asterisk2a + referral   23

Number of NHS patients waiting over six months for surgery up 40% | Society | The Guardian
Royal College of Surgeons says 151,710 patients in England were waiting more than six months for non-urgent operations
NHS  elective  surgery  rationing  waiting  times  referral  treatment  delay  CCG  GP  winter  crisis  Austerity  sickcare  demand  healthcare  Cancer  CVD  STP  CEP  patient  safety 
7 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 
10 days ago 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 
13 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 
13 days 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
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
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 
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. &! https://www.eveningexpress.co.uk/news/scotland/nhs-tayside-faces-extremely-challenging-position-of-50m-funding-gap/ &! http://www.bbc.co.uk/news/uk-scotland-tayside-central-38330662 - 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
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 
5 weeks ago by asterisk2a
Data on NHS waiting lists in Scotland ‘suggests interference’ | Scotland | The Times & The Sunday Times
[ar politicians meddling with the statistics?] The UK Statistics Authority, the official regulator, has looked into a complaint about the publication of waiting list information by the Scottish NHS and concluded that staff made “a series of misjudged decisions”. They accuse the statistics arm of NHS Scotland — the Information Services Division (ISD) — of “catering more for the needs of policy officials” than patients. &! http://www.heraldscotland.com/news/15562974.Scotland__39_s_health_data_body_rebuked_over_way_data_on_waiting_times_was_presented/ - It was concerned figures given by the Information Services Division (ISD) did not give a full picture of the scale of the problem and that patients returning for treatment, as well as first time patients, had to endure long waits.
NHS  Scotland  Politics  SNP  waiting  time  referral  Grampian  accountability  statistics  GP  delayed  treatment  Cancer  CVD  diabetes  obesity  pain  elective  urgent  A&E  care  social  adult  Council  bedblocking  bed  blocking  overweight  mental  health  Disabled  chronic  sick  population  ageing  premature  demographic  bubble  babyboomers  baby  boomers  disease 
7 weeks ago by asterisk2a
Patients screened by receptionists under NHS scheme | Daily Mail Online
squeezing out the last 1-2% that is there to squeeze out of the NHS. Patient docotor relationship may deterioate. first the double check w board of GP is referral is needed. sending ppl to pharmacy first. waiting times up elective last. health care demand chronic sick population ageing population bed blocking Council. --- perfect storm for worse outcomes. most vulnerable will fall to the wayside! - mental health. and prevention falls way behind bc of ongoing fire fighting.
NHS  GP  rationing  Austerity  STP  CEP  referral  England  A&E  waiting  time  treatment  delay  Privatisation  Cancer  CVD  diabetes  chronic  sick  population  ageing  premature  demographic  bubble  mental  health  prevention  public  obesity  overweight  bedblocking  bed  blocking  Council 
7 weeks ago by asterisk2a
NHS Grampian in heart patients deal with Newcastle hospital - BBC News
In May the health board said it could not meet the Scottish government's target 12-week timescale for all patients to be given planned surgery. It also said it had been forced to start prioritising the most urgent cases. The issue was raised with the Scottish government by Tory MSP Jamie Halcro Johnston on behalf of a constituent forced to wait three months for surgery. [...] [= delay of all elective surgeries] [...] "However, this service in Newcastle is their third back-up option behind Lothian and Glasgow, and it has not yet been used by patients." [...] £5m has been provided to NHS Grampian." [ to reduce wait lists 2017/18 budget, 28m budget cut planned for 2017/18 ] &! http://www.heraldscotland.com/news/15553268.Grampian_patients_offered_heart_ops_in_Newcastle_amid_theatre_staff_crisis/ &! bigger waiting times for non urgent care (budget stays same) http://www.northern-scot.co.uk/News/Chronic-pain-patient-slams-hospital-treatment-22092017.htm
NHS  Grampian  Scotland  staff  shortage  Nurses  morale  health  care  demand  Cancer  CVD  diabetes  Austerity  demographic  bubble  ageing  premature  population  chronic  sick  rationing  GP  A&E  referral  waiting  time  delayed  treatment  public 
7 weeks ago by asterisk2a
Secret NHS cost-cutting drive to reduce hospital referrals revealed | Society | The Guardian
Secret NHS cost-cutting drive to reduce hospital referrals revealed
Health trusts told to review hospital referrals weekly in bid to cut numbers by about 30%, says leaked memo //&! patient-doctor relationship may be put up in air - https://www.opendemocracy.net/ournhs/david-wrigley/second-guessing-your-gp-s-referral-nhs-denials-leave-big-questions-unanswered &! http://www.dailymail.co.uk/news/article-4901268/GPs-refuse-make-referrals-suspected-cancer.html - doubts about cancer refs. The study's authors wrote: 'Although cancer referrals were not targeted by the CCG for reduction, the message of reducing 'unnecessary' referrals was often in the back of GPs' minds.
'This appeared to be reinforced by peer pressure: general practices aimed to be at or below median CCG referral rates in referral league table.' [...] The emphasis has moved from benefits and quality of care more towards is it within our financial means.'
Another added: 'Nobody cares if you're not referring enough. Not referring gives a safe shield for the practice.' & http://practicebusiness.co.uk/some-suspected-cancer-patients-refused-urgent-referrals-due-to-cost-pressures/
NHS  GP  rationing  referral  Cancer  prevention  CVD  diabetes  chronic  sick  population  Austerity  ageing  demographic  bubble  obesity  overweight  health  care  demand  waiting  times  STP  CCG  A&E 
8 weeks ago by asterisk2a
UK health services could 'learn lessons' from Scottish NHS - BBC News
The report found that the Scottish NHS needs to make average savings this year of more than 4% - higher than those in England and Wales.
NHS  Scotland  Grampian  Austerity  health  care  demand  demographic  bubble  ageing  chronic  sick  population  Transgender  mental  LGBT  medical  advances  cancer  CVD  diabetes  obesity  overweight  Stroke  dementia  Alzheimer  adult  elderly  service  Council  Shona  Robison  rationing  waiting  times  GP  A&E  referral 
july 2017 by asterisk2a
Episode 30: Felix Salmon by Product Hunt
Everyone should be doing something lefty. The internet was abt that. Now its everyone wants 2 be big. Optimised. Cool things come out of waste, wasting times, free time, ... eureka effect. Lefty things are not optimised. // "We build a fucking great bridge." Nobody did back then seismic modeling. They just build a fucking great bridge that actually can carry twice the lanes/traffic, you can just put a 2nd deck on it with another 6 lanes. << build 4 prosperity. not optimised. THUS lesson, build ur business that way, 4 prosperity, pay money if u want 2 used it. Dont optimise 4 anything specifically. // Oldest Companies are still family owned. Not pressures by Wall Street 4 growth & profit. "No one is happy being profitable." "You wind up taking risks, eventually falling on your face." #growth-fetish // Venture Capital wants an exit. U put urself in that corner & have fiduciary responsibility. // If u own category/vertical u can sort of set price! & 46 oh hi there world, own platform!!!
Silicon  Valley  closetphile  social  entrepreneurship  Internet  Start-Up  advice  Start-Up  lesson  of  You  life  hacker  life  lesson  philosophy  Felix  Salmon  Wall  Street  crony  capitalism  post-capitalism  capitalism  shareholder  value  profit  maximisation  David  Heinemeier  Hansson  bootstraped  bootstrapping  bootstrapped  native  advertising  friction  frictionless  value  creation  Core  Product  Proposition  values  corporate  values  corporate  culture  Proposition  intangible  value  added  value  personal  values  counter  culture  advertisement  advertising  pre-roll  ad  micropayment  micropayments  Bitcoin  Dogecoin  brand  awareness  branded  content  e-mail  marketing  referral  marketing  attention  span  attention  graph  Twitter  oh  hi  there  world  Facebook  Instant  Articles  Apple  Newsstand  Apple  News  Google  Search  Newsfeed  Facebook  RSS  Platform  TOS  EULA  24-hour  cycle  business  model  pageviews  BuzzFeed 
september 2015 by asterisk2a
Vlogger guidelines published by advertising committee - BBC News
New guidelines for video bloggers who enter marketing relationships with brands have been published. The rules encourage "vloggers" to label advertising content and explain when they have been asked to feature products sent to them by companies. The Committee of Advertising Practice (Cap) has issued its first guidance since a landmark Advertising Standards Authority (ASA) ruling last year. The ASA said several vlogs praising Oreo biscuits were not clearly marked.
Vlogging  advertorial  content  marketing  vlog  Blogging  YouTube  native  advertising  advertisement  advertising  affiliate  marketing  referral  marketing  transparency  code  of  conduct  community  community  management  community  guidelines  YouTube  Network  Consumer  Protection  branded  content  user  generated  content  paid  content  Vine  Instagram  Twitter  Social  Media  Facebook 
august 2015 by asterisk2a
Reddit Is Big, Growing, and (Maybe) Turning Ever-More Inward - Robinson Meyer - The Atlantic
via http://www.reddit.com/r/TheoryOfReddit/comments/1v4vik/reddit_is_big_growing_and_maybe_turning_evermore/ [...] This is an interesting article I found, and implies that reddit may be, rather than a "sharing site," more of "a kind of earnest Internet town hall." I personally like the idea, really. Whereas facebook is mindless "look at this!" reddit, for all of its flaws and circlejerks, does occasionally have really good discussion and debate that facebook and social media sites just, well, lack. I just thought that was interesting, I've never posted here before so hopefully this is enough elaboration and you find the article interesting. [....] Shareaholic’s statistics indicate a changing role for Reddit: The site is perhaps becoming more of an object of sustained attention, and less of a interesting-link clearinghouse. (Reddit darlings like image-sharing site Imgur, meanwhile, now boast their own communities—Imgur’s is now larger than Reddit.)
Reddit  Social  Media  Twitter  Facebook  Tumblr  Gary  Vaynerchuk  Imgur  Community  content  network  content  distribution  digital  content  content  creator  microcontent  freemium  digital  natives  digital  artist  digital  economy  Music  Industry  Hollywood  Entertainment  Industry  affiliate  marketing  referral  marketing  Google  Google+ 
january 2014 by asterisk2a

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