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NHS : Privatisation Issues And Related News : Failings / Scandals / Rip Offs / Continuing Meltdown - Page 24 - Carers UK Forum

NHS : Privatisation Issues And Related News : Failings / Scandals / Rip Offs / Continuing Meltdown

Discuss news stories and political issues that affect carers.
237 posts
East Kent Hospitals : Baby deaths " Could have been prevented. "

At least seven preventable baby deaths may have occurred at one of the largest groups of hospitals in England since 2016, a BBC investigation has found.


A snippet :

Concerns over working culture:

There were also two stillbirths in 2016 :

In March that year, the unit failed to recognise a baby boy was small for his dates, did not act on suspicious CTG readings and failed to deliver the baby promptly.

And in June, risk factors were again not identified, the CTG was not properly monitored and a baby girl died.

"The trust admitted in both of those cases, that had proper care been given in term of the obstetrics and midwifery care, then those children would have survived," says Emmalene Bushnell, from Leigh Day solicitors, who acted for both families.

The trust has struggled to improve maternity care for years, despite repeatedly being made aware of the problems.

In 2015, the medical director asked experts from the Royal College of Obstetricians and Gynaecologists to review maternity care, amid "concerns over the working culture".

Their review, seen by the BBC, found poor team working in the unit, a number of consultants operating as they saw fit, a lack of performance management of the consultant body and out of date clinical guidelines.

It highlights consultants who :

failed to carry out labour ward rounds, review women, make plans of care or attend out of hours when requested.

rarely attended CTG training.

were reported " As doing their own thing rather than follow guidelines. "

Staff told the review they believed :

maternity services were not a priority at Board level.

there was little point in raising concerns as no action would be taken by the trust.

The trust was placed into special measures in 2014 following an inspection by the Care Quality Commission which rated its care, including maternity services, as inadequate.

Subsequent CQC reports have rated it as Requires Improvement.

East Kent is one of the largest hospital trusts in England with five hospitals and community clinics and almost 7,000 babies born there each year.

The trust's extended perinatal mortality rate, the total of stillbirths and those babies who die within 28 days of being born, has been consistently higher than the UK average for every year between 2014 and 2017.

And in 2017, the last year for which figures are available, it was the highest in the country of trusts offering comparable maternity services.

In a lengthy statement to the BBC, the trust did not address any of the cases we highlighted.

Instead it said: "We have been making changes to improve our maternity service for a number of years.

"Every baby and every family is important to us. We recognise that we need to improve the speed of change.

"We express our heartfelt condolences to every family that has lost a loved one and we wholeheartedly apologise to families for whom we could have done things differently."
England's poorest " Get worse NHS care " than wealthiest citizens.

Study found stark differences in A&E waiting times and experience of GP services.

England’s poorest people get worse NHS care than its wealthiest citizens, including longer waiting for A&E treatment and worse experience of GP services, a study shows.

Those from the most deprived areas have fewer hip replacements and are admitted to hospital with bed sores more often than people from the least deprived areas.

With regard to emergency care, 14.3% of the most deprived had to wait more than the supposed maximum of four hours to be dealt with in A&E in 2017-18, compared with 12.8% of the wealthiest. Similarly, just 64% of the former had a good experience making a GP appointment, compared with 72% of those from the richest areas.

While 134 people per 100,000 of the least deprived were admitted to hospital that year because of pressure sores, the rate among the poorest was three times higher, 394 per 100,000 people.

Research by the Nuffield Trust and Health Foundation thinktanks found that the poorest people were less likely to recover from mental ill-health after receiving psychological therapy and be readmitted to hospital as a medical emergency soon after undergoing treatment.

The findings sparked concern because they show that poorer people’shealth risks being compounded by poorer access to NHS care. Moreover, previous evidence showed that, while life expectancy is still improving for the best-off, it has stalled or gone backwards among the poorest.

“Poverty is bad for your health, and people in the poorest parts of England face a vicious cycle,” said Ruth Thorlby, a co-author and assistant director of policy at the Health Foundation.

“Poor living conditions, low quality work and underfunded local services lead to worse health.

“These findings show that, added to this, those in the most deprived areas are routinely experiencing longer waits in A&E, lower satisfaction and more potentially avoidable hospital admissions,” she added.

The thinktanks analysed 23 indicators of the quality of healthcare to see what role, if any, is played by the level of deprivation faced by the patient. They found that care was worse for all of them for those from England’s poorest communities.

However, while some related directly to NHS care – which patients should be able to access equally – others involved socio-economic factors over which the service has no control, such as housing and employment.

“These findings show some concerning trends about the knock-on effects an overstretched NHS is having on the people in England who often need it most,” said Sarah Scobie, deputy director of research at the Nuffield Trust and the other co-author.

“My worry is that continued pressure on the NHS is only going to exacerbate inequalities, despite the very best of intentions from staff to provide fair and equal care.”

Disclosure of such stark and widening inequalities raises awkward questions for the government and NHS England, both of which have pledged to tackle them.

In the NHS Long Term Plan published last year, service chiefs promised to take “a more concerted and systematic approach to reducing health inequalities and addressing unwarranted variation in care”. That includes putting about £1bn in extra funding into the parts of England with the highest inequalities in health.

More positively, though, the thinktanks also found that, in areas of care where quality is improving, the inequality gap is narrowing, such as in hospital admissions for asthma, diabetes and epilepsy in children, and people being able to die where they live.

The research found large disparities between richest and poorest in measures of children and young people’s health, including take-up of the MMR vaccine in five-year-olds, teenage pregnancy and admissions for self-harm for under-18s.

Dr Stephen Jivraj, an associate professor in the faculty of population health sciences at University College London, said: “These findings point to an inverse care law where those most in need of health services are experiencing the poorest quality.

“They provide context to why the gap in health between rich and poor is getting larger, as shown in recent research from UCL. The increase in the gap between deprived areas and less deprived areas is worrying.”

NHS England declined to comment.

The Department of Health and Social Care said: “Everyone should have access to good quality NHS healthcare no matter where they live. We’re determined to narrow the gap between the richest and poorest, with people in England now living for 30 years longer than they did a century ago.

“Our NHS Long Term Plan, backed by an extra £33.9bn in cash terms a year by 2023-24, puts tackling health inequalities at its heart. We know prevention is better than cure, which is why we recently published our green paper, looking at how to give our children a good start in life and ensuring everyone can lead a long and healthy life.”
A&E : Welsh waiting times hit worst ever level.

Waiting times for A&E departments in Wales hit record lows in December, with only 72.1% of patients waiting less than four hours.

The target is for 95% of patients to be seen in that time - but that target has never been met.

Figures published on Thursday also show a record number of patients waited more than 12 hours.

NHS " Rapid response teams " to help sick and older people at home.

Plan aims to relieve strain on hospitals by offering a visit within two hours.

Older people and the very sick will be visited within two hours by a “rapid response team” of health and care staff under new NHS plans to relieve the strain on overcrowded hospitals.

The teams will include nurses, physiotherapists, occupational therapists, social workers and social care staff working for NHS trusts and local councils in England.

The “urgent community response” teams will operate 365 days a year. They will help older people and those with complex care needs whose health has suddenly deteriorated – through a fall, infection or exacerbation of an illness – try to avoid ending up in hospital.

Patient and medical groups have welcomed the teams, which are a key element of the NHS’s plan to provide increasing amounts of care in people’s homes and care homes.

“A guaranteed response within two hours is exactly the kind of security people need and want to give them the confidence that they will get timely support at home,” said Caroline Abrahams, the charity director at Age UK.

“At the moment people understandably feel there is no option but to call an ambulance or head to A&E, something that is both distressing for older people and often the wrong place to help them recover as quickly as possible.”

The NHS and councils in seven areas of England will start putting the teams together and hiring staff from April, with at least three starting to offer the service before next winter brings extra demand for NHS care. The seven areas include Cornwall, Cheshire and Merseyside and south-east London.

However, NHS chiefs have promised that every part of the country will have a rapid response team in place by April 2023, paid for by the extra £4.5bn they are putting into out-of-hospital care services.

“The NHS working hand in glove in the community with council-funded social care services can be the difference between an older person or someone with long-term health needs spending a week or a month on a ward, or getting the right help early so they don’t need to go to hospital in the first place,” said Sir Simon Stevens, NHS England’s chief executive.

Age UK estimates that there are almost 500,000 older people in England who are living at home and have multiple health and care needs.

Potentially heavy demand for the new service prompted concern that NHS trusts may not have enough staff to offer everyone who needs it urgent assistance within two hours. The NHS has more than 40,000 vacancies for nurses.

“This announcement comes on the day that new figures show yet more nurses have been lost from our local community services in recent years,” said Dame Donna Kinnair, the chief executive of the Royal College of Nursing.

“The evidence shows it is district nurses and health visitors who provide high-quality holistic care in people’s homes. There can be no substitute for having enough nurses in communities, social care and hospitals too.”

Figures published by NHS Digital show that the number of nurses working in community services has fallen over the past decade from 67,316 in September 2009 to 62,898 last October – a drop of 6.6%.

" Under two hours " ... you read that first here , folks.

Like A&E targets , how long before those two hours become " As soon as possible " ?
Sickest patients 'facing hours stuck on trolleys'

Many of the most seriously ill patients are waiting for hours on trolleys and in corridors as the NHS struggles to find them beds, BBC research shows.


Add Coronavirus to that and ... ???

Boy stuck on acute NHS ward for a year because he has no home to go to

Disabled 10-year-old cannot leave until Manchester council settles his homeless family

https://www.theguardian.com/society/202 ... rly-a-year
Non coronavirus news ... now somewhat submerged ?

St George's Hospital 'shortcomings' led to 67 deaths.

The deaths of 67 heart surgery patients at a London hospital were probably, most likely, or definitely caused by "significant shortcomings" in treatment, a report has found.

The review looked at the cardiac surgery unit at St George's University Hospitals NHS Foundation Trust between 2013 and 2018.

Investigators found shortcomings in 102 of the 202 deaths they examined.

The hospital apologised for the "serious failings in care".

237 posts