One in six GP surgeries in England is at risk of offering patients poor care, including trouble getting an appointment and being given out of date medicine, the NHS care watchdog has warned. About 1,200 practices potentially put patients either at “risk” or “elevated risk” through inadequate care, according to the Care Quality Commission (CQC). In its first assessment of all 7,661 GP surgeries in England, the regulator warned that while many are looking after patients well, 1,200 (16%) pose such a concern that they will be visited and assessed under its tough new inspection in the next few months. Practices that received poor ratings did so because of failings including patients’ difficulty in booking a timely consultation, a lack of practice nurses and too few older patients receiving the winter flu jab. Other issues highlighted as a potential risk included patients being given medicines or vaccines that were out of date, which could reduce their … [Read more...] about One in six GP surgeries in England ‘at risk of offering patients poor care’
Patients pain arthritis told not trouble gp physiotherapist
A chilly autumn wind is blowing across the Brighton suburb of Woodingdean, tucked into the South Downs on the eastern edge of the city. It is a busy and unpredictable time for family doctors: flu prevention clinics, falls and respiratory complaints and the prospect of another winter crisis for the NHS. So the timing couldn’t be worse for the nearest GP surgery to close. Yet Woodingdean’s Ridgeway practice will shut its doors for the last time on 31 October. More than 2,000 patients will have to find another family doctor further away. Not easy if you are frail, without transport or a parent struggling with a buggy and young children. “It’s like starting all over again after 18 years at the surgery,” says Kay Charnley, aged 38, (pictured, above left) picking up her two children from primary school. “The doctor at my old surgery was really good on women’s health. It really counted during my pregnancies. Now I’m not sure who I will … [Read more...] about Why are so many GPs shutting up shop?
Mimicking a NASA astronaut's spaceflight exercise routine may reduce the gruelling side effects of chemotherapy, experts suggest. Spacemen and women experience similar physical stress to cancer patients on the potent medications. Both see a deterioration in muscle mass, weakened immune system and irregular heart rhythms. NASA astronauts are put through a rigorous exercise routine before, during and after a mission to fend off the nasty side effects. Scientists say cancer patients adopting a much less intense schedule could reduce the long-term impact their treatments often have on their bodies. Roughly 120,000 people in the UK, a third of all new cancer patients, have chemotherapy each year. Around 650,000 receive the treatment in the US. Mimicking a NASA astronaut's spaceflight preparation routine may reduce the gruelling side effects of chemotherapy, a team of researchers have suggested A team of researchers from the Memorial Sloan Kettering Cancer Centre in New York City … [Read more...] about Cancer patients should exercise like NASA astronauts before and after chemotherapy because the treatment has similar body-wasting effects as grueling space travel, researchers say
Cancer patients are missing out on vital care because specialist nurses are struggling with huge workloads, a damning report has found. Macmillan Cancer Support said specialist cancer nurses were having to use their annual leave to catch up on training in order to be on top of new treatments. Its survey found the cancer workforce is stretched, with around one in 10 specialist posts still vacant in some regions. Macmillan said general nurses were also struggling to find time to train as cancer specialists. More than a third of cancer patients are still having to go to their GP at least twice before being sent to hospital for tests (file image) One in five (22 per cent) of 260 cancer nurse specialists said they have taken annual leave to undertake training. Meanwhile 39 per cent of those surveyed by the charity described their workload as unmanageable. Some 44 per cent said their workload was having a negative impact on patient care. RELATED ARTICLES Previous 1 … [Read more...] about Cancer patients are missing out on vital care as specialist nurses struggle to cope with huge workloads, warns Macmillan report
Doctors who give patients with incurable breast cancer a survival prediction are wrong almost 80 per cent of the time, research shows. Leading GPs are calling for sufferers to be given best and worst-case time frames to paint a more accurate picture of their future. The majority of patients given a deadly diagnosis want to know how long they have left to live, according to Dr Belinda Kiely, an oncologist at the University of Sydney. This is usually so they know whether they should stop working or sell their home, or if they can attend a loved one's wedding, she claims. But the GP said the average life expectancy they are given is only accurate 20 to 30 per cent of the time. Doctors in the UK and US, similar to Australia, use their experience to predict how long patients will survive. There isn't one set model. Doctors who give patients with incurable breast cancer an average survival time are wrong almost 80 per cent of the time, research shows They take into consideration … [Read more...] about Terminal cancer patients should get best and worst survival time-frames ‘because doctors are wrong 80% of the time’