Sunday, 23 September 2012

Care funding reform failure blamed on Treasury


Care funding reform failure blamed on Treasury

Paul BurstowThe former care services minister lost his job at the recent reshuffle
The Treasury is to blame for a failure to reform care funding in England, a former Lib Dem minister has said.
Paul Burstow said the Treasury saw no need for change and was happy to "kick the can down the road".
Care groups have backed a proposal that the state cover elderly and disabled people's care costs over £35,000.
The government, which is continuing to look into cheaper options, said the Treasury had played a major part in getting care back onto the agenda.
Ministers have said they support the principle of a cap, proposed by the independent Dilnot Commission - but as yet there is no commitment to finding the money to pay for it.
The Dilnot package would cost the Treasury almost £2bn a year.
'Historic opportunity'
The government is expected to include its plans on paying for the cost of care in the next spending review, to begin next year.
Writing in the Daily Telegraph, Mr Burstow - a former care services minister - said there was a "historic opportunity" to change the system for the better but feared that the government would put it "back in the too difficult drawer".
"The coalition made a good start, setting up the Dilnot Commission within two months of taking office. But sustaining that pace has been tough," he said.
One of the reasons behind this was, he said, reluctance from the Treasury to back the reforms.
"The Treasury's view is simple, kick the can down the road despite our rising elderly population. No sense of urgency. No recognition that left unreformed there is no incentive for families to plan and prepare.
"In the view of mandarins there is no need for change, and certainly not yet. That has been the Treasury line every time a reform plan has popped its head above the parapet."
Mr Burstow, who lost his job in the recent reshuffle, said he had received more correspondence from MPs about care costs than any other topic.
"The good news is so far the Treasury has failed to smother the latest plan, a cap on lifetime care costs," he added.
"Ending the scandal of people forced to sell their homes to pay for care would be a legacy for this government felt for generations."
'Reaching consensus'

Who gets what care

social care promo image
He later told BBC Radio 4's Today programme that the government had made "a lot of progress" on the issue but urged Mr Osborne to show the "political will" to go the final step.
"The division, I think, is between the Treasury and everyone else. Both the prime minister and deputy prime minister have signalled over the summer their determination to see this now happen but that does require the Treasury to actively engage with the Department of Health to work through how you pay for it and actually deliver this reform...
"In the end, it does require the chancellor of the day to actually say 'this has to be a priority and this is now what we are going to deliver'."
A coalition spokesman branded Mr Burstow's remarks as "rubbish".
"Unlike under the previous government, the Treasury has played a major part in getting Dilnot back onto the agenda, not least by working to ensure we have the sustainable public finances that are necessary if it is to be delivered."
Labour said there were "no simple solutions" to the rising cost of caring for the elderly and cross-party co-operation was essential to agree a way forward.
"Labour has been warning for months that the government is kicking long-term care funding into the long grass," Liz Kendall, shadow minister for care and older people, said.
"All the parties must now come together to try and reach consensus about how we tackle the immediate care crisis and develop a better, fairer system for the future."

Tuesday, 18 September 2012

Campaign to show 'skill and compassion' of nurses


Campaign to show 'skill and compassion' of nurses

The Royal College of Nursing film shows patients shouting at nurses

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A new campaign launched by the Royal College of Nursing aims to show the reality of nursing, and to explore the reasons behind failures in care.
The UK-wide promotion features ads on buses, and a website to show what a nurse's working day is like.
It comes after a series of devastating accounts of lapses in basic care.
The Patients Association says the bulk of calls to its helpline relate to poor nursing care - and that the solution is to boost numbers of support staff.
The campaign features a film - first shown at the RCN's Congress earlier this year - which depicts nurses administering drips, clearing up vomit and being shouted at by patients.
Dr Peter Carter, head of the RCN, said: "What we are doing today is showing the reality of nursing and how it takes both professionalism and compassion to be a nurse.
"It's time to celebrate the outstanding work nurses do on a daily basis, often in extremely difficult situations.
"We have all read the critical coverage of the nursing profession and we would never shy away from the cases of poor care when they exist."
Admin burden
He added: "When poor care does exist, there are often systematic reasons behind it.
"The campaign will also explore what these factors are and how they can be tackled.
"We want to paint an honest, realistic picture of modern day nursing."
Seven different areas of work will be considered as part of the campaign - including nurses' attitudes and behaviour, and how to improve staffing levels on hospital wards.

Start Quote

Compassionate values are just as important as technical skills ”
Sir Keith PearsonCommission on Improving Dignity in Care
The RCN - the nurses' union - also wants to explore how the burden of paperwork and administration can be reduced for nurses.
It said it will also continue to push for the mandatory training and statutory regulation of support workers, such as healthcare assistants.
And it has commissioned Lord Willis of Knaresborough to continue his work looking at how nursing education could be improved.
Increasing strain
The Patients Association said its helpline is busier than ever logging complaints about nursing standards.
Vice chairman Dr Mike Smith, said: "Poor nursing care makes up the bulk of the concern we have to our helpline.
"The specifics are not being fed, not being watered, not getting adequate pain relief, not getting your sheets changed regularly when something drastic has occurred and - last but not least - not being treated with dignity."
Dr Smith said he accepted hospitals were under increasing strain, particularly in treating elderly patients with complex and multiple illnesses.
He said higher levels of support staff, or healthcare assistants, are needed.
Sir Keith Pearson co-authored a report into the how to improve care of the elderly, which said cost and staffing levels were no excuse for poor standards.
He told the BBC: "Compassionate values are just as important as technical skills when nurses are recruited.
"Nursing was always seen as a vocation, but we seem to have moved into a phase where the balance has shifted far more towards the academic capabilities - and not enough about an ability to demonstrate they're the kind of people who deliver dignified care."

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Monday, 17 September 2012

Cane rat meat 'sold to public' in Ridley Road Market


Cane rat meat 'sold to public' in Ridley Road Market

Rats and "shocking" quantities of illegal and "potentially unsafe" meat are being sold

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Cane rats and "shocking" quantities of illegal and "potentially unsafe" meat have been sold to the public in east London, a BBC London undercover investigation has found.
Secret filming in one of the capital's busiest food markets has revealed butchers and food stores prepared to sell large quantities of meat that break food safety laws.
West African and environmental health officer sources told the BBC the Ridley Road Market, in Dalston, was a known hotbed of illicit meat activity, including sales of illegal "smokies", a delicacy made by charring sheep or goat with a blow torch.
Yet a Freedom of Information request to Hackney Council reveals the last enforcement visits to premises concerning illegal meat in the whole borough took place in 2009.

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It is disgusting and outrageous that the local authorities don't take action”
Dr Yunes TeinazEnvironmental health expert
"This is shocking, I am just so shocked to see so much of it," said Paul Povey, one of the UK's leading experts in meat hygiene and inspections and a member of the Chartered Institute of Environmental Health, who examined the meat for the BBC.
"It's all illegal and hasn't undergone health control, hasn't been inspected and may well be contaminated.
"You've got to wonder about the contamination level of this meat that anyone's bringing into their kitchens."
Hackney Council said it had only received one complaint of illegal meat being sold since 2009 which was not proven.
'There will be trouble'
Illegal meat that was on saleAn expert in meat hygiene said the meat may have been contaminated
The practice of creating "smokies" is outlawed under UK and European food laws amid fears about public safety and animal welfare.
It has also been linked to mafia-style gangs in Wales who steal sheep and goats, slaughtering them in unlicensed abattoirs.
Dr Yunes Teinaz, a chartered environmental health practitioner, said: "Behind the underground trade in smokies are criminals who don't observe the law and are just after financial gain.
"It is disgusting and outrageous that the local authorities don't take action and remove this meat from the human food chain."
One Hackney butcher, who was secretly filmed selling a BBC researcher quantities of the illicit meat, said: "Don't tell anyone, otherwise there will be trouble."
Two African food stores have sold bush meat such as "grass cutter" or cane rats, which are described as having been imported from Ghana where they are a delicacy.
'Collapsing a business'
The trade in bush meat is a persistent problem for the UK authorities with illegal meat products smuggled in by passengers in ferry terminals and airports.
The Food Standards Agency says there are worries that bush meat could be of serious risk to both those who eat it and to others from contamination.

Start Quote

What you are saying is a lie, a 100% lie, I don't sell rats.”
ManagerAdom Trading
There is no suggestion that every butcher and food shop on the Ridley Road Market is prepared to deal in illegal meat.
Confronted with BBC London's evidence, Islam Halal Meat; Punjab Halal Meat and Fish and Dalston Butchers denied they were selling illegal meat.
The manager of Great Expectations, a food store which sold two Ghanaian rats to the undercover BBC researcher, said: "I don't sell rats, I never sell rats, I don't sell rats.
"I don't have any rats, why you come to video me?"
The manager of Adom Trading, another shop that sold bush meat described as a Ghanaian "grass cutter" rat, also denied selling it.
"What you are saying is a lie, a 100% lie, I don't sell rats.
"You are collapsing a business, do you know how much it costs us to pay the business rates?"
Councillor Feryal Demirci, Hackney Council's Cabinet Member for Safer Neighbourhoods, said: "Hackney Council's team of Environmental Health Officers make regular visits and inspections of over 1,000 businesses across the borough, including those on Ridley Road.
"Since 2009, we have only received a single complaint regarding the sale of illegal meat, which upon investigation was inconclusive.
"However, we take all complaints seriously and we will always investigate fully. Now that we have received some information from the BBC we will look into this and take the appropriate action."

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Sunday, 16 September 2012

NHS: Reform message was screwed up - health minister


NHS: Reform message was screwed up - health minister

Anna SoubryAnna Soubry was appointed a health minister in a reshuffle earlier this month

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A newly appointed health minister has said the government "screwed up" its presentation of the controversial changes to the NHS in England.
Anna Soubry has admitted making the comment during a private session at a health conference, just days after taking up her new ministerial post.
But in a statement, she clarified the remark and said she backed the reforms.
"More could have been done" to explain the benefits and "encourage support" from health professionals, she said.
Under the government plans, GPs and other clinicians are to be given more responsibility for spending the budget in England, while greater competition with the private sector will be encouraged.
A host of health groups - including some royal colleges which set professional standards as well as the major unions representing doctors, nurses and midwives - were against the reforms.
'Out of context'
In a written statement released by the Department of Health, the minister denied being opposed to the changes themselves.
"I have always been very supportive of the reforms, and anyone suggesting otherwise is taking my comments out of context," Ms Soubry, Conservative MP for Broxtowe.
"We could have done more when the plans were set out initially to explain the benefits for patients, and encourage the support of health professionals.
"That is exactly why we took the rare step last year of pausing the legislation and holding a listening exercise."
Ms Soubry was a Parliamentary Private Secretary to the former Health Minister Simon Burns at the time the NHS changes were going through Parliament.
Responding to the minister's remarks, Labour's shadow health minister Jamie Reed accused the government of being "completely out of touch if they think the only problem with their NHS plans is one of presentation.
He said: "The government rammed through its wasteful £3bn re-organisation in the face of overwhelming public and professional opposition - these comments will do nothing for patients suffering because of the chaos David Cameron has created in the NHS."
It is not Ms Soubry's first controversial remark since being appointed in this month's government reshuffle.
A few days after she got the job she hit the headlines after telling the Times it was "ridiculous" that assisted suicide is illegal in the UK.
She said it was "ridiculous and appalling" that Britons had to "go abroad to end their life".
The Department of Health later said the views were Ms Soubry's own, and the Ministry of Justice said there were no plans for the government to change the law.

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Saturday, 15 September 2012

Whipps Cross Hospital


Whipps Cross Hospital: Three charged over abuse claims

Exterior of Whipps Cross University Hospital in LeytonstoneThe three healthcare assistants worked at Whipps Cross Hospital
Three people have been charged with abusing elderly patients at Whipps Cross Hospital in east London.
Sharmilla Gunda, 35, of Horns Road, Ilford, Annette Jackson, 32, of Simpson Road, Hounslow and Akousa Sakyiwaa , 37, of Orange Grove, Leytonstone, are charged with ill-treatment or neglect.
The allegations first emerged between mid-February and mid-April.
The three will are due before Thames Magistrates' Court on 31 October.
Ms Gunda faces one charge of ill-treatment or neglect and one count of fraud.
Ms Jackson faces four counts of ill-treatment or neglect and Ms Sakyiwaa faces seven counts of ill-treatment or neglect and a charge of common assault.

Thursday, 13 September 2012

Mid Staffs NHS trust ''may be privatised''


Mid Staffs NHS trust ''may be privatised''

12 September 2012 

Mid Staffordshire NHS Foundation Trust, which runs Stafford Hospital where over 1,000 patients died unnecessarily, could be privatised, Unison has claimed.

With major debts (it is expected to be £46.6m in the red in 2014/15 and likely to incur debts of £14.5m every year, the trust is being looked at by the foundation trust regulator Monitor.

One option could be to put the trust "in special administration", which the union is suggesting could mean some level of privatisation.

Unison's head of nursing Gail Adams said: "Monitor should not fall into the trap of thinking that the answer to Mid Staffs' problems lie within the private sector.

"Improvements are being made at the hospital, but its problems cannot be solved overnight. The upheaval and uncertainty of turning the hospital over to a private company would only set this vital process back.


BBC AMERICA content


IF A BRITISH DOCTOR INVITES YOU TO ‘SURGERY,’ SHOULD YOU BE WORRIED?

6. A&E vs. the ER
Credit: AP Photo/Richard Drew
In the U.S., A&E refers to a cable channel with lifestyle infotainment. In the UK, the locals refer to the “accident and emergency” wing of their hospitals as “the A&E.” The British use the term Emergency Room to refer to the places inside the A&E where medical work is performed, while the phrase “attending A&E” means getting emergency care in what is known as the “casualty department.” Yet Americans simplify by calling the whole hospital wing “the ER.”
It’s important that American visitors to Britain learn to say “A&E.” After all, unpleasant surprises can happen anywhere, even in a safe and charming place like the United Kingdom. Think of the poor bloke who recently somehow ended up under a bus and was whisked away to King’s College Hospital, where his medical care was recorded during an episode of 24 Hours in the ER. You can be sure he’s happy that a bystander knew to ask for the “A&E” — not “the ER.”

Hospitals 'on brink of collapse'


Hospitals 'on brink of collapse'

By Nick Triggle
Surgeons performing an operationHospital beds are being closed, but demands are increasing

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Hospitals in England could be on the brink of collapse because of rising demand and the increasing complexity of patients' conditions, doctors warn.
The Royal College of Physicians' report said the number of beds had been cut by a third over the past 25 years.
It said at the same time emergency admissions had started rising and hospitals were seeing older patients with a wider variety of conditions
The college said this process now meant urgent care was being compromised.
And it warned the problems could lead to another scandal like that surrounding the Mid Staffordshire NHS Trust, which became the subject of a public inquiry after regulators said poor standards had led to needless deaths.
The Royal College of Physicians (RCP) said standards were slipping in hospitals throughout England.
It cited the way older patients were repeatedly moved around wards, the lack of continuity of care while in hospital and tests being done during the night as some of the examples of how care was suffering.
The college also highlighted the results of feedback from its members, which showed concern about discharge arrangements and workload.
The report said in some ways the NHS had been a victim of its own success. Advancements in medicine had led to people living longer, but this meant they were increasingly developing complex long-term conditions such as dementia as a result.
Doctor Andrew Goddard of the Royal College of Physicians: ''The winter pressure is an all-year pressure''
Prof Tim Evans, of the RCP, said: "This evidence is very distressing. All hospital patients deserve to receive safe, high-quality sustainable care centred around their needs.
"Yet it is increasingly clear that our hospitals are struggling to cope with the challenge of an ageing population who increasingly present to our hospitals with multiple, complex diseases.
"We must act now to make the drastic changes required to provide the care they deserve."
The report said the solution lay in concentrating hospital services in fewer, larger sites that were able to provide excellent care round-the-clock, seven days a week.
But it also said this would require improvements in community services as there were many patients who ended up in hospital because of a lack of help close to home.
Jeremy Hughes, chief executive of the Alzheimer's Society, said: "These latest findings are alarming but, unfortunately, not surprising.
"It is painfully evident that the healthcare system stands on the brink of crisis.
"People with dementia are going into hospital unnecessarily, staying in too long and coming out worse."
Health minister Dr Dan Poulter said: "It is completely wrong to suggest that the NHS cannot cope - the NHS only uses approximately 85% of the beds it has available, and more and more patients are being treated out of hospital, in the community or at home.
"But it is true that the NHS needs fundamental reform to cope with the challenges of the future.
"To truly provide dignity in care for older people, we need to see even more care out of hospitals. That's why we are modernising the NHS and putting the people who best understand patient's needs, doctors and nurses, in charge."

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Wednesday, 12 September 2012

Some of the pants used as cleaning cloths ​ Kamran Ajaib, director of Hamza Poultry Limited.


A MAN has admitted supplying chicken to takeaways across Bristol from a filthy, unlicensed backstreet processing plant.
Kamran Ajaib used Y-fronts as cleaning rags and had no wash handbasins or knife steriliser in his makeshift butchers in Maggs Lane, Fishponds, which produced 20 tonnes of meat a week.
  1. Kamran Ajaib, director of Hamza Poultry Limited. Above, some of the pants used as cleaning cloths
    Some of the pants used as cleaning cloths
  2. Kamran Ajaib, director of Hamza Poultry Limited.
    Kamran Ajaib, director of Hamza Poultry Limited.
The chicken went to takeaway restaurants and kebab shops in Bristol, as well as surrounding towns and cities as far afield as Swindon, Cardiff, Newport and Swansea.
But the premises had none of the necessary food hygiene approvals or licences to work with meat.
Council officials raided the site on the Fishponds Trading Estate after a customer found a piece of metal wire in a takeaway chicken.
At Bristol Crown Court yesterday Ajaib, of Gordon Road, Whitehall, pleaded guilty to 16 charges of failing to comply with food hygiene regulations, between June 2010 and May last year.
He faces a possible jail sentence when he returns to the court next month.
Initially, Ajaib, the sole director of Hamza Poultry Limited, had denied any knowledge of cutting chicken on the premises.
He told a previous hearing, held at the city's magistrates court last year, that it arrived in boxes from EU-regulated factories and was left in those boxes.
But city council principal environmental health officer John Barrow said equipment used in meat preparation had been found during a raid on the premises, along with off-cuts of meat.
Mr Barrow said council officers, accompanied by police, found work tables, a bandsaw – a type of saw often used to cut meat – knives, a chainmail glove – used by butchers to prevent accidental cuts to their hands while chopping meat – and open wheelie bins containing meat debris and bones.
The court was shown a photograph of a box of meat with a pair of underpants draped over it.
It was said that the pants were clean and came from a next door business, which had a surplus of old stock, and had been used as cleaning cloths at the chicken plant.
Bristol City Council successfully applied for an order from magistrates to destroy more than four tonnes of chicken seized in a raid on the unit in May last year.
Mr Barrow said a member of the public had made a complaint to the council after finding a piece of metal wire in a chicken takeaway.
A council investigation into the takeaway's suppliers led them to Hamza Poultry. Council investigators estimated the unit processed "in excess of 20 to 30 tonnes a week" of chicken.
From mobile phones and receipts seized in the raid they realised the meat was being distributed across the South West to what were described in court as "KFC clones and kebab shops", including outlets in Swindon, Wales and Bristol itself.
Asked what the premises needed to comply with safety standards, Mr Barrow said it lacked washbasins by work areas, a knife steriliser and any kind of safety management system.
Kate Burnham, who brought the application to destroy the meat on behalf of the council, said: "It doesn't matter whether this meat is fit for human consumption or not. It is simply because they have not got the right licences in place."
Ajaib told the earlier court hearing that he had stepped in at short notice to help his family, taking over the business from a brother who had been "locked up" some months before the raid. He said he had not known he needed a licence, and that the equipment he had on the site had come from a butcher who owed him money

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