Foreign doctors in the news...again...
Dar oare de ce nu se fac englezii doctori, bazandu-se in schimb pe 80 de mii de foreign doctors? Nu cumva din cauza ca nu mai sunt respectati de mult doctorii cum se cuvine, de catre pacienti, rudele pacientilor, manageri, nurses, GMC, politicieni si...mass media? Oare cati dintre noi, ca parinti, ne-am mai indrepta azi odraslele spre o cariera in medicina, fie si in Anglia?
In ce lume nebuna traim...
NHS facing financial crunch - managers 15/04/2014 The NHS could face a financial crunch next year, experts warned today. Financial confidence among senior managers is "ebbing away", according to the King's Fund. Just 40% of hospital finance directors believe their organisations will break even this year - and just 16% believe their finances can survive next year, the fund warned. Hospitals have been told to plan for a 15% reduction in emergency admissions next year on the back of some £3.8 billion being transferred to social services departments through the Better Care Fund. The fund found most finance directors were highly sceptical this would be achieved and alarmed at the loss of so much money from the NHS. The Fund study found a 360,000 increase in hospital waiting lists in January. Richard Murray, of the King's Fund, said: "The NHS has coped well during the winter and avoided the A&E crisis that was so widely predicted. However, as the implications for hospitals of implementing the Better Care Fund sink in, there is a growing recognition that the NHS will face a financial crisis in 2015/16, if not before. "It is now certain that the next government will need to find more funding for the NHS or accept significant cuts to services." Nursing leaders called for the service to be pulled back from its "financial cliff." Royal College of Nursing chief executive Dr Peter Carter said: "The NHS is currently managing to deliver for patients only by overstretching its staff and pushing the limits of its budget. "This is not sustainable and the NHS must listen to the concerns of its clinical staff as well as its finance directors."
June 29, 2011
June 29, 2011
Morale 'high' as staff feel pressure 26/02/2014 (Doctors.net.uk)
NHS staff have stood up to massive pressure and criticism in the last year with high morale, according to an annual survey.
But "serious cracks" are showing, according to nursing leaders.
More than 203,000 staff took part in the annual survey - with 57.7% willing to recommend their Trust as a place to work.
And 64.7% said they would be happy with a friend or relative experiencing care at their organisation.
Although this indicates that about a third would not agree to this, the figure is two percentage points greater than last year.
Just 41% of staff said they were satisfied with the extent their employer valued their work - with the percentage falling to 21% among ambulance staff. This also represented a one percentage point increase from 2012.
And fewer than 30% of staff felt there were enough people to enable them to do their jobs properly.
In contrast, 77.8% said they were "satisfied" with the quality of patient care they were able to deliver, with the percentage reaching 81% among doctors.
Some 33% of doctors reported experiencing work-related stress in the previous year - while 45% reported experience of near misses or serious incidents in the previous month.
The survey also showed significant numbers of staff reporting experiencing abuse from the public and patients. Some 23% of nurses reported having experienced physical violence.
Neil Churchill, director of patient experience for NHS England, said: "Overall, the figures paint a picture of a system holding up well under pressure, with improvements being made in key areas such as staff engagement, appraisal and a willingness to recommend services to friends and family."
But Dr Peter Carter, chief executive of the Royal College of Nursing, said the survey also showed large numbers of nurses having to work extra hours - 82% in total - with 84% of doctors reporting working extra hours, including 90% of consultants.
And 68% of staff had attended work while not being well enough, he said.
Dr Carter said: "Serious cracks are showing as staff try to deliver care. Clearly, nurses and other staff are working hard to ensure that patient care is delivered.
"However, it is simply not sustainable to have staff stretched too thinly and working beyond breaking point.
"Most alarmingly of all, nurses continue to be subjected to unacceptable levels of physical violence and verbal abuse."
Interesting view of a Brit about us Romanians...
November 11, 2009
Iar aici, in BMJ, despre colegii nostri care inca sunt medici in Romania, din ce in ce mai putini… (plus un micro-interviu cu Dna Dr Carmaciu)
http://www.bmj.com/content/348/bmj.g430 (login required)
Pardon... acum am vazut ca articolul este deja intr-un alt topic. Daca administartorul ar dori sa il stearga de aici nu ma supar.
Colegii nostri in presa britanica; excellent comments, thank you!
The Romanian who came to Britain to take the job no one REALLY wants...
Mare e gradina...
Cica Romanians and Bulgarians are actually welcome!
Anger at new plan for GP targets 19/12/2013 GP leaders have hit out angrily at a Labour attempt to bring back waiting time targets for surgeries. Shadow health secretary Andy Burnham made his proposal in Parliament yesterday. Mr Burnham claimed that requiring GPs to see patients within 48 hours of appointments being requested would help reduce pressures on the NHS over the winter. He said there was "growing dissatisfaction" among the public at surgery opening hours and appointment bookings. He said: "We hear all the time of people calling the GP surgery early in the morning only to be told that there are no appointments available for days. This is leading to people attending A&E instead or deteriorating whilst they are waiting and attending as an emergency. "This complacency is a danger to patients. Practical steps are urgently needed to help A&Es get safely through the winter. That is why, in today’s emergency debate, Labour will call on David Cameron to reverse his scrapping of the 48-hour guarantee this winter and help patients avoid unnecessary trips to A&E." But Dr Maureen Baker, chair of the Royal College of GPs, condemned the move as an "ill thought out, knee jerk response" to the long-term problem of under-funding of general practice. She said: "We understand that patients are frustrated because sometimes they cannot get an appointment to see their GP, and a number of them then turn up at A&E who could be dealt with in general practice, but demand for general practice is outstripping resource and this will only get worse unless something is done to stop the transfer of funding from general practice to hospitals. "Our members tell us that they are already stretched to their limits and struggling to provide safe care for their patients." From "doctors.net.uk"
Bineinteles, ca de obicei, the GP is at fault...
Dela doctors.net.uk citire... Trainee bullying rife 05/12/2013 Thousands of doctors in training feel they are victims of bullying and intimidation in their work-places, according to a major survey published today. More than 13% of trainees report having experienced bullying while nearly 20% report witnessing incidents of bullying, according to the General Medical Council survey. And more than 25% of doctors say they have experienced "undermining" behaviour. The annual GMC survey also found an increase in reports of safety incidents from trainees in emergency departments. In total more than 2,000 of the 54,000 doctors in the survey reported raising concerns about patient safety. Another 5,800 trainees reported having had concerns about patient safety but having them addressed. GMC chief executive Niall Dickson said: "These findings highlight the importance of listening to young doctors working on the front line of clinical care. "They also suggest that more needs to be done to support these doctors and to build the positive supportive culture that is so essential to patient safety. The best care is always given by professional who are supported and encouraged." Dr Kitty Mohan, co-chair of the BMA junior doctors' committee, said the findings were "concerning." She said: "We must do more to combat any environment that allows bullying or harassment by encouraging NHS staff to share their concerns immediately. Junior doctors have a right to carry out their job in a workplace that is free from any form of intimidation." NHS Employers' chief executive Dean Royles said: "The major annual NHS Staff Survey tells us that staff know how to raise concerns and feel increasingly confident to raise issues that affect them and their patients. "We now urgently need senior doctors to address why reporting levels are highest at the start of doctors' careers so that we can better understand what's causing this."
De la Sky News citire...
Tot de la Doctors.net.uk citire, despre birocratia din NHS... Data collection time 'wasted' 21/11/2013 Clinicians in the NHS are spending up to ten hours a week collecting and recording data - but the service is failing to get the full benefit from it, according to a report published yesterday. And national bodies have little idea how much it costs a hospital to arrange to collect new forms of data, according to the NHS Confederation. While hospitals report that a request for new information can cost up to £300,000, national managers assume it is as easy as "pressing a button," the report found. The researchers found that clinicians believed about two-thirds of the data they collected could be "useful and relevant" for patient care. And 70% of staff said there had been a "significant increase" in the amount of data they had to deal with in the last five years. Dr Karen Castille, of the NHS Confederation, welcomed new pledges to cut bureaucracy, arising from the Stafford Hospital public inquiry. But she added: "In addition to reducing existing demand, we also need to ensure that new requests are driven by an unrelenting obsession to improve patient care and are designed to help rather than hinder staff." She said: "In a modern health service, the collection and analysis of data must be timely, accurate and useful, and not out of proportion to the benefit it brings to patients and staff. "In our detailed research, clinical staff reported that they spend between two and 10 hours each week dealing with data. It is critical that we ensure this is not wasted time by extracting every ounce of value from it and turning it into helpful information that can be used to improve care." She said some organisations had "smooth, efficient and effective" technology systems. The report was welcomed by the Royal College of Nursing. Chief executive Dr Peter Carter said: "Nursing staff who read this report will recognise the burden of paperwork it identifies, and will be pleased to see its helpful and well reasoned recommendations. "Nursing staff will want to see prompt implementation, which will enable them focus on their patients. This is a huge opportunity for the NHS to free them to do this.”
De la Doctors.net.uk citire…
Stafford inquiry recommendations to be implemented – Hunt 20/11/2013 A duty of candour for professionals and hospitals, together with measures to block incompetent managers from swapping jobs, are part of the government's formal response to the public inquiry into the Stafford Hospital scandal. Health secretary Jeremy Hunt gained widespread backing yesterday as he announced plans to adopt the bulk of the recommendations made by Robert Francis QC. He stopped short of introducing full regulation for healthcare assistants – but like managers they could be subject to personal sanctions by the Care Quality Commission and its chief inspectors. They will also have to gain a Care Certificate to work in the NHS. This would mean the commission having the ability to prevent managers and health care assistants moving to other jobs in the NHS. The measures yesterday include proposals to set safe staffing levels for hospitals and publish them – together with introducing a criminal offence of wilful neglect. There will also be 5,000 patient safety "fellows" appointed across the NHS, trained to ensure best practice is followed in their own institutions. Mr Hunt said he was accepting 281 out of Mr Francis's 290 recommendations, including 20 in part. There are questions about how widely the duty of candour will be applied. According to one proposal, it could be applied just to incidents of death and severe harm. The duty will not be statutory – backed by criminal penalties – as Robert Francis proposed. Professionals will be subject to penalties by their regulatory bodies if they breach it while hospitals could lose their indemnity cover for compensation claims when they have concealed information. Mr Hunt said: "I do not simply want to prevent another Mid Staffs. I want our NHS to be a beacon across the world not just for its equity, but its excellence. I want it to offer the safest, most compassionate and most effective care available anywhere – and I believe it can. "Today’s measures are a blueprint for restoring trust in the NHS, reinforcing professional pride in NHS frontline staff and above all giving confidence to patients. I want every patient in every hospital to have confidence that they will be given the best and safest care and the way to do that is to be completely open and transparent." Catherine Foot, of think-tank the King's Fund, said: "Today's announcement is an important step forward in addressing the serious failings of care highlighted in the Francis report. "Patient safety is more important than party politics and what is needed now is for everyone, from parliament to the frontline, to unite around delivering the culture change needed." Royal College of Midwives chief executive Cathy Warwick said: “If the Government really follow up their commitments in this response then I hope we will see an even safer and better NHS and, a maternity service that has the right number of staff, with the right skills. "This will lead to better care for the millions who rely upon the NHS to safeguard themselves and their loved ones, and who place their lives in its hands.”
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