Coalition cuts blamed for shortage of 20,000 NHS nurses

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http://www.independent.co.uk/news/uk/politics/coalitioncuts-blamedfor-shortageof-20000nhs-nurses-8933661.html

FOI requests reveal ‘hidden workforce crisis’ at odds with official statistics

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Freedom of Information requests submitted by the Royal College of Nursing (RCN) to dozens of NHS hospitals in England have exposed a “hidden workforce crisis” that has been missed by government statistics.

While official figures say that just 3,859 full-time nurse, midwife and health visitor posts have been lost since the Coalition came to power in May 2010, the RCN said that thousands more nursing vacancies have been created because hospitals have not been replacing staff that have retired or moved on due to reduced budgets.

Staffing shortages have been highlighted in a number of reports into NHS care. Robert Francis drew attention to understaffed wards at the Mid Staffordshire NHS Trust in his report into one of the worst care scandals in the health service’s history.

Howard Catton, the RCN’s head of policy, said that Government figures had not been “fully reflecting the shortages [that nurses] are experiencing at ward level”.

The report came as Downing Street confirmed that the Prime Minister is personally overseeing the NHS’s response to what A&E doctors have warned could be “our worst winter yet”. Many trusts missed their A&E targets last winter and there are fears that amid rising demand and reduced resources, the system may struggle to cope with expected spikes in admissions.

Thousands of patients wait 12 hours in A&E

New figures show 12,000 patients were left lying on trolleys for at least 12 hours in emergency departments last year

Around 12,000 patients spent at least 12 hours lying on trolleys after being admitted to A&E last year, according to new figures.

A further 250 people waited for treatment in casualty wards for 24 hours or more, a Freedom of Information request revealed.

One person was left for 71 hours and 34 minutes, nearly three days, at North West London trust, which runs Northwick Park and Central Middlesex A&E departments.

In another shocking case a patient waited 37 hours at Royal Liverpool and Broadgreen A&E while a third was left for 33 hours at Ashford and St Peter’s in Chertsey, Surrey.

Health campaigners claimed the figures were more evidence of the growing crisis in hospitals’ emergency wards.

The figures came as the government received a warning that the closure of 50 out of 230 NHS walk-in centres in the last three years was putting extra strain on A&E units.

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Continue ReadingCoalition cuts blamed for shortage of 20,000 NHS nurses

Medical tourism generates millions for NHS and wider economy, finds study

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http://www.theguardian.com/society/2013/oct/24/medical-tourism-generates-millions-nhs-health

‘Foreigners abusing system’ claim contradicted by research that also shows more people go overseas for treatment than arrive

Medical tourism is a lucrative source of income for the NHS, according to a major new study that contradicts many of the assumptions behind the government’s announcement that it will clamp down on foreigners abusing the health service.

Eighteen hospitals – those deemed most likely to be making money from overseas patients – earned £42m in 2010, according to researchers from the London School of Hygiene and Tropical Medicine and York University. Medical tourists spent an estimated £219m on hotels, restaurants, shopping and transport in the UK.

The researchers also found that more people leave the UK seeking medical treatment abroad than arrive in this country for care: about 63,000 people from the country travelled to hospitals and clinics abroad in 2010, while considerably fewer, about 52,000 people, came here.

The research flies in the face of assertions by Jeremy Hunt, the health secretary, that the tourists cost the health service money.

He said on Tuesday: “It’s time for action to ensure the NHS is a national health service – not an international one. With the NHS already under pressure from an ageing population, it cannot be right that large amounts of taxpayers’ money is being lost through treating people who should be paying from foreign countries.”

But the lead author of the new study, Johanna Hanefeld, from the faculty of public health and policy at the LSHTM, said the government-commissioned research published on Tuesday was “much more across the government immigration agenda than anything to do with health”.

 

Continue ReadingMedical tourism generates millions for NHS and wider economy, finds study

NHS watchdog concerned over care and safety at one in four hospitals

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http://www.theguardian.com/society/2013/oct/24/nhs-watchdog-care-safety-hospitals-england

Care Quality Commission says performance at 44 out of 161 acute hospital trusts in England is cause for concern

Accident and emergency
Accident and emergency

One in four NHS hospitals is a cause for concern over the quality or safety of the care it provides to patients, the service’s statutory watchdog has warned.

In an analysis of all 161 acute hospital trusts in England that is the most comprehensive ever carried out, the Care Quality Commission (CQC) says it is worried about aspects of care at 44 (27.3%) of them.

Performance in some areas is so inadequate that it poses a risk or an elevated risk to patients.

The sheer number of hospitals about which the regulator is concerned dwarfs the 14 trusts that Professor Sir Bruce Keogh, the NHS’s medical director, investigated earlier this year. Eleven of those 14 were put into special measures as a result of inadequacies he uncovered.

Continue ReadingNHS watchdog concerned over care and safety at one in four hospitals

Fury at Bully Hunt’s NHS Pay Rise Snub

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http://www.morningstaronline.co.uk/a-7b46-Fury-at-bully-Hunts-NHS-pay-rise-snub#.UlT7oS1XnWd

Health Secretary keen to axe 1 per cent increase

Image of Jeremy Hunt and David CameronUnions laid into Health Secretary Jeremy Hunt yesterday for wanting to ditch a miserly 1 per cent pay increase for hard-working NHS staff.

The GMB accused him of “berating and bullying staff” and said that his behaviour “will not be tolerated,” warning that industrial action was possible.

Unite called for the introduction of the living wage to benefit the NHS’s 17,000 lowest-paid workers.

Mr Hunt caused a huge furore when he said that the independent NHS pay review body should not implement a one per cent increase for 1.3 million NHS staff, or maintain performance-related increments.

Pointing out that the NHS pay review body was independent, GMB’s national NHS officer Rehana Azam said: “You only have to spend time with a paramedic, nurse, theatre porter or any other frontline NHS worker to see their number one priority is to deliver quality care and the best outcomes to patients they care for.”

“Why then does Jeremy Hunt want to berate and bully staff while they are trying to do a good job often under difficult circumstances?”

“This is just wrong and will not be tolerated.”

Continue ReadingFury at Bully Hunt’s NHS Pay Rise Snub

Number of NHS A&E units failing to meet targets triples in a year

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http://www.theguardian.com/society/2013/oct/04/nhs-a-and-e-units-targets

Thirty-nine departments failed to see 95% of patients within four hours in England, up from 14 units for same period in 2012

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Accident and emergency

 

 

The number of A&E units failing to meet the government’s four-hour target has almost trebled in a year.

A total of 39 departments failed to meet the target of seeing 95% of patients within four hours between July and September, according to NHS England data. This compares with 14 units during the same period last year.

The target covers all A&E types, including minor injury units and walk-in centres, and the number discharged, admitted or transferred within four hours of arrival.

The NHS as a whole across England is still hitting the target, with 96% of all patients seen within the time between July and September. But this is only because some units perform way above the target, with some consistently hitting 100%.

In August, David Cameron announced £500m of extra funding over the next two years to support A&E.

The cash is intended to help units through the winter, cutting delays and reducing the number of admissions.

The shadow health secretary, Andy Burnham, said: “David Cameron’s ill-judged re-organisation has placed the NHS in the danger zone. The government cannot continue to ignore the warnings. Until ministers face up to the fundamental causes – the collapse of social care and frontline job losses – the NHS will continue to struggle.

“This is further proof you can’t trust David Cameron with the NHS. We can’t have another year in the NHS like the last one – he needs to urgently get a grip.”

 

Continue ReadingNumber of NHS A&E units failing to meet targets triples in a year