Innovation Via Untested Medicines? (BBC News)

Summary

The law may soon be changed in England and Wales to allow untested medicines to be used under certain conditions. People dying from cancer might one day be allowed to be treated voluntarily with unlicensed drugs, under the Medical Innovation Bill proposed by Lord Saatchi.

Full Text Link

Reference

‘Untested drugs for dying’ bill given government backing. London: BBC Health News, October 20th 2014.

Posted in BBC News, For Doctors (mostly), For Researchers (mostly), In the News, National, Pharmacological Treatments, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , | Leave a comment

Community Pharmacists: the Potential of Minor Ailment Centres (BBC News / RPS)

Summary

The Royal Pharmaceutical Society has proposed that community pharmacies could save the NHS over £1 billion per year. This assertion is endorsed by research from Pharmacy Research UK published earlier this year and led by the University of Aberdeen. Common ailment schemes and minor ailment centres operating in community pharmacies could, potentially, cut the number of accident and emergency visits by 650,000 and reduce avoidable GP consultations by 18 million per year.

Full Text Link

Reference

Treating common illnesses at pharmacies ‘could save NHS £1bn’. London: BBC Health News, October 19th 2014.

“The cost of treating common ailments in community pharmacies was found to be £29.30 per patient. The cost of treating the same problems at A&E was found to be nearly five times higher at £147.09 per patient and nearly three times higher at GP practices at £82.34 per patient. Overall, the study estimates that 3% of all A&E consultations and 5.5% of GP consultations for common ailments could be managed in community pharmacies”.

Note: Hindsight is always 20:20. How many patients know in practice, at the time, into which category they fall?

Read more: Royal Pharmaceutical Society. Pharmacists could save the NHS 1.1billion by treating common ailments.

Reference

Pharmacists could save the NHS 1.1billion by treating common ailments. London [Online]: Royal Pharmaceutical Society (RPS), October 19th 2014.

This relates to:

Full Text Link

Reference

Final Report to Pharmacy Research UK: Community Pharmacy Management of Minor Illness. London: Pharmacy Research UK, January 2014.

Posted in BBC News, Commissioning, Community Care, For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Integrated Care, Management of Condition, National, NHS, Northern Ireland, Pharmacological Treatments, Quick Insights, Scotland, Standards, Statistics, Systematic Reviews, UK, Universal Interest, Wales | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Failings in the Complaints System in Health and Social Care? (Healthwatch England / CQC)

Summary

An estimated 250,000 incidents of poor care were unreported last year. There are concerns that NHS and local authority “red tape” make it difficult to complain, that there is insufficient independent advice and support to help those who need it, and that the public may have too little incentive to discuss their negative experiences.

This Healthwatch England report presents a summary of patients’ and their families’ experiences. It presents recommendations for the creation of a compassionate complaints system.

“Three out five patients and care users that complain about receiving poor treatment feel that the system is failing to address their concerns – not taking their cases seriously, ignoring them or in many cases bouncing them around the system until they give up”.

Read more: Renewed efforts required to create compassionate complaints system. Healthwatch.

This relates to:

Full Text Link

Reference

Suffering in silence: listening to consumer experiences of the health and social care complaints system. London: Healthwatch England, October 14th 2014.

Annual Report: Making Consumer Voices Heard

The Healthwatch England annual report also discusses this investigation into failings in the complaints system in health and social care.

Full Text Link

Reference

Loud and clear: making consumer voices heard. Healthwatch England annual report 2013/14. London: Healthwatch England, October 14th 2014.

In response to Healthwatch England’s report on the need for a more compassionate and responsive complaints system, Professor Sir Mike Richards, Chief Inspector of Hospitals at the Care Quality Commission has responded positively. Listening to, and acting on, patients’ complaints and concerns is planned to be integral to the CQC’s new inspection regime.

Full Text Link

Reference

Our response to Healthwatch England’s complaints system report. London: Care Quality Commission, October 14th 2014.

Posted in Acute Hospitals, Commissioning, Community Care, CQC: Care Quality Commission, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, National, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Glasgow Coma Scale Update (Nursing Times / BBC News / PLoS Computational Biology)

Summary

The Glasgow Coma Scale has been updated forty years after its initial implementation. This Nursing Times article reviews the variations in technique which have developed since then, the scale’s current composition and application and the “structured approach” to the assessment of impaired consciousness.

This approach to assessment described here is demonstrated in a free video package with background information and a self-assessment tool. There is also a downloadable summary of the recommendation.

Full Text Link (Note: This article may require a suitable Athens password, a journal subscription or payment for access).

Reference

Teasdale, Sir G. Allan, D. Brennan, P. [et al] (2014). Forty years on: updating the Glasgow Coma Scale. Nursing Times. October 10th 2014, 110(42), pp.12-16.

Hidden Signatures of Brain Networks in Disorders of Consciousness

Possibly of interest, researchers have discovered distinct signatures in the brain activity of people in a vegetative state, potentially able to help identify people who are conscious but unable to communicate.

Full Text Link

Reference

Mundasad, S. (2014). Vegetative patients show glimmers of consciousness. London: BBC Health News, October 17th 2014.

This relates to:

Full Text Link

Reference

Chennu, S. Finoia, P. [and] Kamau, E. [et al] (2014) Spectral signatures of reorganised brain networks in disorders of consciousness. PLoS Computational Biology, October 16th 2014, 10(10): e1003887.

Posted in BBC News, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, International, Quick Insights, Scotland, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

Dementia Ambassadors: New Help For GPs and Patients (NHS England)

Summary

NHS England has appointed seven clinical experts in dementia, or “dementia ambassadors”, to offer one-to-one support for CCGs and GP-led local health committees. These seven ambassadors are to be based in London, the south, the north, the midlands, and Scotland.

The aim is to help increase local dementia awareness and improve levels of expertise and performance in dementia diagnosis rates locally. Early diagnosis is a precondition for improving the quality of life of patients and their carers post-diagnosis.

Full Text Link

Reference

New Dementia ‘Ambassadors’ to help GPs and patients. London: NHS England, October 13th 2014.

Posted in National, NHS, For Doctors (mostly), For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), Universal Interest, Standards, Community Care, UK, Patient Care Pathway, Diagnosis, For Social Workers (mostly), In the News, Scotland, Quick Insights, Practical Advice, Management of Condition, Models of Dementia Care, Person-Centred Care, Integrated Care, NHS England | Tagged , , , , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment

New Trust to Run Stafford Hospital (BBC News)

Summary

A new trust is being created (“renamed”) to run the scandal-hit Stafford Hospital and another hospital in Stoke. On November 1st 2014, the University Hospital of North Staffordshire NHS Trust will become the University Hospitals of North Midlands. The NHS in Staffordshire has received £300m to implement these changes.

Stafford Hospital will be renamed as the County Hospital. The City General will be re-named as the Royal Stoke University Hospital.

The Mid Staffordshire NHS Foundation Trust is to be dissolved next month, after having been in administration since April 2013. Some services will move from Stafford, under control of the Royal Wolverhampton NHS Trust.

Full Text Link

Reference

Stafford Hospital: New trust to run renamed hospital. Stoke & Staffordshire: BBC Health News, October 14th 2014.

Posted in BBC News, In the News, Local Interest, NHS, Quick Insights, Standards, UK, Universal Interest | Tagged , , , , , , , , , , , , , , , , , , , , , , , | Leave a comment