asterisk2a + staff   277

Ellingham Hospital: Children's mental health wards to close - BBC News
The hospital said it found it "extremely challenging to recruit and retain permanent staff".
NHS  Privatisation  CQC  Austerity  staff  crisis  staffing  mental  health  CAMHS 
11 weeks ago by asterisk2a
NHS 'reality check' for PM Boris Johnson - BBC News
The Royal College of Surgeons says nothing short of a long-term plan to increase the number of beds and staff and resources to run the wards will suffice.
[...]
Sally Gainsbury, of the Nuffield Trust, was the first analyst to highlight the funding mechanism. She argued that "to claim this as new money is a little like finally giving back the £10 you borrowed some time ago - and expecting to be applauded wildly".
NHS  Austerity  sickcare  demand  ageing  population  premature  Cancer  CVD  Diabetes  rationing  staff  bed  shortage  crisis  Boris  Johnson  Brexit  CON-servative  Conservative  Party 
august 2019 by asterisk2a
UK's 'cruel and harmful policies' lack regard for child hunger, says NGO | Society | The Guardian
'Broken' care system for most vulnerable
Patients with mental health problems, autism and learning disabilities are being let down by a "broken" care system, a report warns.

The Care Quality Commission (CQC) says it knows of at least 62 adults and children that have been living in segregation in mental health hospitals for long periods of time.

Health Secretary Matt Hancock, who commissioned the work, said he was appalled by the distressing stories.

He promised cases would be reviewed.

The CQC found some of the wards were not suitable environments for people with autism and many staff lacked the necessary training and skills to work with patients with complex needs and challenging behaviour.

https://www.theguardian.com/education/2019/may/20/a-national-shame-headteachers-voice-anger-about-pupils-hunger - Schools confirm Human Rights Watch findings government is failing children in poverty
UK  austerity  poverty  trap  childhood  hunger  mental  health  vulnerable  duty  of  care  gov  NHS  children  education  policy  Council  CQC  safety  Autism  disabled  learning  disability  staff  crisis  staffing  training  CAMHS 
may 2019 by asterisk2a
NHS England loses 6,000 mental health nurses in 10 years | Society | The Guardian
The number of mental health nurses in England has slumped by more than a tenth over the past decade, new figures have revealed. This is despite commitments from both Theresa May and her predecessor, David Cameron, to boost resources for mental health services, which many medical professionals say are now in crisis.

The total mental health nursing workforce has decreased by 10.6% since 2009, according to the Royal College of Nursing (RCN).
NHS  Austerity  mental  health  CON-servative  nasty  party  Conservative  staff  crisis 
may 2019 by asterisk2a
Hundreds of foreign doctors mull leaving UK over 'crippling' fees | Society | The Guardian
High cost of visas and other charges is worsening NHS staffing crisis, warn medics
[...] One NHS doctor from India is among those considering going abroad. “Despite the NHS needing additional doctors these policies send the message that doctors on visas are second-class employees, unwanted and completely disposable,” they said. [...] Medics from outside the EU27 want visa charges , which can amount to thousands a year for them and their families, to be cut or scrapped altogether, along with the immigration health surcharge (IHS), which was recently doubled to £400 for every member of an overseas doctor’s family.
NHS  staff  crisis  recruitment  Visa  Home  Office  Austerity  immigration  Hostile  Environment  Brexit  Tories  nasty  party  Conservative  Theresa  May 
may 2019 by asterisk2a
Ministers accused of pressure over teacher recruits - BBC News
But providers say they have come under repeated pressure to take the kinds of candidates that they had been rejecting.

They have been summoned to a string of meetings by Schools Minister Nick Gibb and his Department for Education (DfE) officials, over the past six months, where they were quizzed over which candidates were rejected and why.
UK  education  policy  Austerity  staff  recruitment  crisis  CON-servative  Conservative  Theresa  May  quality  Ofsted 
february 2019 by asterisk2a
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
England’s schools face staffing crisis as EU teachers stay at home | Education | The Guardian
Fears that uncertainty over Brexit will hit language learning after 25% drop in applications from EU citizens
Brexit  Education  policy  staffing  staff  crisis  NHS  EU  language  learning  Austerity 
january 2019 by asterisk2a
Bursaries failing to solve teacher retention crisis, says Labour | Education | The Guardian
[no strings attached bursaries]

According to Labour analysis, in 2015-16 nearly £22m was spent on bursaries for trainees who did not go on to take up a teaching post.

More than £6.1m of that went on top £25,000-plus payments for graduates with firsts in chemistry, computing, mathematics, modern foreign languages and physics.

The analysis comes as the education secretary, Damian Hinds, prepares to launch the government’s teacher recruitment and retention strategy.
Education  policy  UK  Austerity  staff  crisis 
january 2019 by asterisk2a
At the heart of this NHS cash boost lies a dishonesty: tax | Rafael Behr | Opinion | The Guardian
Theresa May’s boast that extra funding won’t involve tax rises should set alarm bells ringing [...] Stevens knows that £20.5bn is a lot, yet not enough. It repairs some of the damage inflicted by austerity – a problem denied for years by ministers who insisted the NHS budget was ring-fenced. That was true in a narrow technical sense. But rising costs and a displaced burden from deep cuts elsewhere imposed an unbearable strain on hospitals and GPs. [...] Phased in over five years, the £20.5bn uplift temporarily restores health spending to something like its pre-austerity trajectory. But it is unclear where the next £20.5bn comes from. Or the £20.5bn after that. The Institute for Fiscal Studies estimates that budgets should rise by 3.3% over 15 years to keep services at their current level. If the ambition is to make them better, the annual increase would be more like 5%, taking health spending to around 10% of national income. That is the level maintained by countries like the Netherlands and Sweden. May has no plan to keep Britain in that league. [...] The dishonest part is making it sound like a self-sustaining process when it is a one-off event.
NHS  Theresa  May  Conservative  Austerity  sickcare  demand  long-term  plan  demographic  bubble  chronic  sick  population  staff  staffing  crisis  Cancer  diabetes  CVD  obesity  ageing  premature 
january 2019 by asterisk2a
NHS long-term plan: Focus on prevention 'could save 500,000 lives' - BBC News
MISTAKE. PREVENTION SHOULD BE ON TOP OF THE BUDGET, NOT TAKEN AWAY FROM THE BUDGET. That after the conservatives cut prevention (Public Health)
The government and NHS England are publishing the long-waited 10-year plan for healthcare later today. From what we know so far, it aims to reduce reliance on hospitals, giving them a smaller cut of the overall budget, and puts a greater emphasis on preventing ill health. Ahead of the publication, NHS England confirmed that a third of the extra £20bn a year the NHS will receive by 2023 will be spent on GPs, community care and mental health. Its chief executive, Simon Stevens, called the plan a "practical, costed and phased route map". However, senior doctors have complained that hospitals are facing a "near-on impossible" task over the next few years.
__ https://www.bbc.co.uk/news/health-46783621 - Will NHS long-term plan deliver the goods?
++ https://www.longtermplan.nhs.uk/publication/nhs-long-term-plan/
&!
Document demands repeal of 2012 legislation on automatic tendering of care contracts https://www.theguardian.com/society/2019/jan/07/nhs-chiefs-tell-theresa-may-time-to-curb-privatisation-automatic-tendering-care-contract
&! NHS considers scrapping four-hour A&E waiting time targets Hospitals are unlikely to recover previous performance levels, health leaders believe https://www.theguardian.com/society/2019/jan/07/nhs-waiting-time-targets-minor-ailments
&! Despite extra funding, central idea of plan for NHS England is to do more with less https://www.theguardian.com/society/2019/jan/07/what-is-the-nhs-long-term-plan-and-can-it-achieve-its-aims
& Key commitments at a glance, from reducing stillbirths to diagnosing cancers earlier
https://www.theguardian.com/society/2019/jan/07/what-will-the-nhs-long-term-plan-mean-for-patients
& NHS long-term plan: Are there enough staff to make it happen?
https://www.bbc.co.uk/news/health-46782159
NHS  prevention  sickcare  demand  Austerity  ageing  premature  population  obesity  CVD  cancer  diabetes  Conservative  Theresa  May  staff  crisis  public  health  Brexit  long-term  plan 
january 2019 by asterisk2a
NHS ‘could be short of 350,000 staff by 2030’ | Society | The Guardian
The staffing crisis in the NHS is deepening so fast that the service could be short of 350,000 key personnel by 2030, health experts have warned.

Staff shortages are set to become so serious that they force patients to wait longer for treatment, hit the quality of care offered and mean some of the NHS’s £20.5bn funding boost never gets spent.

The warning comes from an analysis of the NHS’s increasingly visible lack of doctors, nurses and other staff drawn up by three leading health thinktanks. The situation is so serious that the NHS is reaching a tipping point, they claim.
NHS  staff  crisis 
november 2018 by asterisk2a
NHS 'dangerously' short of 100,000 staff - BBC News
The NHS in England has nearly 100,000 jobs unfilled, a situation described as "dangerously" understaffed.
NHS  Crisis  patient  safety  Austerity  staff  shortage  Doctor  Nurses  Doctors  sickcare  demand  chronic  sick  population  ageing  demographic  bubble  CVD  Cancer  obesity  overweight  diabetes  premature  rationing  waiting  times  treatment  delay 
february 2018 by asterisk2a
NHS doctor must leave the UK to look after daughter in Egypt | UK news | The Guardian
shambles. reports have been mounting that home office is making NHS Crisis worse and Brexit is doubling up on it as much fewer EU going to join NHS
NHS  Crisis  recruitment  Home  Office  staff  burnout  nasty  party  Tories  Conservative  Theresa  May  Brexit 
january 2018 by asterisk2a
Underfunded justice system 'crumbling', top criminal barrister says | Law | The Guardian
[pure rational rationing (workload) decisions out of necessity - by individuals, forced upon them by Austerity decisions] Failures to disclose evidence in rape prosecutions are a sign of the “dystopian disaster” engulfing the criminal justice system that has been caused by chronic government underfunding, the head of the criminal bar has warned. Angela Rafferty QC, who represents criminal barristers in England and Wales, criticised ministers for trying to promote the justice system as “a national asset” at the time of Brexit when in reality “the fabric of the court estate [is] crumbling”. [...] The Law Society, which represents solicitors across England and Wales, has launched legal action against the Ministry of Justice for cutting fees for defence lawyers, who have to examine increasingly large volumes of material recovered from mobile phones and laptops.
rationing  Austerity  Legal  Aid  Justice  Police  UK  Tories  nasty  party  Conservative  Gesellschaft  fabric  Society  injustice  BAME  No  Representation  Brexit  Westminster  bubble  Whitehall  MoJ  Sociology  Politics  Court  Prison  inequality  gini  Coefficient  social  mobility  equality  democracy  double  standard  staff  crisis  recruitment  burnout 
january 2018 by asterisk2a
'Epidemic of stress' blamed for 3,750 teachers on longterm sick leave | Education | The Guardian
Policy changes, budget cuts, fewer staff and bigger classes blamed for toll on teachers’ mental health revealed by figures compiled by Lib Dems
UK  education  policy  teacher  crisis  recruitment  staff  shortage 
january 2018 by asterisk2a
NHS shake-up is not a Trojan horse for privatisation, says top doctor | Society | The Guardian
accountable care organisations (ACOs).
Another body to control for quality, beyond CQC!? Tories already made CCGs accountable. //&! http://www.bbc.co.uk/news/health-42873285 - NHS plans: Privatisation or progress? //&! https://www.newstatesman.com/politics/health/2018/02/jeremy-hunt-still-clinging-his-job-because-he-has-big-plans-april - There is much merit in merging services like this, but the way Hunt intends to set up ACOs will open them to competitive tender, with opaque lines of responsibility once contracts are awarded. This is exactly what the huge private health care companies have been waiting for – the chance to take over whole chunks of the NHS and social care sectors and run them on commercial lines.
ACO  NHS  CCG  Politics  CQC  STP  Austerity  Privatisation  rationing  staff  crisis  sickcare  healthcare  demand  PFI  Council  ageing  demographic  bubble  population  premature  CEP  elderly  care  adult  social  Cancer  obesity  CVD  overweight  chronic  sick  waiting  times  bedblocking  bed  blocking  treatment  delay 
january 2018 by asterisk2a
Maternity mistakes: Lapses lead to mistake every five births - BBC News
Ministers said safety must be improved.

Health Secretary Jeremy Hunt told the BBC the figures were "shocking" and improving the way mothers and babies were cared for was a "top priority".
NHS  excess  deaths  crisis  Austerity  staff  shortage 
december 2017 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
(4870) OP gelungen – Patient tot | Die Story im Ersten - YouTube
eine einzige nacht im mehrbettzimmer - Krankenhaushygiene // simplest example the stetoscope. how often is a stetoscope desinfected? // also needs more time for patients and staff. //&! https://www.youtube.com/watch?v=mBog5xT5Ybk - Der unsichtbare Feind – Tödliche Supererreger aus Pharmafabriken | Die Story im Ersten //&! https://www.youtube.com/watch?v=R2v_yco_EUU - Die Antibiotika Falle | Doku
antibiotic  HAI  infection  antibiotics  post-antibiotic  MRSA  staff  shortage  patient  safety  excess  deaths  Superbug  MCR-1  prevention  public  health  food–industrial  complex  bigpharma  big  pharma 
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
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 
october 2017 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 
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
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 
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
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 
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
Health boards to share resources in face of challenges | Inverness Courier | News
Stealth mega merger of northern Healthboards, as preveiously reported about "thoughts" to form 4-5 mega trusts/healthboards for scotland. // A regional delivery plan for the north of Scotland will see health authorities in Highland, Grampian, Tayside, Orkney, Shetland and the Western Isles form a partnership, members of the Highland board have been told. [...] "With even more challenging times ahead we are absolutely going to need to share our infrastructure across the six health boards in the north."
NHS  Grampian  Scotland  Austerity  merger  rationing  efficiency  health  care  demand  ageing  chronic  sick  population  staff  crisis  medical  advances  demographic  recruitment  hiring  bubble  babyboomers  CVD  Cancer  diabetes  obesity  overweight  mental 
october 2017 by asterisk2a
England and Wales death rate rise linked to longer stays in hospital | Society | The Guardian
The sharp rise in the death rate in recent years could be down to the number of people being kept too long in hospital, inadequate social care and austerity-linked pressures on the NHS, academics say.

About 7,800 extra deaths a year in England and Wales are being caused by the dramatic increase in the number of people being forced to stay in hospital longer than necessary because they cannot safely be discharged, it is claimed.
NHS  bedblocking  bed  blocking  Council  social  elderly  care  ageing  chronic  sick  population  Austerity  STP  CEP  waiting  times  rationing  demographic  bubble  mental  health  loneliness  recovery  infection  Nurses  staff  shortage  Crisis  winter 
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
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 
september 2017 by asterisk2a
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