Monday 31 December 2012

Bristol heart surgery


Mother holds heart babies protest in Bristol

Marie EdwardsMarie Edwards founded the Fragile Angels group to raise awareness of safe children's heart surgery

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A mother whose baby died during the Bristol heart surgery scandal in the 1990s has staged a peaceful protest.
Marie Edwards has marked what would have been her daughter Jazmine's 20th birthday with a demonstration outside Bristol's children's hospital.
She is calling for improvements at the hospital after a damning report from the Care Quality Commission in October.
The NHS Trust said it had "responded immediately" to the CQC inspection and awaited results from a further visit.
The CQC report found the trust had failed to meet safety standards for staffing levels, training and support, and patient welfare.
Following the inspection the trust announced it was to reduce the number of heart operations carried out at the children's hospital.
'Fears'
This has added to the concerns of Miss Edwards, from Rimpton in Somerset, who believes that tighter checks on the results of child heart surgery in Bristol and at other specialist units, are needed.
Her daughter Jazmine died in June 1993 five-and-a half-months after heart surgery at the Bristol Royal Infirmary.
Ten years later a report concluded that between 30 and 35 children who underwent heart surgery at the hospital between 1991 and 1995 died unnecessarily as a result of sub-standard care.
baby Jazmine EdwardsJazmine Edwards died in June 1993, five-and-a half-months after heart surgery
Miss Edwards went on to found the group Fragile Angels which aims to raise awareness about children's heart surgery.
"The reason that I am campaigning on this day, at this location, is due to my fears that this hospital is still losing too many lives," she said.
"We need real time audits whereby death and survival data should be processed and made public to ensure a safety net and flag up any units which have had a high death rate to ensure needless life is not being lost.
"My choice hasn't been an easy one to undertake on this day, I'm not here to criticise this hospital lightly, my wishes are for this hospital to correct their failings and regain their trust with the public."
'Among the best'
The University Hospitals Bristol NHS Trust responded saying it had had remained in communication with families and was seeking to address their concerns "to the best of its ability".
Chief executive Robert Woolley said: "All paediatric cardiac surgery carries with it significant risk and these risks are explained to parents.
"Despite these risks and the complex needs of the children we care for, we have results among the best in England.
"Since 2009, a national review of children's congenital heart services has taken place which rigorously assessed the quality of care in existing centres.
"In July of this year, it was announced that the Bristol children's hospital will be designated as one of seven specialist surgical centres in England."

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Sunday 30 December 2012

Prince Charles calls for more compassion in NHS


Prince Charles calls for more compassion in NHS

prince charlesThe prince called for society to adopt a more holistic approach to health

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The Prince of Wales has called for a national health service with more compassion.
Writing in the Journal of the Royal Society of Medicine, Prince Charles called for a service that accounts for "the core human elements of mind, body and spirit" as well as disease.
He urged medical professionals to develop a "healing empathy" to help patients find their own path to health.
The Patients Association said "compassion" was "lacking" in the NHS.
'Holistic approach'
In his article, Prince Charles set out his vision of a health service with a wider perspective - one that acknowledges "physical and social environment, education, agriculture and architecture".

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This is an important article and the prince's vision for health is engaging”
Dr Kamran AbbasiJournal of the Royal Society of Medicine
He said those in the industry must "listen and honour what is being said and not said by patients," adding that symptoms "may often be a metaphor for underlying disease and unhappiness".
A scientific and therapeutic approach that "understands, values and uses patient perspective and belief rather than seeking to exclude them" would allow patients to discover better health.
However, he emphasised he did not wish to confront accepted medical wisdom.
The prince's article - which draws on the work of several of his charities based in the Lancashire town of Burnley - said inequalities in the area had led to a reduction in life expectancy to one of the worst levels in Britain.
He insisted that a focus on improving the built and natural environment - including work on education, business and the arts - would lead to improvements "not only in health, but also in the overall cost-efficiency and effectiveness of local services".
By encouraging clinicians to emphasise "the value of caring, continuing relationships and for society to adopt a more holistic approach to health and disease that maximises the potential of the physical and social environment so that healing and better health can thrive," he wrote.
Speaking to BBC News, Dr Mike Smith, vice chairman of the Patients Association, said he thought the prince was right.
"The chief nursing officer of the Department of Health only recently has set out her six Cs, one of which is compassion care," he said.
"So the pair of them are singing from the same hymn sheet. And that's what we've seen lacking over the last half dozen years, when increasingly the care element of the NHS has been not up to its previous standard."
'Vision for health'
The journal's editor, Dr Kamran Abbasi, welcomed the article, describing Prince Charles as "a prominent and influential voice".
"When he sets out his vision for health, something he clearly thinks deeply about, speaking directly to medical professionals is the best way of allowing a constructive debate to flourish," he said.
"This is an important article and the prince's vision for health is engaging."
A Department of Health spokeswoman agreed that "wider determinants of health - such as housing and environment - are very important to our wellbeing", underlining government plans to start "putting local councils in charge of improving the public's health".
"They will have the power and the budget to tackle the causes of poor health in their areas. This should help to reduce health inequalities and mean that everyone has the same opportunity to lead a healthy life."
She added: "Ensuring that patients get the best possible care is a priority... Nursing leaders recently launched a new drive to ensure values such as compassion and courage are at the heart of the NHS and the public health and care sectors."

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prince charlesThe prince called for society to adopt a more holistic approach to health

Related Stories

The Prince of Wales has called for a national health service with more compassion.
Writing in the Journal of the Royal Society of Medicine, Prince Charles called for a service that accounts for "the core human elements of mind, body and spirit" as well as disease.
He urged medical professionals to develop a "healing empathy" to help patients find their own path to health.
The Patients Association said "compassion" was "lacking" in the NHS.
'Holistic approach'
In his article, Prince Charles set out his vision of a health service with a wider perspective - one that acknowledges "physical and social environment, education, agriculture and architecture".

Start Quote

This is an important article and the prince's vision for health is engaging”
Dr Kamran AbbasiJournal of the Royal Society of Medicine
He said those in the industry must "listen and honour what is being said and not said by patients," adding that symptoms "may often be a metaphor for underlying disease and unhappiness".
A scientific and therapeutic approach that "understands, values and uses patient perspective and belief rather than seeking to exclude them" would allow patients to discover better health.
However, he emphasised he did not wish to confront accepted medical wisdom.
The prince's article - which draws on the work of several of his charities based in the Lancashire town of Burnley - said inequalities in the area had led to a reduction in life expectancy to one of the worst levels in Britain.
He insisted that a focus on improving the built and natural environment - including work on education, business and the arts - would lead to improvements "not only in health, but also in the overall cost-efficiency and effectiveness of local services".
By encouraging clinicians to emphasise "the value of caring, continuing relationships and for society to adopt a more holistic approach to health and disease that maximises the potential of the physical and social environment so that healing and better health can thrive," he wrote.
Speaking to BBC News, Dr Mike Smith, vice chairman of the Patients Association, said he thought the prince was right.
"The chief nursing officer of the Department of Health only recently has set out her six Cs, one of which is compassion care," he said.
"So the pair of them are singing from the same hymn sheet. And that's what we've seen lacking over the last half dozen years, when increasingly the care element of the NHS has been not up to its previous standard."
'Vision for health'
The journal's editor, Dr Kamran Abbasi, welcomed the article, describing Prince Charles as "a prominent and influential voice".
"When he sets out his vision for health, something he clearly thinks deeply about, speaking directly to medical professionals is the best way of allowing a constructive debate to flourish," he said.
"This is an important article and the prince's vision for health is engaging."
A Department of Health spokeswoman agreed that "wider determinants of health - such as housing and environment - are very important to our wellbeing", underlining government plans to start "putting local councils in charge of improving the public's health".
"They will have the power and the budget to tackle the causes of poor health in their areas. This should help to reduce health inequalities and mean that everyone has the same opportunity to lead a healthy life."
She added: "Ensuring that patients get the best possible care is a priority... Nursing leaders recently launched a new drive to ensure values such as compassion and courage are at the heart of the NHS and the public health and care sectors."

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dementia by type'


Brain scan 'can sort dementia by type'

Frontotemporal dementia on MRI scanTell-tale shrinkage of the frontal and temporal lobes on an MRI scan

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Scientists say they have found a way to distinguish between different types of dementia without the need for invasive tests, like a lumbar puncture.
US experts could accurately identify Alzheimer's disease and another type of dementia from structural brain patterns on medical scans, Neurology reports.
Currently, doctors can struggle to diagnose dementia, meaning the most appropriate treatment may be delayed.
More invasive tests can help, but are unpleasant for the patient.

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This could be used as a screening method and any borderline cases could follow up with the lumbar puncture or PET scan”
Lead researcher Dr Corey McMillan
Distinguishing features
Despite being two distinct diseases, Alzheimer's and frontotemporal dementia, share similar clinical features and symptoms and can be hard to tell apart without medical tests.
Both cause the person to be confused and forgetful and can affect their personality, emotions and behaviour.
Alzheimer's tends to attack the cerebral cortex - the layer of grey matter covering the brain - where as frontotemporal dementia, as the name suggests, tends to affect the temporal and frontal lobes of the brain, which can show up on brain scans, but these are not always diagnostic.
A lumbar puncture - a needle in the spine - may also be used to check protein levels in the brain, which tend to be higher in Alzheimer's than with frontotemporal dementia.
A team at the University of Pennsylvania set out to see if they could ultimately dispense of the lumbar puncture test altogether and instead predict brain protein levels using MRI brain scans alone.
They recruited 185 patients who had already been diagnosed with either Alzheimer's disease or frontotemporal dementia and had undergone a lumbar puncture test and MRI scanning.

Dementia

  • There are many causes of dementia, with Alzheimer's the most common
  • More than half a million people in the UK have Alzheimer's disease
  • Frontotemporal dementia tends to affects people who are younger - under 65 - and can affect a personality and behaviour
  • Other types of dementia include vascular dementia and dementia with Lewy bodies
The researchers scrutinised the brain scans to see if they could find any patterns that tallied with the protein level results from the lumbar puncture tests.
They found the density of gray matter on the MRI scans correlated with the protein results.
The MRI prediction method was 75% accurate at identifying the correct diagnosis.
Although this figure is some way off an ideal 100%, it could still be a useful screening tool, say the researchers.
Lead researcher Dr Corey McMillan said: "This could be used as a screening method and any borderline cases could follow up with the lumbar puncture or PET scan."
Dr Simon Ridley, Head of Research at Alzheimer's Research UK, said: "This small study suggests a potential new method for researchers to distinguish between two different types of dementia, and a next step will be to investigate its accuracy in much larger studies involving people without dementia.
"While this method is not currently intended for use in the doctor's surgery, it may prove to be a useful tool for scientists developing new treatments. The ability to accurately detect a disease is vital for recruiting the right people to clinical trials and for measuring how well a drug may be working.
"Ultimately, different causes of dementia will need different treatment approaches, so the ability to accurately distinguish these diseases from one another will be crucial."
The only drug currently licensed in England and Wales for treating frontotemporal dementia is rivastigmine.
There are four licensed treatments for Alzheimer's - donepezil, galantamine, rivastigmine and memantine.

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Norovirus


Q&A: Norovirus

NorovirusThe Health Protection Agency says there has been a 72% increase in cases on last year

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Wards in hospitals across the UK have been closed to visitors to try to prevent the spread of winter vomiting bug norovirus, which causes sudden vomiting and diarrhoea. What is it?
What is it?
Noroviruses are a group of viruses that are the most common cause of stomach bugs in the UK, affecting all ages.
It is estimated that between 600,000 and a million people in the UK become infected each year. Noroviruses are also sometimes known as "winter vomiting viruses" or "Norwalk-like viruses".
What are the symptoms?
Around 12 to 48 hours after becoming infected, the virus causes sudden onset of nausea followed by projectile vomiting and watery diarrhoea.
Some people may have a fever, headaches and aching limbs - often leading people to call the illness "stomach flu".
The illness is not generally dangerous and most people make a full recovery within one to two days.
However, the very old and very young risk becoming dehydrated which may require hospital treatment.
How does it spread?
The virus is easily transmitted from one person to another by contact with an infected person or through contaminated food or drink or touching contaminated surfaces or objects.
It is able to survive in the environment for many days and outbreaks tend to affect more than 50% of susceptible people.
Anyone is susceptible as immunity to the virus is not long-lasting.
Outbreaks commonly occur in hospitals, nursing homes, schools and on cruise ships.
It can be difficult to control because it is so easily spread but the best way is to disinfect contaminated areas, washing hands and to avoid handling food.
Also, those who have been infected should be isolated for 48 hours after their symptoms have gone away.
What is the treatment?
There is no treatment other than to let the illness run its course.
Those infected should drink plenty of fluids to prevent dehydration and practise good hygiene to reduce the risk of the illness spreading.

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