MedWorm: Foundation Trusts

Healthcare trust hopes to nationalise second-ever PFI hospital

HSJ — Thu, 09 Feb 2012 06:00:00 +0100

The foundation trust poised to take over one of England’s first ever private finance initiative hospitals hopes to renationalise it, HSJ has learned. (Source: HSJ)

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Mothers and babies still at 'significant' risk at Morecambe Bay

Nursing Times Breaking News — Tue, 07 Feb 2012 17:16:00 +0100

The safety of mothers and babies at the foundation’s Furness General Hospital remains at “significant risk”, according to a new independent review commissioned by foundation trust regulator Monitor. (Source: Nursing Times Breaking News)

Shropshire hospital trust appoints director of nursing

Nursing Times Breaking News — Sat, 04 Feb 2012 00:01:00 +0100

Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust has appointed Jayne Downey as its director of nursing and governance. (Source: Nursing Times Breaking News)

Bradford surgeon becomes Yorks and Humber postgraduate dean

HSJ — Fri, 03 Feb 2012 18:37:00 +0100

WORKFORCE: Bradford Teaching Hospitals Foundation Trust consultant vascular surgeon David Wilkinson has been appointed postgraduate dean at the Yorkshire and the Humber Deanery. (Source: HSJ)

Clonal antigen receptor gene PCR products outside the expected size range

Journal of Hematopathology — Fri, 03 Feb 2012 07:19:24 +0100

Abstract Polymerase chain reaction (PCR) of the antigen receptor genes has clinical utility in establishing clonality in lymphoproliferations, which is an important correlate of lymphoid neoplasia. The most frequently used procedures for this purpose were developed by the BIOMED-2 consortium. One of the criteria for establishing monoclonality using PCR of the antigen receptor genes is the finding of an abundant amplicon within a size range determined by the positions of the PCR primers and the known variability in size inherent in the recombination events that assemble a functional antigen receptor gene. However, several cases have been reported in which an amplicon outside this size range has been shown to be a valid indicator of clonality after DNA sequence analysis. In ...

The pathogenesis of early retinal changes of diabetic retinopathy

Documenta Ophthalmologica — Thu, 02 Feb 2012 18:16:47 +0100

Abstract Recent successful trials of antibodies to vascular endothelial growth factor (VEGF) in diabetic retinopathy implicate this cytokine as a major cause of diabetic retinopathy (DR) and diabetic macular oedema (DME). The mechanisms which cause VEGF to be over-expressed to cause the vasculopathy are not entirely clear. This review explores the earliest changes to the retina in DR and the factors that predispose or prevent DR, including sleep apnoea, receptor degenerations laser treatment and VEGF polymorphism. The review also presents the evidence that retinal hypoxia, existing in the earliest stages, causes DR. This hypoxia is much increased by dark adaptation, indicating a new and possibly superior therapy. Content Type Journal ArticleCategory Review ArticlePages...

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Sacked Mid Staffs lawyer awarded £100,000

HSJ — Thu, 02 Feb 2012 15:32:00 +0100

A lawyer who was sacked by Mid Staffordshire Foundation Trust after allegedly trying to cover up failings in a patient’s care has won more than £100,000 at an employment tribunal. (Source: HSJ)

Flory to lead NHS Trust Development Authority

HSJ — Thu, 02 Feb 2012 12:27:00 +0100

NHS deputy chief executive David Flory is to become the first head of the body charged with creating an all-foundation-trust provider sector. (Source: HSJ)

Mid Staffs findings will 'blow the lid' on older patient care, says tsar

Nursing Times Breaking News — Thu, 02 Feb 2012 10:00:00 +0100

The government’s advisor on elderly care has warned the public inquiry into events at Mid Staffordshire Foundation Trust will “blow the lid” on the need to improve care in hospitals. (Source: Nursing Times Breaking News)

BMJ Feature: how the health bill affects the NHS

NeLM - News — Thu, 02 Feb 2012 05:00:00 +0100

Source: BMJ Area: News This feature article in the BMJ examines the effect of the passing of the Health and Social Care Bill effect, addressing the following topics: . Without it general practitioners can't legally commission health services . It gives Monitor important new powers to regulate the NHS and its healthcare providers . Does the bill create other conditions that could lead to the greater privatisation? . It allows foundation trusts to make almost half of their income from private patients . The bill will lead to the abolition of geographical boundaries . The bill changes the health secretary duties regarding providing comprehensive health services (Source: NeLM - News)

UK hospital installs AeroScout Asset Tracking & Management solution

Hospital Management — Thu, 02 Feb 2012 00:00:00 +0100

University Hospitals Bristol NHS Foundation Trust has installed AeroScout's Asset Tracking & Management solution. (Source: Hospital Management)

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NHS Trust implements tracking & management solution

Hospital IT Europe — Wed, 01 Feb 2012 10:50:00 +0100

University Hospitals Bristol NHS Foundation Trust improves operations and efficiency (Source: Hospital IT Europe)

Two troubled hospitals taken over

BBC News | Health | UK Edition — Wed, 01 Feb 2012 10:24:33 +0100

Northumbria Healthcare NHS Foundation Trust is to take over the running of two hospitals in north Cumbria. (Source: BBC News | Health | UK Edition)

Union attacks trust for district nurse mileage rate cut

Nursing Times Breaking News — Sat, 28 Jan 2012 00:01:00 +0100

The union Unite has said Northumbria Foundation Trust “could face a legal challenge” after nearly halving the mileage paid to some of its staff. (Source: Nursing Times Breaking News)

Intra-operative 3-T MRI for paediatric brain tumours: challenges and perspectives

Pediatric Radiology — Fri, 27 Jan 2012 17:54:47 +0100

Abstract MRI is the ideal modality for imaging intracranial tumours. Intraoperative MRI (ioMRI) makes it possible to obtain scans during a neurosurgical operation that can aid complete macroscopic tumour resection — a major prognostic factor in the majority of brain tumours in children. Intra-operative MRI can also help limit damage to normal brain tissue. It therefore has the potential to improve the survival of children with brain tumours and to minimise morbidity, including neurological deficits. The use of ioMRI is also likely to reduce the need for second look surgery, and may reduce the need for chemotherapy and radiotherapy. High-field MRI systems provide better anatomical information and also enable effective utilisation of advanced MRI techniques such as perfusi...

Reference costs guidance and NHS costing manual published

NeLM - News — Fri, 27 Jan 2012 05:00:00 +0100

Source: Department of Health (DH) Area: News Guidance for the collection of 2011-12 reference costs from NHS trusts and NHS foundation trusts in July 2012 and a revised NHS Costing Manual set out mandatory and minimum principles and practices that must be applied to costing in the NHS. Reference costs are the average unit cost to the NHS of providing defined services in a given financial year to NHS patients in England and are collected annually. The NHS Costing Manual supports the calculation of reference costs, and through these, the national tariff, but can also be applied to other costing models. (Source: NeLM - News)

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Shock in children after vaccination 'extremely rare'

Nursing Times Breaking News — Fri, 27 Jan 2012 00:00:00 +0100

Anaphylactic shock following vaccination is “extremely rare,” according to research by University Hospital Southampton NHS Foundation Trust, published online in the Archives of Disease in Childhood. (Source: Nursing Times Breaking News)

Poole FT no longer in breach

HSJ — Thu, 26 Jan 2012 19:08:00 +0100

PERFORMANCE: Monitor has confirmed that Poole Hospital Foundation Trust is no longer in significant breach of its authorisation. (Source: HSJ)

Mother and Baby Unit Conference (2012-02-27)

Institute of Psychiatry | Events — Wed, 25 Jan 2012 16:34:52 +0100

The Mother and Baby Unit at Bethlem Royal Hospital is holding a conference for GPs, commissioners, social workers and family court lawyers. The day is an opportunity to find out more about the Mother and Baby Unit which specialises in the treatment of antenatal and postnatal mental illness. There will be speakers from South London and Maudsley NHS Foundation Trust (SLaM) as well as the Institute (Source: Institute of Psychiatry | Events)

Monitor could advise commissioners on reconfiguration to combat financial difficulties

HSJ — Wed, 25 Jan 2012 12:00:00 +0100

Monitor is considering changes to its regulatory strategy as it believes some foundation trusts may face financial problems so profound they cannot be fixed by the providers alone. (Source: HSJ)

Monitor licensing could stifle innovation - FTN

HSJ — Wed, 25 Jan 2012 12:00:00 +0100

Monitor’s plans for safeguarding services from closure risk “stifling” innovation and preventing trusts from complying with CQC requirements, the Foundation Trust Network has warned. (Source: HSJ)

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By the Sword: The Science of Sword-Swallowing

Scientific American - Official RSS Feed — Wed, 25 Jan 2012 07:06:00 +0100

A couple of weeks ago, new media mogul Arianna Huffington had an unusual experience : assisting veteran sword swallower Dan Meyer, who was visiting the Huffington Post headquarters in New York City. Meyer heads the Sword Swallowers Association International , based in Antioch, Tennessee. He’s a five-time Guiness Book of World Record Holder, and has appeared on America’s Got Talent . He made it to the finals despite having a visibly squicked-out David Hasselhoff pull the plug halfway through Meyer’s audition performance.But we’re sure he’s most proud of his 2007 Ig Nobel Prize for Medicine , which he shared with Brian Witcombe, a consulting radiologist at Gloucestershire Royal NHS Foundation Trust in England. They were honored “for their penetrating medic...

More CQC inspections risk 'diverting' funds from patient care, MPs to be warned

HSJ — Wed, 25 Jan 2012 00:00:00 +0100

There is a danger that scarce funds will be diverted from patient care into “more and more inspection” following the Mid Staffordshire Foundation Trust inquiry, senior figures are set to warn MPs. (Source: HSJ)

Post-operative wound infection in salvage laryngectomy: does antibiotic prophylaxis have an impact?

European Archives of Oto-Rhino-Laryngology — Tue, 24 Jan 2012 12:27:15 +0100

Abstract Salvage laryngectomy carries a high risk of post-operative infection with reported rates of 40–61%. The purpose of this study was to analyse infections in our own patients and review the potential impact of our current antibiotic prophylaxis (AP). A retrospective analysis of infection in 26 consecutive patients between 2000 and 2010 undergoing salvage total laryngectomy (SL) following recurrent laryngeal cancer after failed radiotherapy or chemo-radiation was undertaken. The antibiotic prophylaxis was intravenous teicoplanin, cefuroxime and metronidazole at induction and for the following 24 h. Infection was defined by Tabet and Johnson’s grade 5, categorized as pharyngocutaneous fistula. Fifteen patients (58%) developed a post-operative wound infection, ...

Exclusive: police investigating fraud claim at foundation trust

HSJ — Tue, 24 Jan 2012 12:00:00 +0100

A police investigation has been launched into an allegation of fraud at a foundation trust, HSJ can reveal. (Source: HSJ)

Access to the next wave of biologic therapies (Abatacept and Tocilizumab) for the treatment of rheumatoid arthritis in England and Wales

Clinical Rheumatology — Tue, 24 Jan 2012 07:54:07 +0100

Abstract Patients in England and Wales with rheumatoid arthritis (RA) receive treatment from the National Health Service (NHS) with therapies approved by the European Medicines Agency (EMA), under guidance from the National Institute for Health and Clinical Excellence (NICE). This document overviews the current NICE guidelines for the treatment of RA and identifies scenarios when such guidance may not represent the optimum management strategy for individual patients. Specifically, we consider the use of tocilizumab or abatacept as the most appropriate treatments for some patients. In such scenarios, it may be possible for the clinician to secure access to the required therapy through an application procedure known as an ‘individual funding request’, the process of whic...

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Considerations in developing and delivering a non-pharmacological intervention for symptom management in lung cancer: the views of health care professionals

Supportive Care in Cancer — Tue, 24 Jan 2012 07:34:11 +0100

Discussion The participants agreed that the novel symptom management NPI should be individually personalised to the needs of each patient and be available for patients when they become receptive to it. Moreover, they agreed that the intervention would be most effective if delivered to patients individually rather than in groups, outside acute medical settings where possible and closer to patient’s homes, should be delivered by an HCP rather than a trained volunteer or lay person and should involve informal carers wherever practicable. Content Type Journal ArticleCategory Original ArticlePages 1-10DOI 10.1007/s00520-011-1362-yAuthors Richard Wagland, Faculty of Health Sciences, University of Southampton, Highfield, Southampton SO17 1BJ, UKJackie Ellis, Academic P...

Solid foundations: how to lead successfully in the new foundation landscape

HSJ — Tue, 24 Jan 2012 07:00:00 +0100

Life after authorisation will present new and unusual challenges for many foundation trust executives. Phil Kenmore and Simon Bird have four tips to help them with their survival - and look toward a successful future. (Source: HSJ)

Voluntary HCA plan could lead to 'formal regulation', says Mid Staffs group

Nursing Times Breaking News — Tue, 24 Jan 2012 00:00:00 +0100

Voluntary healthcare assistant regulation could be a “building block” towards a compulsory system, according to a report expected to influence the findings of the Mid Staffordshire Foundation Trust Public Inquiry. (Source: Nursing Times Breaking News)

Parts of NHS reform mess could be saved

FT.com - Drugs and Healthcare — Sun, 22 Jan 2012 20:39:31 +0100

Lansley's regulator will be responsible for foundation trusts, helping set the prices they get and deciding how much competition they face (Source: FT.com - Drugs and Healthcare)

Audit Commission and Monitor guide: Delivering sustainable cost improvement programmes

NeLM - News — Fri, 20 Jan 2012 05:00:00 +0100

Source: Audit Commission Area: News The guide from the Audit Commission and Monitor, aimed at acute, ambulance, mental health and specialist NHS trusts and foundation trusts, summarises how successful organisations approach the delivery of cost improvement programmes. Organisations should use the briefing and the supporting questions to review their own performance and identify areas for improvement. (Source: NeLM - News)

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Correction

Thorax — Fri, 20 Jan 2012 05:00:00 +0100

Thorax 2011;66:A140 doi:10.1136/thoraxjnl-2011-201054c.179. P179 The changing numbers and indications of mediastinoscopy procedures performed following the introduction of endobronchical ultrasound at a UK tertiary centre. The author list and affiliations for this poster should read: 1M Bakir, 2R Breen, 2A Quinn, 2J King, 1G Santis. 1 Kings College London, London, UK; 2 Guy's and St Thomas' NHS Foundation Trust, London, UK. (Source: Thorax)

Foot lymphoedema—is there a role for surgery?

European Journal of Plastic Surgery — Thu, 19 Jan 2012 08:03:41 +0100

We describe a case of symptomatic foot lymphoedema that was successfully treated with radical debulking, skin grafting and compression garments. Our aim is to highlight the lack of literature on the surgical management of foot lymphoedema and, more importantly, to stimulate discussion on the role of debulking surgery in the management of symptomatic refractory foot lymphoedema. We conclude that, although amputation always remains a potential risk, in selected cases, debulking of a lymphoedematous foot should be attempted before amputation, as it significantly improves quality of life. We highly recommend debulking and reconstruction as a limb-saving approach with a significant improvement in quality of life. Content Type Journal ArticleCategory Case ReportPages 1-4DOI 10.1007/s0...

Mid Staffs inquiry impacting Commissioning Board risk model

HSJ — Wed, 18 Jan 2012 11:16:00 +0100

The NHS Commissioning Board’s approach to managing risk is being heavily influenced by anticipated recommendations of the Mid Staffordshire Foundation Trust public inquiry, HSJ has been told. (Source: HSJ)

Southampton Universtiy professor appointed to FT as NED

HSJ — Tue, 17 Jan 2012 18:00:00 +0100

STRUCTURE: Professor Iain Cameron has been appointed a non-executive director to University Hospital of Southampton NHS Foundation Trust. (Source: HSJ)

Medway trialling Dr Foster hospital performance tool

HSJ — Tue, 17 Jan 2012 10:37:00 +0100

PERFORMANCE: Medway Foundation Trust has been trialling a new online “quick-look” performance management tool launched by healthcare information provider Dr Foster Intelligence. (Source: HSJ)

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Exploring the role of prolactin in psoriasis

Archives of Dermatological Research — Tue, 17 Jan 2012 07:12:28 +0100

Abstract Prolactin (PRL) is well recognised for its role(s) in mammary gland development and function. Moreover, its role in skin biology, including the potent regulation of human hair growth, is becoming clearer. Less widely appreciated, however, is the potential role of PRL in the pathobiology of psoriasis. While the relationship between PRL and psoriasis remains enigmatic, several recent publications on the PRL–psoriasis connection have demonstrated a reawakening of interest in this conundrum. We take the occasion of these reports to underscore the importance of dissecting the role(s) of PRL in the aetiopathology of psoriasis, not least since this may help to identify novel hormonal treatment strategies in its management. Content Type Journal ArticleCategory News ...

'Holographic nurse' used to promote hand hygiene

Nursing Times Breaking News — Tue, 17 Jan 2012 00:00:00 +0100

A “virtual nurse” who greets visitors and reminds them about the need for good hand hygiene is being trialled at University College London Hospitals Foundation Trust. (Source: Nursing Times Breaking News)

Revealed: Bennett's plan to split Monitor board

HSJ — Fri, 13 Jan 2012 16:27:00 +0100

Monitor is likely to face “numerous” allegations of improper conduct unless it can clearly separate its future healthcare regulatory role from its responsibility for foundation trusts, its chairman has warned. (Source: HSJ)

Salford Royal Foundation Trust refutes nursing cuts claim

Nursing Times Breaking News — Fri, 13 Jan 2012 08:14:00 +0100

One of the hospitals chosen by the prime minister for the launch of his new nursing care drive has refuted suggestions it is cutting hundreds of nursing posts. (Source: Nursing Times Breaking News)

Rating papilloedema: an evaluation of the Frisén classification in idiopathic intracranial hypertension

Journal of Neurology — Thu, 12 Jan 2012 06:42:15 +0100

This study demonstrated the limited reproducibility and discriminative ability of the Frisén classification in identifying changes in serial optic disc photographs in IIH. Simple optic disc ranking appears to be a more sensitive and reliable tool to monitor changes in optic disc appearance. The use of disc ranking in clinical practice and research studies is recommended to monitor alterations in optic disc appearance until alternative schemes, specific to IIH, have been developed. Content Type Journal ArticleCategory Original CommunicationPages 1-7DOI 10.1007/s00415-011-6365-6Authors Alexandra J. Sinclair, Neurobiology and Neuropharmacology, School of Clinical and Experimental Medicine, College of Medical and Dental Sciences, University of Birmingham, Wolfson Drive, Edgbaston, B...

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Governors plan inquiry into chief executive dispute

HSJ — Thu, 12 Jan 2012 00:04:00 +0100

WORKFORCE: The governors of Royal Berkshire Hospital Foundation Trust are planning an inquiry into the conduct of its board following a decision to effectively suspend the organisation’s chief executive. (Source: HSJ)

New chief medical officer at Rotherham FT

HSJ — Wed, 11 Jan 2012 18:09:00 +0100

WORKFORCE: A new medical director has started work at The Rotherham Foundation Trust. (Source: HSJ)

Amber/red rating for governance at Dudley

HSJ — Wed, 11 Jan 2012 18:08:00 +0100

PERFORMANCE: Dudley Group of Hospitals Foundation Trust has been amber/red rated by Monitor for governance due to higher than planned levels of Clostridium difficile and outstanding CQC compliance actions. (Source: HSJ)

How a transformation programme helps improve community services' efficiency

HSJ — Wed, 11 Jan 2012 09:00:00 +0100

A strategic transformation programme has helped a community provider reform and redesign its services and improve efficiency as a central part of its bid for foundation trust status. Jo Manley and Mark Eaton outline the programme. (Source: HSJ)

NHS Trust selects System C for EPR project

Hospital IT Europe — Tue, 10 Jan 2012 10:14:00 +0100

Mid Staffordshire NHS Foundation Trust to implement Medway patient administration and EPR (Source: Hospital IT Europe)

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Burton predicts £5.4m deficit

HSJ — Mon, 09 Jan 2012 20:02:00 +0100

FINANCE: Burton Hospitals Foundation Trust is predicting a £5.4m deficit for the end of 2011-12. (Source: HSJ)

Intellectual and neurological functioning in Morquio syndrome (MPS IVa)

Journal of Inherited Metabolic Disease — Mon, 09 Jan 2012 19:34:47 +0100

Abstract Mucopolysaccharidosis type IVa (MPS IVa, Morquio syndrome OMIM #253000) is a lysosomal storage disease caused by deficiency in N-acetylgalactosamine-6-sulfatase (GALNS, EC 3.1.6.4; encoded by GALNS gene at 16q24.3). Unlike other MPS disorders involving excessive heparan and dermatan sulfate, Morquio syndrome has not been associated with neurological involvement nor with intellectual impairment as this disorder of keratan sulfate has been described as a purely visceral and skeletal disorder. Neurocognitive assessment was undertaken of MPS IVa patients with age appropriate intellectual tests as well as a Child Behaviour Checklist as part of clinical follow up. Available neuroimaging studies (MRI and MR spectroscopy) were reviewed. Whilst more than half of the overall...

Doncaster and Bassetlaw FT appoints new medical director

HSJ — Mon, 09 Jan 2012 18:00:00 +0100

WORKFORCE: Doncaster and Bassetlaw Hospitals Foundation Trust has appointed Sewa Singh as its new medical director. (Source: HSJ)

FT director dismissed after disciplinary investigation

HSJ — Fri, 06 Jan 2012 12:51:00 +0100

An IT director at a foundation trust has been dismissed after a disciplinary investigation. (Source: HSJ)

Legal lessons: securing judicial review of service reconfiguration

HSJ — Fri, 06 Jan 2012 06:00:00 +0100

The Royal Brompton and Harefield Foundation Trust has successfully claimed Judicial Review of the Safe and Sustainable consultation about Paediatric Congenital Cardiac Services. Hempsons colleagues Bertie Leigh and Christian Dingwall explain how. (Source: HSJ)

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The use of a two-gene sequencing approach to accurately distinguish between the species within the Mycobacterium abscessus complex and Mycobacterium chelonae

European Journal of Clinical Microbiology and Infectious Diseases — Thu, 05 Jan 2012 17:05:22 +0100

We describe here an accurate and robust method for distinguishing M. chelonae from M. abscessus, M. bolletii and M. massiliense, using polymerase chain reaction (PCR) and the sequencing of house-keeping gene targets (hsp65 and rpoB). Sequencing of the sodA gene is of little additional value in discriminating between species, but M. massiliense can be rapidly identified by amplification of the truncated erm(41) gene without the need for amplicon sequencing. We have applied the method to 81 isolates from 40 patients from two hospitals, the majority of whom were cystic fibrosis (CF) patients. Of these patients, 21 had previously been identified as M. chelonae and 59 as M. abscessus complex using commercial line probe assays. We identified these as 46 M. abscessus isolates, 20 M. massilie...

Heatherwood trust restructures executive committees

HSJ — Wed, 04 Jan 2012 18:17:00 +0100

STRUCTURE: Heatherwood and Wexham Park Foundation Trust is to restructured its executive committees in an attempt to strengthen accountability for financial and service performance. (Source: HSJ)

Amended private patient income cap 'will have little impact'

HSJ — Wed, 04 Jan 2012 13:40:00 +0100

A government proposal to cap the amount of private income foundation trusts can earn at 49 per cent will have little practical impact on the health reforms, experts have claimed. (Source: HSJ)

A safe approach to sparing the rectus muscle in abdominal-based microvascular breast reconstruction—TRAM, MS-TRAM, DIEP or SIEA?

European Journal of Plastic Surgery — Wed, 04 Jan 2012 07:01:31 +0100

We present an algorithm to aid decision-making in autologous breast reconstruction that reflects our safe flexible approach. We have achieved excellent success rates in autologous breast reconstruction and conclude that in order to minimize complications, a safe flexible approach towards muscle harvest must be maintained in our drive to use perforator flaps. Content Type Journal ArticleCategory Original PaperPages 1-9DOI 10.1007/s00238-011-0667-xAuthors Jonathan Adamthwaite, Department of Plastic & Reconstructive Surgery, The Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ UKAndrew D. H. Wilson, Department of Plastic & Reconstructive Surgery, The Royal Marsden NHS Foundation Trust, Fulham Road, London, SW3 6JJ UKStuart James, Department of Plastic & Reconstructiv...

Birmingham chief executive made a dame in new year's honours

HSJ — Tue, 03 Jan 2012 15:15:00 +0100

The chief executive of University Hospital Birmingham Foundation Trust has been made a dame in the new year’s honours list. (Source: HSJ)

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Value of cardiovascular magnetic resonance imaging in myocardial hypertrophy

Clinical Research in Cardiology — Mon, 02 Jan 2012 16:54:09 +0100

Content Type Journal ArticleCategory Letter to the EditorsPages 1-2DOI 10.1007/s00392-011-0401-5Authors Andreas Schuster, King’s College London British Heart Foundation (BHF) Centre of Excellence; National Institute of Health Research (NIHR) Biomedical Research Centre at Guy’s and St. Thomas’ NHS Foundation Trust; Wellcome Trust and Engineering and Physical Sciences Research Council (EPSRC) Medical Engineering Centre; Division of Imaging Sciences and Biomedical Engineering, The Rayne Institute, St. Thomas’ Hospital, London, SE1 7EH UKMasaki Ishida, King’s College London British Heart Foundation (BHF) Centre of Excellence; National Institute of Health Research (NIHR) Biomedical Research Centre at Guy’s and St. Thomas’ NHS Foundation Trust; Wellcome Trust and Engineering an...

Neurosurgery at Queen Square

Journal of Pakistan Medical Students — Thu, 29 Dec 2011 05:00:00 +0100

This article has been peer reviewed. Article Submitted on: 9th October 2011 Article Accepted on: 28th November 2011 Funding sources: None declared Correspondence to:Hamza Tariq Medical student Address:King Edward Medical University, Lahore, Pakistan. Email: hamxatariq@yahoo.com Download PDF Elective Report The day I finished studying the anatomy of brain, I knew that I wanted to pursue neurosurgery as a career speciality. A medical student getting fascinated by the mysterious workings of the human brain is not something unusual. Here, in a mere 3 pounds of living tissue, lies the complexity sufficient to incarnate and store the record of a lifetime of the richest human experience. Our brains contain the secrets of ourselves. Its mystery lies in the fact that it con...

Perinatal network consensus guidelines on the resuscitation of extremely preterm infants born at

European Journal of Pediatrics — Wed, 28 Dec 2011 16:45:49 +0100

Abstract In spite of recent advances in perinatal care and an increase in survival of extremely preterm infants over the last few years, there remains a lack of consensus about practical aspects of resuscitation of extremely preterm infants born before 27 weeks’ gestation. With this in the background, the working group of one of the Perinatal Networks in London, UK, set out to conduct a survey to explore the opinions of the doctors and nurses on resuscitation practices of infants born before 27 weeks’ gestation, with the aim of developing consensus guidelines. The working group emailed a questionnaire to all neonatal units within the Perinatal Network to seek the views of paediatric medical and nursing staff on resuscitation of infants born at <27 week...

Chemotherapy-induced bowel obstruction in small cell lung cancer: a case report

Medical Oncology — Tue, 27 Dec 2011 17:01:56 +0100

Abstract This case report focuses on an elderly gentleman with extensive stage small cell lung cancer (SCLC) who experienced episodes of bowel obstruction shortly after commencing first-line chemotherapy with cisplatin and etoposide. The patient had no radiological or pathological evidence of intra-abdominal carcinomatosis or paraneoplastic bowel disease secondary to SCLC. Although neurotoxicity is commonly associated with platinum agents, the effect is predominantly peripheral as opposed to autonomic. The authors conclude that the observations documented in this case were secondary to etoposide; a podophyllotoxin that can bind microtubules and inhibit fast axonal transport. Although paralytic ileus is well recognised with podophyllotoxin poisoning, to our knowledge, this ...

Hospital staff asked to look out for ‘gel thief’

Nursing Times Breaking News — Sat, 24 Dec 2011 00:01:00 +0100

Nurses and other staff at Doncaster and Bassetlaw Hospitals NHS Foundation Trust have been told to be on their guard for thefts of antibacterial alcohol gel. (Source: Nursing Times Breaking News)

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Profunda femoris pseudoaneurysm following Birmingham hip resurfacing: an important differential diagnosis for a periarticular cystic mass

Skeletal Radiology — Fri, 23 Dec 2011 16:50:59 +0100

Abstract Vascular injury following hip resurfacing arthroplasty is rare: we present a case of profunda femoris pseudoaneurysm complicating hip resurfacing arthroplasty performed via an anterolateral approach. Over recent years, it has been recognized that an adverse reaction to metal debris from metal-on-metal arthroplasties can also result in the development of cystic masses around the hip. This case highlights a potential rare differential diagnosis that needs to be considered when imaging cystic mass lesions around the postoperative hip. Imaging can provide a definitive diagnosis if this entity is considered and its appearances recognized, resulting in appropriate management of this potentially limb- and life-threatening complication. Content Type Journal ArticleCat...

Diversity, value and limitations of the journal impact factor and alternative metrics

Rheumatology International — Thu, 22 Dec 2011 12:47:28 +0100

This article discusses misuses of JIF to assess impact of separate journal articles and the effect of several manuscript versions on JIF. It also presents some newer alternative journal metrics such as SCImago Journal Rank and the h-index and analyses examples of their application in several subject categories. Content Type Journal ArticleCategory Review ArticlePages 1-7DOI 10.1007/s00296-011-2276-1Authors Lutz Bornmann, Max Planck Society, Administrative Headquarters, Munich, GermanyWerner Marx, Max Planck Institute for Solid State Research, Stuttgart, GermanyArmen Yuri Gasparyan, Clinical Research Unit, Dudley Group NHS Foundation Trust (A Teaching Trust of University of Birmingham), Department of Rheumatology, Russell’s Hall Hospital, Dudley, West Midlands, DY1 2HQ UKGeorge D....

Derby Hospitals NHS Foundation Trust pursues paper-lite strategy with clinical portal

ICMCC: The International Council on Medical and Care Compunetics — Wed, 21 Dec 2011 13:47:19 +0100

Source: HealthTechWire Content: “Derby Hospitals NHS Foundation Trust is to implement a clinical portal to enable clinicians to access patient data from multiple core systems through a single, integrated, patient-centric view. This is part of a move towards a ‘paper light’ environment. The portal will give clinicians access to the very latest real-time, clinical information, helping [...] (Source: ICMCC: The International Council on Medical and Care Compunetics)

The pen is mightier than the stomach: Surgeons remove felt-tip 25 years after woman swallows it - and it still works!

the Mail online | Health — Tue, 20 Dec 2011 17:28:59 +0100

We've all lost pens down the back of a sofa but one woman managed to misplace one for 25 years - after she swallowed it by accident, doctors at Royal Devon & Exeter Hospital Foundation Trust revealed. (Source: the Mail online | Health)

Are headaches different from other chronic pains?

The Journal of Headache and Pain — Tue, 20 Dec 2011 16:47:25 +0100

Content Type Journal ArticleCategory Letter to the EditorPages 1-1DOI 10.1007/s10194-011-0406-5Authors Joanna M. Zakrzewska, Eastman Dental Hospital, UCLH NHS Foundation Trust, London, UK Journal The Journal of Headache and PainOnline ISSN 1129-2377Print ISSN 1129-2369 (Source: The Journal of Headache and Pain)

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Risk of cancer other than breast or ovarian in individuals with BRCA1 and BRCA2 mutations

Familial Cancer — Tue, 20 Dec 2011 16:43:50 +0100

Abstract The risks of cancers other than breast and ovarian amongst BRCA1 and BRCA2 mutation carriers are based on relatively few family based studies with the risk of specific cancers tested in population based samples of cancers from founder populations. We assessed risks of “other cancers” in 268 BRCA1 families and 222 BRCA2 families using a person years at risk analysis from 1975 to 2005. Cancer confirmations were overall higher than in previous family based studies at 64%. There was no overall increase in risk for BRCA1 carriers although oesophagus had a significant increased RR of 2.9 (95% CI 1.1–6.0) and stomach at 2.4 (95% CI 1.2–4.3), these were based mainly on unconfirmed cases. For BRCA2 increased risks for cancers of the pancreas (RR 4.1, 95% CI 1.9–7.8)...

Bet 2: Doxapram resurrected? Weak evidence of efficacy suggests a potential use in patients ineligible for non-invasive ventilation

Emergency Medicine Journal — Tue, 20 Dec 2011 05:00:00 +0100

Report by: John J MacDonald Search checked by: Richard Body Institution: Stockport NHS Foundation Trust, Stockport, UK Clinical scenario A 73-year-old male with known chronic obstructive pulmonary disease (COPD) presents to the emergency department with dyspnoea. He is diagnosed with an acute exacerbation of COPD. Despite optimal medical management he fails to improve, his arterial blood gases demonstrate type II respiratory failure with worsening respiratory acidosis. He is offered a trial of non-invasive ventilation but refuses as. A decision is taken that invasive ventilation is not in the best interests of the patient. You wonder if the respiratory stimulant doxapram may improve the patient's respiratory failure. Three-part question In (patients with an acute exacerbation of COPD who a...

Bet 3: The effectiveness of therapeutic ultrasound in the treatment of acute sciatica

Emergency Medicine Journal — Tue, 20 Dec 2011 05:00:00 +0100

Report by: Ioannis Paneris Search checked by: Michael Callaghan Institution: Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK Clinical scenario A 30-year-old male gym enthusiast presents with a 3-week history of sudden onset of back pain, after lifting heavy weight, His pain radiates from the lumbar spine to the right posterior thigh lateral calf and foot and has associated mild paraesthesia. He has had treatment with Ultrasound (US) before for a different condition and he is asking if US could be useful in this case. Three-part question IN (Adults with acute sciatica) IS (therapeutic ultrasound beneficial) AT (decreasing pain and improving function)? Search strategy National library for health web interface. {(lumbar OR (low ADJ back)) AND (sciatica OR radicul*...

Achievement of foundation trust status by NHS hospital trusts: sixtieth report of session 2010-12

NHS Networks — Tue, 20 Dec 2011 05:00:00 +0100

This report finds that the challenges facing those hospitals which have still to attain foundation status are more severe than previously thought. It outlines these problems and makes recommendations for solving these problems in a way that protects taxpayers and patients. (Source: NHS Networks)

Neurosurgery at Queen Square

Journal of Pakistan Medical Students — Sat, 17 Dec 2011 05:00:00 +0100

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Clinical risk assessment rating and all-cause mortality in secondary mental healthcare: the South London and Maudsley NHS Foundation Trust Biomedical Research Centre (SLAM BRC) Case Register. - Wu CY, Chang CK, Hayes RD, Broadbent M, Hotopf M, Stewart R.

SafetyLit: All (Unduplicated) — Sat, 17 Dec 2011 00:35:12 +0100

BACKGROUND: Mental disorders are widely recognized to be associated with increased risk of all-cause mortality. However, the extent to which highest-risk groups for mortality overlap with those viewed with highest concern by mental health services is less ... (Source: SafetyLit: All (Unduplicated))

New Innovation Gives Clinical Pathology Laboratories Opportunity to Use Dried Blood Spot Specimens in Medical Lab Testing

Dark Daily — Fri, 16 Dec 2011 11:00:28 +0100

More sensitive analytical technologies allow medical laboratories to perform more sophisticated tests using tiny blood specimens on paper New breakthroughs are creating the opportunity to use “dried blood spot” (DBS) technology in an expanded number of pathology and clinical laboratory testing applications. The latest innovation was developed in the United Kingdom and allows more sophisticated [...] (Source: Dark Daily)

Yeovil struggles to recruit doctors to A&E

HSJ — Thu, 15 Dec 2011 16:35:00 +0100

WORKFORCE: Yeovil District Hospital Foundation Trust is forming a strategic alliance with a neighbouring trust to help tackle recruitment problems in accident and emergency. (Source: HSJ)

Exclusive: foundation trusts plan deepest workforce cuts in a generation

HSJ — Thu, 15 Dec 2011 07:00:00 +0100

Foundation trusts are planning to cut at least 30,500 staff over the coming two years in what would be the steepest fall in NHS workforce since modern records began, an HSJ investigation has found. (Source: HSJ)

Revealed: the foundations predicting steepest pay bill cuts

HSJ — Thu, 15 Dec 2011 07:00:00 +0100

At least five acute foundation trusts have forecast wage bill cuts of 10 per cent or more over the coming two years, an HSJ analysis has found. (Source: HSJ)

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Public Accounts Committee report: Achievement of foundation trust status by NHS hospital trusts

NeLM - News — Thu, 15 Dec 2011 05:00:00 +0100

This report from the Commons Public Accounts on the achievement of foundation trust status by NHS hospital trusts examines the responsibility for dealing with this huge challenge, and what is being done to protect taxpayers and patients when trusts need external help. (Source: NeLM - News)

MPs warn foundation trust status mergers could force hospitals to close

HealthcareRepublic Pharmacist News — Thu, 15 Dec 2011 00:01:00 +0100

Struggling hospitals may be forced to merge or reduce services in order to obtain foundation trust status, a report by the Commons Public Accounts Committee (PAC) has revealed. (Source: HealthcareRepublic Pharmacist News)

The King's Fund responds to the Public Accounts Committee's report on NHS hospitals achieving foundation trust status

The King's Fund - Press — Thu, 15 Dec 2011 00:00:00 +0100

(Source: The King's Fund - Press)

NHS docs use workflow solution to access patient data

Healthcare IT News — Tue, 13 Dec 2011 20:53:19 +0100

Derby Hospitals NHS Foundation Trust has selected the Carefx solution suite to provide clinicians with access to patient data from multiple systems through a single, integrated view. The clinicians at Royal Derby Hospital will be able to access real-time information supporting decision-making, patient care and safety via the portal. Implemented in partnership with iSOFT, the portal is built on Carefx’s interoperability platform. read more (Source: Healthcare IT News)

Clinical lecturer in endocrinology and diabetes, University of Birmingham

Society for Endocrinology — Tue, 13 Dec 2011 12:00:00 +0100

Via www.jobs.ac.uk. Applications are invited for a clinical lecturer in endocrinology and diabetes based in the School of Clinical and Experimental Medicine at the University of Birmingham (salary: £30,992 - £53,663). The post is linked to the Centre for Endocrinology, Diabetes and Metabolism (CEDAM), underpinning major international and world-leading research excellence in translational endocrinology, steroid hormone action, obesity and metabolism, diabetes and autoimmunity, and endocrine and endocrine-related cancer. The successful applicant will be an academic endocrine trainee with appropriate clinical and research profile and the potential to pursue a successful academic career as indicated by a higher academic degree and original research publications. The postholder wi...

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Southend FT found in 'significant breach' by Monitor

HSJ — Tue, 13 Dec 2011 11:58:00 +0100

PERFORMANCE: Southend University Hospital Foundation Trust has been found in significant breach of its FT authorisation due to governance failings on data quality and targets for cancer treatment and infection control. (Source: HSJ)

Why trust procurement needs price comparison to be efficient

HSJ — Tue, 13 Dec 2011 08:00:00 +0100

Barriers to comparative price information in the NHS make good judgement on procurement difficult for purchasers. The benefits outlined in a recent Foundation Trust Network pilot shows why this information needs to be easier to obtain, says Sue Slipman. (Source: HSJ)

Debt-ridden hospitals told to reform to save patients' lives

Telegraph Health — Tue, 13 Dec 2011 07:00:03 +0100

Leading hospitals are facing significant financial problems and urgently need to improve their quality of care, a report has warned. (Source: Telegraph Health)

A newborn with unilateral limb enlargement

European Journal of Pediatrics — Tue, 13 Dec 2011 06:58:01 +0100

Abstract On routine neonatal examination, a newborn term male was noted to have unilateral enlargement of the right lower limb, loose thickened red skin over the palm and widening of all the fingers on the right hand. His body was pinker and warmer on the right side compared with the left and he had a right undescended testicle and hypoplastic scrotum. Radiological examination of the lower limbs demonstrated the enlargement of the soft tissue of the right lower limb compared to the left (Fig. 1). Therefore, the diagnosis was unclear from this constellation of findings and an ophthalmic assessment was requested. Content Type Journal ArticleCategory Your DiagnosisPages 1-2DOI 10.1007/s00431-011-1642-zAuthors Shanel Sharma, Paediatrics and Strabismus Service, Moorfields E...

NHS Trust rolls out electronic medical records

Hospital IT Europe — Mon, 12 Dec 2011 11:14:00 +0100

Aintree University Hospital NHS Foundation Trust installs new system to integrate records (Source: Hospital IT Europe)

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Visualizing the hill of vision in 3D using the free programming language ‘R’

Graefe's Archive for Clinical and Experimental Ophthalmology — Fri, 09 Dec 2011 17:07:31 +0100

Content Type Journal ArticleCategory Letter to the EditorPages 1-2DOI 10.1007/s00417-011-1861-zAuthors Ryo Asaoka, NIHR Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UKRichard A. Russell, NIHR Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UKDavid P. Crabb, Department of Optometry and Visual Science, City University, London, UKDavid F. Garway-Heath, NIHR Biomedical Research Centre for Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, UK Journal Graefe's Archive for Clinical and Experimental OphthalmologyOnline ISSN 1435-702XPrint ISSN 0721-832X (Source...

Management of Hepatitis C in Patients with Chronic Kidney Disease

Current Gastroenterology Reports — Fri, 09 Dec 2011 17:07:12 +0100

We describe in this review relevant issues in epidemiology, diagnosis and management of CHC in ESRD, HD and renal transplant recipients. Content Type Journal ArticleCategory Liver (BR Bacon, Section Editor)Pages 1-9DOI 10.1007/s11894-011-0238-0Authors Mohammad A. B. Al-Freah, Institute of Liver Studies, King’s College Hospital NHS Foundation Trust, Denmark Hill, London, SE5 9RS United KingdomZeino Zeino, Institute of Liver Studies, King’s College Hospital NHS Foundation Trust, Denmark Hill, London, SE5 9RS United KingdomMichael A. Heneghan, Institute of Liver Studies, King’s College Hospital NHS Foundation Trust, Denmark Hill, London, SE5 9RS United Kingdom Journal Current Gastroenterology ReportsOnline ISSN 1534-312XPrint ISSN 1522-8037 (Source: Current Gastroenterolo...

Monitor to review FT assessment process but 'the bar will remain high'

HSJ — Thu, 08 Dec 2011 00:00:00 +0100

Monitor is to review its assessment process for applicant foundation trusts but has stressed that “the bar will remain high”. (Source: HSJ)

FT declines to support local community trust's FT bid after losing tender

HSJ — Thu, 08 Dec 2011 00:00:00 +0100

STRUCTURE: Chesterfield Royal Hospital Foundation Trust’s board has said it is unable to support the foundation trust bid of a neighbouring community services trust. (Source: HSJ)

‘Perverse incentives’ undermine tariffs

BMA daily feed — Wed, 07 Dec 2011 16:49:00 +0100

Concern that payment by results leads to foundation trusts pulling in work from general practice (Source: BMA daily feed)

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Microsurgical fenestration of retrocerebellar cysts as a treatment for syringomyelia

Child's Nervous System — Tue, 06 Dec 2011 17:01:26 +0100

Content Type Journal ArticleCategory Case ReportPages 1-4DOI 10.1007/s00381-011-1652-1Authors Vino Apok, Department of Neurosurgery, Salford Royal NHS Foundation Trust, Manchester, UKShlomi Constantini, Department of Pediatric Neurosurgery, Tel Aviv Sourasky Medical Center, 6 Weizman Street, Tel Aviv, 64239 IsraelJonathan Roth, Department of Pediatric Neurosurgery, Tel Aviv Sourasky Medical Center, 6 Weizman Street, Tel Aviv, 64239 Israel Journal Child's Nervous SystemOnline ISSN 1433-0350Print ISSN 0256-7040 (Source: Child's Nervous System)

Salisbury appoints new chief executive

HSJ — Tue, 06 Dec 2011 14:54:00 +0100

WORKFORCE: Salisbury Foundation Trust has appointed a new chief executive. (Source: HSJ)

Case: Mismanagement of ankle infection leading to below knee amputation: DP v Luton and Dunstable Hospital NHS Foundation Trust

Clinical Risk — Mon, 05 Dec 2011 05:00:00 +0100

(Source: Clinical Risk)

Case: Broken scissor blade during knee surgery: R v Tameside Hospital NHS Foundation Trust

Clinical Risk — Mon, 05 Dec 2011 05:00:00 +0100

(Source: Clinical Risk)

Case: Negligent failure to diagnose lung cancer from radiology imaging: W v Basingstoke and North Hampshire NHS Foundation Trust

Clinical Risk — Mon, 05 Dec 2011 05:00:00 +0100

(Source: Clinical Risk)

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Case: Incorrect diagnosis of skin cancer; incorrect treatment: Good v Salisbury Hospitals NHS Foundation Trust

Clinical Risk — Mon, 05 Dec 2011 05:00:00 +0100

(Source: Clinical Risk)

Bowel surgery - trust not liable for post-operative death: Barrett (deceased) v Stockport NHS Foundation Trust (Manchester County Court, 12/8/11 - Judge Armitage QC)

Clinical Risk — Mon, 05 Dec 2011 05:00:00 +0100

(Source: Clinical Risk)

Homecare Medicines: Towards a vision for the future

NeLM - News — Fri, 02 Dec 2011 05:00:00 +0100

Source: Department of Health (DH) Area: News In November 2010, the Department of Health sponsored the CEO of Southampton University Hospitals NHS Foundation Trust, to lead a rapid review of homecare medicine supply to consider the current operational arrangements and its future for the best value for patients, the NHS and the provider market. The findings of the review have been published in this report available from the link below. (Source: NeLM - News)

Francis: Mid Staffs report will aid NHS managers

HSJ — Thu, 01 Dec 2011 17:41:00 +0100

The chairman of the Mid Staffordshire Foundation Trust public inquiry has revealed the areas he will focus on in his final report into the failings that allowed poor care to go unnoticed for so long at the trust. (Source: HSJ)

Exclusive: publishing FT redundancy plans could harm competitiveness, warns Monitor

HSJ — Thu, 01 Dec 2011 10:04:00 +0100

Foundation trust regulator Monitor is withholding information on foundations’ forecast headcounts for coming years on grounds that news of “significant” redundancy plans could harm their competitiveness. (Source: HSJ)

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CQC's strategy is reactive, board member tells inquiry

HSJ — Mon, 28 Nov 2011 18:51:00 +0100

The Care Quality Commission’s strategy is “reactive” and driven by “reputation management and personal survival”, a board member has told the Mid Staffordshire Foundation Trust public inquiry. (Source: HSJ)

CQC inspector: regulator would not necessarily 'spot a Mid Staffs'

HSJ — Mon, 28 Nov 2011 14:40:00 +0100

A Care Quality Commission inspector has told the Mid Staffordshire Foundation Trust public inquiry the regulator would not necessarily “spot another Mid Staffordshire”, contradicting earlier evidence given to the inquiry by CQC chair Dame Jo Williams. (Source: HSJ)

Using technology to help fight hospital infections

NHS Networks — Mon, 28 Nov 2011 05:00:00 +0100

University Hospital Southampton NHS Foundation Trust carried out the RRP1 evaluation on the innovative technology. The report Showcase Hospitals Report Number Eight: OTEX Laundry System publishes the outcomes and cost savings achieved at the hospital. The report includes a business case template for use by any trust considering using this product. (Source: NHS Networks)

Student nurses withdrawn from Norfolk hospital amid quality concerns

Nursing Times Breaking News — Mon, 28 Nov 2011 01:04:00 +0100

Student nurses have been withdrawn from a troubled foundation trust in Norfolk to allow it to concentrate on “clinical audit activity”, Nursing Times has learnt. (Source: Nursing Times Breaking News)

Guide rates best and worst hospitals in 2011

NHS News Feed — Mon, 28 Nov 2011 00:15:00 +0100

The Daily Telegraph has today revealed the findings of the latest Dr Foster Hospital Guide. The guide, published annually, closely scrutinises a range of healthcare data to measure hospital performance and detect trends that could save lives. As well as listing the hospital trusts in England that score above and below average on a range of different mortality measures, this year’s guide also found that: The rate of patient deaths in England is 20% lower than it was 10 years ago, in part because of improved hospital care. For certain conditions, patients admitted to hospital at the weekend are less likely to get treated quickly and have a higher chance of dying. Hospitals that perform certain operations infrequently pose a significantly greater risk to patients than those which c...

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CQC non-exec to blow the whistle at Mid Staffs inquiry

HSJ — Fri, 25 Nov 2011 12:06:00 +0100

Two new Care Quality Commission whistleblowers - including one board member - have been called to give evidence to the Mid Staffordshire Foundation Trust Public Inquiry. (Source: HSJ)

Impact of an Antimicrobial Stewardship Program in Reducing Antibiotic Consumption and Clostridium difficile rates in a 1000 Bed General Hospital. C Bradley, S Brown, A Foden, D Allison, C Aldridge, J Sloss, L Lim, D Nayar.County Durham and Darlington Foundation Trust, UK: Category: Lesson in Microbiology & Infection Control

Journal of Infection — Fri, 25 Nov 2011 11:05:46 +0100

Clostridium difficile infection (CDI) is a severe nosocomial infection which is associated with healthcare provision and exposure to antibiotics. Rates of CDI increased sharply in the UK from 2002 reaching a peak in 2007. National guidance on managing CDI was first published in 1994 with further updates in 2000 and 2008. Since 2006 health care providers in the United Kingdom have been set targets to reduce CDI rates. Despite rigorous infection control practices, the rates of CDI at County Durham and Darlington Foundation Trust (CDDFT) failed to fall in line with national rates and as a result the Trust was placed in escalation by the Health Care Commission with 6 months to resolve the situation. (Source: Journal of Infection)

The Effect of Reducing the Use of High Risk Antibiotics on the Rate of Clostridium difficile in a General Hospital.C Bradley, S Brown, A Foden, D Allison, C Aldridge, J Sloss, L Lim, D Nayar.County Durham and Darlington Foundation Trust, UK: Category: Lesson in Microbiology & Infection Control

Journal of Infection — Fri, 25 Nov 2011 11:05:46 +0100

Clostridium difficile infection (CDI) is a severe nosocomial enteric infection which is associated with healthcare provision and exposure to antibiotics. Rates of CDI increased sharply in the UK from 2002 reaching a peak in 2007. Despite the introduction of rigorous infection control procedures, the rates of CDI at County Durham and Darlington Foundation Trust (CDDFT) failed to fall. There is evidence that quinolone and cephalosporin antibiotics have a high association with CDI1,2,3. As part of an antibiotic stewardship programme a strict policy of quinolone and cephalosporin restriction was introduced at CDDFT in 2008/9. (Source: Journal of Infection)

Screening for blood borne viruses in a Birmingham tuberculosis clinic: Category: Scientific free paper

Journal of Infection — Fri, 25 Nov 2011 11:05:46 +0100

In one of the tuberculosis clinics within Heart of England foundation trust we see about 600 patients in one year. A large proportion of these patients are born outside of the UK, many in places with significant prevalence of viral hepatitis and HIV. We decided to screen all patients for one year. (Source: Journal of Infection)

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PVL - encoding Staphylococcus aureuspresenting as a community acquired subdural empyema with meningitis by Tejal Desai (1), David Garner (2) and Nigel Cumberland (2)1. Western Sussex Hospitals NHS trust, Worthing, West Sussex2. Frimley Park Hospital NHS Foundation Trust, Surrey: Category: Lesson in Microbiology & Infection Control

Journal of Infection — Fri, 25 Nov 2011 11:05:45 +0100

Staphylococcus aureus causes a wide spectrum of disease from mild soft tissue infections to toxic shock syndrome, endocarditis and meningitis.Approximately 30% of the population are asymptomatic carriers at any one time (1).Panton-Valentine Leukocidin (PVL) was first described in 1932 (2), and is an exotoxin present in approximately 2% of clinical isolates of Staphylococcus aureus.The exotoxin destroys white blood cells and promotes tissue necrosis. In the United Kingdom, PVL is produced mostly by Methicillin-Sensitive Staphylococcus aureus (MSSA), but in the United States Community Acquired Methicillin-Resistant Staphylococcus aureus (CA-MRSA) which produces PVL is an emerging problem (3).PVL is generally accepted as an important virulence factor in some transmissible strains of Staphyloc...

Re: Analysis of the Outcome of Intracytoplasmic Sperm Injection Using Fresh or Frozen Sperm

The Journal of Urology — Fri, 25 Nov 2011 05:00:00 +0100

J. Kalsi, M. Y. Thum, A. Muneer, J. Pryor, H. Abdullah and S. Minhas Department of Andrology, University College London Hospitals NHS Foundation Trust, London, United Kingdom (Source: The Journal of Urology)

Debt deferral measures to support would-be foundation trusts

HSJ — Thu, 24 Nov 2011 06:00:00 +0100

The Department of Health has indicated that the vast majority of trusts needing financial support to achieve foundation trust status will receive it through the deferral of their loan repayments. (Source: HSJ)

'Top leaders' to help trusts get through FT pipeline

HSJ — Thu, 24 Nov 2011 00:00:00 +0100

The NHS Top Leaders programme has launched a drive to send senior managers into NHS trusts needing help with savings plans or getting through the foundation trust pipeline. (Source: HSJ)

SHA and PCT blame reorganisation for failure to spot Mid Staffs

HSJ — Wed, 23 Nov 2011 15:59:00 +0100

The reorganisation of the NHS in 2006 was a key reason why problems at Mid Staffordshire Foundation Trust were not spotted sooner, closing submissions to the public inquiry claimed. (Source: HSJ)

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Next steps to deliver an all foundation trust provider landscape

NeLM - News — Mon, 21 Nov 2011 05:00:00 +0100

Source: Department of Health (DH) Area: News Ian Dalton, Senior Responsible Officer for the NHS Trust Development Authority has written to the chief executives of all NHS trusts outlining the next steps to deliver an all foundation trust (FT) provider landscape. Please see the link below for details. (Source: NeLM - News)

Next steps to deliver on all foundation trust provider landscape

NHS Networks — Mon, 21 Nov 2011 05:00:00 +0100

Ian Dalton, senior responsible officer for the NHS Trust Development Authority has written to the chief executives of all NHS trusts. (Source: NHS Networks)

Growth in PHEX-associated X-linked hypophosphatemic rickets: the importance of early treatment

Pediatric Nephrology — Sat, 19 Nov 2011 06:51:09 +0100

Exclusive: The six trusts that need DH support with their PFI

HSJ — Fri, 18 Nov 2011 15:00:00 +0100

Six hospital trusts have been identified as needing Department of Health cash support with their private finance initiative payments in order to make foundation trust status, HSJ can reveal. (Source: HSJ)

Revealed: the six trusts that need DH support with their PFI

HSJ — Fri, 18 Nov 2011 15:00:00 +0100

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TransLateral ACL reconstruction: a technique for anatomic anterior cruciate ligament reconstruction

Knee Surgery, Sports Traumatology, Arthroscopy — Fri, 18 Nov 2011 06:56:38 +0100

Abstract Anatomic placement of the femoral tunnel in anterior cruciate ligament (ACL) reconstruction confers biomechanical advantages over the traditional tunnel position. The anteromedial portal technique for anatomic ACL reconstruction has many well-described technical challenges. This paper describes the TransLateral technique. The technique produces anatomic femoral tunnel placement using direct measurement of the medial wall of the lateral femoral condyle and out to in drilling. All work is carried out through the lateral portal with all viewing via the medial portal. There is no need for an accessory medial portal or hyperflexion of the knee. Level of evidence Expert opinion, Level V. Content Type Journal ArticleCategory KneePages 1-4DOI 10.1007/s00167-0...

Troubled foundation failed 'basic management' as debts grew

HSJ — Thu, 17 Nov 2011 05:15:00 +0100

One of England’s most financially challenged foundation trusts had no “basic performance management systems” in place as it ran up a £8.3m deficit in six months, HSJ has been told. (Source: HSJ)

Sheffield Hospitals chief elected chair of NHS Employers policy board

HSJ — Wed, 16 Nov 2011 17:35:00 +0100

STRUCTURE: NHS Employers has announced Sheffield Teaching Hospitals NHS Foundation Trust chief executive Sir Andrew Cash as the new chair of its policy board. (Source: HSJ)

Preventing alert fatigue crucial to e-prescribing

Pharmacy Europe — Wed, 16 Nov 2011 09:32:00 +0100

Safer use of electronic prescribing systems discussed at workshop hosted by NHS Foundation Trust (Source: Pharmacy Europe)

The critical factors for an efficient acute medical care unit

HSJ — Wed, 16 Nov 2011 06:00:00 +0100

Three elements decide the efficiency of an acute medical care unit, and its success or failure. Paul Glynne and colleagues advise on what they are, and the difference the unit is making at University College London Hospitals Foundation Trust. (Source: HSJ)

Novel Insights into the Pathomechanisms of Skeletal Muscle Channelopathies

Current Neurology and Neuroscience Reports — Mon, 14 Nov 2011 16:52:51 +0100

Abstract The nondystrophic myotonias and primary periodic paralyses are an important group of genetic muscle diseases characterized by dysfunction of ion channels that regulate membrane excitability. Clinical manifestations vary and include myotonia, hyperkalemic and hypokalemic periodic paralysis, progressive myopathy, and cardiac arrhythmias. The severity of myotonia ranges from severe neonatal presentation causing respiratory compromise through to mild later-onset disease. It remains unclear why the frequency of attacks of paralysis varies greatly or why many patients develop a severe permanent fixed myopathy. Recent detailed characterizations of human genetic mutations in voltage-gated muscle sodium (gene: SCN4A), chloride (gene: CLCN1), calcium (gene: CACNA1S), and inw...

Is there still a need for strengthening optometrist referral and general public awareness regarding cataract even in developed countries?

International Ophthalmology — Fri, 11 Nov 2011 16:45:17 +0100

Content Type Journal ArticleCategory Letter to the EditorPages 1-2DOI 10.1007/s10792-011-9478-0Authors Nimish Shah, Department of Gloucestershire Eye, Cheltenham General Hospital, Gloucestershire Hospitals NHS Foundation Trust, Sandford Road, Cheltenham, GL53 7AN, UKSuzanne Turner, Department of Gloucestershire Eye, Cheltenham General Hospital, Gloucestershire Hospitals NHS Foundation Trust, Sandford Road, Cheltenham, GL53 7AN, UKRobert L. Johnston, Department of Gloucestershire Eye, Cheltenham General Hospital, Gloucestershire Hospitals NHS Foundation Trust, Sandford Road, Cheltenham, GL53 7AN, UK Journal International OphthalmologyOnline ISSN 1573-2630Print ISSN 0165-5701 (Source: International Ophthalmology)

Ex-Circle director plans 'significant changes' at NHS trust to tackle death rates

HSJ — Fri, 11 Nov 2011 00:00:00 +0100

High mortality rates at Sherwood Forest Hospitals Foundation Trust have demonstrated the need for “significant changes” to staffing and services, its recently appointed chief has told HSJ. (Source: HSJ)

FT chair forced out over alleged poor care

HSJ — Thu, 10 Nov 2011 00:00:00 +0100

The chair of James Paget Hospitals Foundation Trust in Great Yarmouth has resigned following a political storm over alleged poor care. (Source: HSJ)

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High tibial osteotomy in medial compartment osteoarthritis and varus deformity using the Taylor spatial frame: early results

Strategies in Trauma and Limb Reconstruction — Wed, 09 Nov 2011 17:55:03 +0100

This study demonstrates that in selected patients the TSF provides a viable treatment option for performing HTO in medial compartment OA with varus deformity. Content Type Journal ArticleCategory Original ArticlePages 1-9DOI 10.1007/s11751-011-0123-2Authors P. M. Robinson, Limb Reconstruction Unit, Department of Orthopaedics, Salford Royal Hospital NHS Foundation Trust, Stott Lane, Salford, Greater Manchester M6 8HD, UKM. C. Papanna, Limb Reconstruction Unit, Department of Orthopaedics, Salford Royal Hospital NHS Foundation Trust, Stott Lane, Salford, Greater Manchester M6 8HD, UKB. V. Somanchi, Limb Reconstruction Unit, Department of Orthopaedics, Salford Royal Hospital NHS Foundation Trust, Stott Lane, Salford, Greater Manchester M6 8HD, UKS. A. Khan, Limb Reconstruction Unit, De...

New research opportunities for health professionals

University of Bristol news — Wed, 09 Nov 2011 11:19:43 +0100

Clinical Training Fellowships are being offered by University Hospitals Bristol NHS Foundation Trust (UH Bristol) in partnership with the University of Bristol and UWE Bristol. (Source: University of Bristol news)

York Study Will Track Health And Wellbeing Of Children And Adults

Health News from Medical News Today — Wed, 09 Nov 2011 09:00:00 +0100

An exciting new research project is being launched by York Teaching Hospital NHS Foundation Trust to track the health and wellbeing of children and adults. The project christened BABY Born and Bred in Yorkshire is a partnership between midwives and doctors at York Hospital and researchers at Hull York Medical School and in the Department of Health Sciences, University of York. It will follow a large group of babies and their parents from pregnancy onwards the hospital began recruiting expectant parents in the summer and the first babies in the study are due to be born at Christmas... (Source: Health News from Medical News Today)

FTN fails to appoint new chief executive

HSJ — Tue, 08 Nov 2011 14:44:00 +0100

Sue Slipman has agreed to stay on as Foundation Trust Network chief executive until the organisation finds a new full-time replacement. (Source: HSJ)

FTs consider merger that would create largest trust

HSJ — Tue, 08 Nov 2011 00:00:00 +0100

Three London foundation trusts are considering a merger that would create the single biggest trust, with a turnover of £1.9bn. (Source: HSJ)

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NHS facing 'tsunami' of patient anger

HSJ — Mon, 07 Nov 2011 12:18:00 +0100

A “tsunami of anger” is heading towards the NHS unless organisations start to engage more fully with the public, the chairman of the Mid Staffordshire Foundation Trust public inquiry has warned. (Source: HSJ)

'Whistleblowing' GPs raise concerns over hospital care

HealthcareRepublic Pharmacist News — Thu, 03 Nov 2011 15:30:00 +0100

A 'whistleblowing' letter from a group of GPs has caused their MP to question the standard of care provided at the James Paget University Hospitals NHS Foundation Trust, Suffolk. (Source: HealthcareRepublic Pharmacist News)

Heatherwood and Wexham feeling the strain in the South

HSJ — Thu, 03 Nov 2011 00:00:00 +0100

Storm clouds continue to gather around Heatherwood and Wexham Park Hospitals Foundation Trust. To read its latest performance reports is to risk developing red eye. (Source: HSJ)

Monitor examines FTs' patient guarantees loophole

HSJ — Wed, 02 Nov 2011 13:25:00 +0100

Monitor has revealed it is examining a potential loophole that could allow foundation trusts to escape the patient guarantees laid out in the NHS constitution. (Source: HSJ)

Factors associated with major infections in patients with granulomatosis with polyangiitis and systemic lupus erythematosus treated for deep organ involvement

Rheumatology International — Tue, 01 Nov 2011 16:51:34 +0100

This study is an audit and a comparison of major infective complications in patients with granulomatosis with polyangiitis (GPA) and systemic lupus erythematosis (SLE). Data were collected on consecutive patients attending a single treatment approach, multidisciplinary vasculitis centre who met diagnostic criteria for GPA and SLE from 01/01/2006 to 30/06/2006. Immunosuppressive treatment is used in this clinic with guidelines targeting avoidance of neutropenia. For each patient, documentation was made of disease presentation, organ involvement and therapy used. A history of major infections requiring hospital admission and intravenous antimicrobials pre- and post-diagnosis was recorded. Patients with GPA received a higher cumulative dose of cyclophosphamide, had a higher median age, ...

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Medic appointed as Cambridgeshire and Peterborough FT chief

HSJ — Tue, 01 Nov 2011 16:36:00 +0100

WORKFORCE: The mental health foundation trust covering Cambridgeshire and Peterbrough has appointed a new chief executive. (Source: HSJ)

The meal makeover.

Nursing Standard — Tue, 01 Nov 2011 04:00:00 +0100

Authors: Cosh J Abstract Nurses at Basildon and Thurrock University Hospitals NHS Foundation Trust are leading a project to put nutrition at the heart of patient care. Their efforts are being lauded as an example for other hospitals to follow. PMID: 22165547 [PubMed - in process] (Source: Nursing Standard)

Cyanosis in a 9-month-old child after repair of total anomalous pulmonary venous return

Pediatric Radiology — Mon, 31 Oct 2011 16:47:54 +0100

Abstract A 9-month-old girl presented with cyanosis after correction of total anomalous pulmonary venous return (TAPVR) to the coronary sinus in the neonatal period. During corrective surgery, the right superior vena cava (RSVC) was damaged and re-anastomosed to the right atrium. Echocardiography showed increased flow velocity in the pulmonary venous confluence. Therefore, pulmonary venous obstruction was suspected. However, subsequent cardiac MRI revealed a stenosed RSVC as well as a dilated left superior vena cava (LSVC) draining from the left innominate vein into the pulmonary venous confluence. The re-recruited LSVC drained deoxygenated blood into the systemic circulation, causing cyanosis. After uncomplicated placement of a stent in the narrowed RSVC and occlusion of ...

Frequency and clinical significance of placental histological lesions in an unselected population at or near term

Virchows Archiv — Fri, 28 Oct 2011 17:17:38 +0100

This study reports the frequency of the several common, objective and predefined histological abnormalities of the placenta as identified by pathologists blinded to all clinical information. A total 1,153 women were recruited from an unselected population delivering at 34–43 weeks. Histological findings in common obstetric outcome groups were compared to those of the unselected population, and odds ratios and predictive values were calculated. Normal histological findings were present in 72.1% of pregnancies with normal outcomes and in 79.1%, 66.6%, 80%, and 74.8% of pregnancies affected by pre-eclampsia (PET), pregnancy-induced hypertension (PIH), gestational diabetes (GDM), and small for gestational age (SGA), respectively. Chronic placental underperfusion was seen more freq...

Erratum to: Pathophysiology of atypical femoral fractures and osteonecrosis of the jaw

Osteoporosis International — Fri, 28 Oct 2011 17:11:32 +0100

Content Type Journal ArticleCategory ErratumPages 1-1DOI 10.1007/s00198-011-1827-3Authors J. Compston, Cambridge University Hospitals NHS Foundation Trust, Cambridge, CB2 0QQ UK Journal Osteoporosis InternationalOnline ISSN 1433-2965Print ISSN 0937-941X (Source: Osteoporosis International)

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The use of combination therapy in the treatment of postmenopausal osteoporosis

Endocrine — Fri, 28 Oct 2011 16:57:36 +0100

Abstract In recent years, there has been growing interest in the potential use of combination therapy in the management of osteoporosis in postmenopausal women. Possible regimens include sequential or combined use of anti-resorptive drugs or combinations of anabolic and anti-resorptive agents, given concurrently or in sequence. Combined therapy with anti-resorptive drugs usually produces greater increases in bone mineral density (BMD) than monotherapy but there is no evidence that this results in greater anti-fracture efficacy. The use of bisphosphonates before strontium ranelate or PTH peptides blunts the BMD response. Combined PTH and anti-resorptive therapy results in more rapid gains in spine BMD and a greater increase in hip BMD than PTH monotherapy in the first year ...

Insulin analogues and cancer risk: the emergence of second-generation studies

Diabetologia — Fri, 28 Oct 2011 06:04:15 +0100

Abstract A number of observational studies have linked insulin glargine (A21Gly,B31Arg,B32Arg human insulin) with a putative increased cancer risk, particularly breast cancer, but many of these ‘first generation’ studies had study design and analysis flaws, and were inconclusive. A small number of ‘second generation’ studies are now emerging in which the applied pharmaco-epidemiological principles are more robust. For example, when Ruitar and colleagues (Diabetologia DOI:10.1007/s00125-011-2312-4) focused specifically on breast cancer rather than all incident cancer risk, they were able to show a positive association with insulin glargine for breast cancer although there was no association with all incident cancer risk. A list of preferred qualities for pharmaco-epi...

Newcastle FT consultant made director of cancer network

HSJ — Thu, 27 Oct 2011 18:49:00 +0100

WORKFORCE: Tony Branson, consultant clinical oncologist at the Newcastle upon Tyne Hospitals NHS Foundation Trust, has been appointed as medical director of the North of England Cancer Network. (Source: HSJ)

Exclusive: trusts demand £350m to get through FT pipeline

HSJ — Thu, 27 Oct 2011 07:00:00 +0100

Hospital trusts have asked for over £300m in loans by April 2012 to remain within the foundation trust pipeline, HSJ can reveal. (Source: HSJ)