The nurses getting huge bills for quitting the NHS – podcast

International nurses working for NHS trusts are being trapped in their jobs by clauses in their contracts that require them to pay thousands of pounds if they try to leave. Shanti Das reports

Nurses are the backbone of the NHS. For the past two years as Covid-19 gripped the country, people lauded NHS staff as heroes. Many nurses join the NHS from abroad, attracted by the stability of the work, the ethos and a chance for a new life in the UK. But joining the NHS from abroad comes with strings attached.

The Observer’s Shanti Das tells Nosheen Iqbal that some nurses working for NHS trusts and private care homes are being trapped in their jobs by clauses in their contracts that require them to pay thousands of pounds if they try to leave. In extreme cases, nurses are tied to their roles for up to five years and face fees as steep as £14,000 if they want to change jobs or need to return home early.

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Numbers of nurses and midwives leaving NHS highest for four years

More nurses leave NHS than at any time since Covid struck, many reporting stress as their main reason

More than 27,000 nurses and midwives quit the NHS last year, with many blaming job pressures, the Covid pandemic and poor patient care for their decision.

The rise in staff leaving their posts across the UK – the first in four years – has prompted concern that frontline workers are under too much strain, especially with the NHS-wide shortage of nurses.

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Author of review into aborted GP data sharing in England opted out of scheme

Prof Ben Goldacre cited risks of deanonymisation as his main reason for withdrawing his consent

The author of a government review into medical data sharing personally opted out of the aborted plan to share GP health data, a parliamentary committee has heard.

Prof Ben Goldacre, a former Guardian columnist and the author of the Goldacre Review, exercised his right to opt out of the Government’s General Practice Data for Planning and Research scheme, he told the Commons Science and Technology committee, because he was concerned about the risks of deanonymisation.

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Dentist shortage in south-west England leaves patients doing DIY treatments

Children and adults forced to live in agony because they are unable to register for NHS care in Somerset, charity says

Many patients in south-west England are being left in dental pain because they are unable to register for NHS care, with some so desperate that they are even resorting to DIY treatment, it has emerged.

The charity Healthwatch in Somerset has reported that it is almost impossible for a new patient to register for an NHS dentist in the county, which is leading to adults and children living in agony, self-treating, or travelling out of the area for help.

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Hundreds of mentally ill prisoners denied urgent treatment in England

Most seriously ill inmates left to wait in cells often due to bed shortages at secure hospitals, data shows

Hundreds of severely mentally ill prisoners in urgent need of hospital treatment are being left in prison cells due to bed shortages in secure NHS psychiatric units, an investigation has discovered.

Freedom of information (FoI) responses from 22 NHS trusts reveal for the first time that just over half of the 5,403 prisoners in England assessed by prison-based psychiatrists to require hospitalisation were not transferred between 2016 and 2021 – an 81% increase on the number of prisoners denied a transfer in the previous five years.

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NHS ambulance service cuts presence at Gatwick airport and sports venues

South East Coast service stops providing onsite paramedic at airport to focus on 999 response

An NHS ambulance service is cutting back its presence at Gatwick airport and major sports events so it has more crews available to answer 999 calls, amid unprecedented pressures.

The South East Coast ambulance service (Secamb) has ended a longstanding arrangement under which Gatwick paid it to have an ambulance car and paramedic on site.

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30,000 cancer patients waiting for treatment in England

Experts call on ministers to tackle chronic staff shortages, with delays worsened by pandemic

Tens of thousands of patients are still waiting to start cancer treatment in England due to disruption during the pandemic, according to NHS figures, as medical charities called on the government to tackle chronic staff shortages in the health service.

Following a dramatic slump in cancer referrals in 2020, the number of people being investigated for the disease bounced back in the past year, data from NHS England and NHS Improvement show, rising from 2.4 million to a record 2.66 million.

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Javid orders inquiry into NHS gender identity services for under-18s – reports

The health secretary is planning an overhaul of services offered to young people who question their gender identity, the Times reports

An inquiry into the impact on under-18s of NHS treatment for gender dysphoria is to be launched by the UK government, according to reports.

The health secretary, Sajid Javid, is said to be concerned that vulnerable children are being given gender hormone treatment before alternatives have been explored, according to the Times, and is planning an overhaul of services.

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One in eight privately rented homes in England pose threat to health, MPs say

Serious health and safety risks costing NHS £340m a year, public accounts committee report finds

More than one in eight privately rented homes in England pose a serious threat to people’s health and safety, costing the NHS about £340m a year, according to a report from a committee of MPs.

It also uncovered evidence of unlawful discrimination, with an estimated one in four landlords unwilling to let to non-British passport holders.

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Third of GPs in England want to quit within five years, survey finds

Practitioners’ struggles include increased workloads, greater demand from patients, and paperwork

A third of GPs in England say they want to quit within five years, according to a regular survey which warns that clinical doctors are especially unhappy with the number of hours they work.

The survey of 2,195 GPs undertaken in 2021 found 33% planned to leave “direct patient care” by 2026. The figure represents a return to levels last seen in 2015, after plans to quit peaked in 2018 when two in five GPs wanted to stop seeing patients within five years.

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Non-compliant online STI tests put patients at risk, experts warn

Few sexually transmitted infection test kits available online meet official standards, BMJ study finds

Patients are being put at risk in the UK because very few sexually transmitted infection (STI) tests offered online meet official standards, experts have warned.

The NHS provides free in-person tests for STIs via its network of sexual health and genitourinary medicine clinics. Patients can also order tests via the internet from both NHS-commissioned and private providers, a practice that has become increasingly popular during the pandemic.

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As Britain learns to live with Covid, it faces a new pandemic of disruption

Staff shortages, delays and rising prices are playing havoc with the healthcare, education, farming, hospitality and travel sectors

Although the UK no longer faces the threat of lockdowns or intensive care units being imminently overrun, coronavirus is still disrupting much of society and the economy.

As Britain learns to live with Covid, the virus is still playing havoc with our daily lives, and these difficulties have been compounded by post-Brexit chaos in some in sectors.

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Ensure waist size is less than half your height, health watchdog says

Guidance for England and Wales comes amid increasing concern over rate of obesity and cost to NHS

A health watchdog is urging millions of people for the first time to ensure their waist size is less than half their height in order to help stave off serious health problems.

The UK has one of the worst obesity rates in Europe, with two in three adults officially overweight or obese in an escalating crisis that now costs the NHS £6bn a year and wider society £27bn.

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Repeated maternity failings uncovered in Sheffield NHS trust

Watchdog expresses concern over safety of mothers and babies days after damning Shrewsbury report

Hospital inspectors have uncovered repeated maternity failings and expressed serious concern about the safety of mothers and babies in Sheffield just days after a damning report warned there had been hundreds of avoidable baby deaths in Shrewsbury.

The Care Quality Commission (CQC) found Sheffield teaching hospitals NHS foundation trust, one of the largest NHS trusts in England, had failed to make the required improvements to services when it visited in October and November, despite receiving previous warnings from the watchdog.

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Hundreds fitted with artificial pancreas in NHS type 1 diabetes trial

Adults and children wear device that monitors glucose level and adjusts amount of insulin delivered

Hundreds of adults and children with type 1 diabetes in England have been fitted with an artificial pancreas that experts say could become the “holy grail” for managing the disease, in a world-first trial on the NHS.

The groundbreaking device uses an algorithm to determine the amount of insulin that should be administered and reads blood sugar levels to keep them steady. The NHS trial has so far found the technology more effective at managing diabetes than current devices and that it requires far less input from patients.

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Failure to consider long Covid impact will hit UK economy, says expert

Dr Nathalie MacDermott says condition has substantial impact on people’s ability to work and costs to government and business

The UK will pay an economic price for failing to consider long Covid when lifting restrictions and recommending vaccinations for children, a doctor has warned.

The decision to drop all Covid rules in England was largely based on whether the NHS could handle the number of sick patients, but far more people are expected to develop long-term medical problems after fighting off the virus.

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People with type 1 diabetes in England to be given skin sensor to monitor blood sugar

Nice says wearable tech reduces need for finger-prick testing by up to 50%

Hundreds of thousands of people with type 1 diabetes in England are to be offered a hi-tech skin sensor to monitor their blood sugar levels in seconds.

The device, the size of a £2 coin, sits on a patient’s arm and constantly checks their glucose levels. It comes with an app that tells them whethertheir blood sugar levels are at an appropriate level.

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Experts push for genetic testing to personalise drug prescriptions

Pharmacogenomic testing could save the NHS money in the long term and reduce the risks of side-effects

Genetic testing to predict how individuals will respond to common medicines should be implemented without delay to reduce the risk of side-effects and ensure that everyone is given the right drug at the right dose, experts have said.

About 6.5% of UK hospital admissions are caused by adverse drug reactions, while most prescription medicines only work on 30% to 50% of people. A significant part of this is due to genetics: almost 99% of people carry at least one genetic variation that affects their response to certain drugs, including commonly prescribed painkillers, heart disease drugs and antidepressants. By the age of 70, about 90% of people are taking at least one of these medications.

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Trapped and destitute: how foreign nurses’ UK dreams turned sour

Lawyers and unions condemn scandal of international health workers forced to pay out if they quit their jobs early

Overseas nurses in the UK forced to pay out thousands if they want to quit jobs

When Laura Sanchez was offered a job as a nurse in the NHS, it sounded like the opportunity of a lifetime.

At home in the Philippines, she had seen Facebook ads similar to those on the site today, promising “an attractive relocation package” and inviting her to “Start your UK dream!”

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Shropshire maternity scandal: 300 babies died or left brain-damaged, says report

Five-year investigation to conclude mothers forced to suffer traumatic births because of targets for ‘normal’ births

Three hundred babies died or were left brain-damaged due to inadequate care at an NHS trust, according to reports.

The Sunday Times has reported that a five-year investigation will conclude next week that mothers were denied caesarean sections and forced to suffer traumatic births due to an alleged preoccupation with hitting “normal” birth targets.

The inquiry, which analysed the experiences of 1,500 families at Shrewsbury and Telford hospital trust between 2000 and 2019, found that at least 12 mothers died while giving birth, and some families lost more than one child in separate incidents, the newspaper reported.

Donna Ockenden, an expert midwife who led the inquiry with the input of more than 90 midwives and doctors, said her team had been “shocked and saddened” by the scale of the tragedy.

The Ockenden report is expected to reveal that hundreds of babies were stillborn, died shortly after birth or were left permanently brain-damaged while many had fractured skulls or broken bones, or were left with life-changing disabilities.

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