Showing posts from May 2013
The NHS in England has been told to push for a rapid rise in dementia diagnosis rates, so that by 2015, two out of three cases are identified.
Currently fewer than half of people with dementia have a diagnosis.
A senior adviser on public health says dementia cases could be halved if more were done on prevention.
He wants wide-scale mental agility testing to identify people at risk, but critics say that would cause unnecessary fear and anxiety.
The government says the overall dementia diagnosis rate in England - about 45% - is "shockingly low". The issue was raised as a priority a year ago in the prime minister's "challenge on dementia".
This set out a programme to improve care, promote public support and understanding of dementia, and encourage research.
Now, in a progress report, NHS England says diagnosis rates should rise by more than 20% over the next two years, so two out of three cases are detected.
This would bring overall diagnosis rates in England into line with those in Northern Ireland and Scotland.
Click here to read the full article.
Ministers are promising an end to the era of vulnerable people being passed around the health and care systems.
The pledge forms part of a shared commitment being set out by NHS and local government leaders to close the gap between the two systems by 2018.
A series of pioneer projects will be launched at the end of the summer.
These will explore new ways of pooling budgets, speeding up discharge from hospitals and streamlining assessments.
The commitment has been signed up to by the Department of Health, NHS England, the Local Government Association and the umbrella bodies for directors of child and adult social care.
To read the full article please click here.
Routes Healthcareare looking to recruit nurses in the Accrington area for a gentleman who is fully dependent for all his care needs, he has a tracheostomy, fed via jejunostomy, and is extremely complex.
You must have at least 6-12 months post registration experience, experience of working in clients homes, good communicator, clinical skills and experience in trachy care, PEG feeding, moving and handling training, clinical assessment and care plan updating, teaching, assessing and mentoring experience, car driver preferred.
If you possess clinical competence, kindness and compassion, strive when working under pressure, have a willingness to deliver care in a dignified setting and want to be assured of working with an organisation who’s ethos is “excellence in all we do” please apply now.
- Flexible working arrangements
- Competitive rates of pay
- Life long learning
- 24hour on call support,365 days a year
- Assistance with professional portfolio
- Support from expert consultants based in local offices
- Health and Social care experts
If this opportunity is for you please contact Lisa Livsey to arrange an interview on: 01706 751245 or email your CV: firstname.lastname@example.org
The issue of underweight school children is being missed because of an "obsession" with tackling obesity, a group of researchers has claimed.
An Essex University study, presented at the European Congress on Obesity and involving 10,000 children aged nine to 16, found one in 17 was too thin.
Researcher Dr Gavin Sandercock said weighing too little was more damaging to health than weighing too much.
He warned that society was focused almost exclusively on obesity.
The research team looked at nearly 10,000 children aged nine to 16 in the east of England.
The height, weight, age and gender of the pupils was used to work out how many were too thin.
"Where children are severely underweight, it's often due to an underlying illness for which they'll need specialist medical help”
They showed 6% of all children were underweight, but it was more common in girls (6.4%) than boys (5.5%).
There were also large differences between ethnic groups. Asian backgrounds had the highest prevalence of being underweight at 8.7%.
It can lead to a lack of energy, weakened immune systems and delayed periods.
The problem of underweight children "may be more prevalent than we thought in the UK", said the scientists.
They said the fear of becoming obese, rising food prices, poor diets and a lack of muscle from low levels of exercise may all be playing a role.
"The fact is the UK is obsessed with overweight and obesity - yet it is now accepted that underweight may pose a much greater risk to health."
Dr Sandercock said attention had "absolutely" swung too far towards tackling obesity and warned children who were underweight could be being "missed".
He called for better training for GPs to spot the problem and new ways of helping parents.
Research published earlier this year showed that doctors may be missing the problem. University College London academics interviewed paediatricians at 177 hospitals in England and Wales and found a lack of knowledge about the warning signs of children being underweight.
Dr Hilary Cass, the president of the Royal College of Paediatrics and Child Health, said: "Dietary related problems in children are not uncommon, and it's been well documented that childhood obesity is prevalent amongst the UK population.
"Of course we also have to take seriously the fact that there are some children who are under-nourished or struggle with eating disorders."
The Royal College has developed growth charts for children between two and 18 which helps doctors tell if a child has a problem.
Dr Cass said: "Where children are severely underweight, it's often due to an underlying illness for which they'll need specialist medical help.
"But for the majority of cases, if we can get our children eating, choosing and ultimately cooking nutritious food, then we have a much better chance of preventing all sorts of dietary related problems - whether that's being over or underweight."
Carers should be routinely screened for signs of depression by their GP to ensure their health needs are not neglected, doctors' leaders say.
The Royal College of General Practitioners (RCGP) estimates one in every 20 patients registered with a GP practice is providing unpaid care.
About 40% of carers are thought to be at risk of depression or stress because of their caring role.
Carers UK said GPs had a vital role to play in supporting carers.
It is estimated that seven million people in the UK currently provide unpaid care to a sick or disabled child or an adult who could not otherwise live independently.
Many of them are already known to GPs, but the RCGP says more should be done to improve the support and services offered to carers.
It says the "screening" process for depression should involve "a small number of general, non-invasive, questions about mood and mental wellbeing".
The RCGP has also drawn up a list for clinical commissioning groups - groups of GPs that plan local care - to ensure carers' needs are taken into account.
- Improve GP access by allocating routine appointments and vaccinations at convenient times for carers
- Appoint a carers' "champion" in all GP surgeries
- Maintain a carers' register within the GP practice
- Carry out audits to measure improvements in carer support
Dr Clare Gerada, chairwoman of the Royal College of GPs, said carers often found it hard to admit they were struggling.
"Carers often neglect their own healthcare needs and in many cases it is only a matter of time before they themselves become ill.
"GPs can play a crucial role in identifying potential problems in the early stages and 'screening' for depression is something that many GPs are doing already.
"Commissioners need to invest in supporting carers as a critical asset.
"They already save the public purse £119bn a year and this initiative could save even more by ensuring that carers stay well enough to keep on caring."
Fear and anxiety
Helena Herklots, chief executive of Carers UK, said caring full-time for a family member could leave people cut off from the outside world.
"This isolation, alongside the pressures, fears and anxieties of supporting an ill or disabled loved one can take a serious toll on carers' mental health," she said.
"NHS and social-care services, particularly GPs, are often the first port of call for families with caring responsibilities - they have a vital role to play in identifying carers and helping them access the support they need."
The government's care bill will help people find what support is available to them, a Department of Health spokesperson said.
"We know far too many carers can suffer depression, emotional and physical exhaustion - and it is important that they do not bear this responsibility alone.
"GPs have a critical role to play in identifying people with a caring responsibility and assessing their needs for support, including with depression."
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