Where are NHS nurses recruited from?

Chart of the week: Where are NHS nurses recruited from? | Nuffield Trust

The government’s pledge to have 50,000 more NHS nurses by 2024 is ambitious, but there has been welcome, significant progress on it at a national level. To February this year, the number of NHS nurses has increased by 25,458 full-time equivalents since the 2019 general election. This equates to almost 1,000 more a month, and is on a par with the rate needed to achieve 50,000 more within this parliament. But where are these nurses coming from? This article takes a closer look.

Full detail: Where are NHS nurses recruited from?

New report finds healthcare staff need support to use AI safely

Frontline healthcare staff will need bespoke and specialised support before they will confidently use artificial intelligence (AI) in their clinical practice, a new report has found | via Health Education England

The NHS aims to be a world leader in the use of emerging technologies like AI that could support trusts to address the backlog in elective procedures and make a difference in helping to detect and manage conditions, such as cancer and cardiovascular disease, earlier.

A report published by Health Education England and the NHS AI Lab has found that if patients across the country are to benefit from AI, healthcare workers will need specialised support to use AI safely and effectively as part of clinical reasoning and decision-making. The vast majority of clinicians are unfamiliar with AI technologies and there is a risk that without appropriate training and support, patients will not equally share in the benefits offered by AI.

The report calls for clinicians to be supported through training and education to manage potential conflicts between their own intuition or views about a patient’s condition and the information or recommendations provided by an AI system.

Full detail: New report finds healthcare staff need support to use AI safely

See also: Artificial intelligence ‘has potential’ to relieve pressures on NHS workforce, study finds | Nursing in Practice

Drug misuse prevention review

Advice on preventing drug misuse among vulnerable groups of people, with a focus on understanding factors that contribute to vulnerability | Advisory Council on the Misuse of Drugs (ACMD)

The ACMD was commissioned in December 2021 to provide advice on preventing drug use among vulnerable groups of people, and how those groups can be prevented both from first using and from developing dependence on drugs.

This report first explores the factors that contribute to vulnerability, then examines general principles and specific approaches to prevention that are supported by the available evidence. Finally, it considers the need for the delivery of interventions to be embedded properly in the wider system and context if their potential is to be achieved.

Full detail: ACMD Drug misuse prevention review

The Health and Care Act: six key questions

via The King’s Fund

The Health and Care Act, which introduces significant reforms to the organisation and delivery of health and care services received Royal Assent in April 2022. In this long read, The King’s Fund explains what the changes brought in by the Act mean in practice, looking at the following questions:

  • What are the main changes brought about by the Act?
  • Is this an unnecessary top-down reorganisation?
  • Will the Act lead to greater involvement of the private sector in delivering and planning clinical services?
  • Does the Act give ministers more power over the day-to-day running of the NHS?
  • Will the Health and Care Act make any difference to patients?
  • Does the Act tackle the big challenges the health and care system currently faces?

Full detail: The Health and Care Act: six key questions

British Medical Association Covid Review

British Medical Association (BMA)

A major review into the UK Government’s handling of the pandemic and its impact on the NHS, the health of the population, and doctors, has been undertaken by the BMA. The first two reports conclude that the UK Government failed in its duty of care to protect doctors and the wider healthcare workforce from avoidable harm and suffering in its management of the COVID-19 pandemic. This failure is evidenced in detail and published today by the BMA.

The reports, part of a series of five, are the most comprehensive accounts of the lived experiences of doctors throughout the pandemic, collated from thousands of doctors across the UK, including those who were on the frontline during COVID-19. They also draw upon real-time surveys over the past two years, as well as formal testimonies, data and evidence sessions from stakeholders.

The reports, which will also form part of the BMA’s submission to the UK COVID-19 Public Inquiry, make a series of recommendations about lessons which must be learned as well as presenting evidence of where things went wrong.

Medical Emergencies in Eating Disorders guidance

The Royal College of Psychiatrists

This report finds that signs that someone with an eating disorder is dangerously ill are often missed by healthcare professionals due to lack of guidance and training. The research finds that hospital admissions for eating disorders have increased by 84 per cent in the last five years reaching a total of 24,268 admissions. Children and young people with eating disorders are the worst affected with a rise of 90 per cent in the five-year period. This guidance is aimed at frontline staff so that people with eating disorders needing urgent care can be identified and treated earlier.

Full guidance: Medical Emergencies in Eating Disorders

Press release: Hospital admissions for eating disorders increased by 84% in the last five years

General practice on the brink: how did it get there?

General practice is on the brink, and policy-makers, clinicians and patients seem to know it. But how did it come to this? At the start of a mini series of blogs on general practice, this article reflects on how its problems came about and what lessons can be learnt from them | Nuffield Trust

The article explains how a combination of increased demand, staff burnout and deteriorating patient experience are threatening the stability of general practice.

Sitting at the heart of low public satisfaction with the NHS – now at a miserly 36% according to the recently published British Social Attitudes survey, the lowest level recorded in 25 years – is frustration with access to GP appointments. Two-thirds of people who were dissatisfied with the NHS said that this was due to waiting times for a GP or hospital appointment.

Full detail: General practice on the brink: how did it get there?

Also within this series from Nuffield Trust::

Health Secretary announces 10-year plan for dementia

Health and Social Care Secretary announces a new 10-year plan to tackle dementia and boost funding into research to better understand neurodegenerative diseases | Department of Health and Social Care

  • Health and Social Care Secretary Sajid Javid announces plans to work across government to boost the £375 million already committed for research into neurodegenerative diseases.
  • Actions will reduce the up to 40% of dementia considered to be potentially preventable and explore how new technology, science and medicine can help reduce the numbers and severity of dementia.
  • Record NHS funding to reduce the coronavirus (COVID-19) backlog will help ensure more timely dementia diagnosis.

A new 10-year plan to tackle dementia will be published later this year, Health and Social Care Secretary Sajid Javid confirmed.

Full detail: Health Secretary announces 10-year plan for dementia

60,000 NHS staff living with post-traumatic stress following pandemic

An estimated 60,000 NHS workers could be living with post-traumatic stress as a result of the Covid-19 pandemic, new research suggests | NHS Charities Together

In a survey of over 1000 NHS workers, close to three quarters (73%) expressed concern about colleagues leaving the workforce due to poor mental health. But while the pace of work and loss of unprecedented numbers of patients have taken a toll on staff, the public still feels overwhelming pride and affection for the health service – 60% say it is ‘the best thing about the UK.

Full detail: 60,000 NHS staff living with post-traumatic stress following pandemic

Nursing and midwifery register grows but so does number of people leaving

Nursing and Midwifery Council (NMC)

The number of nursing and midwifery professionals registered to practise in the UK has grown to more than 758,000. But the number of people leaving the Nursing and Midwifery Council (NMC) register has also started to rise. The number of people joining the register for the first time has also risen, by 13,919 to 48,436. Almost half of first-time joiners trained outside the UK.

A total of 27,133 professionals left the NMC register in 2021–2022. That’s 13 percent more than the year before, and starts to reverse a downward trend in leavers over the recent years. When asked why they left, many said their main reasons included too much pressure, and poor workplace culture. And more than a third of respondents said the Covid-19 pandemic influenced their decision to leave. Some of those said they were worried about their health, while others struggled with increased workloads and a lack of staff.

Full detail: Nursing and midwifery register grows but so does number of people leaving

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