We bring you the latest news from the healthcare about the health care in the United Kingdom.

vrijdag 20 juli 2018

NHS Confederation: Mental Health Network welcomes new board members

Mental Health Network welcomes new board members
The Mental Health Network is delighted to confirm the appointment of its newest board members
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The NHS Confederation signs the Armed Forces Covenant
The NHS Confederation has signed the Armed Forces Covenant as a public commitment to being a forces friendly employer.
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Secretary of State's priorities encouraging but social care is key, says NHS Confederation
Niall Dickson, chief executive of the NHS Confederation, responds to the health secretary's speech outlining his priorities.
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RCGP: College 'delighted' at decision to extend HPV vaccine to boys

College 'delighted' at decision to extend HPV vaccine to boys

"We are delighted that the HPV vaccine will be extended to adolescent boys. This is something the College has been campaigning for and will go a long way in protecting both boys and girls from a virus that can trigger a wide range of cancers.

"The HPV vaccine has proven extremely effective in protecting women against cervical cancer and we now have strong evidence to demonstrate that the vaccine also provides protection against a number of other serious cancers which affect both men and women, including head and neck cancer and anal cancer.

"It has been frustrating that this effective vaccine has, until now, only been available on the NHS to girls but not boys. We hope parents will take up this important opportunity to get their sons and daughters vaccinated as soon as it is available to them."

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Prison health is public health - RCGP launches new position statement on care in secure environments

According to the College's Secure Environments Group, people in prison should be 'afforded provision of or access to appropriate services or treatment,' which are 'at least consistent in range and quality with that available to the wider community'.

The position is clear that 'equivalence' does not mean that care provision in secure environments should be 'the same' as that provided in the community.

It draws evidence from a variety of national and international health organisations, and attains to the principles that prison health is public health, and that those living in secure environments have the right to an equitable standard of healthcare.

The full definition is: 'Equivalence' is the principle by which the statutory, strategic and ethical objectives are met by the health and justice organisations (with responsibility for commissioning and delivering services within a secure setting) with the aim of ensuring that people detained in secure environments are afforded provision of or access to appropriate services or treatment (based on assessed need and in line with current national or evidence-based guidelines) and that this is considered to be at least consistent in range and quality (availability, accessibility and acceptability) with that available to the wider community in order to achieve equitable health outcomes.

Publication of the position follows Dr Jake Hard - Chair of the RCGP's Secure Environments Group - giving evidence to the House of Commons' Health Select Committee last month, where he made clear that improving care in secure environments can impact on patients living both in and out of secure environments.

Dr Hard, said: "Maintaining and improving good health in prisons is not only right, but crucial to maintaining public health in general, as the vast majority of people in prison will be reintroduced into the community at some point."

Publishing the College's definition of 'equivalence' – and having it accepted by the medical community and Government - is seen as the first step in improving the health of patients in secure environments.

Dr Hard added: "It is almost such an obvious principle that it does not seem that a definition should be required but it remains an area of wide debate. If the definition is agreeable then this further enables commissioners, healthcare providers and inspectors can use the College's position to help assess the care being provided in secure environments.

"Ultimately, the goal of providing 'equivalent' care requires improved partnership working between the healthcare providers and security authorities and where possible, by integration with community services.

"We hope that our position statement will go some way to highlight this, as well as reiterating the importance of ensuring all aspects of prison health are properly considered and improved upon for those needing it both now and in the future."

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GPs and patients need to know they are safe in new Health Secretary's hands, says College in response to Matt Hancock's first speech to NHS

"But we are disappointed not to see more emphasis on Mr Hancock's plans for increasing the number of 'real' GPs providing frontline care to patients. We are currently at least 6000 GPs short – almost one per practice in England – yet today alone over 1m patients will visit their GP surgeries.

"GP workload has increased by 16% over the last seven years but our share of the NHS budget has not kept pace. GPs and our teams are facing unprecedented pressures and excellent family doctors are burning out and, in some cases, having to leave our profession altogether.

"We wrote to Mr Hancock when he was appointed two weeks ago requesting a meeting to discuss these issues, and we look forward to working with him to ensure that general practice is properly resourced and that GPs are properly supported to do their jobs of providing safe and innovative high quality care to patients.

"Technology is excellent when used wisely but it can never be a substitute for GPs who are highly trained medical professionals who can consider all elements of our patients' lives.

"GPs - and our patients - need to know that the new Health and Social Care Secretary understands and values the role of modern GPs and that we are safe in his hands.

"Investment in general practice has been shown repeatedly to be cost-effective and to reduce pressures on other NHS services, particularly hospitals – it is investment in the entire NHS."

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Commission Staff Working Document on Combatting HIV/AIDS, viral hepatitis and tuberculosis: sustained effort needed to meet 2030 goals

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20 Jul2018 2018
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The Lancet: [Comment] No gains with plasma-first resuscitation in urban settings?

[Comment] No gains with plasma-first resuscitation in urban settings?
In 1943, during World War 2, Major General Norman Kirk, the Surgeon General of the US Army, was asked by the American Medical Association what was responsible for the higher-than-expected survival among soldiers wounded in combat. He quickly replied, "The foremost lifesaver is plasma…without that, many men would have died." From a physiological perspective it makes sense to give blood products as early as possible to patients with traumatic haemorrhagic shock, and these are thought to be superior to crystalloid fluids during remote damage control resuscitation1 and for civilian major trauma.
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[Comment] Beyond the silos: integrating HIV and global health
This week, we publish a new International AIDS Society (IAS)–Lancet Commission report: Advancing global health and strengthening the HIV response in the era of the Sustainable Development Goals.1 Under the leadership of past IAS President, Chris Beyrer, and current IAS President, Linda-Gail Bekker, this Commission engaged an international group of experts in HIV and across other global health domains to examine the future of the AIDS response in the context of a more integrated global health and sustainable development agenda.
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[Comment] HIV: from exceptionalism to endgame
Advancing global health and strengthening the HIV response in the era of the Sustainable Development Goals: the International AIDS Society–Lancet Commission1 is a timely and compelling analysis of where we stand in the fight against HIV, and how the exceptionalism of the HIV effort should evolve in response to the Sustainable Development Goals (SDGs).
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[Articles] Rapid urine-based screening for tuberculosis in HIV-positive patients admitted to hospital in Africa (STAMP): a pragmatic, multicentre, parallel-group, double-blind, randomised controlled trial
Urine-based tuberculosis screening did not reduce overall mortality in all HIV-positive inpatients, but might benefit some high-risk subgroups. Implementation could contribute towards global targets to reduce tuberculosis mortality.
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[Correspondence] Brazil's health catastrophe in the making
Brazil's political and economic crises are diverting attention from the resumption of a neoliberal model of health care by its government. Here we briefly summarise the health reforms and their likely long-term implications. The new policies can be seen from three perspectives: austerity, privatisation, and deregulation.
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Non-executive Director, Royal Cornwall Hospitals NHS Trust

Non-executive Director, Royal Cornwall Hospitals NHS Trust
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Provider bulletin: 18 July 2018
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New appointments to our board
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Gov UK: Research and analysis: Hospital vending machines: helping people make healthier choices

Research and analysis: Hospital vending machines: helping people make healthier choices
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Policy paper: Prescribed medicines review: scope
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Policy paper: Prescribed medicines review: expert group terms of reference
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Scientific reports: Neuroepithelial control of mucosal inflammation in acute cystitis

Neuroepithelial control of mucosal inflammation in acute cystitis
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Nitric oxide dependent signaling via cyclic GMP in dendritic cells regulates migration and T-cell polarization
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Intestinal crypts recover rapidly from focal damage with coordinated motion of stem cells that is impaired by aging
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High resolution low kV EBSD of heavily deformed and nanocrystalline Aluminium by dictionary-based indexing
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Evidence for excessive osteoclast activation in SIRT6 null mice
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Correlative Detection of Isolated Single and Multi-Cellular Calcifications in the Internal Elastic Lamina of Human Coronary Artery Samples
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Gut Sphingolipid Composition as a Prelude to Necrotizing Enterocolitis
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