Category Archives: NHS

Welsh health board urges public to avoid emergency departments

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Ambulance service blames demand, staff sickness, and patient handover times for elderly man being taken to hospital on plank

The health board for the area where an 89-year-old man was taken to hospital strapped to a plank because no ambulances were available has said the flow of patients through its hospitals is blocked because hundreds of medically fit people have nowhere safe to be discharged to.

They have urged people to stay away from emergency departments unless their need is dire.

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‘Like a horrific board game’: 33 hours inside an NHS in crisis

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Crammed wards, burnt-out GPs, patients waiting hours for ambulances – the health service is at breaking point

Inside the dimly lit command centre at King’s College hospital, staff arriving for the first beds meeting of the day are greeted with a warning: the hospital is already under strain. “So, we are under pressure this morning,” the head of nursing, Naomi Hosking, informs colleagues stood around her in a semi-circle. No one registers surprise. “We’ve got a lot of patients in ED [emergency department] with little space to see new patients, so we need to get some early movement.”

It’s 8.32am and ED – maximum capacity 60 – is packed, with 61 patients inside. The oldest is 98; the youngest 30 days old. Later, that pressure will intensify: the number of ED patients – in beds, on trolleys or in chairs – will more than double to 137.

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Nurses will strike this week in UK after talks with health secretary stall

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Royal College of Nursing leader criticises ‘belligerence’ in meeting with Steve Barclay at which ministers refused to discuss pay

Nurses’ strikes will go ahead this week after a meeting between the union and the health secretary ended in deadlock, with the Royal College of Nursing condemning ministers’ “belligerence” for refusing to discuss pay.

Six hundred military personnel from all three armed forces will start training to drive ambulances to cover for striking NHS workers across the UK later this month. A further 150 are being readied to act as logistical support, defence sources said, with training for both groups to start “shortly”.

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NHS operations cancelled in England due to staff shortages double in three years

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Labour highlights issue to back up pledge to invest heavily in addressing shortages

The number of operations cancelled by the NHS in England because of staff shortages may have doubled in three years, with an estimated 30,000 not proceeding because no staff were available to perform them.

At least a third of cancelled operations were those that were deemed urgent, according to the analysis by Labour. It suggested at least 2,500 cancelled operations for cancer patients and 8,000 on children.

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RCN accuse government of ‘belligerence’ as talks to avert strike action fail; Wales strikes to go ahead – as it happened

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Royal College of Nursing says Steve Barclay refused to discuss pay at meeting on Monday; Welsh nurses to strike after last-minute talks fail. This blog is now closed

Pat Cullen, the Royal College of Nursing’s general secretary, told ITV this morning that there was no point talking to Steve Barclay, the health secretary, if he was not prepared to discuss pay. She said

What I’m saying … to the health secretary this morning, is if you don’t want to speak to me directly about nurses’ pay, we have engaged with the conciliation service Acas, they can do that through Acas, but our door is absolutely wide open and it appears at the minute that theirs is totally shut …

Fundamentally, I need to get to a table and talk to them about pay. This isn’t just me, it’s the 320,000 nurses that voted for strike action … They voted through an independent ballot that we carried out and surely to goodness you couldn’t look at one of those people this morning in the eye and say: ‘You’re not worth an extra brown penny’. In my mind they absolutely are.

I think it’s a very challenging international picture. About a third of the world’s economies are predicted to be in recession, either this year or next.

We’re no different in this country and truthfully, it is likely to get worse before it gets better, which makes it even more difficult when we have big public sector strikes going on at the moment.

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Exclusive: health unions offer to pause NHS strikes if government join pay talks

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Royal College of Nursing and Unison call on health secretary to negotiate with them to avoid action at Christmas and new year

Health unions made a dramatic offer on Saturday night to suspend a wave of planned strikes that threatens to cripple the NHS over Christmas and the new year if ministers agree to open serious discussions over pay.

The moves by the Royal College of Nursing (RCN) and the country’s biggest union, Unison, are the first signs of flexibility by either side in a dispute that has been deadlocked for weeks.

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Officers unlikely to stand in for striking ambulance drivers, police chiefs say

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Combination of overstretched forces and few licensed drivers means requests expected to be turned down

Police say they will not replace striking ambulance drivers as health trusts scramble to limit the effects of a wave of industrial action.

The trusts, which are responsible for running ambulances, have approached individual police forces to see if officers might ferry patients to and from hospital.

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Nurses’ union leader Pat Cullen: ‘I follow through on what I believe in’

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The RCN boss poised to lead the first NHS-wide strike reflects on her long-established readiness to tackle perceived injustices

Pat Cullen tells a story that is very revealing about the character of the woman who is about to lead Britain’s nurses into their first-ever NHS-wide strike – herself.

Almost 40 years ago, back in 1983, Cullen was an 18-year-old trainee nurse at Holywell psychiatric hospital in Antrim, Northern Ireland. She was appalled that under its “token economy system” staff punished patients whose behaviour proved difficult by taking away their personal possessions – sweets, cigarettes, washbags or blankets.

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Delays in seeing a GP mean millions will get diagnosis too late, says Labour

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Serious illnesses among estimated 5m people in England who could not get an appointment in October may have been missed

Millions of people in England are struggling to get GP appointments and as a result some will not have serious medical conditions diagnosed until it is “too late”, Labour has warned.

The party has made new estimates based on the latest GP appointment figures for England with GP patient survey data.

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Strep A: No 10 tells parents to look for signs of infection with reports of eighth death

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Warning comes as health official says earlier start to cases in UK could be knock-on effect of pandemic

Downing Street has told parents to be on the lookout for signs of strep A infection after reports a primary-school pupil has become the eighth child to die in a matter of weeks.

On Monday, Alison Syred-Paul, headteacher at Morelands primary in Waterlooville, Hampshire, said: “Very tragically, we have learned of the death in recent days of a child who attended our school, who was also diagnosed with an invasive Group A streptococcal (iGAS) infection.”

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Hip and knee ops fell by more in UK than in any EU nation in 2020

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Hip replacements fell 46% in UK as a result of Covid and knee operations by 68%, study finds

Britain may be the hobbling man of Europe, according to figures showing that the fall in the number of hip and knee surgeries as a result of the Covid pandemic was greater in the UK than in any EU country.

The number of hip replacement operations fell 46% in 2020 in the UK, compared with just 7% in Germany and 12% in France. Meanwhile, the number of knee operations slumped 68% in the UK, compared with just 3% in Finland and an average of 24% across the EU.

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‘A gift of life’: the NHS double lung transplant that saved Covid patient

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After months in intensive care, Cesar Franco became the first person in Britain to have the operation because of the virus

“When I woke up I was confused. I remembered the doctors in St George’s hospital deciding to intubate me. But when I woke up from the intubation, I’d been transferred to another hospital, St Thomas’, and was on a machine that was keeping me alive. I wondered how things had gotten so bad and how I’d gone from being just ill to being, you know, very close to dying.”

Cesar Franco is reliving how he fell gravely ill with Covid-19 late last year and ended up in the intensive care unit (ICU) of St Thomas’ hospital in central London, helpless, struggling to breathe and only still alive thanks to the quiet pumping of an extracorporeal membrane oxygenation (Ecmo) machine. It was the start of what became five arduous, precarious months in ICU on Ecmo. That is an unusually long time, even for a Covid patient, to receive what, for some but not all, proves to be life-saving care.

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Timetable of trouble: the wave of strikes set to hit the Tories this winter

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Rampant inflation and government policy has brought matters to a head: so where is disruption going to hit and what are the unions asking for?

Strikes are not something most managers think about. The oft-mentioned “winter of discontent” and year-long miners’ strike were features of the late 1970s and mid-1980s. Since then, industrial action in the private and public sectors has fallen to a level so low that academics have given up studying it.

When pay talks began a year ago for the current financial year, inflation was rising, but the Bank of England was reasonably certain it would be temporary. Union leaders prepared for a post-pandemic battle over pay, but not one that would probably end in strike action.

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Emergency care issues in England contributed to 200 deaths last week, says medical chief

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Head of Royal College of Emergency Medicine says lengthy waits forcing ambulances to be ‘wards on wheels’

More than 200 people who died last week in England are estimated to have been affected by problems with urgent and emergency care, according to the president of the Royal College of Emergency Medicine.

Dr Adrian Boyle, who is also a consultant in emergency medicine, told BBC Radio 4’s Today programme that a failure to address problems discharging patients to social care was a “massive own goal”.

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Ambulance waiting times in England three times longer in some rural areas

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Disparity between rural and urban areas uncovered by Lib Dem FoI requests to 10 ambulance trusts

Patients in some rural areas wait almost three times longer for emergency ambulances than those in towns and cities, while people with potential heart attacks or strokes now face a one hour 40-minute average wait in one area, statistics have shown.

The disparities were uncovered by freedom of information requests by the Liberal Democrats to England’s 10 ambulance trusts, which in turn covered waiting times for 227 areas across the country.

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NHS England ad campaign hopes to change behaviours and relieve service

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Exclusive: The Help Us Help You campaign by M&C Saatchi, worth up to £28.6m, encourages people to cut down on in-person GP visits

Plans have been drawn up to avoid the NHS being overwhelmed this winter by encouraging patients to “behave in ways they’ve not experienced before” and cut down on in-person GP visits, the Guardian can reveal.

An advertising campaign devised by M&C Saatchi, awarded a contract by NHS England worth up to £28.6m, suggested ways people could be encouraged to settle for a virtual appointment or visit a pharmacist instead.

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Ambulance workers across England to strike before Christmas

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Thousands of staff including 999 call handlers and paramedics to take strike action over pay and staffing levels

Ambulance workers across England intend to strike before Christmas after voting in favour of industrial action over pay and staffing levels.

Unison said thousands of 999 call handlers, ambulance technicians, paramedics and their colleagues working for ambulance services in the north-east, north-west, London, Yorkshire and the south-west are to take strike action.

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Brexit has worsened shortage of NHS doctors, analysis shows

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Exclusive: More than 4,000 European medics have chosen not to work in NHS since Britain left EU, data reveals

Brexit has worsened the UK’s acute shortage of doctors in key areas of care and led to more than 4,000 European doctors choosing not to work in the NHS, research reveals.

The disclosure comes as growing numbers of medics quit in disillusionment at their relentlessly busy working lives in the increasingly overstretched health service. Official figures show the NHS in England alone has vacancies for 10,582 physicians.

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Rotherham: inquiry after family says boy, 5, died after hospital turned him away

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Yusuf Ahmed died after a tonsil infection spread to his lungs and caused multiple organ failure

A hospital trust in South Yorkshire has opened an investigation after the family of a five-year-old said he died after being turned away by doctors because there were no available beds.

Yusuf Ahmed died on Monday after a tonsil infection had spread to his lungs and caused multiple organ failure. The boy had been taken to Rotherham general hospital by his uncle Zaheer Ahmed on 14 November with complaints of a sore throat. He had been prescribed antibiotics the previous day by his GP, but his condition had not improved.

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Minister becomes eighth Tory MP to announce they are stepping down at next election – UK politics live

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Dehenna Davison, seen as one of the rising stars of the Conservative party, has announced she is standing down at the next election

Downing Street has confirmed that the inquiry into bullying allegations about Dominic Raab, the justice secretary and deputy prime minister, is being expanded to cover claims relating to his period as Brexit secretary, my colleague Pippa Crerar reports.

The inquiry was originally set up to consider two complaints, relating to his time as justice secretary and foreign secretary. But at the Downing Street lobby briefing a No 10 spokesperson said:

I can confirm that the prime minister has now asked the investigator to add a further formal complaint relating to conduct at the Department for Exiting the European Union and to establish the facts in line with the existing terms of reference.

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