Showing posts with label health ivf. Show all posts
Showing posts with label health ivf. Show all posts

Wednesday 12 September 2012

Trust chief executive Lyn Hill-Tout said she welcomed working with Monitor


Rescue package for troubled Mid Staffordshire NHS Trust

Lyn Hill-Tout

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A rescue package is being drawn up for a hospital trust accused of "appalling standards of care" three years ago.
Independent experts will look at a long-term solution for patients using Mid Staffordshire NHS Foundation Trust, health service watchdog Monitor said.
The watchdog, which oversees finance and management, said clinical care has improved but needs to be made sustainable.
Experts will look at how services can be made viable.
Financial advisors, accountants, administrative and legal service firms will form part of the team recommending how services should be run.
'Deeply dysfunctional'
Monitor said the body had an "open mind" about what solutions would be reached but suggested a solvent restructuring of the trust or possibly putting it in special administration could be options.
A final report will be delivered to Monitor in spring 2013.
The trust looks after Stafford and Cannock Chase Hospitals.
A 2009 Healthcare Commission report revealed a higher than expected number of deaths at Stafford Hospital.

Analysis

After the placing of South London Healthcare into administration in July, this is another significant step for the NHS.
The decision by the health secretary two months ago was a first for the health service and could lead to that trust being broken up and services closed.
Mid Staffordshire is a foundation trust so this option is not open to ministers or regulators - yet.
But come April Monitor will have the powers to take the same step and so by announcing troubleshooters will be brought in Monitor has paved the way for that to happen.
It will not be the first time that outside experts have been asked to assess the governance and finances of an NHS trust.
But it is the first time they will have the remit to recommend administration for a foundation trust.
It is another sign that in the current financial climate tough action will be taken against struggling trusts.
A public inquiry into the role of regulators in the lead up to the critical report is set to report later this year.
The A&E unit is also temporarily shut at night and earlier this month an NHS report criticised the standard of breast cancer care, describing the set-up as "deeply dysfunctional".
A contingency planning team will work with local commissioners and clinicians, Monitor said.
Dr David Bennett, chair and interim chief executive of Monitor, said: "We have been working closely with Mid Staffordshire NHS Foundation Trust to improve its performance.
"It has made significant improvements in the clinical care provided for patients, but we need to make sure these services can be secured in the long-term.
"It is therefore time for us as the sector regulator to step in and look for a solution that ensures services are provided for local patients on a sustainable basis.
"We have an open mind about the form that solution might take, but it should be the best one for patients in the long term."
Lyn Hill-Tout, the trust's chief executive, said she welcomed working with Monitor so "clear decisions" could be made.
She said: "Reviews of the trust over the last few years and the changes to the way healthcare has begun to be provided nationally have led to a growing feeling of uncertainty about the future of the two hospitals."
Dr David Bennett: "We are open minded about what is the right answer"
In July a new medical director took over at the trust replacing Manjit Obhrai, who was brought in three years ago to improve standards.
At the same time, the Care Quality Commission lifted all of its previous concerns regarding the hospital, saying all "essential standards" were being met.
A Department of Health spokeswoman said the hospitals trust was "still facing serious financial challenges".
She added: "This puts at risk its work on improving services for patients.
"It is important that valued local services are sustainable and able to continue providing high quality treatment and advice for patients."

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Wednesday 6 July 2011

IVF procedure 'may increase risk of Down's syndrome'

IVF procedure 'may increase risk of Down's syndrome'

Child with Down's syndrome
Down's syndrome is caused by one too many copies of chromosome 21
Drugs used in IVF for older women may increase their risk of having a baby with Down's syndrome, experts say.
Doctors already know that the chance of having a baby with the genetic condition goes up with the age of the mother, especially for those over 35.
Now UK researchers, who looked at 34 couples, think drugs used to kick-start ovaries for IVF in older women disturb the genetic material of the eggs.
Work is now needed to confirm their suspicions, a meeting in Sweden heard.
And they do not yet know the magnitude of risk, but say it could also cause many other genetic conditions, not just Down's.
The findings, presented at the European Society of Human Reproduction and Embryology's annual conference, come from a UK study of 34 couples undergoing fertility treatment.

“Start Quote

It raises the concern that some of the abnormalities might be treatment-related”
End Quote Mr Stuart Lavery Consultant obstetrician
All of the women in the group were older than 31 and had been given drugs to make their ovaries release eggs ready for their IVF treatment.
When the researchers studied these now fertilised eggs they found some had genetic errors.
These errors could either cause the pregnancy to fail or mean the baby would be born with a genetic disease.
A closer look at 100 of the faulty eggs revealed that many of the errors involved a duplication of coiled genetic material, known as a chromosome.
Often, the error resulted in an extra copy of chromosome 21, which causes Down's syndrome.
But unlike "classic" Down's syndrome which is often seen in the babies of older women who conceive naturally, the pattern of genetic errors leading to Down's in the IVF eggs was different and more complex.
And this led the researchers to believe that it was the fertility treatment that was to blame.
Lead researcher Professor Alan Handyside, director of the London Bridge Fertility, Gynaecology and Genetics Centre, said more research was now needed.

Down's syndrome risk with the mother's age:

  • 20 years - 1 in 1,500
  • 25 years - 1 in 1,300
  • 35 years - 1 in 350
  • 40 years - 1 in 100
  • 45 years - 1 in 30
"This could mean that the stimulation of the ovaries is causing some of these errors. We already know that these fertility drugs can have a similar effect in laboratory studies. But we need more work to confirm our findings."
If more tests back up their suspicions then it would mean that doctors should be more cautious about using these treatments, he said.
The researchers believe their work could also help identify which women might be better off using donor eggs for IVF instead.
Co-investigator Professor Joep Geraedts, of Bonn University in Germany, said: "This in itself is already a big step forward that will aid couples hoping for a healthy pregnancy and birth to be able to achieve one."
UK fertility expert Mr Stuart Lavery said: "There's a huge increase in the number of women undergoing IVF at later ages as people delay the age of starting a family.
"Previously we have always thought that these chromosomal abnormalities were related to the age of the egg.
"What this work shows is that a lot of the chromosomal abnormalities are not those that are conventionally age-related. It raises the concern that some of the abnormalities might be treatment-related.
"It's a little unclear as to whether it's the medication itself that is affecting the egg quality or whether it's the medication that is just forcing the issue and allowing eggs that nature's quality control system would have otherwise excluded, to arise."

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