Tag: NHS

Access to new medicines in the English NHS

A briefing to describe the process

Source – The King’s Fund

All health systems must find ways to ration limited resources. The question is whether they do so with their eyes closed or with their eyes open. In 2018/19, the English NHS spent almost £19 billion on drugs, almost 15 per cent of total public spending on health. Should the NHS increase drugs spending to pay for the latest drugs for hepatitis or cancer, drugs that might prolong life for some patients but cost tens or even hundreds of thousands of pounds per course of treatment? Or should it spend the money in other areas, for example, ensuring that people can see a GP when they need one, ensuring that vulnerable people get basic treatment for long term-conditions or tackling health inequalities? How health systems make these decisions determines, in large part, their effectiveness. The choices determine the quality of people’s lives and, in some cases, who lives or dies.

To find out more and understand the process click here.

Covid 19

Leaders warn of “full blown second surge” as hospital admissions rise

Healthcare leaders have warned that the NHS will face a full blown second suge of Covid without immediate action.

Yvonne Doyle, medical director for Public Health England, said, “We’re seeing a definite and sustained increase in cases and admissions to hospital. The trend is clear, and it is very concerning. Numbers of deaths from covid-19 are also rising so we must continue to act to reduce transmission of this virus.”

There are rising concerns that we could soon be back to where we were in April if we do not take action now. To find out more click here.

Guidance publications from the Royal Colleges and Health Professionals

August Bulletin

This month includes the new edition of National Institute Health Research (NIHR), along with a range of materials, including research from the Covid-19 pandemic.

To read the latest bulletin click here.

Mental Health Campaign

Every Mind Matters campaign launched

Public Health England have launched a new campaign – Every Mind Matters, to support the well being of children, young people and their carers. The Covid pandemic has impacted everyone and research shows that children are more anxious, worried and lonely than ever before. These new stresses could cause harm to the mental health of the young generation.

This new advice supports parents and carers to recognise signs that their child may be struggling with their mental health and provides support to help them maintain good quality well being.

https://www.nhs.uk/oneyou/every-mind-matters/childrens-mental-health/

New agreement for NHS junior doctors

Opportunities to train in the independent sector

A new agreement has been reached between independent healthcare providers and the NHS, allowing staff to train in elective surgery or diagnostic activities. Hundreds of thousands of patients are treated in independent facilities with around half a million NHS procedures each year being delivered by independent hospital. This agreement will allow the opportunity to utilise almost all available independent hospital capacity to ease the pressure off the NHS.

Professor Cliff Shearman, Vice President of the Royal College of Surgeons of England said;

We are delighted our work with NHSE, HEE and the Independent Health Providers Network has led to this agreement. It’s only right that NHS-funded treatment should help train the NHS workforce of the future. Every opportunity should be taken to provide them with access to good quality training opportunities.”

To find out more click here.

Speeding up the diagnosis of deadly diseases

A boost in funding for artificial intelligence (AI) for the NHS

The Government is committed to saving more lives and detect up to three quarters of all cancers at an early stage by 2028. A £50 million funding investment has been made for work involving Digital Pathology and Imaging Artificial Intelligence Centres of Excellence with the aim to improve the diagnosis of diseases such as cancer.

The 3 centres identified to access a share of the funding include London, Coventry and Leeds, benefiting 26.5 million patients across the UK.

National Pathology Imaging Co-operative Director and Consultant Pathologist at Leeds Teaching Hospitals NHS Trust Darren Treanor said:

“This investment will allow us to use digital pathology to diagnose cancer at 21 NHS trusts in the north, serving a population of 6 million people. We will also build a national network spanning another 25 hospitals in England, allowing doctors to get expert second opinions in rare cancers, such as childhood tumours, more rapidly. This funding puts the NHS in a strong position to be a global leader in the use of artificial intelligence in the diagnosis of disease.”

To find out more click here.

Evidence updates

Recommendations for continued care and support of people who are clinically extremely vulnerable
Royal College of Physicians (RCP); 2020.
(Statement from the Royal College of Physicians, Royal College of Emergency Medicine, Royal College of General Practitioners, Royal College of Paediatrics and Child Health, National Voices and specialist societies highlighting the challenges faced by both doctors and patients in identifying and reducing the risks associated with COVID-19 for the most clinically vulnerable people.)

Expanding the primary care workforce in 2020/21 .
NHS England & NHS Improvement; 2020.
(Actions for CCGs, PCNs and STPs resulting from People Plan and Third phase of NHS response to covid-19.)

Reintroduction of NHS continuing healthcare.
Department of Health and Social Care (DHSC); 2020.
(Sets out how clinical commissioning groups (CCGs) will restart NHS continuing healthcare (CHC) assessment processes from 1 September 2020.Published 21 August 2020.)

Virtual training for midwives during a pandemic.
Abramson P. British Journal of Midwifery 2020;28(8):502–503.
(When a baby dies, it is a tragedy at any time but during the COVID-19 pandemic, bereaved families and the professionals supporting them have been faced with additional and often distressing challenges. Restrictions have made access to hospitals difficult for partners and other family members, while support services that would normally be provided for bereaved parents have been unavailable or severely limited.)

Ketamine as a mental health treatment: Are acute psychoactive effects associated with outcomes? A systematic review.
Grabski M. Behavioural Brain Research 2020;392:112629.
(The databases Medline, Embase and PsycInfo were searched. The studies reviewed displayed great variability in methodology and quality of reporting. The most commonly assessed effect was dissociation, measured by the CADSS. Our results suggest that the CADSS total is not consistently associated with antidepressant outcomes. Apart from this, the current literature is too limited to draw definite conclusions on an association between acute psychoactive effects and mental health outcomes.)


Face masks and dry eyes

The science and the solutions

With face masks becoming compulsory throughout the pandemic, most of us will be wearing face masks for extended periods of time. While they help to prevent the spread of Coronavirus, there has also been a rise of reports of dry, uncomfortable eyes, otherwise known as mask-associated dry eye (MADE).

MADE is caused by an ongoing imbalance in the tear film resulting in eyes feeling sore, dry and irritated, looking red, watering eyes or lead to dry eye disease. Face masks cause repeated evaporation, as the exhaled air will travel upwards to our eyes.

To prevent this from happening:

  • wear your mask appropriately
  • use lubricating drops
  • limit time in air conditioned rooms or windy conditions
  • take regular breaks from digital devices
  • DON’T rub your eyes if they become itchy

Masks will be here for the foreseeable future therefore we need to remain alert and promote good mask wear if we are to overcome this pandemic. To find out more or have your say click here.

The Postcard Project

Coronavirus is arguably the biggest challenge of this generation, causing loss and suffering to millions across the world. But the country stands united, despite global isolation on an unprecedented scale. Essential workers have put their own lives at risk to keep the country going and care for those who are suffering.

The postcard project has been set up to help document people’s first hand accounts of the Coronavirus pandemic. Read more about the project here.