28 minute read
News
from Health Business 22.4
by PSI Media
Funding announced for green upgrades for hospitals
Public sector organisations, including NHS trusts, will be able to access up to £635 million of funding to install energy efficiency measures and low-carbon heating. Public buildings, such as hospitals, will be eligible for the funding to spend on energy efficiency upgrades, such as double glazing and loft insulation.
Public sector organisations, such as NHS Trusts and local authorities will be able to apply for grants from September. According to the government press release, the upgrade could save public sector bodies an average of £650 million per year over the next 15 years.
This round of funding is part two of £1.425 billion to be allocated through the Public Sector Decarbonisation Scheme between 2022 and 2025.
Projects that have previously received funding include Nottingham University Hospitals NHS Trust, which used the money to install water source heat pumps at Queens Medical Centre and Birmingham Women’s and Children’s NHS Foundation Trust used their grant to install clean heating and energy efficiency measures in their hospitals.
Business and Energy Minister Lord Callanan said: “We are already delivering upgrades to hundreds of public buildings across England, making them cheaper to run and saving taxpayers millions of pounds each year.
“By helping even more public sector bodies ditch costly fossil fuels, we are taking an important step towards a more sustainable future while driving economic growth across the country and continuing to support tens of thousands of jobs.”
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SUSTAINABILITY
Scotland launches national strategy for NHS eco-sustainability
Scotland has launched a national strategy which aims to make the NHS environmentally sustainable.
The strategy was launched at the Balfour Hospital, in Kirkwall, Orkney, Scotland’s first low-carbon new-build hospital.
The hospital is fully electric with air-to-water heat pumps generating all hot water and heating, and also has its own solar panels.
The NHS Scotland Climate Emergency and Sustainability Strategy is targeting five areas for sustainability. These include buildings and ensuring they are well insulated and efficient and use renewable heating systems; low emission travel including electric vehicles and making it easier for staff, patients and visitors to travel by public transport and bicycle; cutting emissions in the supply chain of goods and services; reducing emissions from medicines; and supporting communities to adapt to climate change.
Health Secretary Humza Yousaf said: “As we continue our efforts to push ahead with the recovery of health and social care after the challenges of the last two years, we need to think long-term about how to make services more sustainable. With such a large estate, environmental sustainability is a key part of that for the NHS, so I’m pleased to be able to launch this strategy today.
“Our approach will help us to build on the great work which has already been done to accelerate our efforts to cut greenhouse gas emissions and become environmentally sustainable. As well as the environmental impacts, I am also very mindful of the recent increase in energy prices, and there is a clear benefit in reducing energy use and increasing efficiency in everything we do.
“To achieve the transformational change that is necessary we need to establish a culture where resources are safeguarded and used responsibly. With that in mind I have been really impressed with what I have seen in Orkney. The team here are driving forward innovative ways to ensure they have low carbon emissions.”
Michael Dickson, Chief Executive of NHS Orkney Chief Executive, said: “We have been delighted to show Mr Yousaf around the fantastic facilities we have here in Orkney. It is testament to the whole community how committed we are to building a sustainable future.
“We are proud to be leading the way in new hospital and healthcare buildings with sustainability being at the forefront of planning.”
READ MORE CYBERSECURITY
NHS cyberattack confirmed as ransomware attack
The recent cyberattack on a major IT provider to the NHS has been confirmed as a ransomware attack.
The IT provider Advanced, which supplies digital services to the NHS such as NHS 111, said it may take three to four weeks to fully recover. They did not say whether any NHS data had been stolen or whether the company was in negotiations with hackers or paying a ransom to them.
Advanced said: “We are rebuilding and restoring impacted systems in a separate and secure environment.”
The NHS has said the disruption was minimal. A spokesperson for NHS England said: “While Advanced has confirmed that the incident impacting their software is ransomware, the NHS has tried and tested contingency plans in place including robust defences to protect our own networks, as we work with the National Cyber Security Centre to fully understand the impact.
“The public should continue to use NHS services as normal, including NHS 111 for those who are unwell, although some people will face longer waits than usual.
“As ever, if it is an emergency, please call 999.”
The National Cyber Security Centre, part of GCHQ, says it is working with Advanced to help it recover.
A spokesman said: “Ransomware is the key cyber-threat facing the UK, and all organisations should take immediate steps to limit risk by following our advice on how to put in place robust defences to protect their networks.”
READ MORE
NHS announces measures to combat winter pressures
In anticipation of the busy winter period, the NHS has announced measures to boost capacity and resilience including increasing bed availability and staff numbers.
In order to prepare local services for additional pressure, local health chiefs will be implementing plans to create the equivalent of 7,000 more beds through a mixture of new hospital beds, ‘virtual ward’ spaces and initiatives to improve patient flow over the coming months.
More call handlers across the country will also be recruited, with at least 4,800 staff working in 111 and 2,500 in 999 call rooms to deal with higher demand.
The NHS will also work more closely with social care services, to ensure that people receive the care and support they need to leave hospital as quickly as possible, with the latest stats showing only 40 per cent of patients were able to leave hospital when they were ready in July.
Planning is already underway for an autumn COVID-19 booster programme and the annual flu campaign.
Other measures have been announced to boost resilience in and out of hospital services. These include an extra £10 million funding for mental health services throughout the winter, mental health professionals deployed in 999 call centres and supporting GP services to recruit extra social prescribing link workers and care-coordinators to support patients with other needs.
Professor Sir Stephen Powis, NHS national medical director said: “Winter is always a busy period for the NHS, and this is the first winter where we are likely to see combined pressures from COVID and flu, so it is right that we prepare as early as we can for the additional demand that we know we will face.
“Staff are already under pressure with continued high demand for our services – with figures showing the busiest summer ever for NHS emergency departments, with 2.18 million A&E attendances and almost 900,000 999 calls answered in June, and in July the highest number of category 1 ambulance callouts since records began”.
“Ahead of the winter, we want to make sure we are doing everything we possibly can to free up capacity so that staff can ensure patients get the care they need – this includes timely discharge, working with social care, and better support in the community with the expansion of virtual wards.
“We are also making the most of the advantages that a national health service provides – hospitals will be working closely together to ensure patients can be seen anywhere in the country and to speed up call times when patients call 111.
“As ever, it is vital that the public continues to use NHS services in the usual way including using 999 in an emergency and using NHS 111 online for other health issues.
“And when the time comes, book in for your COVID and flu vaccines if you are eligible”.
READ MORE
COVID VACCINES
UK medicines regulator approves first bivalent COVID-19 booster vaccine
The Medicines and Healthcare products Regulatory Agency (MHRA) has approved an updated version of Moderna’s COVID19 vaccine that targets two covid variants (known as a “bivalent” vaccine). The vaccine was found to meet the UK regulator’s standards of safety, quality and effectiveness.
Half of the vaccine (25 micrograms) targets the original virus strain from 2020 and the other half (25 micrograms) targets Omicron.
After reviewing the evidence, the government’s independent expert scientific advisory body, the Commission on Human Medicines, endorsed the decision.
The announcement follows a clinical trial which showed that a booster with the bivalent Moderna vaccine triggers a strong immune response against both Omicron (BA.1) and the original 2020 strain.
The side effects observed with the new vaccine were the same as those seen for the original Moderna booster dose and were typically mild and self-resolving. No serious safety concerns were identified.
Dr June Raine, MHRA Chief Executive said: “I am pleased to announce the approval of the Moderna bivalent booster vaccine, which was found in the clinical trial to provide a strong immune response against the Omicron BA.1 variant as well as the original 2020 strain. “The first generation of COVID-19 vaccines being used in the UK continue to provide important protection against the disease and save lives. What this bivalent vaccine gives us is a sharpened tool in our armoury to help protect us against this disease as the virus continues to evolve.
“We have in place a comprehensive safety surveillance strategy for monitoring the safety of all UK-approved COVID-19 vaccines and this will include the vaccine approved today.”
Professor Sir Munir Pirmohamed, Chair of the Commission on Human Medicines said: “The Commission on Human Medicines and its COVID-19 Vaccines Expert Working Group has independently reviewed the data on safety, quality and effectiveness and agrees with the MHRA’s decision.”
“The virus, SARS-CoV-2, is continually evolving in order to evade the immunity provided by vaccines. This novel bivalent vaccine represents the next step in the development of vaccines to combat the virus, with its ability to lead to a broader immune response than the original vaccine.”
READ MORE
NHS longest waits “virtually eliminated”
According to an NHS press release, the longest waits for scans, checks, surgical procedures and other routine treatment have been “virtually eliminated”.
This is the first mile-stone in the NHS Elective Recovery Plan, which was published earlier this year, and sets out how the health service can address the Covid backlog.
The plan’s first step was focused on people who had waited two years or more - however those who chose to wait longer, did not want to travel to be seen faster, or very complex cases requiring specialist treatment were excluded from the stats.
At the start of the year, there were more than 22,500 people who had been waiting two years or more and a further 51,000 who would have been waiting two years by the end of July. This number has been reduced to 2,777. NHS staff including nurses, doctors, therapists and physios have been praised for their hard work.
NHS chief executive Amanda Pritchard said: “Thanks to the hard work and dedication of
BOWEL CANCER
NHS bowel cancer checks reach record-high
The number of people coming forward for bowel cancer checks has reached a record high, thanks to the awareness raised by Dame Deborah James.
Between May and July this year, there were over 170,500 people referred for suspected lower gastro-intestinal cancers - this is more than 30,000 compared to the same period last year, and nearly 80,000 higher than the same period two years ago.
The NHS Digital figures show that Dame Deborah’s campaigning, alongside the latest NHS Help Us, Help You campaign, had an immediate impact, as referrals for bowel cancer were up 60% on pre-pandemic levels. There were also almost 200,000 more estimated visitors to the NHS website for the symptoms of bowel cancer. The symptoms of bowel cancer include blood in your poo, a change in bowel habits or tummy pain, and unexpected weight loss or fatigue.
Dame Deborah passed away from the disease in June.
National Cancer Director, Dame Cally Palmer said: “Thanks to the brave and relentless campaigning of Dame Deborah James, bowel cancer has come to the forefront of a national conversation on catching cancer as early as possible, and the fact that we have seen record numbers of people coming forward for bowel cancer checks shows people are taking the illness seriously and speaking to their GPs about it.
“It is so important that we continue the work of Dame Deborah to raise awareness of bowel cancer and save more lives, so to anyone who has noticed symptoms, please do come forward”.
Genevieve Edwards, Chief Executive at Bowel Cancer UK, says: “People visiting bowelcanceruk.org.uk has never been higher, with tens of thousands more people seeking information about the symptoms of the disease since Dame Deborah James’ tragic death. There was also a spike in people affected by bowel cancer posting on our forum, contacting our Ask the Nurse service and we know that people have visited their GP as a result of hearing her story.
“Almost 43,000 people are diagnosed with bowel cancer each year in the UK and, since her own diagnosis with the disease and right up until her death, Dame Deborah campaigned tirelessly to raise vital awareness of bowel cancer. Being aware of the symptoms and visiting your GP if you are concerned can help increase chances of an early diagnosis when the disease is easier to treat”.
READ MORE our staff, the NHS has delivered the first milestone in our Elective Recovery Plan.
“It has only been possible because the NHS has continued to reform the way we deliver care, using innovative techniques and adopting pioneering technology like robot surgery, and through building new relationships and mutual aid arrangements across systems to offer patients the opportunity to be transferred elsewhere and get the care they need as quickly as possible.
“The next phase will focus on patients waiting longer than 18 months, building on the fantastic work already done, and while it is a significant challenge our remarkable staff have shown that when we are given the tools and resources we need, the NHS delivers for our patients”.
READ MORE
CANCER
New funding to cut cancer waiting times in Scotland
The Scottish Government has announced £10 million of funding to speed up cancer services and improve waiting times.
The money will be shared among the health boards and aims to increase the number of operations available, create extra clinics, and upskill new staff in order to speed up the delivery of endoscopy, radiology and chemotherapy treatment.
The new funding comes on top of the £10 million that was allocated to Health Boards last year which was used to support cancer services during the pandemic. This money funded new healthcare staff, additional weekend clinics and operations in areas where they were most needed as well as helping to create a new Urological Diagnostic Hub in NHS Highland.
The funding was announced by Scottish Health Secretary Humza Yousa, whilst on a visit to NHS Forth Valley’s Breast Cancer One-Stop Clinic, which has been paid for by this funding.
Mr Yousaf said: “Despite the challenges of the pandemic, NHS Scotland has consistently met the 31-day standard for starting cancer treatment with an average wait of four days once a decision to treat has been made – that’s testament to the relentless efforts of our fantastic healthcare staff across the country. However we must [do] more to improve our 62day performance.
“Covid has not gone away and pressures remain, which is why we are providing health boards with a £10 million cash boost to drive down waiting times so that cancer patients can receive the best care as early as possible.”
READ MORE
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Polio vaccine offered to all London children aged one to nine
The Joint Committee on Vaccination and Immunisation (JCVI) has recommended that a targeted inactivated polio vaccine (IPV) booster dose should be offered to all children between the ages of one and nine in all London boroughs, following the discovery of type 2 vaccine-derived poliovirus in sewage in north and east London.
The booster will provide a high level of protection from paralysis and help reduce further spread of the virus. The overall risk of paralytic polio is considered low anyway, as most people are already protected by vaccination.
Parents will be contacted by the NHS in London when it’s their child’s turn to come forward for a booster or catch-up polio dose. Parents are asked to take up the offer as soon as possible.
The programme will start in the area affected, where the virus has been detected and where vaccination rates are low. There will then be a rapid rollout across all boroughs. The booster is on top of the NHS childhood vaccination catch-up campaign, which is already in place in London. London has lower childhood vaccination rates than the rest of the country.
Dr Vanessa Saliba, Consultant Epidemiologist at UKHSA, said: “No cases of polio have been reported and for the majority of the population, who are fully vaccinated, the risk is low. But we know the areas in London where the poliovirus is being transmitted have some of the lowest vaccination rates. This is why the virus is spreading in these communities and puts those residents not fully vaccinated at greater risk.
“Polio is a serious infection that can cause paralysis but nationally the overall risk is considered low because most people are protected by vaccination. The last case of polio in the UK was in 1984, but decades ago before we introduced the polio vaccination programme around 8,000 people would develop paralysis every year.
“It is vital parents ensure their children are fully vaccinated for their age. Following JCVI advice all children aged 1 to 9 years in London need to have a dose of polio vaccine now – whether it’s an extra booster dose or just to catch up with their routine vaccinations. It will ensure a high level of protection from paralysis. This may also help stop the virus spreading further.”
Jane Clegg, chief nurse for the NHS in London said: “While the majority of Londoners are protected from polio, the NHS will shortly be contacting parents of eligible children aged 1 to 9 years old to offer them a top-up dose to ensure they have maximum protection from the virus.
“We are already reaching out to parents and carers of children who aren’t up to date with their routine vaccinations, who can book a catch-up appointment with their GP surgery now and for anyone not sure of their child’s vaccination status, they can check their Red Book.”
READ MORE
Junk food ad ban on tube reduces obesity
According to research, the restriction of junk food advertising on Transport for London (TfL) services has prevented almost 100,000 cases of obesity. The research from the University of Sheffield and the London School of Hygiene & Tropical Medicine estimates that the policy could save the NHS more than £200 million over the lifetime of the current population. The researchers believe that the policy has directly led to 94,867 fewer obesity cases than expected, 2,857 fewer diabetes cases, and 1,915 fewer cases of cardiovascular disease. The policy, which has been in place since 2019, restricts the advertisement of foods high in calories from sugar and fat or high in salt. The research was carried out by assessing the effect of the policy by looking at what consumers are purchasing in their weekly food shops via surveys, and comparing trends in London to a control group of households outside London where there were no restrictions on advertising in place. According to the research, in terms of preventing health conditions, the policy has had the biggest impact on people from deprived areas. Dr Chloe Thomas, first author of the study from the University of Sheffield’s School of Health and Related Research, said: “We all know how persuasive and powerful advertising can be in influencing what we buy – especially the food we eat. “Our study has shown what an important tool advertising restrictions can be in order to help people lead healthier lives without costing them more money. “We hope that demonstrating the policy’s significant benefits in preventing obesity and the diseases exacerbated by obesity will lead to it being rolled out on a national scale.”
READ MORE
HEPATITIS C
New NHS screening programme for Hepatitis C
A new NHS screening pilot will potentially provide life-saving treatment for thousands of people living with Hepatitis C. This is part of the NHS ambition to eliminate the virus by 2030.
The programme will search health records for Hepatitis C risk factors such as historic blood transfusions or those living with HIV to identify people who could have the virus. Those identified will be invited for a review by their GP and further screening if necessary. Anyone who tests positive for Hepatitis C will then be treated.
The UK Health Security Agency (UKHSA) estimates 81,000 people in England are currently living with Hepatitis C. The bloodborne virus infects the liver and if left untreated, it can cause serious and potentially life-threatening damage, leading to cirrhosis, liver failure and cancer. There is also a risk of spreading the disease to others.
Staff are also visiting at-risk communities in specially equipped trucks to test for the virus and carry out liver health checks.
Professor Graham Foster, National Clinical Chair for the NHS England’s Hepatitis C Elimination Programmes, said: “This pilot marks a significant step forward in our fight to eliminate chronic Hepatitis C in England by 2030 by enabling the NHS to use new software to identify and test patients most at risk from the virus – potentially saving thousands of lives.
“Hepatitis C can be a fatal disease which affects tens of thousands across the country but with unlimited access to NHS treatments, innovative patient finding initiatives such as this one, community outreach projects such as liver trucks to detect liver damage on the spot – we will continue to boost the life chances of thousands of patients by catching the virus even earlier”.
Rachel Halford, chief executive of The Hepatitis C Trust, said: “Thanks to the brilliant advances we have seen in Hepatitis C treatment in recent years we have a real opportunity to eliminate the virus as a public health concern in the next few years. However, in order to do so we need to make progress in finding those living with an undiagnosed infection and refer them into treatment.
“That is why the announcement of this new screening programme is such welcome news. Primary care is where we are most likely to find those who have been living with an undiagnosed infection for many years. “ There has been brilliant work to expand testing in a wide range of settings in recent years but we have not yet seen the advances we need to see in primary care.
“The roll-out of this screening programme is therefore another crucial step towards achieving elimination”.
READ MORE
Compensation announced for infected blood victims
It has been announced that victims of the infected blood scandal will receive an interim compensation payment of £100,000. The payments will be made to those infected and bereaved partners in England, Scotland, Wales and Northern Ireland by the end of October. Those infected and bereaved partners should be registered with one of the four UK infected blood support schemes to receive payment. Further advice will be available shortly.
The payments will be tax-free and will not affect any financial benefits support a person is receiving.
The announcement follows and meets the recommendations set out by inquiry chair Sir Brian Langstaff in his interim report last month.
Health and Social Care Secretary, Steve Barclay, said: “The infected blood scandal should never have happened. In accepting Sir Brian Langstaff’s recommendations, today we are taking an important step in righting this historic wrong for the thousands of people infected and bereaved partners left behind.
“Building on the ongoing support we are providing through the England Infected Blood Scheme, these new interim payments of £100,000 will ensure those impacted across the whole country by this injustice can access the compensation they need, right now.
“I’m grateful to those who have campaigned extensively in support of these changes – we have listened and work is underway to ensure those impacted by this tragedy receive the support they rightly deserve.”
Diabetes UK has been living with Type 1 Diabetes since he was two years old.
He said: “I hope this will be the beginning of the end of people needing to draw blood several times a day to test their blood glucose. My CGM changed my life, I would test my bloods 14 times a day and now I just look at my smartphone and my blood glucose is there.
“I know many people won’t test blood glucose in public or in a coffee shop and they will go to the toilet to test, but now they can just glance at the screen. It’s less painful, less stressful and far better to control a condition that can be affected by so many things.”
READ MORE
HEALTH TECH
NHS patients in England with Type 1 diabetes will soon be eligible for continuous glucose monitors after a new deal was signed. Diabetes patients will be able to monitor their glucose levels at all times without having to scan or take a finger prick test, with the use of a wearable arm gadget, which sends information to a mobile app.
A new deal with manufacturers DEXCOM, means that continuous glucose monitors will now be available for NHS patients on prescription.
It is believed that the rollout of the technology will help diabetes patients better manage their condition and therefore reduce hospitalisations and associated diabetic illnesses which will in turn reduce pressure on the NHS.
Dr Partha Kar, national speciality advisor for diabetes and obesity said: “This is a huge step forward for Type 1 diabetes care and these monitors will be life-changing for anyone with the illness – giving them more choice to manage their condition in the most convenient way possible – as well as the best chance at living healthier lives, reducing their risk of hospitalisation and illnesses associated with diabetes, which in turn reduces pressure on wider NHS services.
“The new deal also delivers on our commitment to get patients the latest cutting-edge medical technology at the best value for taxpayer money – saving the NHS millions over the coming years”.
Andy Lavender, Live Well co-ordinator for the NHS and a local chair for the charity READ MORE
Advertisement Feature Warrington and Halton’s new bespoke Parking Permit System
With more than 30 years’ experience in the management of NHS car parks, GroupNexus has designed a digital permit system that is secure and user friendly
Background
With over 30 years’ experience managing NHS car parks, GroupNexus has built up a deep knowledge of the challenges and nuances of hospital parking.
We have applied this knowledge to create a secure digital permit system that, whilst complex at the back-end, provides a userfriendly, self-serve client and staff interface.
As well as significant administrative cost savings, NexusPermit has been designed with the features and functionality to enable clients to meet the government’s manifesto commitments for the provision of free parking for designated groups.
NexusPermit enables a client to design and build their own application forms, create new users and permissions, and manage the entire scoring and approval process, including postcode exclusion, all using a simple web interface.
Warrington & Halton Teaching Hospitals NHS Foundation Trust Case Study
The Challenge
Warrington & Halton Teaching Hospitals NHS Foundation Trust have many different car parks serving multiple sites, and need to cater for a large number of different user groups.
Demand for staff permits outstripped space availability, and they faced a lot of parking abuse.
The Trust wanted to be able to grant staff different permissions based on their own scoring and qualification criteria, enabling use of some/all car parks at various times depending on their role and shifts. Therefore this needed to be catered for in their Permit and Enforcement system.
The Trust went to market to look for a system that could manage the application, approval and permit management process for 8 distinct permit groups.
Having explored a system that wasn’t fitfor-purpose, they needed to find a system that could deal with all of their requirements, was simple to use, and could handle the migration process without placing a huge administrative burden on the Trust.
The Solution
We worked closely with Warrington & Halton Teaching Hospitals to demonstrate and ensure that NexusPermit met all of their requirements; for example, facilitating the need for their Permit Groups to not only govern the car parks that they could use, but also the times of day they could park.
Using the ANPR cameras within each of the car parks, we were able to monitor the different Permit User Groups to ensure compliance.
Our system also allows Permit Groups to have specific rules set up, for example, a group can have a maximum number of permits that can be granted, varying site times and a predefined expiry date so all permits can be renewed at the same time, regardless of when they were added.
The configurable application scoring system allows them to set unlimited questions and criteria in order to allocate staff permits, and the correct level of free or discounted parking to the right groups.
With high demand for permits at these sites, the scoring system is applied to new applicants and those on the waiting list.
With thousands of staff, the ability to empower each applicant to manage their own application process removed a huge administrative burden from the Trust.
Permit Applicants are invited by email, providing them with a login that allows them to register and complete their application online, get notified of the decision once reviewed, and pay for the appropriate permit (if applicable), and manage their permit themselves, e.g. if they need to change their car registration number.
By working closely together we have successfully provided the Trust with a permit system that serves all their complex needs.
Implementation
Within weeks, we were able to put together a migration plan to extract the Trust from their existing permit system, help them build their Permit User Groups and Application Forms, and send these out to all of their staff to go through the application process.
During the onboarding process over 3,200 staff registered an application and NexusPermit is now integrated with their ANPR and Enforcement system.
NexusPermit can be easily integrated with ANY Car Park Management System already in operation, including ANPR and barriered systems.
The system is now completely managed by the Trust, and they have the ability to make any changes they wish - such as revising the application process, the questions, the scoring criteria and the permit rules.
Results
NexusPermit puts our clients in control.
It gives them flexibility and creates efficiencies for related admin tasks.
“We’re delighted to have a new permit system that is flexible enough to suit our complex and specific needs. With multiple sites and zones across Warrington and Halton Teaching Hospitals, NexusPermit allows us to manage our parking with ease, providing spaces for those that need them. It’s been a pleasure working with GroupNexus in the planning and implementation phases of this project. They have promptly assisted with queries, making
it a smooth journey from start to finish.” - Phil Sloan, ASMA, Head of Security & Car Parking.
NexusPermit
If you’d like to find out more about our bespoke NHS Permit System, see below. L
FURTHER INFORMATION
