Wednesday 22 March 2017

Access to health and social care services for Northamptonshire’s homeless and vulnerably housed population: The views of homeless people and professionals

Access to health and social care services for Northamptonshire’s homeless and vulnerably housed population: The views of homeless people and professionals In late 2016 Healthwatch Northamptonshire undertook a piece of work to find out more about the views and experiences of Northamptonshire’s homeless and vulnerably housed population, a seldom heard group. We were particularly interested in finding out about the barriers homeless people face when accessing and using local services. We spoke to five organisations working with homeless people across the county and 25 homeless people or people who had been recently homeless in Northampton, Rushden and Wellingborough.

We heard about some good support for homeless people in Northampton and other towns, particularly that provided by homeless charities, but the support available across the county appears to be variable. Access to GP practices was not a big problem although in some parts of the county people had to register at GP practices some distance away. We also learnt that homeless people often distrust GPs and health professionals, feeling they do not understand their lives and the issues they face, or that they do not need to register with these services if they are not ill or in pain. Rather than wanting better access to services such as GPs and dentists, the homeless people we spoke to prioritised their more immediate needs, such as having somewhere to sleep, dry feet and podiatry services, and access to good, hot food. We also learnt about alcohol use and how this can be a barrier to people accessing mental health services and other support. Many homeless people experience mental health issues and access to psychiatrists and Community Psychiatric Nurses was difficult for some, particularly outside of Northampton.

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Radio presenter tours Northamptonshire for annual healthcheck campaign

Radio presenter tours Northamptonshire for annual healthcheck campaign BBC Northampton's Helen Blaby is taking to the road next month urging listeners to get a health check. Northamptonshire Telegraph

Policy paper: NHS mandate 2017 to 2018

Policy paper: NHS mandate 2017 to 2018 NHS England is responsible for arranging the provision of health services in England. The government’s mandate to NHS England sets direction for the NHS, and helps to ensure that the NHS is accountable to Parliament and the public.

This mandate reaffirms the government’s commitment to an NHS that provides the best care and support to today’s patients, and also safeguards the service for future generations.

Building on the previous multi-year mandate, which came into effect on 1 April 2016 and set long term objectives and goals to 2020, this mandate focuses on the same 7 high-level objectives. It sets out the main aims in each area for the financial year 2017 to 2018 to achieve the 2020 goals.

The financial directions accompanying this mandate set out certain additional expenditure controls to which NHS England must adhere. These stem from budgetary controls that HM Treasury applies to the Department of Health.

Mission impossible? the task for NHS providers in 2017/18

Mission impossible? the task for NHS providers in 2017/18 A detailed analysis by NHS Providers shows that what is currently being asked of NHS trusts in the coming financial year is well beyond reach. The report sets out how greater realism, flexibility and support are needed if trusts are to deliver in 2017/18.

The report, Mission impossible? The task for NHS providers in 2017/18, presents a detailed assessment of the demands that are being placed on NHS trusts through the NHS planning guidance. These are compared against next year’s significantly lower funding increases, revealing a currently unbridgeable gap.

Online care home bed booking system aims to cut hospital bed blocking

Online care home bed booking system aims to cut hospital bed blocking An online system is aiming to reduce hospital bed blocking by allowing real time bookings of care home beds.

Bed Finder is being used by Hertfordshire County Council and is thought to be the first system of its kind to streamline referral processes and make searching for and booking beds more efficient. BBC News

Pressure increases on CCGs to meet GP access targets

Pressure increases on CCGs to meet GP access targets The Government has stepped up the pressure on clinical commissioning groups (CCGs) to meet its targets for GP access in England, particularly for patients aged 75 and over who need same-day appointments. It also said that, in 2017-18, a total of 40% of the population must have access to enhanced GP services, including evening and weekend access. And it has insisted that care home residents at risk of hospital admission should first be seen by a GP or ambulance ‘see and treat’ model. OnMedica

Why do clinicians and managers struggle to work together?

Why do clinicians and managers struggle to work together? We asked NHS staff to share their personal experiences of this fragile relationship. The results are surprising

With an army of more than 1.5 million staff, a £116bn budget and millions of patients to look after, it’s crucial that the NHS is well managed. But three years ago the landmark Francis report warned of serious problems. “Clinicians must be engaged to a far greater degree of engagement in leadership and management roles,” it said. “The gulf between clinicians and management needs to be closed.”

Has the relationship between clinical and managerial staff improved since then? Last year, research by the Nuffield Trust suggested financial pressure was compounding the problem, with many staff worried that “relationships are likely to deteriorate over the coming year”. The report concluded: “There is a long way to go.” We asked clinicians and managers to share their personal experiences of this fragile relationship. Continue reading... The Guardian

To stop doctors ending their lives, we need to hear from those suffering

To stop doctors ending their lives, we need to hear from those suffering The revelation that four junior doctors have taken their own lives in recent months obliges us to look at why doctors with mental illnesses don’t speak up

The ceilings soar impressively high, the stained-glass windows are exquisite, and the satin-adorned pews stretch majestically to the dignified altar. Amid the silence punctuated by the barest of sobs, I spot doctors whom I have long lost track of. And row upon row of nurses, still tight years later. As we wait for the service to begin, we imagine we are all silently interrogating our memories about each other. Time parted us for decades before we have gathered in such dreadful circumstances.

“I wanted you to hear it from me,” a colleague had said, audibly upset on the phone. I nearly collided with the pavement when I heard. Continue reading... The Guardian

NHS delays leave thousands facing long wait for wheelchairs

NHS delays leave thousands facing long wait for wheelchairs Campaigners call for equality of access for disabled people as first official figures point to ‘postcode lottery’ in provisions

Thousands of disabled people face long delays to receive an NHS wheelchair, the first official figures on the subject show. Continue reading... The Guardian

The rotten truth about kids' teeth

The rotten truth about kids' teeth Hospital extractions among pre-school children have soared by 24 per cent in ten years as dentists blame sugar in fruit and a lack of time to supervise children's brushing for dental decay. The Daily Mail

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Security breach fears over 26 million NHS patients

Security breach fears over 26 million NHS patients The medical records of 26 million patients are embroiled in a major security breach amid warnings that the IT system used by thousands of GPs is not secure.

The Information Commissioner is investigating concerns that records held by 2,700 practices - one in three of those in England - can be accessed by hundreds of thousands of strangers.

Privacy campaigners last night said the breach was “truly devastating” with millions of patients having no idea if their records had been compromised.

GP leaders said the breach had “potentially huge implications” and could see family doctors flooded with complaints.

The investigation centres on one of the most popular computer systems used by GPs. The Daily Telegraph

Hospitals break cap on locum doctors' pay hundreds of thousands of times in just three months

Hospitals break cap on locum doctors' pay hundreds of thousands of times in just three months Hospitals have flouted caps on temporary doctors' pay hundreds of thousands of times in a matter of months, new figures show.

A crackdown on the amount the health service can spend on agency staff wages was introduced in an effort to curb spiralling costs.

NHS Improvement said 241,195 pay cap breaches by hospitals in England took place between July and September last year.

A report from the watchdog recently said employers had to break the limit to win a "bidding war" with neighbouring trusts where there was a limited supply of agency staff in the area. The Daily Telegraph

Courts could challenge Parliament's decision not to legalise assisted dying

Courts could challenge Parliament's decision not to legalise assisted dying The courts could overrule a Parliamentary decision not to legalise assisted dying after a terminally ill man mounted a new bid to change the law.

Noel Conway, 67, from Shrewsbury, who has motor neurone disease, has applied for permission to mount a judicial review.

The basis of the case is that the Suicide Act 1961 interferes with Mr Conway's human right to private life, including the right to decide the manner of his death.

A previous case brought by Tony Nicklinson, who was paralysed following a stroke, failed in the High Court in August 2012. The Daily Telegraph

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