  adult  social  Productivity  leave  sickleave  self-medication  addiction  food  S.A.D.  western  diet  lifestyle  coping  mechanism  stress  mental  epidemic  nanny  state  environment  pollution  taxation  childhood  parenthood  parenting  epigenetics  whole-food  plant-based  lobby  Sugar  complex  diseases  sickcare  big  pharma  pharmaceutical  bariatric  surgery 
5 weeks ago by asterisk2a
How your blood may predict your future health | Inequality | The Guardian
New research into bloodstream ‘biomarkers’ aims to unlock the full impact of social status on people’s lifetime health outcomes. The key is exposure to stress - quantitated self. making decisions on your own when presented w data? in case of the weight scale, never worked. why will it now? its just more medicalisation - door open for big pharma so people pop pills. vs inconvenience of changing diet lifestyle and learning something new like cooking and meditation. // &! Deprivation and Poverty Stress: The analysis suggested people in lower socioeconomic groups have a demonstrably longer exposure to chronic inflammation – with all its knock-on impacts on long-term health – even once the team corrected for the “usual suspects” of health inequality, including diet and smoking. There’s clearly something else at work. (inequality = health inequality)
public  health  diet  lifestyle  premature  ageing  CVD  Cancer  diabetes  obesity  overweight  immune  system  Autoimmune  complex  chronic  diseases  sick  population  inflammation  biomarker  mental  microbiome  S.A.D.  western  junk  fast  food  food–industrial  lobby  big  pharma  pharmaceutical  prevention  crisis  sickcare  demand  healthcare  deprivation  inequality  poverty  trap  working  poor  Precariat  Austerity  stress  Burnout  underemployed  unemployment  DWP  sickleave  Productivity  UBI  Universal  Basic  Income  Grundeinkommen  social  isolation  coping  mechanism  addiction  Alcohol  self-medication 
6 weeks ago by asterisk2a
NHS future precarious, says regulator - BBC News
The Care Quality Commission (CQC) says the health system is "straining at the seams" and faces a "precarious" future.
The England's regulator's annual report raised concerns about staff shortages, rising demand and the number of patients with preventable illnesses. It said so far the quality of NHS and council care has been maintained but warned standards were likely to drop. //>> GPs not focused to reverse diet lifestyle diesease. // "We are going to see a fall in the quality of services that are offered to people and that may mean that the safety of some people is compromised,"
NHS  GP  public  health  Crisis  bedblocking  bed  blocking  chronic  sick  population  Cancer  CVD  diabetes  obesity  overweight  complex  diseases  ageing  premature  demographic  bubble  babyboomers  prevention  diet  lifestyle  S.A.D.  western  food  food–industrial  A&E  type2  reversal  stress  coping  mechanism  Alcohol  alcoholism  fast  lobby  Sugar  Tax  junk  UK  economic  damage  Productivity  sickleave  DWP  mental  immune  system  inflammation  Alzheimer  dementia  autoimmune  healthcare  demand  sickcare  STP  CEP  rationing  waiting  times  delayed  treatment  patient  safety  CQC  Austerity  Council  staff  locum  shortage  Nurses  recruitment  hiring  paycap 
6 weeks ago by asterisk2a
Global cost of obesity-related illness to hit $1.2tn a year from 2025 | Society | The Guardian
The cost of treating ill health caused by obesity around the world will top $1.2tn every year from 2025 unless more is done to check the rapidly worsening epidemic, according to new expert estimates. Obesity and smoking are the two main drivers behind the soaring numbers of cancers, heart attacks, strokes and diabetes worldwide, grouped together officially as non-communicable diseases. They are the biggest killers of the modern world.
NHS  public  health  Crisis  healthcare  demand  care  obesity  CVD  overweight  diabetes  Cancer  immune  system  inflammation  economic  damage  prevention  intervention  nudge  food–industrial  tax  obesogenic  chronic  sick  population  ageing  premature  bedblocking  bed  blocking  Disabled  elderly  adult  social  Productivity  leave  sickleave  self-medication  addiction  food  S.A.D.  western  diet  lifestyle  coping  mechanism  stress  mental  epidemic  nanny  state 
6 weeks ago 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 
6 weeks ago by asterisk2a
Telephone consultations - no cost savings, but increased GP workload by BMJ talk medicine
Independent evaluation result (v private company claims) = no savings, increased workload. OVERALL outcome slightly increases 8% in workload. But screening (triage) is a disincentive for some. Big variation in attitude. And one size fits not all. eg teachers can't receive a phone call during day, another issue could might be (time will tell) detecting sepsis, angina and other stuff that needs to see doc urgently till its too late. easier diagnostic seeing patient eg how ill they look. 'it is no magic wand to eradicate gap between healthcare demand and available resources' -
NHS  Privatisation  GP  Austerity  CCG  STP  CEP  rationing  A&E  referral  waiting  time  health  care  demand  ageing  chronic  sick  population  telemedicine  demographic  bubble  complex  diseases  CVD  diabetes  Cancer  obesity  overweight  treatment  delay  management  premature  burnout  staff  locum  hiring  recruitment  morale  shortage  patient  safety  healthcare  sickcare 
6 weeks ago by asterisk2a
Altenpflege und der Personalmangel: "Wir laufen auf eine Katastrophe zu" - SPIEGEL ONLINE
Kurz vor der Wahl wird der Pflegenotstand zum Thema. Im Interview spricht Ökonom Stefan Sell von Niedriglöhnen und Personalmangel - und erklärt, weshalb Altenpfleger in die Gewerkschaft eintreten sollten.
UK  NHS  Germany  health  care  demand  adult  Altenpflege  elderly  social  demographic  bubble  babyboomers  chronic  sick  population  premature  ageing  complex  Diseases  working  poor  Austerity  Altersarmut  CVD  diabetes  Cancer  obesity  overweight  patient  safety  Privatisation  profit  maximisation 
6 weeks ago by asterisk2a
Virgin Care asks Bath staff not to report safety concerns to health watchdog - Bath Chronicle
Virgin Care asked staff in the Bath area not to report their safety concerns to the health watchdog.

Registered managers in health and social care have a legal obligation to report issues to the Care Quality Commission if they feel their service is unsafe.
NHS  Privatisation  CQC  Whistleblower  patient  safety  health  care  demand  rationing  adult  social  elderly  Council  demographic  bubble  ageing  population  chronic  sick  Disabled 
6 weeks ago by asterisk2a
Care Appointments | Extra £5 million for NHS Scotland to reduce delays and ease winter pressures
Last winter health boards were given £12 million in additional winter resilience funding and the previous year they received £10.7 million.

This year’s funding follows a £59 million health service cash boost announced in May to drive down waiting times, £9 million of which was targeted at improving A&E performances on waiting times and delayed discharges.
winter  Crisis  NHS  Scotland  Grampian  health  care  demand  ageing  chronic  sick  population  demographic  bubble  babyboomers  premature  Cancer  CVD  diabetes  obesity  overweight  Austerity  elective  surgery  bedblocking  bed  blocking  Council  elderly  adult  social  Disabled  waiting  time  treatment  delay  rationing  A&E  GP 
6 weeks ago by asterisk2a
Health bosses apologise as number of ops in cancelled by NHS Grampian increase - Evening Express
MSPs held a debate in the Scottish Parliament on the situation at NHS Grampian after new figures showed 9% of all planned operations were cancelled in August. &! - The number of vacancies for consultants and nurses in the North-east has increased. &! - NHS Grampian 'sees 75% of locum spending in north of Scotland' &! Stress fissure show everywhere, even higher up:
NHS  Grampian  elective  surgery  health  care  demand  ageing  chronic  sick  population  demographic  bubble  bedblocking  bed  blocking  ICU  Council  A&E  GP  babyboomers  Cancer  CVD  diabetes  obesity  overweight  waiting  times  treatment  delay  patient  safety  adult  social  elderly  Disabled  staff  shortage  winter  Crisis  recruitment  hiring  locum  Nurses 
6 weeks ago by asterisk2a
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