Friday, 25 September 2015

Families often charged too much for care, ombudsman says 24 September 2015

Families often charged too much for care, ombudsman says
24 September 2015
     
  • From the section

Carer holding an elderly patient's hand
Image copyright
Science Photo Library
Image caption
The ombudsman received 2,848 complaints about social care from August 2014 to July 2015


Cost of care

'Impossible situation'
Woman helping an elderly man
Image copyright
Science Photo Library
Image caption
Those with assets of less than £14,250 are entitled to have a local authority funded care home place

Families are paying too much for care in England "all too often" because of confusing or incorrect information from councils, a report says.
The Local Government Ombudsman said some people were not offered an affordable care option in their area.
"Top-up fees", payable for things such as a bigger room, were often being incorrectly charged, it said.
There was a 19% increase in complaints about social care from August 2014 to July 2015 compared with a year earlier.
The ombudsman received 2,848 complaints during this period, of which 57.5% were upheld.
Find out more about care at the BBC's cost of care website.
Use the BBC's care calculator to find out how much care costs where you live.
There were 2,397 complaints between August 2013 and July 2014 - 52.5% were upheld - and 2,324 between August 2012 and July 2013, of which 52.6% were upheld.
Its report, seen exclusively by BBC Breakfast, says councils should provide information in writing "at the earliest opportunity" that explains the financial implications of social care and top-up fees, so people can make an "informed decision".
It said: "The decision to place a loved one in a care home can be one of the hardest any family has to make, but all too often families are paying too much for their care because they are not getting the correct, timely information."
Those who have assets of less than £14,250 are entitled to have a care home place paid for by their local authority.
Top-up fees are generally charged for those who want additional facilities, such as a bigger room.
But Tony Cryer said he was charged a "top-up fee" after his council reassessed the amount it was willing to pay at his mother's nursing home.
"They'd decided my mum was going to move elsewhere," he said.
"But we couldn't let it happen. We had to pay the difference... we were put in an impossible situation."
The ombudsman ordered the council to pay the fee shortly before Jean Cryer died. The family are still waiting for repayment.
Care England, which represents care homes, said top-up fees were masking a funding crisis in social care, with some of the poorest people and their families being asked to fill holes in the budgets of local authorities.
Professor Martin Green, of Care England, said care should be available "at a cost which the local authority should be happy to pay".
Andrew Kaye, from the charity Independent Age, said confusion over top-up fees was one of the main reasons why people called its helpline.
"Too many people are paying [them] through necessity rather than choice."
Ray James, president of the Association of Directors of Adult Social Services, said there were "probably colleagues in local authorities feeling between a rock and a hard place" as more people were needing care in the face of funding cuts.
"Even where that is the case, we should always make sure that individuals and their families are clear about the information that they need," he said.

Saturday, 19 September 2015

Dr.Mengele

Dr.Mengele

let you know how to say ‘that all the suffering
bought you are the children the brutal kids
you need space to grow your food
all you creatures need your food ,when you don’t need your food you will not be alone
you will not be at home,every creature you do harm to he or she.
age is love age is beauty,small and blue ,anyone anywhere do you really care
,for your clothes you must wear the skin of bear,
a distant cousin drain the ancestors ashes are burning
my head upon the wall,heal the sick, engand anglo fire5e2 get out of here,tablet for this
tablet for that at what expense did it appear, I’ll tell you how you vicious man,
you strapped me down and tortured me,
everywhere creatues in despair for your ego,I am doctor so and so,

Friday, 18 September 2015

'Super-gonorrhoea' outbreak in Leeds

'Super-gonorrhoea' outbreak in Leeds

  • 18 September 2015
  • From the section Health
GonorrhoeaImage copyright SPL
Highly drug-resistant gonorrhoea is spreading in the north of England with an outbreak centred in Leeds, sexual health doctors have told the BBC.
One of the main treatments has become useless against the new strain of the sexually transmitted infection.
Twelve cases have been confirmed in Leeds and a further four have been reported in Macclesfield, Oldham and Scunthorpe.
However, there are likely to be more undiagnosed cases.
The strain in this outbreak is able to shrug off the antibiotic azithromycin, which is normally used alongside another drug, ceftriaxone.

'Highly resistant'

Peter Greenhouse, a consultant in sexual health based in Bristol, told the BBC News website: "This azithromycin highly resistant outbreak is the first one that has triggered a national alert.
"It doesn't sound like an awful lot of people, but the implication is there's a lot more of this strain out there and we need to stamp it out as quickly as possible.
"If this becomes the predominant strain in the UK we're in big trouble, so we have to be really meticulous in making sure each of these individuals has all their contacts traced and treated.Media caption Dr Jan Clarke: "There are lots of ways people can check themselves for gonorrhoea including sexual health clinics and self-testing kits"
The outbreak started in March.
The British Association for Sexual Health and HIV says all cases have been in heterosexuals and some have reported sexual partners from across England.
Dr Jan Clarke, the organisation's president, told the BBC: "It was sufficiently serious to alert our whole national chain of clinics that there is the possibility that we've got a very resistant strain of gonorrhoea.
"We are really skating on thin ice as far as treating gonorrhoea is concerned at the moment."

What is gonorrhoea?

GonorrhoeaImage copyright CAVALLINI JAMES/SCIENCE PHOTO LIBRARY
The disease is caused by the bacterium called Neisseria gonorrhoeae.
The infection is spread by unprotected vaginal, oral and anal sex.
Of those infected, about one in 10 heterosexual men and more than three-quarters of women, and men who have sex with men, have no easily recognisable symptoms.
But symptoms can include a thick green or yellow discharge from sexual organs, pain when urinating and bleeding between periods.
Untreated infection can lead to infertility, pelvic inflammatory disease and can be passed on to a child during pregnancy.

More BBC links


Gonorrhoea is the second most common sexually transmitted infection in England and cases are soaring.
The number of infections increased by 19% from 29,419 in 2013 to 34,958 the following year.
Dr Mike Gent from Public Health England said in a statement: "We can confirm investigations are under way.
"Those affected are being treated with an alternative antibiotic, but the resistance to first-line treatment remains a concern.
"The bacteria that cause gonorrhoea are known to mutate and develop new resistance, so we cannot afford to be complacent."
He urged people to practise safe sex including the use of condoms.
The outbreak in Leeds adds to growing concern that gonorrhoea is becoming untreatable.
In 2011, Japan reported a case of complete resistance to cephalosporin-class antibiotics, which included the main treatment ceftriaxone. 

Monday, 14 September 2015

Flu jab worked in one in three cases

Flu jab worked in one in three cases

  • 12 September 2015
  •  
  • From the sectionHealth
Flu jabImage copyrightSPL
Last winter's flu jab worked in 34% of cases, according to a final report by Public Health England.
At one stage early in the season, it was estimated that the vaccine was stopping only three out of every 100 immunised people developing symptoms.
But the report said there had been a "shift" in the dominant circulating strains during the rest of the winter.
Prof Paul Cosford, from Public Health England, said its effectiveness had been "slightly lower" than usual.
Flu is a constantly shifting target making it difficult to develop a vaccine. It is why a new jab is needed each year.
Officials are concerned that the drop in the vaccine's effectiveness may affect uptake this coming winter.

'Unpredictable virus'

Every year the World Health Organization picks the three strains of flu that are most likely to be circulating.
A flu vaccine normally works in 50 out of every 100 cases.
But one strain of flu mutated so significantly that the vaccine offered much lower levels of protection.
The strain in question, H3N2, was also a particular worry as it primarily kills the elderly.
Prof Cosford said: "Whilst it's not possible to fully predict the strains that will circulate in any given season, flu vaccination remains the best protection we have against an unpredictable virus which can cause severe illness and deaths each year among at-risk groups.
"These include older people, pregnant women and those with a health condition, even one that is well-managed."

Wednesday, 2 September 2015

People with learning difficulties 'silenced with drugs'

People with learning difficulties 'silenced with drugs'

  • 2 September 2015
  •  
  • From the sectionHealth
antipsychoticImage copyrightSCIENCE SOURCE/SCIENCE PHOTO LIBRARY
People with learning difficulties in the UK are being inappropriately over-medicated, patient records suggest.
A study in the BMJ looked at GP data spanning over a decade and found that more than a quarter of 33,000 adults with learning difficulties had been prescribed antipsychotics, often with no obvious clinical justification.
The drugs are designed to treat severe mental illness, not tricky behaviour.
NHS England has already warned prescribers about the problem.
In July, it sent a letter to patients and professionals saying these powerful medicines should not be used as a "chemical restraint".
A report by Public Health England estimates that up to 35,000 adults with a learning disability are being prescribed an antipsychotic, an antidepressant or both without appropriate clinical justification.
NHS England advises: "If you are worried, either for yourself or someone you know, about the medicines being taken, speak to the person responsible for prescribing them. This will usually be a GP, psychiatrist, specialist doctors, pharmacist or nurse prescriber."
It says medicines used to treat mental illness can be very effective in treating some people with learning disabilities when used appropriately.

Friday, 28 August 2015

Five million adults in England 'at risk of diabetes'

Five million adults in England 'at risk of diabetes'

  • 26 August 2015
  •  
  • From the sectionHealth
Blood test
Image captionPublic Health England analysed blood-sugar levels to estimate the number of people at risk of developing type-2 diabetes
Up to five million people in England are at risk of developing type-2 diabetes, according to new data from Public Health England.
Type-2 diabetes is closely linked to diet and obesity and affects about 3.2 million people across the UK.
The NHS says diabetes causes 22,000 early deaths and costs the health service more than £8bn each year.
But health experts believe more than a quarter of people can reduce the risk of developing the condition.
Diabetes arises when the body loses the ability to use or make insulin, a hormone that helps regulate the amount of sugar in blood.
Public Health England (PHE) says its latest analysis shows about five million adults in England are now pre-diabetic, also known as non-diabetic hyperglycaemia.
That means they are at risk of developing type-2 diabetes.
Public Health England says its calculations have produced the most accurate and robust estimate so far.
Last year, research published in the British Medical Journal suggested a much higher figure - one third of all adults in England - and the charity Diabetes UK quotes a UK-wide figure of about 18 million people at risk of developing diabetes.
But these calculations used a broader definition of pre-diabetes than that used in this latest analysis.
Some doctors have questioned the value of the pre-diabetic diagnosis, arguing that only a small number - perhaps one in 10 - will go on to develop diabetes.

Diet and exercise

But the NHS is preparing to roll out a diet, weight loss and exercise programme that has been shown to reduce the diabetes risk for a quarter of those who take it up.
PHE chief executive Duncan Selbie said people needed support if they were to combat the risk posed by type-2 diabetes.
"We know how to lower the risk of developing type-2 diabetes: lose weight, exercise and eat healthily, but it's hard to do it alone," he said.
"PHE's evidence review shows that supporting people along the way will help them protect their health, and that's what our prevention programme will do."
Diabetes UK chief executive Barbara Young said it was important to warn people about a condition that could have devastating complications such as blindness, amputations and early death.
"As well as helping to reduce the human cost of type-2 diabetes, this would also go a long way to helping to reduce costs to the NHS," she said.
"The NHS spends 10% of its entire budget managing diabetes And unless we get better at preventing type-2 diabetes, this figure will rise to unsustainable levels."

Related

Brain cells 'burn out' in Parkinson's disease

Brain cells 'burn out' in Parkinson's disease

Parkinson's disease: computer artwork of neurones
Brain cells in Parkinson's disease exhaust themselves and die prematurely, burning out like an "overheating motor", an early study suggests.
Canadian researchers say the findings might help explain why only small parts of the brain are affected in the disease.
Parkinson's is caused by a loss of nerve cells in certain areas of the brain - but why these cells are vulnerable has been a mystery.
The work appears in Current Biology.

Tremor and stiffness

An estimated 127,000 people in the UK have Parkinson's disease, which can lead to a pronounced tremor, slow movement, and stiff and inflexible muscles.
In this paper, scientists from the University of Montreal studied the disease in mice cells.
They found, unlike other similar brain cells, neurons most often involved in Parkinson's disease were complex and had many more branches.
The cells also had much higher energy requirements, producing more waste products as they met this need.
Researchers suggest it is the accumulation of these waste products that triggers cell death.
Prof Louis-Eric Trudeau said: "Like a motor constantly running at high speed, these neurons need to produce an incredible amount of energy to function.
"They appear to exhaust themselves and die prematurely."
The team hope this finding may help create better experimental models of Parkinson's and identify new treatments.

'Rekindle interest'

They suggest, for example, that medication could one day be developed to help reduce the energy requirement of cells or increase their energy efficiency.
Dr Arthur Roach, at the charity Parkinson's UK, said:"Out of the billions of cells in the brain, it is always the same small group that degenerate and die in Parkinson's. We don't know why only these cells are affected.
"This study provides strong support to the idea that it is the unique structure and function of these cells that makes them especially susceptible to a damaging process called oxidative stress.
"We hope that this study will rekindle interest in the approach, and even lead to new treatments based on the most up-to-date ideas about oxidative stress."

Thursday, 27 August 2015

Blood test 'detects cancer relapse'

Blood test 'detects cancer relapse'

Breast cancer cells
A blood test may be able to save lives by finding cancers that have started to grow again after treatment, a study suggests.
Scientists at the Institute of Cancer Research in London found traces of breast cancer eight months before doctors would normally have noticed.
In the trial, the test found 12 cancers out of the 15 women who relapsed.
Experts said there was still some way to go before there was a test that could be used in hospitals.
Surgery to remove a tumour is one of the core treatments for cancer.
However, a tumour starts from a single cancerous cell. If parts of the tumour have already spread to another part of the body or the surgeon did not remove it all then the cancer can return.

Relapse

Fifty-five patients who were at high risk of relapse because of the size of the tumour were followed in the study published in Science Translational Medicine.
The scientists analysed the mutated DNA of the tumour and then continued to search the blood for those mutations.
Fifteen patients relapsed and the blood test gave advanced warning of 12 of them.
The other three patients all had cancers that had spread to the brain where the protective blood-brain barrier could have stopped the fragments of the cancer entering the bloodstream.
The test detected cancerous DNA in one patient who has not relapsed.
Breast cancer in the blood
Image captionCancerous tissue can be detected when it enters the bloodstream
None of the women in the study were told that cancerous material had been detected as it would have been unethical to base decisions on such an unproven prototype.
But the hope is that detecting cancer earlier means treatments including chemotherapy can start sooner and improve the odds of survival.
Dr Nicholas Turner, one of the researchers, told the BBC News website: "The key question is are we identifying that these women are at risk of relapse early enough that we could give treatments that could prevent the relapse?
"That is unknown from this research and we hope to address it in future studies.
"[But] we're really talking about a principle that could potentially be applied to any cancer that has gone through initial treatment for which there's a risk of relapse in the future."

More work needed

The analysis of the blood is relatively cheap. However, investigating the DNA of the tumour for mutations in the first place is still expensive.
The price is coming down as the field of cancer medicine moves from treating tumours in whichever part of the body they are discovered, towards drugs that target specific mutations in tumours.
Dr Nick Peel, from Cancer Research UK, said: "Finding less invasive ways of diagnosing and monitoring cancer is really important and blood samples have emerged as one possible way of gathering crucial information about a patient's disease by fishing for fragments of tumour DNA or rogue cancer cells released into their bloodstream.
"But there is some way to go before this could be developed into a test that doctors could use routinely, and doing so is never simple."

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