Physiotherapy without a GP referral

Only one in three CCGs in England allows patients to refer themselves for physiotherapy, a Chartered Society of Physiotherapy investigation has found. The figure was revealed in replies to freedom of information requests sent by the Chartered Society of Physiotherapy (CSP) to all 211 CCGs in England. Patients in 22% of CCGs have comprehensive self-referral to physiotherapy, the CSP found. Meanwhile, 9% of CCGs offer only limited self-referral, restricted to particular conditions or primary care practices.

Additional link: RCGP press release

Healthcare equality index 2015

Stonewall the lesbian, gay, bisexual and transgender rights charity has published its 2015 healthcare equality Index. The index is a tool for health organisations to benchmark and track their progress on equality for their lesbian, gay and bisexual patients. Stonewall, named St Andrew’s Healthcare the most LGB-inclusive healthcare organisation in England. In its third and final year, the Index listed Northumbria Healthcare NHS Trust Foundation second and Leeds Community Healthcare NHS Trust as the third most inclusive healthcare providers. County Durham and Darlington NHS Foundation Trust came in fourth and London-based Guy’s and St Thomas’ NHS Foundation Trust was fifth. Thirty nine healthcare organizations entered this year, including acute trusts, ambulance trusts, clinical commissioning groups, community services, mental health trusts, social enterprise organizations, and independent sector providers.

Health care quality

The Health Foundation has published Five ways we can help. This short guide provides an introduction to the past, present and future work of the Foundation. It is specifically designed to highlight resources useful to those embarking on large-scale health care change. The guide contains five relevant examples of the Foundation’s work in each of the following areas: practical resources; research reports; improvement programmes; useful figures and diagrams and future opportunities.

Severe pregnancy sickness

The charities Pregnancy Support Sickness (PSS) and the British Pregnancy Advisory Service (BPAS) have jointly published I could not survive another day, highlighting the impact on women of severe pregnancy sickness, known as hyperemesis gravidarum (HG). Together the PSS and BPAS have surveyed women who have experienced termination of pregnancy while suffering HG over the past 10 years. More than 70 women from the UK responded to the survey, which solicited responses from women who had been carrying otherwise wanted pregnancies. This report aims to reflect their experiences and examines what more can be done to improve care for women in this situation and better support their choices.

Additional link: Royal College of Obstetricians and Gynaecologists press release

There are six different types of obesity, study argues – Health News – NHS Choices

There are six different types of obesity, study argues

This study looked at data from more than 4,000 obese adults taking part in the Yorkshire Health Study. It aimed to see whether it was possible to categorise obese individuals according to common health and lifestyle characteristics.

The study reported six clusters of obese individuals. These were:

  • young healthy females – women who were obese, but generally had fewer obesity-related complications, such as type 2 diabetes
  • heavy-drinking males – as above, but with higher alcohol intake
  • unhappy and anxious middle-aged – predominantly women with poor mental health and wellbeing
  • affluent and healthy elderly – generally positive health, but defining characteristics of higher alcohol intake and high blood pressure
  • physically sick but happy elderly – older people with more chronic diseases such as osteoarthritis, but good mental health
  • poorest health – people who were the most economically deprived and had the greatest number of chronic diseases

via NHS Choices.

Inspection of NHS 111 services

The Care Quality Commission has issued a reminder that its consultation process on how CQC proposes to inspect and regulate NHS 111 services will close this Friday, 24 April 2015. Proposals form part of the new approach to make sure that services are safe, effective, caring, responsive to people’s needs and are well-led. The plans to inspect and regulate NHS 111 services include: using key lines of enquiry (KLOEs), inspection teams supported by clinical and other experts and the use of information, including people’s experiences of care, to decide when, where and what to inspect and using the ratings characteristics which are similar to those for GP practices and GP out-of-hours services.

NICE guidance on caesarean section

The Royal College of Obstetricians and Gynaecologists (RCOG) have reiterated its support for the NICE guidance on elective caesarean section. This follows media coverage of new WHO guidelines, which state that caesarean sections should only be used for medical reasons. The WHO guidelines have been issued in response to the growing caesarean section rates in some countries.  Current NICE guidelines state that pregnant women should be offered evidence-based information to support decision-making on the method of childbirth during the ante-natal period. The RCOG believes that if a woman requests a caesarean section, she should be informed of all the risks and benefits of the procedure and, if appropriate, be given the support of a counsellor or psychologist