asterisk2a + locum   186

Is the NHS's long-term plan workable? - BBC News
Bleak picture
Budgets for public health (including prevention) and training of nurses, doctors and other staff have not yet been set out and, if less generous than the NHS settlement, they could affect the ability of the service to deliver the long-term plan, in the view of the report authors.

And what of the short term? The watchdog paints a bleak picture.

The financial health of some trusts, it says, is getting worse.
NHS  social  care  Council  elderly  adult  long-term  plan  Theresa  May  Conservative  Austerity  chronic  sickcare  sick  population  ageing  demographics  Cancer  Obesity  CVD  diabetes  rationing  mental  health  staff  crisis  hiring  locum  CAMHS  prevention  public  Privatisation 
january 2019 by asterisk2a
NHS workforce 'at crunch point' - BBC News
The UK's medical profession is at a "crunch point", facing the prospect of too few doctors to treat rising numbers of patients, the regulator says.

The General Medical Council says the supply of medics has failed to keep up with demand and warns against the over-reliance on overseas staff post-Brexit.

The GMC's Charlie Massey called it a "crucial moment" for UK healthcare.

It comes despite government promises in England to increase the number of doctors in training.
NHS  sickcare  healthcare  demand  crisis  staff  recruitment  locum  burnout  chronic  sick  population  demographic  bubble  Austerity  pay  cap  retention  Nurses  Doctors  Junior 
december 2017 by asterisk2a
Portsmouth hospital missed lung cancer cases - BBC News
A hospital failed to spot cases of lung cancer because it did not check patients' chest X-rays properly, the Care Quality Commission has found.
The health watchdog found that three patients at Queen Alexandra Hospital in Portsmouth suffered "significant harm".
It emerged that junior doctors complained they had been asked to carry out specialist radiology work without the appropriate training.
The CQC has now launched a review of NHS radiology services in England.
All NHS bodies have been instructed to provide details about their backlogs, turnaround times, staffing and arrangements for routine reporting of images.
NHS  Cancer  staff  shortage  recruitment  radiology  locum  hiring  Austerity  waiting  times  treatment  delay  CQC  rationing  CVD  Junior  Doctors  Consultant  Nurses  Jeremy  Hunt  Simon  Stevens  STP  CEP  CCG  GP  A&E 
december 2017 by asterisk2a
Budget 2017: NHS trusts given extra £350m for entire winter, despite Brexit bus promising £350m a week | The Independent
Budget had also nothing on social care! -
http://www.bbc.co.uk/news/health-42065767 &! http://www.bbc.co.uk/news/uk-england-norfolk-42096941 begging patients &! http://www.bbc.co.uk/news/health-42082602 more rationing and restrictions in the books by CCGs eg physical rehabilitation services could be cut. http://www.dailymail.co.uk/health/article-5112803/NHS-prepares-ration-painkillers-routine-operations.html &! https://www.thesun.co.uk/news/4978787/cuts-to-patient-services-feared-after-budget/ // The NHS is getting £1.6bn in extra funding next year, less than half asked for by the NHS to keep the service running //&! https://www.gponline.com/gps-ignored-2017-budget-nhs-england-hints-cuts-services/article/1450955 - GP leaders hit out at chancellor Philip Hammond for ignoring general practice in his 2017 budget, as NHS England officials hinted that a 'disappointing' £2.8bn funding hike for the health service could force cuts. //&! http://www.gazette-news.co.uk/news/national/15676761.Budget_2017__Additional_funds_for_NHS_will_not_plug_gap__Sir_Bruce_Keogh_says/ - the NHS “can no longer avoid the difficult debate” on what can be provided by the health service on the funds it is operating on. //&! https://www.theguardian.com/society/2017/nov/23/conservatives-will-break-nhs-funding-pledge-labour-claims - An analysis carried out for Labour by the House of Commons library shows that despite the chancellor, Philip Hammond, announcing an extra £2.8bn in day-to-day funding, real-terms funding per head is set to fall in 2018-19, and remain flat for two years after that.
NHS  winter  crisis  budget2017  GP  A&E  Austerity  CEP  STP  sickcare  demand  healthcare  chronic  sick  population  ageing  demographic  bubble  Cancer  CVD  diabetes  obesity  overweight  England  waiting  time  treatment  delay  rationing  mental  health  locum  staff  Nurses  hiring  paycap  Doctors  Junior  recruitment  stress  burnout  sickleave  Philip  Hammond  Theresa  May  Council  bed  blocking  bedblocking  adult  social  elderly  care  Disabled  Privatisation  Simon  Stevens  Jeremy  Hunt 
november 2017 by asterisk2a
NHS Budget plan not enough, say bosses - BBC News
NHS Bosses Simon Stevens and Health Improvement have asked for 4bn more each year to meet targets again // Traditionally the health budget has got an extra 4% a year above inflation to help it cope with the ageing population and cost of new drugs and treatments.
Since 2010 that figure has dropped to close to 1% - and this extra money does little to improve that.
Those working in accident and emergency units point out that the £350m for this winter could easily be swallowed up by spending on agency staff.
It is why staff on the front line are still predicting rising waiting times for treatment.
NHS  Simon  Stevens  Philip  Hammond  budget2017  Austerity  sickcare  demand  winter  crisis  STP  CEP  rationing  waiting  times  treatment  delay  A&E  GP  staff  locum  Nurses  Doctors  Junior  recruitment  hiring  retention  Brexit  bedblocking  bed  blocking  Council  elderly  care  adult  social  healthcare  demographic  bubble  chronic  sick  population  ageing  CVD  Cancer  diabetes  obesity  overweight 
november 2017 by asterisk2a
Jeremy Hunt's GP recruitment pledge in tatters as 1,000 full-time NHS doctors quit last year | The Independent
Despite £20,000 incentives to attract trainees and attempts to hold on to senior staff, the NHS is now 1,200 GPs further away from its target of recruiting an extra 5,000 GPs by 2020 than when it was first set by Health Secretary Jeremy Hunt in September 2015.

The Department of Health baseline at that time was 34,592 full-time GPs, but two years on the September 2017 figures show overall numbers stand at 33,302. &! https://www.thesun.co.uk/news/4969314/nhs-workforce-crisis-sees-1600-gps-quit-since-since-health-bosses-pledged-to-tackle-shortages/
NHS  GP  staff  shortage  recruitment  hiring  locum  A&E  Austerity  healthcare  demand  sickcare  chronic  sick  population  demographic  bubble  ageing  Jeremy  Hunt  Simon  Stevens  Junior  Doctor  contract  burnout  stress  part-time  Nurses  paycap  CEP  STP  rationing  referral  waiting  time  treatment  delay  nasty  party  Tories  Conservative  Privatisation 
november 2017 by asterisk2a
GP practices receive less than 7% of NHS spending - Evening Express
Overall NHS operating costs rose by 4.1% in cash terms to almost £11.7 billion in 2016-17 – with £800 million, or 6.8% of the budget, going towards the running of Scotland’s 963 GP practices.

The Scottish government has pledged to increase funding for GP services to reach 11% of the NHS budget by 2021 amid concerns over the future of the service.

The Royal College of General Practitioners (Scotland) has predicted the country could face shortfall of more than 850 GPs by 2021.
NHS  Scotland  GP  staff  crisis  recruitment  hiring  locum  Nurses  A&E 
november 2017 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 
november 2017 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. &! http://www.bbc.co.uk/news/health-41111553 - NHS launches £100m drive to recruit foreign GPs &! http://www.bbc.co.uk/news/health-39522137 - GP practices close in record numbers &! http://www.bbc.co.uk/news/health-41888952 - 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 
november 2017 by asterisk2a
Psychiatrist vacancies 'double in four years' in England - BBC News
Attracting students
Prof Burn said the rise in vacancies was down to the difficulty in recruiting psychiatrists.
At the same time, more posts were being created for consultant psychiatrists as mental illness moved up the health agenda, but there were no specialists to fill them, she said.
She said medical schools need to broaden their pool of applicants in order to get more psychiatrists into the workplace.
"We are keen that medical schools should take in people studying psychology A-level - because they will be more likely to end up as psychiatrists."
It takes 13 years to train as a consultant psychiatrist.
NHS  Crisis  mental  health  staff  shortage  waiting  times  rationing  referral  locum  recruitment  training  hiring 
november 2017 by asterisk2a
Dr Gray’s education role could help retain doctors | Press and Journal
Health bosses are drafting an ambitious vision to use Moray’s biggest hospital as a “training and education centre” in an attempt to break a cycle of recruitment crises.
NHS  Grampian  recruitment  Crisis  hiring  staff  shortage  locum  training 
october 2017 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 
october 2017 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 
october 2017 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. //&! http://www.bbc.co.uk/news/health-41656674 &! http://www.bbc.co.uk/news/health-41643145 << ageing population w complex care needs for chronic diseases &! Wales worst - http://www.bbc.co.uk/news/health-41649870
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 
october 2017 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 
october 2017 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. //&! http://www.pharmatimes.com/news/shortage_of_radiologists_risking_early_cancer_diagnosis,_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. &! http://www.heraldscotland.com/opinion/15590225.Herald_View__Recruiting_now_is_only_half_a_solution_to_Scotland_s_radiology_crisis/ &! http://www.heraldscotland.com/news/15590410.Surge_in_cancer_scans_outstripping_radiologist_numbers_as_vacancies_mount/ & https://www.thetimes.co.uk/article/cancer-scans-left-unread-for-weeks-dk6chgggk
NHS  Scotland  Grampian  Cancer  healthcare  demand  babyboomers  ageing  premature  waiting  time  referral  treatment  delay  chronic  sick  population  staff  shortage  locum  hiring  recruitment  Radiology 
october 2017 by asterisk2a
Jeremy Hunt: Is government on track with more GPs promise? - BBC News
[ Yet another empty Tory Promise/PR line ] But the latest figures published by the NHS show that there are actually about 350 fewer GPs now than there were in 2015, when the target was announced. &! Golden Hello For Rural GP's announced 20k! http://www.bbc.co.uk/news/health-41590429
NHS  GP  staff  shortage  locum  recruitment  training  hiring  Jeremy  Hunt  Austerity  Simon  Stevens 
october 2017 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 
october 2017 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 
october 2017 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' - http://www.bmj.com/content/358/bmj.j4197
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 
october 2017 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. &! https://www.eveningexpress.co.uk/fp/news/local/nhs-report-shows-rise-in-vacancies/ - The number of vacancies for consultants and nurses in the North-east has increased. &! http://www.bbc.co.uk/news/uk-scotland-north-east-orkney-shetland-41497626 - NHS Grampian 'sees 75% of locum spending in north of Scotland' &! Stress fissure show everywhere, even higher up: https://www.pressandjournal.co.uk/fp/news/aberdeen/1336268/apology-after-health-report-error-for-neabsh-p10/
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 
october 2017 by asterisk2a
NHS Grampian 'sees 75% of locum spending in north of Scotland' - BBC News
NHS GRAMPRIAN Looking to save 30m for the next 3 financial years 2017/18 18/19 19/20. &! https://www.eveningexpress.co.uk/fp/news/local/nhs-report-shows-rise-in-vacancies/ &! 22.2million for locum 2015/16 - https://www.pressandjournal.co.uk/fp/news/highlands/1336016/nhs-temps-cost-100k-every-day-report/ &! Grampian now so desperate w hiring, considers, planning outsourcing GP services to private provider, which will charge for a profit ~10-30%. &! desperate measures, small change, to keep people away from the hospital/GP/doctors/ ... "link workers", at best you could call em Prescreening. Like in England they want you to go to the Pharmacy first. - https://www.pressandjournal.co.uk/fp/news/aberdeen/1334444/new-multi-million-pound-scheme-to-reduce-stain-on-gps/
NHS  Grampian  staff  Crisis  locum  Nurses  hiring  Austerity  health  care  demand  rationing  elective  waiting  times  delayed  treatment  Scotland  ageing  chronic  sick  population  demographic  bubble  CVD  Cancer  diabetes  overweight  obesity  recruitment  GP  A&E  Privatisation  outsourcing 
october 2017 by asterisk2a
Care homes places 'crisis' in five years across England - BBC News
Consumer group Which? said "urgent action" was needed because of a rising population of older people.
England has 407,000 care home beds but would need another 50,000 by 2022 to meet demand.
Health secretary Jeremy Hunt said he was "addressing" the issue and £1bn was invested in 2017. [...] The problems are "systemic" and as it can take up to seven years to plan and build a new care home, the sector "won't be able to meet the growing need of the country's ageing population", Which? said. &! https://www.channel4.com/news/most-councils-will-not-have-enough-care-home-places - five years’ time, nine out of ten local authorities in England will not have enough care home places to match the demand of the growing elderly population.
NHS  bedblocking  bed  blocking  Council  social  adult  elderly  care  Austerity  STP  CEP  rationing  waiting  times  elective  delayed  treatment  Nurses  health  demand  demographic  bubble  ageing  population  chronic  sick  CVD  Disabled  diabetes  obesity  overweight  Alzheimer  dementia  Crisis  staff  shortage  locum  patient  safety  Brexit  immigration  mental  diseases  complex  needs  Jeremy  Hunt  surgery  GP  A&E 
october 2017 by asterisk2a
NHS plans to introduce an 'App' for staff to 'work extra hours at short notice'
https://skwawkbox.org/2017/10/03/video-hunt-ill-give-nurses-an-app-to-work-longer-at-short-notice/ - VIDEO: HUNT – “I’LL GIVE NURSES AN APP TO WORK LONGER AT SHORT NOTICE” //&! Several changes to nursing education were also announced during the conference including; increasing the number of trainee nursing associates and introduce nursing apprenticeships. apprenticeship nurses! are you kidding me!? http://www.bbc.co.uk/news/health-41489986 // from reg nurses w work experience and college/uni time to nursing associates to apprenticeship nurses! // Jeremy thinks you can catch patient safety w Nursing for Idiots. As well as allowing family to wash their relatives. // [...] [ending free nurse training = policy blunder bc also pay cap, austerity, not valued = training numbers down] Mr Hunt's announcement begs a big question - why is the Government flagging up a route to nurse qualification with no tuition costs at the same time as scrapping free tuition for student nurses? Could the Health Secretary have realised that making nurse trainees pay for their tuition might deter future applicants?
NHS  Nurses  Junior  Doctor  gig  economy  1099  on-demand  Jeremy  Hunt  Brexit  immigration  EU  staff  recruitment  Austerity  remuneration  Crisis  staffing  hiring  locum  CEP  STP  rationing  waiting  times  delayed  treatment  bedblocking  Council  bed  blocking  Simon  Stevens  quality  patient  safety 
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
NHS takes control of record number of GP practices | Holyrood Magazine
Health boards in Scotland have taken control of a record number of local doctors' practices in recent years, figures from the Royal College of GPs (RCGP) have revealed.

Facing a recruitment crisis as family doctors take early retirement and remote locations struggle to attract new GPs, practices are being handed back to health boards as they struggle to meet their commitments.

This means the number of patients treated directly by the NHS in so-called “2c” practices has doubled since 2007 to around 160,000. [...] Dr Miles Mack, Chair of RCGP Scotland, said: “In particular, it means that GPs are no longer in a leadership role and there is less continuity of care for patients.

Mack said public funding on GP services as a proportion of NHS spending has declined.

“Sufficient action must be taken to fill the projected shortfall of 856 GPs across Scotland by 2021,” he said.

“To fund that appropriately we need 11 per cent of NHS Scotland’s budget to go to general practice services.”
NHS  Scotland  GP  recruitment  hiring  staff  shortage  morale  locum  health  care  demand  chronic  sick  population  ageing  demographic  bubble  CVD  diabetes  obesity  overweight  mental  Cancer  premature  disease 
september 2017 by asterisk2a
What will cost more than lifting the public sector pay cap? Not lifting it | Faiza Shaheen | Opinion | The Guardian
[finding efficiencies ... ] Let’s start with costs of recruitment and retention. This is a big one. Job advertising isn’t cheap and new recruits take time to settle in. Last year, a study found there had been a 61% rise in advertising spend since 2010 in secondary schools alone, costing £56m in 2015. Shortages in the health service mean NHS Trusts are paying millions every month to agency and bank nurses to ensure there are adequate levels of staff on wards.

Stress-related leave has also increased in the public sector as workers are understandably getting run down working in understaffed schools and hospital wards. This is just staff – what about the costs to our children of being in classes too big for them to maximise their learning or to a sick individual who has an operation delayed?
NHS  School  Police  paycap  Austerity  staff  shortage  locum  retention  Crisis  hiring  recruitment  STP  rationing  health  care  demand  education  policy  Privatisation  Tories  nasty  party  Conservative  Theresa  May  Jeremy  Hunt  Simon  Stevens  Nurses  elderly  adult  social  bedblocking  Council  bed  blocking  ageing  demographic  chronic  sick  population  public  sector  discretionary  spending  disposable  income  debt  workers  trade  union 
september 2017 by asterisk2a
Two junior doctors forced to look after 436 patients at Derriford - Plymouth Herald
The true pressures on Derriford Hospital’s junior doctors have been revealed, with serious safety concerns being raised after an incident occurred where only two staff were left to look after 436 patients during a night shift.

The issue of staff rotas and vacancies was brought up in Plymouth Hospitals NHS Trust board papers in July, in which a report outlined the feelings and concerns of junior doctors about the safety of patients.
NHS  England  Junior  Doctor  staff  shortage  locum  Consultant  Austerity  STP  rationing  health  care  demand  ageing  chronic  sick  population  demographic  bubble  bedblocking  bed  blocking 
september 2017 by asterisk2a
Fall in planned operations in Scottish hospitals - BBC News
7% drop in planned ops (non-urgent). The health board has blamed problems recruiting staff. [...] Fewer beds being available in hospitals for patients having scheduled operations has been cited as one of the reasons why the number of procedures was down. Official figures show the total number of hospital beds available in Scotland in March dropped by 382 from 22,240 to 21,858. [...] A spokeswoman for NHS Grampian said: "The reduction in the number of procedures taking place is a direct result of the challenges we have faced in staffing.
"This does not just cover theatres themselves but also vital pre- and post-operative care.
"We continue to actively recruit to a range of posts but - in common with many Scottish boards - are facing a shortage of suitably qualified candidates in some areas."
She added that while they were unable to meet the Scottish government's legal waiting time guarantee they had created a new system for prioritising patients. [CANCER, A&E ops] &! https://www.thetimes.co.uk/article/patients-left-in-pain-for-months-as-hospitals-cut-back-on-operations-lczqsl2fn &! http://practicebusiness.co.uk/pressure-of-vacancies-will-continue-say-doctors-leaders/
NHS  Grampian  Scotland  waiting  times  rationing  Cancer  diabetes  CVD  obesity  ageing  chronic  sick  population  demographic  bubble  Austerity  STP  health  care  demand  SNP  Shona  Robinson  premature  staff  shortage  locum  Nurses  vacancies  recruitment 
september 2017 by asterisk2a
Warning over psychiatrists amid mental health ‘crisis’ - The Scotsman
The number of psychiatrists working in Scotland’s NHS has increased by just four in the past five years amid warnings of an “enormous gulf” developing in the treatment of physical and mental health. The Royal College of Psychiatrists said the number of consultant psychiatrists in Scotland has risen by less than 1 per cent since 2012, compared with a more than 20 per cent rise in consultants who treat physical illnesses. Details emerged as former Prime Minister Gordon Brown warned of a “full-blown mental health emergency” in Scotland.

Read more at: http://www.scotsman.com/news/warning-over-psychiatrists-amid-mental-health-crisis-1-4556492
NHS  Scotland  Transgender  LGBT  mental  health  locum  staff  shortage  Austerity  rationing  Grampian 
september 2017 by asterisk2a
Patients pay the price as it's revealed NHS Scotland is short of 476 top doctors amid recruitment crisis - Daily Record
The number of consultant and nursing vacancies waiting to be filled in Scotland has rocketed to record levels.
A recruitment crisis means that in June, there were 476 empty consultants posts – 8.5 per cent of the total.
And 229 of the vacancies had been empty for more than six months.
It was a bleak story for nurses and midwives, too, where there were 3231 unfilled posts – 5.2 per cent of the workforce. &! http://www.scotsman.com/news/uk/anger-as-nhs-nursing-and-consultant-vacancies-reach-record-high-1-4551866
NHS  Scotland  staff  shortage  locum  waiting  times  rationing  SNP  Austerity  health  care  demand 
september 2017 by asterisk2a
Call for heads to roll in radiology row | Press and Journal
NHS Grampian is looking since August for 8 (eight) radiologists as well.
NHS  Grampian  staff  shortage  locum  Scotland 
august 2017 by asterisk2a
Medical students offered £16,000 if they bond themselves to NHS in Scotland | Scotland | The Times & The Sunday Times
[Golden Hello] Grants worth thousands of pounds are being offered to medical students if they agree to work in the Scottish health service after they qualify. [ a golden hello was offered is on offer for new GP's, in Grampian, no new GP signed up even w the Golden Hello ]
NHS  Scotland  England  staff  shortage  locum  GP  HR  Golden  Hello 
august 2017 by asterisk2a
NHS staffing shortages are compromising patient care - The Scotsman
Half of Scotland’s nurses have reported that patient care was compromised on their most recent shift due to staffing shortages, according to a new survey.
NHS  Scotland  Austerity  paycap  staff  shortage  locum  health  care  demand  ageing  chronic  sick  population  demographic  bubble  CVD  Cancer  diabetes 
august 2017 by asterisk2a
Mental health patients stranded in units for years - BBC News
Over the past two years, at least 91 patients have waited more than a year to be discharged, with at least seven patients waiting more than two years.
At least 320 patients had to wait at least 100 days to be discharged, BBC Freedom of Information requests show.
Experts say a lack of suitable accommodation and wrangling over budgets are to blame for the delays.
NHS  mental  health  adult  social  care  Council  Austerity  rationing  bedblocking  bed  blocking  STP  Privatisation  locum  staff  shortage 
august 2017 by asterisk2a
Shake-up set to benefit 100,000 people every year at hospital wards - Evening Express
[ now you are encouraged to wash your relative yourself ] “We encourage carers to participate in the care of their family member or friend while in hospital if they wish to do so and welcome carers to visit the ward as much as their family or friend would like.

“Some of the feedback has been really heartfelt and we are proud that we’ve been able to lead the way in Scotland by introducing this type of scheme.”
NHS  Scotland  Grampian  Austerity  staff  shortage  locum  rationing  bedblocking  bed  blocking  Council  elderly  care  adult  social  health  demand  ageing  population  chronic  sick  demographic  bubble 
august 2017 by asterisk2a
Lack of mental health support leaving children stuck in hospital – thinktank | Society | The Guardian
Children with serious mental health problems are becoming trapped in NHS psychiatric units, unable to leave because care is unavailable outside hospitals, a thinktank has said. [...] CAMHS units are have been affected by serious staff shortages. One in nine units is failing to provide staff-to-patient ratios regarded as the minimum acceptable, 24% are struggling to employ enough staff and 19% of the outlay on CAMHS pay goes to temporary bank and agency staff.
UK  NHS  mental  health  Austerity  Council  adult  social  care  Deprivation  rationing  homeless  homelessness  housing  crisis  CAMHS  staff  shortage  locum 
july 2017 by asterisk2a
'I want my life back': The people behind the NHS waiting list | Press and Journal
outpatient appointments like same-day keyhole surgery waiting times get longer bc cancer and emergency op cases come first. And to send them all to private or other boards even across border would drive up the hospital bill (eg Transgender health care specialist assessment, electrolysis, surgery - thus even self-ref to Edinburgh or Sandyford are blocked)
NHS  Grampian  locum  staff  shortage  agency  Transgender  rationing  waiting  times  cancer  A&E 
july 2017 by asterisk2a
Sick patients dying ‘unnecessarily’ in NHS because of poor care | Society | The Guardian
Two out of five hospitals at some point had been unable to cope with the number of patients who needed NIV because they lacked equipment. “Lack of ventilators is a common problem, even though a basic machine costs about £1,000 to £2,000. When there are too many patients, some end up receiving other medical treatment that’s not as good as ventilation. That will give them a higher risk of dying.” [...] Doctors were often “really poor” at documenting the condition of patients on NIV, probably because of understaffing.
NHS  Austerity  STP  rationing  health  care  demand  CQC  staff  shortage  locum  security 
july 2017 by asterisk2a
The most foolish NHS privatisation yet? | openDemocracy
For the third time since 2010, the government is planning to sell off NHS Professionals, the NHS in-house temporary staffing agency. This is the latest in a long series of gradual and covert moves to privatise our NHS. The obscurity in the privatisation process is no surprise. 84% of us want a publicly owned NHS. Those who want to place it in private hands know they can’t do so transparently. 
NHS  Privatisation  profit  maximisation  outsourcing  staff  locum  shortage  STP  Austerity 
july 2017 by asterisk2a
Driving students away from nursing is a spectacular act of political self-harm | Polly Toynbee | Opinion | The Guardian
With 40,000 nursing vacancies unfilled, the news that training applications are down by 23% is disastrous for the NHS [...] It reckons that in all over the past 10 years, 400,000 people who would have studied part-time in higher education have been deterred from doing so. [... can really re-pay the fees working for nurse salary + the jobs commitment ... + working 50% of their time training! ] [...] Janet Davies, head of the Royal College of Nursing, warns that nurses’ attitudes will alter once they are paying heftily for their training: “They will demand better clinical placements and their relationship with the NHS will change: carrying a heavy debt to get qualified, they will feel less obligation to work in the NHS.” The government promised that imposing fees on trainee nurses would see an increase of 10,000 new training places; none have been provided.
NHS  bursaries  Austerity  education  policy  debt  student  loan  tuition  fee  maintenance  grant  poverty  staff  shortage  locum  agency  skills  gap  Tories  George  Osborne  Jeremy  Hunt  Simon  Stevens  David  Cameron  Privatisation  PFI  trap  productivity  output  neoliberalism  neoliberal 
july 2017 by asterisk2a
Mental health care 'risks being over-run' - BBC News
Mental health services in England risk being overwhelmed by a combination of rising demand and staff shortages, a survey of NHS trusts suggests. - https://www.theguardian.com/society/2017/jul/06/stress-levels-rising-for-mental-health-services - Third, worries over staffing gaps revealed in the report once again underline the urgency for a proper comprehensive workforce strategy, with specific proposals that will improve the experience of people with mental health problems so they receive the care that they need and deserve. &! https://www.theguardian.com/society/2017/jul/07/nhs-bosses-warn-of-mental-health-crisis-with-long-waits-for-treatment - Report finds 80% fear they cannot provide timely, high-quality care to the growing numbers seeking help
NHS  STP  Austerity  rationing  mental  health  Theresa  May  Simon  Stevens  Brexit  staff  shortage  locum  public  economic  damage  stigma  prejudice  waiting  times 
july 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
Number of nurses and midwives falls for third year in a row - BBC News
The number of nurses and midwives registering to work in Scotland has fallen for the third year in a row.
There were 1,200 fewer registered in March of this year than in 2014.
Figures published by the Nursing Midwifery Council (NMC) show it is a UK-wide problem but Scotland has seen the biggest drop.
It has led to claims of poor morale in the profession where staff are "constantly being asked to do more with less".
And it has highlighted concerns about replacing the large number of people due to retire from nursing and midwifery.
NHS  Nurses  staff  shortage  locum  Austerity  Brexit  immigration  paycap  living  standard  health  care  demand  ageing  chronic  sick  population  demographic  bubble 
july 2017 by asterisk2a
Cancer charity slams NHS Highland over failed waiting times targets | Press and Journal
The report, published by ISD Scotland showed that between January and March this year, 12.8% of NHS Highland patients had not started treatment within 62 days of being referred.

And 13.8% of NHS Grampian patients had not begun treatment in the same timeframe either. The target for trusts in Scotland is for 95% of sufferers to have started receiving treatment.
NHS  Grampian  Scotland  cancer  waiting  times  rationing  GP  staff  locum  shortage  Austerity  health  care  demand  chronic  sick  population  ageing  demographic  bubble 
july 2017 by asterisk2a
'I'm swapping nursing for botox' - BBC News
Meanwhile the number of unfilled posts has doubled in three years to 40,000.
NHS  Nurses  paycap  staff  shortage  locum  Austerity  STP 
july 2017 by asterisk2a
NHS staff taking more sick days than ever | Society | The Guardian
As the NHS comes under increasing strain, the number of staff taking time off has risen, with mental health conditions among the main reasons
NHS  Austerity  burnout  mental  health  well  being  locum  staff  shortage 
june 2017 by asterisk2a
NHS Grampian boss pledges to 'do everything he can' to cut waiting times - Evening Express
According to the March results just 77.4% of patients in the North-east were seen within the target time. The average for NHS boards across Scotland was 83.8%. Mr Wright said one of the main issues surrounding waiting times is lack of staff. &! Mental Health targets not able to meet - 45% only seen first times within 18-weeks &! https://www.pressandjournal.co.uk/fp/news/aberdeen/1275746/nhs-grampian-chief-admits-there-is-no-end-in-sight-for-health-boards-waiting-time-crisis/ - There are currently more than 400 nursing and midwifery vacancies at the health board, and last year NHS Grampian spent more than £1million on locums to cover surgical departments between April and September. [...] “It is important that patients with the highest clinical priority, such as cancer patients, are seen quickly. NHS Grampian has been in contact with us on this matter and we continue to work with the health board to ensure all patients are seen in a timely manner based on their condition.”
NHS  Grampian  Scotland  staff  shortage  locum  mental  health  CVD  cancer  CAMHS 
june 2017 by asterisk2a
Revealed: scale of hospital staff shortages in top Tory areas | Society | The Guardian
The Royal Berkshire hospital’s staffing data shows that on some days in March its delivery suite lacked two-thirds of the nurses it needed to provide safe care, while the midwife-led unit had as few as a third of the preferred number nurses on duty, despite evidence that staff shortages increase the risks of childbirth.
NHS  Austerity  locum  staff  shortage  Simon  Stevens  rationing  Jeremy  Hunt 
june 2017 by asterisk2a
'A grim reality': concern over longer waits for NHS operations | Society | The Guardian
http://www.bbc.co.uk/news/uk-england-northamptonshire-40124643 & http://www.bbc.co.uk/news/health-40122075 - The number of people in England being forced to wait that long has almost trebled in the past four years, from 45,054 in March 2013 to 126,188 in March this year – a 180% rise. Patients are, in theory, guaranteed to have a non-urgent procedure, such as a hernia repair, cataract removal or hip or knee replacement, within 18 weeks under the NHS constitution. Surgeons said delays of at least 26 weeks would lead to patients suffering for longer than they should, which could damage their quality of life and chances of recovering. [...] including for A&E and cancer care, amid rising demand, widespread staff shortages and an unprecedented financial squeeze.
NHS  Austerity  staff  shortage  locum  health  care  demand  chronic  sick  population  ageing  demographic  bubble 
june 2017 by asterisk2a
Baby deaths cluster: Trust paid out millions in compensation - BBC News
An NHS trust facing a review into maternity errors has paid out millions in compensation after similar mistakes led to babies born with brain injuries. [...] A law firm says it has 27 open cases into claims that mistakes at the trust led to brain injuries at birth.
The trust said the sums already paid out did not reflect current services.
A medical negligence charity says the trust is an "outlier" in terms of avoidable harm and has demanded a full inquiry.
NHS  Austerity  CQC  locum  staff  shortage  STP 
may 2017 by asterisk2a
Fears of locum shortage amid IR35 tax row - BBC News
Dr Mark Porter, BMA council chair, said: "We are seeing the result of years of poor workforce planning being borne out. Locums are an important part of the NHS workforce but cannot provide a solution to long-term gaps in the NHS workforce.
"Hospitals are increasingly relying on locums as they are unable to attract staff to take up full-time posts, or cannot advertise for full-time positions due to funding pressures.
NHS  staff  shortage  locum 
april 2017 by asterisk2a
Canterbury hospital junior doctors moved over lack of training - BBC News
A hospital has been told to transfer more than half of its junior doctors to ensure patient safety because of a lack of consultants to train them.
NHS  Austerity  locum  staff  shortage  Junior  Doctor  STP 
march 2017 by asterisk2a
Maternity incidents not being reviewed - BBC News
Health boards are formally reviewing less than half of the most serious maternity incidents - which include baby deaths.
Figures obtained by the BBC showed 723 "significant adverse events" recorded across Scotland over a six-year period.
Only about 37% of these were reviewed by a full formal process, leading to concerns lessons would not be learned. [...] For example, NHS Grampian conducted an SAER in 7% of events,
NHS  Austerity  locum  staff  shortage  CQC  scandal  England  Scotland  Grampian  Culture  Whistleblower 
march 2017 by asterisk2a
NHS services face 'impossible' budget crisis, health trusts warn | Society | The Guardian
http://www.bbc.co.uk/news/uk-england-38757708 http://www.bbc.co.uk/news/health-39316963 NHS Providers says operation waiting lists and delays at A&E departments will soar next year under predicted funding [...] Chief executive Chris Hopson said the government needed to “sit up and listen”, the BBC reported. “NHS trusts will strain every sinew to deliver the commitments made for the health service. But we now have a body of evidence showing that, with resources available, the NHS can no longer deliver what the NHS constitution requires of it.

“We fear that patient safety is increasingly at risk.” [...] 24,000 nurse jobs unfilled, Royal College of Nursing figures show.
NHS  health  care  demand  demographic  bubble  STP  Austerity  babyboomers  medical  advances  bedblocking  bed  blocking  ageing  population  chronic  sick  elderly  adult  social  A&E  GP  rationing  locum  staff  shortage  Nurse  Bursaries  Junior  Doctor 
march 2017 by asterisk2a
Record numbers of EU nurses quit NHS | Society | The Guardian
The number of EU nationals registering as nurses in England has dropped by 92% since the Brexit referendum in June, and a record number are quitting the NHS, it can be revealed. [...] The haemorrhaging of foreign staff is being blamed by the Royal College of Nursing (RCN) on the failure of the government to provide EU nationals in the UK with any security about their future. May has claimed that Britain cannot act unilaterally to guarantee residency as it would weaken her hand in the coming article 50 negotiations over Brexit.

Janet Davies, chief executive and general secretary of the RCN, said the government’s tactic was backfiring, and now threatened the sustainability of the health service.
NHS  Nurses  staff  locum  shortage  Bursaries  Privatisation  Austerity  Theresa  May  Jeremy  Hunt  Brexit  EEA  George  Osborne  David  Cameron  Philip  Hammond 
march 2017 by asterisk2a
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