Acute medical care in England: Findings from a survey of smaller acute hospitals

Nuffield Trust | September 2018| Acute medical care in England: Findings from a survey of smaller acute hospitals

The Nuffield Trust surveyed  smaller hospitals to assess the current state of acute medical care. They interviewed medical directors and lead clinicians for acute/emergency medical care during a  six-month period and found evidence of the huge challenges faced by smaller acute trusts in England, particularly in maintaining sufficient numbers of medical staff.

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The responses generated from the survey indicate that acute trusts are aware of these issues and are  experimenting with new approaches in an attempt to address them. Some of these are short-term fixes; others are more medium and long-term solutions. But no trust felt they had the ‘ideal’ model of care or anything very close to it (Source: Nuffield Trust).

The full release is available from Nuffield Trust
Download the slide deck [report] at Nuffield Trust

State of maternity services

State of Maternity Services Report 2018 – England | Royal College of Midwives

This report provides an overview of some of the ‘big picture’ trends that are taking place in the midwifery workforce and identifies some of the challenges that face the profession and maternity services. The main findings reveal that the number of NHS midwives in England rose by just 67 in the last year, despite universities turning out over 2000 newly-trained staff.

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This year the Royal College of Midwives (RCM) has published individual reports for England, Scotland, Wales and Northern Ireland.

The full RCM report can be read here
Additional links:
Press release  | RCM
From Brexit to the birth rate: why midwives are leaving the NHS – and causing a crisis | The Guardian

New flu vaccine available this winter for those aged 65 and over

A more effective flu vaccine is available this winter for those aged 65 and over, which could prevent deaths and reduce the burden on the NHS | Public Health England


Public Health England (PHE) has announced that a more effective flu vaccine will be available this winter for those aged 65 and over. The broader flu vaccination, for eligible adults under 65, will also be improved and the nasal spray vaccine to primary school children will be extended to those in year 5.

PHE’s annual flu marketing campaign will launch on 8 October. NHS England has also announced the extension of NHS seasonal influenza vaccination to social care workers and staff in the voluntary managed hospice sector.

People who are eligible for the flu vaccine this year include:

  • adults aged 65 and over
  • adults aged 18 to 64 with a long term health condition
  • children aged 2 to 3 at their GP practice
  • school children in years reception, 1, 2, 3, 4 and 5
  • pregnant women
  • health and social care workers
  • carers
  • morbidly obese people

Full detail here

See also: Flu vaccination: What you need to know about this year’s programme | Public Health Matters blog

Better physical health support for people with mental health conditions

The leaders of more than 50 organisations will meet this month at the Royal College of Nursing in London to sign an historic Charter for Equal Health and launch a new nationwide collaborative, Equally Well UK | story via Centre for Mental Health

The Charter for Equal Health offers a vision for improved physical health support for anyone living in the UK with a severe mental illness. It sets out how organisations working nationally and locally will tackle one of the biggest inequalities in health anywhere in the UK.

Today, people living with a severe mental illness such as schizophrenia have a life expectancy that is up to 20 years shorter than average. Equally Well UK will bring together organisations that have a part to play in reducing this inequality to take concerted action to achieve significant and sustained change.

Equally Well UK has been set up by Centre for Mental Health in partnership with Rethink Mental Illness and Kaleidoscope Health and Care. It is supported by the Royal College of GPs, Royal College of Psychiatrists, NHS England, Health Education England, Public Health England, NHS Improvement, Royal Collage of Nursing and many more.

More than 50 organisations have already come forward to commit to take action to ensure people with a severe mental illness get the help and support they need for their physical health. They are coming together at the Royal College of Nursing to sign the Charter for Equal Health and make their own pledges for the action they will take.

Further detail at Centre for Mental Health



Government response to the Learning Disabilities Mortality Review (LeDeR) Programme 2nd annual report

Department of Health and Social Care and NHS England| September 2018  |Government response to the Learning Disabilities Mortality Review (LeDeR) Programme 2nd annual report

This policy paper sets out a plan for action for the recommendations of the LeDeR 2nd annual report. The LeDeR 2nd annual report was published earlier this year (May 2018). It gave 9 recommendations based on the evidence from 103 reviews of deaths of people with learning disabilities undertaken between July 2016 and November 2017.

The actions will help address the inequality in life expectancy between people with learning disabilities and the wider population by ensuring that staff supporting people with a learning disability understand their needs and can make adjustments to the way care is provided, to help people reach their full potential (.

The government response to the Learning Disabilities Mortality Review (LeDeR) Programme 2nd annual report

Easy read: a response to the LeDeR report on deaths of people with learning disabilities