NHS leader asks union to let striking nurses go back to work for emergencies

Health service bosses say patient safety could be at risk when nurses in England stage 28-hour stoppage from Sunday evening

An NHS leader has urged the Royal College of Nursing to let striking nurses leave picket lines and go back to work in their hospital if emergencies occur during their strike this weekend.

Matthew Taylor made the appeal as the NHS braced itself for renewed disruption to services as a result of the first strike by nurses since they rejected the government’s improved pay offer.

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Further England nurses’ strikes present ‘severe challenge’ to NHS

NHS leader says threat of joint strike with junior doctors could pose hardest challenge yet

A 48-hour nurses’ strike in England in May will present “severe challenges”, and the threat of coordinated industrial action with junior doctors could pose the “most difficult challenge” to date, an NHS boss has said.

Speaking after a four-day junior doctors’ strike ended at 7am on Saturday, Sir Julian Hartley, the chief executive of NHS Providers, said fresh strike action announced by the Royal College of Nursing from 30 April until 2 May, and the possibility of stoppages continuing into next winter, was “extremely worrying and concerning”.

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A&E staff in England struggling to spot abuse cases in infants, says watchdog

HSIB report identifies several barriers to child safeguarding in hospital emergency departments

Staff in hospital emergency departments in England are struggling to spot when infants are being physically abused by their parents, raising the risk of further harm, an investigation has found.

Clinicians often do not know what to do if they are concerned that a child’s injuries are not accidental because there is no guidance, according to a report from the Healthcare Safety Investigation Branch (HSIB) that identifies several barriers to child safeguarding in emergency departments.

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AMA president warns of ‘more illness, more loss of life’ from Covid as cases rise

Gatherings over Easter long weekend expected to cause further increase in infections, with Victoria already 60% up in past fortnight

Covid-19 cases are expected to rise further across Australia after family gatherings over the Easter long weekend, amid warnings of increasing pressure on hospital staff and a possible new wave of infections.

Most states and territories have recorded consistent increases in cases over the past two months, with Victoria recording a 60% jump in cases in the last fortnight. On Friday the state reported 5,772 new cases over the previous seven-day period.

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Critically ill patients ‘will inevitably die’ due to junior doctors’ strike

Exclusive: leading heart surgeons urge BMA to exempt staff working on critical care units in England

Critically ill patients “will inevitably die” because hospitals are having to cancel surgery as a direct result of next week’s junior doctors’ strike in England, leading heart surgeons have warned.

There were bound to be fatalities among people with serious heart problems whose precarious health meant they were “a ticking timebomb” and needed surgery as soon as possible, they said.

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Peak of 2022 heatwave forced fifth of UK hospitals to cancel operations – research

Findings reveal level of disruption over three days in July when temperatures reached as high as 40C

Almost a fifth of hospitals in the UK were forced to cancel operations during the three days in July last year when temperatures soared highest, research suggests.

The findings, published in a letter to the British Journal of Surgery, are based on surveys of surgeons, anaesthetists and critical care doctors who were working during the peak of last year’s heatwave, from 16-19 July, when temperatures reached as high as 40C in some parts of the country.

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Doubts grow over number of NHS doctors helped by pension giveaway

New figures reveal only 100 hospital doctors left NHS in 2022 due to voluntary early retirement, despite claims by Jeremy Hunt

The number of hospital doctors that could be helped by Jeremy Hunt’s pensions giveaway has been cast into doubt, after new figures revealed that only 100 of them left the NHS last year due to voluntary early retirement.

Criticism has mounted about the measure announced in the budget, which would scrap the up to 55% tax levied on lifetime pension pots worth just over £1m and raise the annual allowance threshold from £40,000 to £60,000.

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Less than 3% of NHS England trusts hit key cancer waiting-time target

‘Shocking’ analysis reveals only three trusts managed to treat 85% of patients within two months of urgent referral

Patients are being warned of a “shocking gap in cancer care” as new figures reveal that fewer than 3% of England’s NHS trusts met a key waiting-times target last year for cancer patients to be treated within two months of an urgent GP referral.

Of 125 hospital trusts in England analysed, only three (2.4%) hit the standard of treating 85% of patients within 62 days after an urgent referral in 2022. Some trusts have not hit the standard for at least eight years.

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Union says NSW health system ‘at breaking point’ and calls for royal commission into funding

Report commissioned by Health Services Union is scathing of failure to invest in community and preventative healthcare

The Health Services Union has called for a royal commission into New South Wales’ funding for health and hospitals, claiming in a new report that the system is “at breaking point” because it incentivises unnecessary or expensive procedures, rather than primary or preventive healthcare.

The report, prepared for the HSU by Impact Economics and Policy, says the “fragmented” nature of the health system intrenched inequality and did not produce the best outcomes for the money spent.

10% of people in NSW waited more than two hours after calling for an ambulance from July to September;

Patient complaints about healthcare services have increased 40% since the start of the pandemic, and 144% since 2011-12;

1,000 hospital beds in NSW are occupied by people staying longer than recommended who could be in aged care or are NDIS participants, costing about $500m a year;

Overservicing is a significant problem. For example, half of all babies born in private hospitals are delivered by caesarean section, three times the rate recommended by the World Health Organization;

Half of almost 4,500 Health Services Union workers surveyed said they were considering leaving the profession within the next five years.

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Children in mental health crisis spent more than 900,000 hours in A&E in England

Exclusive: Children as young as three in emergency departments for mental health problems, data obtained by Labour reveals

‘We are letting young people down’: the secret psychiatrist on NHS delays

Children suffering mental health crises spent more than 900,000 hours in A&E in England last year seeking urgent and potentially life-saving help, NHS figures reveal.

Experts said the huge amount of time under-18s with mental health issues were spending in A&E was “simply astounding” and showed that NHS services for that vulnerable age group were inadequate.

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Hospitals in England cancel 88,000 appointments in seven weeks due to strikes

NHS leaders warn disruption to patients could become even worse as healthcare staff plan further strikes

Hospitals in England have had to cancel 88,000 appointments because of strikes by nurses and ambulance staff over the last seven weeks, figures have revealed.

NHS bosses warned on Tuesday that the already “shocking scale of disruption” to patient care could “skyrocket” in coming weeks as unions intensify their campaign and walkouts over pay become commonplace.

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Nurses to strike again as ministers prepare to introduce ‘spiteful’ bill

Industrial action also set to escalate in other sectors while government gears up anti-strike legislation

A wave of further teaching, ambulance and civil service strikes is likely to move forward this week as nurses are set for their second major period of industrial action.

While ministers signalled a new deal may be close with the rail unions, strikes looked set to escalate in other sectors as ministers geared up to introduce controversial new anti-strike legislation to the House of Commons on Monday.

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Health workers in Zimbabwe dismayed as law curbing strikes is passed

Controversial bill to stop industrial action criticised as an already struggling sector fears losing more staff in a damaging brain drain

Zimbabwe’s health workers have criticised the government for passing contested legislation that outlaws any industrial action, saying it will worsen the sector’s already damaging brain drain.

The new Health Services Bill, which came into force on Tuesday, forbids health workers who are classified as an “essential” service from striking for more than three days. Those who do not comply face a fine or imprisonment of up to six months.

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More than 7,000 nurses go on strike at two New York City hospitals

Nurses walked off the job at the Mount Sinai and Montefiore medical centers in Harlem and the Bronx over staffing issues

More than 7,000 nurses at two New York City hospitals went on strike on Monday, saying their concerns around staffing issues had not been addressed by management.

Talks failed on Sunday night. At 6am on Monday, nurses went on strike at Mount Sinai medical center on the Upper East Side and Montefiore medical center in the Bronx.

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Revealed: NHS trusts tell patients to go private and jump hospital queues

Observer investigation finds a ‘two-tier’ health system emerging in England, with rapid access available to those able to pay

NHS trusts with record waiting lists are promoting “quick and easy” private healthcare services at their own hospitals, offering patients the chance to jump year-long queues, the Observer can reveal.

Hospitals are offering hip replacements from £10,000, cataract surgery for £2,200 and hernia repairs for £2,500. MRI scans are offered for between £300 and £400.

East Sussex healthcare NHS trust has thousands of patients waiting for diagnostic tests but offers “fast access” to scans through its private division.

Great Western hospitals NHS trust in Wiltshire is warning patients that services are “extremely busy”, while its private division promotes self-pay treatment for those who “don’t want to wait for an NHS referral”.

James Paget university hospitals NHS trust in Norfolk is advertising private services on its NHS website, stating: “We provide highly experienced consultant-led services … without the waiting list.”

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PPE Medpro: Michelle Mone-linked firm referred to UK health watchdog

DHSC accused PPE Medpro of presenting false document when tendering for PPE contracts

A company linked to the Conservative peer Michelle Mone was referred to the UK’s health products watchdog for an investigation after it allegedly presented a false document to the government when tendering for PPE contracts.

The referral of the company, PPE Medpro, was described in a high court document made public this week, setting out the legal claim against the company by the Department of Health and Social Care. The DHSC is seeking the return of £122m in public money it paid for the supply of sterile surgical gowns, plus £11.6m for storing and disposing of them.

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Quarter of ambulance patients in England wait an hour to get into A&E after arrival

Waiting times for admission to A&E in last week of year likely to be highest recorded by the service

More than a quarter of ambulance patients in England waited more than an hour to be admitted to A&E in the last week of 2022, amid “one of the most difficult” winters in NHS history.

Of all those arriving by ambulance in the week to 1 January, 26.3% waited with crews for more than 60 minutes.

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Rising number of foreign objects found in patients after surgery in England

In what NHS calls ‘never events’, items including swabs, blades and drill bits left in patients 291 times in England in 2021-22

A rising number of medical foreign objects, including wire cutters, scalpel blades and drill bits, have been left inside hospital patients after surgery in England, new figures reveal.

Blunders involving a “foreign object accidentally left in body during surgical and medical care” led to 291 “finished consultant episodes” in 2021-2022, official data shows.

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Daniel Andrews and Dominic Perrottet call for reforms to Australia’s ‘broken’ primary care system

Victorian premier says state-run hospitals should not be acting as safety nets because people ‘cannot find a bulk-billing doctor’

Victorian and New South Wales have banded together to ramp up pressure on the federal government to overhaul Australia’s ailing primary care network through national cabinet this year.

Visiting a newly opened urgent primary care clinic in Melbourne, the Victorian premier, Daniel Andrews, said state-run hospitals were too often acting as a safety net amid an ongoing shortage of bulk-billing general practitioners.

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‘Intolerable’ NHS crisis to continue until April, health leaders warn

Ministers urged to recall parliament amid warnings patients are dying needlessly due through inaction

The crisis engulfing the NHS will continue until Easter, health leaders have warned, as senior doctors accused ministers of letting patients die needlessly through inaction.

More than a dozen trusts and ambulance services have declared critical incidents in recent days, with soaring demand, rising flu and Covid cases and an overstretched workforce piling pressure on the health service.

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