Category: NHS

Healthwatch

590 people’s stories of hospital during Covid-19

In partnership with British Red Cross, this report reviews the experiences of 590 people after being discharged from hospital. The research shows significant numbers of people are not receiving follow-up support under the new policy to switch to a ‘discharge to assess’ model introduced in March 2020 to cope with demand at the peak of the Covid-19 pandemic), leading to unmet needs. It calls on the NHS to address these issues coming into the busy winter period amid growing pressures of a second Covid-19 wave.

To find out more click here.

Library Competition

Celebrating International Stress Awareness Week

Next week (2nd to 6th November) is International Stress Awareness Week. The Library Team wanted to focus on the positives, especially during these difficult times .

We are running a photograph competition throughout the week, asking people to send photographs of how you ‘de-stress’ after a hectic day. All you have to do to enter is tag us on Twitter @LscftL to be in with the chance of winning a goody bag of prizes.

The competition is open to all Trust staff and patients, along with friends and families. We’d love for as many people to get involved as possible and hope that it may bring some hope and joy throughout the week.

The winner will be announced on Monday 9th November. Happy snapping!

Mental Health

Current Awareness

Children and young people’s mental health review: findings from a questionnaire to health and wellbeing boards on local actions QCQ – October 2020

(This report contains an update on work carried out in 2018 looking at the quality of mental health services for children and young people, as well as the access to these services. It sets out the findings of a 2019 independent follow-up self-assessment questionnaire, to find out the extent to which health and wellbeing board areas in England had progressed with implementing the local recommendations made.)

NHS strengthens mental health support for staff NHS England -October 2020

(NHS staff will get rapid access to expanded mental health services that are being rolled out across the country as part of efforts to deal with the second wave of coronavirus. NHS England and NHS Improvement will invest an extra £15 million to strengthen mental health support for nurses, paramedics, therapists, pharmacists, and support staff.)

NHS encourages children and young people to seek help as new data shows rise in mental health problems NHS England – October 2020

(England’s top children and young people’s mental health doctor is encouraging youngsters to seek help if they need it, as NHS Digital’s new survey shows there has been a rise in mental health problems in children and young people during the pandemic.)

The impact of Covid-19 to date on older people’s mental and physical health Age UK- October 2020

(This research finds that some older people are coping with the pandemic, but a sizeable minority are finding life incredibly tough. Those who are not very well and have long term health conditions were particularly likely to report that this is an extremely challenging time for them.The research was made up of a survey of older people, their friends, families, and loved ones (promoted across the Age UK social media channels for two weeks in August 2020 and completed by 569 people) and representative online polling of 1,364 people over the age of 60, conducted by Kantar Polling in September 2020.)

Pushed from pillar to post: improving the availability and quality of support after self-harm in England.
Samaritans; 2020.

[This report finds that there is no consistently effective support available to people who self-harm. The research identified four key support needs for people who self-harm, which are seen as essential to providing effective care: distraction from immediate self-harm urges; emotional relief in times of stress; developing alternative coping strategies; and addressing the underlying reasons for self-harm.]

Commission for Equality in Mental Health: Briefing 3: Inequalities of experience and outcomes.
Centre for Mental Health; 2020.

[This third briefing from the Commission for Equality in Mental Health explores why communities with higher rates of mental ill health often get the least effective support. This is most dramatically evident for people from Black communities in the UK, who experience higher levels of coercion and poorer long-term outcomes. This briefing explores why these inequalities persist, and looks at what can be done to bring about more equal outcomes and experiences from mental health support.]

Mental health rehabilitation inpatient services – 2019 update.
Care Quality Commission (CQC); 2020.

[Based on the results of a request to providers to review progress, the CQC has made recommendations to improve care for people in mental health rehabilitation inpatient services, in line with the recent NICE guidance for the rehabilitation of adults with complex psychosis.]

Advancing mental health equalities strategy NHS England – September 2020

(This strategy summarises the core actions all mental health services need to take to better address inequalities in access, experience and outcomes across the sector. It is also an important element of the overall NHS plans to accelerate action to address health inequalities in the next stage of responding to Covid-19.)

NHS England

Delivering a ‘net zero’ NHS

This report provides an account of the NHS’s modelling and analytics underpinning the latest NHS carbon footprint, trajectories to net zero, and the interventions required to achieve that ambition. It lays out the direction, scale and pace of change. It describes an iterative and adaptive approach, which will periodically review progress and aims to increase the level of ambition over time. A greener NHS is on the way.

Greenhouse Gas Protocol scope for the NHS (NHS England)

To find out more click here.

‘Long Covid’ Sufferers

NHS to offer help at specialist centres

There is increasing evidence to suggest that 10% of Covid sufferers are still experiencing symptoms more than 3 weeks after infection and an estimated 60,0000 people suffering after 3 months of infection.

NHS chief executive Sir Simon Stevens announced that £10 million is to be invested this year in addition to local funding to help kick start and designate long covid clinics in every area across England, to complement existing primary, community and rehabilitation care.

He explained;

“While this is still a relatively new virus, we are learning more about covid with every passing week. It is now clear that long covid can have a major impact on the lives of a significant minority of patients weeks or months after they have contracted the virus. So just as the NHS quickly put in place specialist hospital care for acutely ill Covid patients at the start of the pandemic, now we must respond sensitively and effectively to these new patient needs.”

To read more about this, including the 5 part package of measure to boost NHS support for long covid patients 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.

Creating the workforce of the future

A new collaborative approach for the NHS and colleges in England

This report follows a November 2019 roundtable held by the NHS Confederation and the Independent Commission on the College of the Future. It focused on the relationship between colleges and the NHS through the lens of integrated care systems. The report argues that by better embedding colleges into core NHS workforce development, and better using local recruitment and training power, a sustainable, agile and innovative future health and care workforce can be assured.

For more information click here.

Health and Social Care Select Committee

Delivering core NHS services during the pandemic and beyond

This report aims to catalogue the impact and unprecedented challenge caused by Covid-19 to the provision of essential services. It calls for urgent action to assess and tackle a backlog of appointments and an unknown patient demand for all health services, specifically across cancer treatments, mental health services, dentistry services, GP services and elective surgery. It also looks at the case made for routine testing of all NHS staff.

For more information click here.

NHS Confederation

Covid 19 and the health and care workforce

This report includes key findings from a member survey of more than 250 health care leaders, which revealed that nine out of ten respondents are concerned about the long-term impact of Covid-19 on the well-being of their staff. It also raises concerns about workforce shortages.

To find out more click here.

Courage of compassion

Supporting nurses and midwives to deliver high quality care

The review, led by Professor Michael West, sets out eight key recommendations aimed at supporting nurses and midwives to flourish in their work and to provide sustainable, compassionate and high-quality care.

The report was commissioned by the RCN Foundation and involves a detailed examination of available evidence, new analysis of key data and interviews with staff at all levels across the NHS and social care. 

The report finds that staff stress, absenteeism and turnover in these professions have reached alarmingly high levels. This has been compounded by the Covid-19 pandemic, which has laid bare and exacerbated longer-term issues including chronic excessive workload, inadequate working conditions, staff burnout and inequalities, particularly among minority ethnic groups.

Among the recommendations is an urgent call for a review of how 12-hour shifts affect staff mental health and wellbeing and patient safety, as well as, suggestions to improve working conditions, shift patterns, workplace culture, teamworking, support for new staff, supervision and learning opportunities.

To read the report click here.