Brunswicks’ Healthcare Review
Volume 9 Issue 1
08 January 2014
refreshingly modern, reassuringly traditional
© Brunswicks LLP 2014 http://www.brunswicks.eu
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Contents
Volume 9 Issue 1
08 January 2014
This week’s article—New Year’s Honours
Parliamentary Business
As has become a bit of a tradition with this publication, we begin the year and this new volume by offering our
congratulations to all those to whom Her Majesty has seen fit to bestow an Honour.
07.01.2014 – HoC – Adjournment Improving dementia care and
services in the UK - Alec Shelbrooke
We set out in place of the article all those from the care and healthcare sectors whom the Editor saw in the official
list. If anyone has been missed off, please let me know.
To go to the list now, click here
Abuse/Dignity—pages 4-5
08.01.2014 – Select Cttee - Home Affairs, Health and Education
(EU Sub-Committee F)
Subject: Future Justice and Home Affairs Programme (2015-2019)
Witness(es): (at 11.00am) evidence will be heard from Steve
Purser, Head of Core Operations at European Union Agency for
Network and Information Security
Miscellaneous—pages 35-42
Business news—pages 5-7
Care Quality Commission, CSIW & Scottish
Care Commission—pages 30-32
Care Homes—pages 7-8
Dementia—pages 32-33
Nursing—pages 53-54
Case reports—pages 8-13
Ireland, Scotland & Wales—pages 33-34
Older people—pages 54-55
Children—page 14
Learning Disabilities—page 34
Parliament—page 55
Conferences & Courses—pages 14-29
Legislation update—page 34
Social Care—page 55
Consultations—pages 29-30
Mental capacity—pages 34-35
Workforce—page 55
NHS—pages 42-52
Mental health—page 35
Editorial
Happy New Year.
I hope that you had a happy, relaxing and peaceful Christmas and
that 2014 has opened well for you and those you care for and care
about.
Over the holiday period it is interesting that the press releases
more-or-less ground to a halt; although that is what one might
predict, it is not always the case. I was watching carefully to see if
any bad/embarrassing news was sneaked out from anywhere – I
didn’t spot any.
Life for clients, however, continues to be challenging and
frustrating in equal measure.
For those readers who wanted to follow the most important news
items they followed us on Twitter – if you haven’t looked, make it
your New Year’s Resolurion!
Brunswicks is currently representing a client which is facing a
safeguarding investigation which has been underway since midDecember in which the very challenging local council and the
complaining CCG thinks it appropriate to keep to itself the matters
causing concern, and, insofar as it has revealed information, much
of it is generalised and non-specific.
However, CQC went in on an unannounced inspection and caught
my client’s staff doing everything correctly!
If you are facing safeguarding investigations and embargo’s on
placement, give us a call to see if we can help.
Meanwhile, we hope that you will have a great year, with full beds
and little hassle from inspectors and commissioners.
My New Years Wish?
That councils will see the folly of their
short-termism in pressing care fees as
low as possible and pay a fair fee for
the care they expect the sector to
provide.
There is a good draft inspection report!
© Brunswicks LLP 2014 http://www.brunswicks.eu
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Volume 9 Issue 1
08 January 2014
If you currently get this Brunswicks' Healthcare Review from
someone else and would prefer to get your own copy, sent directly
at no cost - please email us with a request. Our contact details are
on the last page of this issue. Thank you.
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Abuse/Dignity
1. Rochdale grooming: 'Shocking' failure
over sex abuse
20 December 2013 – BBC News
A June 2008 report identified 50 children in the town
at risk of sexual exploitation .
A "shocking" inability to protect six vulnerable young
girls from sexual exploitation has been found by a
report into the Rochdale grooming case.
A serious case review by the Rochdale Safeguarding
Children Board highlighted failures by 17 agencies
which were meant to protect them.
degree of exploitation even when child protection procedures started.
http://www.bbc.co.uk/news/uk-england-manchester-25450512
Ed. It is difficult to disagree with Simon Danczuk
MP who says stop the endless inquiries and start
to change – this is a message that needs to be
heeded by children’s’ services across the UK.
When things go dreadfully wrong the response
seems to simply be get a serious case review underway.
We don’t need them. We need social services
staff to get on with the important task of directing
and commissioning care, keeping a watchful and
questioning eye on families with difficulties.
Police and social workers failed the girls who were
"passed around for sex" by a gang of men, it said.
The review recommended "speedy resolution" to
leadership failures.
When things go wrong there should be inquires
into what went wrong and who was responsible
and those people need to exit the sector unless
there are circumstances meaning that they
should remain in post.
Rochdale MP Simon Danczuk (Labour) said the report had "vindicated" his concerns about the way
police dealt with the victims. But he said it was time
to stop "endless inquiries and get on with the important work of change".
2. Make sex abuse reporting compulsory,
says children's tsar
One father called Children's Social Care (CSC) up to
50 times reporting his daughter's "uncontrollable
drinking, running away and difficult behaviour".
Social workers told him she was "a child prostitute",
and he accepted this "because he did not know that
it was wrong", the review said.
A June 2008 report to Rochdale safeguarding children board identified 50 children at risk of sexual exploitation. Agencies "often failed to understand" the
© Brunswicks LLP 2014 http://www.brunswicks.eu
20 December 2013 – BBC News
England's Children's Commissioner wants the law to
be changed so teachers, social workers and doctors
have to report any suspicions of child abuse.
Maggie Atkinson says this would encourage professionals to focus more on children's needs and share
their concerns with others.
The Government says there is no evidence children
would be made safer.
http://www.bbc.co.uk/news/education-25463907
Volume 9 Issue 1
08 January 2014
3. Out of sight - Stop the neglect and abuse
of people with a learning disability in
institutions like Winterbourne View
20 December 2013 - Mencap
We have been campaigning over the last year two
and a half years to make sure the government takes
action to stop abuse happening and enable people to
return home from institutions like Winterbourne View.
One year ago, the government published its Winterbourne View final report with a strong action plan for
local areas to make this happen by June 2014.
Lack of progress
The Winterbourne View: One Year On report and the
Learning Disability Census 2013, have now been
published, showing what little progress has been
made. There are still far too many people in in-patient
units like Winterbourne View, settings where we know
people are at high risk of abuse.
What needs to happen
Both the government and local areas must take urgent action to ensure an acceleration of progress.
The families of the victims of Winterbourne View expressed their concern at the lack of progress in an
open letter to Norman Lamb.
Infographic: Winterbourne View - has anything
changed?
View our infographic, which shows what has happened since the abuse scandal at Winterbourne
View, including where the Winterbourne View 48 are
now, a timeline of key events and a map of how many
people from regional areas are currently in in-patient
units.
The Hospital That Stopped Caring
Watch a clip from BBC's Panorama programme, The
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Hospital That Stopped Caring, first broadcast in 2012
as a follow-up to the Panorama programme aired in
May 2011, which exposed horrific abuse at Winterbourne View. This short clip features the stories of
Simon and Simone who were at Winterbourne View
and what has happened to them since.
Key actions in the government's report
The report commits the government to a programme
of change, which will be led by a national team. The
programme aims to reduce the number of people
with a learning disability who are being sent away to
assessment and treatment units like Winterbourne
View.
Out of sight report
Out of sight is a campaign report by Mencap and the
Challenging Behaviour Foundation and tells the stories of James, Chrissy, Joe, Emmanuel and Victoria.
In the report, their families talk about the terrible neglect and abuse their loved ones have experienced
in institutions like Winterbourne View, often far away
from home.
Simone's story
Simone was one of many residents that suffered
abuse at Winterbourne View up until it was exposed
by Panorama. This is her story...
Simon's story
Simon was one of many residents that suffered
abuse at Winterbourne View up until it was exposed
by Panorama. This is his story...
James' story
Watch James’ story to find out why we need your
help to persuade the government to make changes
to the way they provide services for people with a
learning disability and behaviour that challenges.
© Brunswicks LLP 2014 http://www.brunswicks.eu
Rhys' story
Rhys is a young man with severe learning disabilities,
autism and behaviour that challenges. After living in a
residential placement out of area, he is now back living in his local community, in his own place with the
right support. His mum, Jackie, describes what life is
now like for him.
Case study: How Salford is making it happen
Supporting people with a learning disability and behaviour that challenges is everyone’s job – social
care and health professionals, commissioners, providers
Support and advice for families
If you are worried about the care of a loved one and
need support or advice, call Mencap Direct on 0808
808 1111 or the Challenging Behaviour Foundation
on 0845 602 7885.
4. Call to make sex abuse reporting
mandatory
20 December 2013 - The Times
The smiles that hid long reign of sex attacks
by Caldicott teachers
20 December 2013 - The Times
Front page item and further items inside the newspaper about the proposals to force teachers, social
workers, and doctors to report suspicions of child sex
abuse.
5. Protection agencies ‘let down child abuse
victims at every stage’
20 December 2013 - The Times
A study of sex abuse following the conviction of the
groomers and abusers in Rochdale last year has said
that the girls were let down at every stage by child
protection agencies that made “moral judgments”
about victims.
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6. My abuser’s caught but justice fails me
22 December 2013 - The Sunday Times
Tom Parry writes about his involvement in and prosecution and conviction of Peter Wright and Martin Carson former teachers at Caldicott a prep school in relation to sexual abuse carried out some 40 yrs ago.
Business News
7. AstraZeneca To Acquire Bristol-Myers
Squibb Share Of Global Diabetes Alliance Assets
19 December 2013 - AstraZenica
AstraZeneca today announced an agreement under
which AstraZeneca will acquire the entirety of BristolMyers Squibb's interests in the companies' diabetes
alliance for an initial consideration of $2.7 billion on
completion and up to $1.4 billion in regulatory, launch
and sales-related payments.
8. L&G adds care homes to portfolio
21 December 2013 - The Times
Legal & General is ploughing £89m into the new
Royal Liverpool University Hospital; the investment is
for 32 yrs and is part of the £335m total cost.
It has spent £70m buying 13 care homes from Prestbury Investments, the homes are leased by Methodist
Homes.
9. Hospital staff’s stake slashed
22 December 2013 - The Sunday Times
Item about the refinancing package of Circle – often
described as the ‘John Lewis’ of the care sector – in
which the staff currently hold about 50% of the shares
in the operating business, but the shares are not
readily traded and no dividends will be paid until ‘City’
shareholders have been repaid the sums borrowed
and which if it goes ahead will staff holding about
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25% in the AIM listed ‘parent’ company and which
will see their shares more readily tradeable.
10. CC set to keep pharmaceutical data
undertakings in place
23 December 2013 - Competition Commission
The Competition Commission (CC) has provisionally
decided against varying or removing undertakings
which restrict the way in which IMS Health Incorporated (IMS) sells its specialised pharmaceutical data
services.
Martin Cave, Chairman of the IMS Review Group,
said:
‘Whilst the publication of further NHS prescription
data may in time lead to the sort of competition that
could allow us to remove the undertakings, it hasn’t
had that effect yet. IMS still faces little direct competition so we provisionally think that the undertakings
need to be retained so that competitors have the
chance to emerge.’
The undertakings followed a 1999 report by the CC’s
predecessor, the Monopolies and Mergers Commission (MMC), into IMS’s acquisition of Pharmaceutical
Marketing Services Incorporated (PMSI).The MMC
ruled that the merger would operate against the public interest.
To address the adverse effects identified by the
MMC, IMS was required to sell Source Dispenser,
PMSI’s wholesale data business, which it did in October 2000. In addition, in order to aid entry to sectors for the supply of pharmaceutical wholesale data
and prescription data, IMS gave undertakings to license prescription data on reasonable terms to other
parties; to publish price lists and discounts for its
specialized pharmaceutical data services; not to bun© Brunswicks LLP 2014 http://www.brunswicks.eu
dle those services with other goods or services; and
not to enter into exclusive contracts with data providers. The remedy to license prescription data lapsed in
February 2005 but the other three remedies remain in
place.
To comment on the CC’s provisional decision (PDF,
317 Kb) , please email [email protected]
or write by 23.01.2014 to:
Brid McHugh
IMS/PMSI review of undertakings
Competition Commission
Victoria House
Southampton Row
LONDON
WC1B 4AD
11. GSK Completes Divestment Of
Thrombosis Brands And Related
Manufacturing Site To Aspen
31 December 2013 - GSK
GlaxoSmithKline ("GSK") has completed the previously announced divestment of its thrombosis
brands, ArixtraTM and FraxiparineTM to the Aspen
Group (Aspen) for £700 million, following regulatory
approval of the transaction. The majority of commercial operations transfered to Aspen on 01.01.2014
with the remainder, along with the Notre-Dame de
Bondeville manufacturing site, transferring in mid2014.
Ed. The Editor is a shareholder in GSK.
12. Monitor to protect essential services by
licensing independent providers RSS
06 January 2014—Monitor
Monitor will regulate independent providers of NHSfunded services for the first time through the expansion of its provider licence regime.
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08 January 2014
The health sector regulator, which already licenses
NHS foundation trusts, is now accepting applications
from the independent sector.
Independent providers deliver about £8.5bn of NHSfunded services, according to a recent estimate by
the Institute for Fiscal Studies and the Nuffield Trust.
The licence, which Monitor will use to protect essential services, is the starting point for its regulation of
independent providers.
Although the licence will not cover quality of care,
which continues to be regulated by the Care Quality
Commission, Monitor believes it can be used to make
sure that patients continue to receive the essential
services they need and that providers are paid a fair
price for those services.
Independent providers of NHS-funded services, including charities and hospices, need to check if they
need a licence and, if required, hold one from
01.04.2014. The licence requires the provider to be
led by fit and proper persons and registered with the
Care Quality Commission. From April 2014, independent providers needing a licence and registration
with the Care Quality Commission can get both
through a joint process.
Commissioners must decide which local services are
essential so that Monitor can help secure them for
patients if an independent provider gets into financial
difficulty.
Jason Dorsett, Director at Monitor, said:
“The Southern Cross scandal brought home to people
how much uncertainty about the financial future of the
organisation had a negative impact on patients and
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their families.
“Our overriding duty is to protect patients, so we are
not going to sit back and wait for financial failures at
providers to disrupt essential services, we will actively monitor providers of these services, looking for
financial problems and acting quickly to ensure those
services continue.”
As part of its licensing regime Monitor will require
independent organisations to submit financial information. As part of its preparations, the regulator has
launched a consultation on how it should assess financial risk at independent organisations that provide essential NHS-funded services.
Following this consultation, Monitor will publish an
update to its Risk Assessment Framework setting out
its approach to assessing the financial stability of
independent sector providers of essential services.
Ed. I bet Monitor would not have seen the Southern Cross business failure any more than CQC
did. It was the private sector which saw it coming and the public sector still did nothing about it
until the business ‘hit the buffers’.
13. Ian Smith explains reasons behind Four
Seasons’ restructure
January 2014 - Caring Times
Geoff Hodgson reports on his interview of Ian Smith
the interim Chief Executive who was the Chairman.
He takes over from Dr Pete Calverley who will take
up his post as chief exec of Barchester Healthcare in
the summer of 2014 as xxxx begins to ‘wind down’.
Smith has announced that in addition to Four Seasons Health Care operating the Huntercombe Group
it will split its care home business into two separate
brands – one, consisting of 80 care homes offering
care for private funders and the other 350 care
© Brunswicks LLP 2014 http://www.brunswicks.eu
homes specialising in dementia care. Smith also discusses the offering for NHS intermediate care which
is slow to be adopted by the NHS. He also speaks of
increasing dementia care and using the Four Seasons ‘PEARL’ programme – Positive, Enriching, And
Enhancing, Residents’, Lives – which is based on
158 criteria.
14. ‘Mouth-watering’ investment to set new
benchmark for nursing home
November 2013 - Healthcare Business
Item about the sale of Poplars Nursing Home, Smethwick and adjacent property by Tony Billingham and
Carole Jenkins of Carlton Care Limited to Dr and Mrs
Narhlya who plan major extensions to the premises.
Care Homes
15. Charity in threat to evict disabled man
when sister exposed overcharging
23 December 2013 - The Times
Item about a letter from the CEO of Royal Mencap
Society (RMS) terminating the contract to accommodate and care for Stuart McCulley, 46, who has a
mental age of 18 months and who has not misbehaved or otherwise brought about the termination
notice, rather, he is to be expelled because his sister
exposed financial abuse of Mr McCulley and other
residents at Dolphin Court. Staff were shown to have
spent his money on bingo, alcohol and unreciepted
food when on a four-day cruise on the QE2.
RMS originally offered each person £1,500 compensation. So far £62,000 has been repaid. The notice
has now been recanted.
Volume 9 Issue 1
08 January 2014
16. Care Staff ‘financially abused’ the
vulnerable
Staff at care home ‘too scared to tell of
financial deceit’
24 December 2013 - The Times
Front page item about the criticism by MPs of the goings-on at Dolphin Court operated by the Royal Mencap Society which paid five severely disabled residents £62,000 after staff apparently helped themselves to the residents’ savings. The financial abuse
came to light when Nicki Frampton, sister of one of
the residents, was charged more than £12,000. CQC
said that it “does not have the power to carry out retrospective investigations.” Stephen Dorrell MP and
chair of the Health Select Committee said “Just to
establish that there are processes isn’t enough. Either they have to satisfy themselves that the processes have been properly carried through or they
have to outsource it to an accountant.”
17. Care home in Callington told to improve
24 December 2013 – Plymouth Herald
A care home in Callington has been found to be failing in a number of areas following a visit from the
CQC.
The regulator issued a report on St.Theresa's Nursing
Home, run by Morleigh Limited, following an unannounced inspection at the end of November.
The health inspector has said action is needed in the
following two areas - respecting and involving people
who use services and supporting workers and has
has asked the home to file a report by Christmas Day
setting out the action they will take to meet the standards.
http://www.plymouthherald.co.uk/Care-home-Callington-toldimprove/story-20362101-detail/story.html#ixzz2oPvDEjIW
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18. Christmas tree 'stolen from care home'
24 December 2013 – BBC News
A woman entered a home for vulnerable adults on
16.12.2013 at about 19:15 GMT under the pretence
of visiting someone, according to Southwark Borough police and stole a Christmas tree.
Police have asked the public to come forward with
any information about the theft. She was caught on
CCTV and police are appealing for witnesses.
http://www.bbc.co.uk/news/uk-25510164
19. Mencap charity repays care home
residents after claims
24 December 2013 – BBC News
A learning disability charity has now given £60,000
back to 12 care home residents in Hampshire following claims of financial irregularities.
The allegations centred on the way staff at Mencap's
Dolphin Court made purchases on behalf of its dependents.
The sister of one of the residents has helped in
claiming back the money.
Mencap said two staff members were dismissed following the 2011 allegations, and it had since tightened up its financial procedures.
21. Exporting Grandma to care homes
abroad
05 January 2014 – BBC News
An article looking at sending elderly relatives to a
care home to a different country. It can be a tough
and emotional decision, but is booking a one-way
flight to a destination 8,000 miles away a step too
far?
http://www.bbc.co.uk/news/health-25438325
22. Care homes review will miss out on
valuable expertise
November 2013 - Healthcare Business
So says Mario Kreft OBE of the review of residential
care by the Older People’s Commissioner in Wales
which will not have a ‘provider expert’ on the official
advisory panel.
23. Do care homes need ‘experts by
experience’ to push up standards?
November 2013 - Healthcare Business
Giles Gillingham considers another aspect of Andrea
Sutcliffe/CQC’s proposals in relation to adult social
care, namely, to engage 600 members of the public
to be experts by experience – are they really necessary?
Volume 9 Issue 1
08 January 2014
off the HCPC Register following a conviction for voyeurism at Westminster Magistrates’ Court.
A panel of the HCPC Conduct and Competence
Committee heard that Joseph David Brown was arrested on 15.08.2012 at Wimbledon Station after he
had been seen using his mobile telephone to take
images up an unknown female’s skirt. Electrical
items were seized from his house as part of the police
investigation. Upon examination of the electronic
data, the police found further images of indecent “up
skirt” images of unknown females.
The Panel further heard that Joseph David Brown
was convicted on 25.03.2013 of voyeurism contrary
to section 67(3) and (5) of the Sexual Offences Act.
He was sentenced to a Community Order, an activity
requirement of 111 days, a supervision requirement,
and was made subject to a sex offender notification
requirement.
The Panel decided the most appropriate action was
to strike Joseph David Brown from the Register with
an Interim Suspension Order in place to cover the
appeal period.
Case Reports
Joseph David Brown was present and represented
himself at the hearing.
http://www.bbc.co.uk/news/uk-england-hampshire-25501748
Law Reports
20. Best of both worlds at an Abbeyfield
home
Nothing to report
25. Anthony Yeso - Physiotherapist struck off
for voyeurism conviction
27 December 2013 - The Times
As part of The Times Christmas Appeal it looks at
the operation and support provided at Abbeyfield’s
Grove House, Ilkley.
Disciplinary cases
24. Joseph David Brown - Social worker
struck off for voyeurism conviction
18 December 2013 - HCPC
Social worker Joseph David Brown has been struck
© Brunswicks LLP 2014 http://www.brunswicks.eu
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18 December 2013 - HCPC
Physiotherapist Anthony Yeso has been struck off the
HCPC Register for a voyeurism conviction and failing
to notify his employer, St Andrew’s Healthcare, and
the HCPC about the conviction.
A panel of the HCPC Conduct and Competence
Committee heard that Anthony Yeso was convicted
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on 28 September 2012 of voyeurism contrary to section 67(1) and (5) of the Sexual Offences Act 2003 at
Birmingham Magistrates' Court. He was sentenced to
a Community Order requiring him to participate in a
community sex offender programme for three years.
The Panel further heard that Anthony Yeso did not
tell his employer about his conviction for almost one
month, despite being required to do so by his contract and legal advice that confirmed this obligation.
He also failed to inform the HCPC of his conviction,
as required by the standards for conduct, performance and ethics, for almost three months.
The Panel decided the most appropriate action was
to strike Anthony Yeso from the Register with an Interim Suspension Order in place to cover the appeal
period.
Anthony Yeso was present at the hearing.
26. Caroline Rodgers - Social worker struck
off for dishonesty
The Panel further heard that later, in Caroline Rodgers’ assessment report, she ticked the box that
stated that she had seen Child A and made entries
suggesting that she had spoken to him and observed
him and his interactions with his parents. As a result
of her initial assessment of Child A, his case was
closed.
The Panel decided the most appropriate action was
to strike Caroline Rodgers from the Register with an
Interim Suspension Order in place to cover the appeal period.
Caroline Rodgers was not present or represented at
the hearing.
27. Anthony J Donoghue - Physiotherapist
struck off for child pornography convictions
19 December 2013 - HCPC
Physiotherapist Anthony J Donoghue has been struck
off the HCPC Register for child pornography convictions at Maidstone Crown Court.
18 December 2013 - HCPC
Social worker Caroline Rodgers has been struck off
the HCPC Register for completing paperwork to
show she had spoken to a child during an assessment when she had not. She was working in the Referral and Assessment Team in the Children’s Services Team at Harrow Council,
A panel of the HCPC Conduct and Competence
Committee heard that Anthony J Donoghue pleaded
guilty on 6 March 2013 to two counts of possessing
indecent photographs of a child, two counts of making indecent photographs of a child, one count of distributing indecent photographs of a child, and one
count of possessing an extreme pornographic image.
A panel of the HCPC Conduct and Competence
Committee heard that Caroline Rodgers received a
referral for Child A, who was experiencing a number
of difficulties at home and school, and was directed
to speak with him as part of her assessment. However, when Caroline Rodgers visited Child A’s home
with her colleague, he was at school.
The Panel further heard that Anthony J Donoghue
was sentenced to eight months’ imprisonment, made
subject to a Sexual Offences Prevention Order for a
period of ten years, with notification requirements for
the same period, and was disqualified from working
with children.
Volume 9 Issue 1
08 January 2014
to strike Anthony J Donoghue from the Register with
an Interim Suspension Order in place to cover the
appeal period.
Anthony J Donoghue was not present or represented
at the hearing.
28. Alison Reynolds - Operating department
practitioner suspended for stealing drugs
20 December 2013 - HCPC
Operating department practitioner Alison Reynolds
has been suspended from the HCPC Register for
stealing the drug propofol from her employer, Spire
South Bank Hospital.
A panel of the HCPC Conduct and Competence
Committee heard that Alison Reynolds stole eight
ampoules of propofol, an anaesthetic drug, from the
operating theatre anaesthetic room after a phased
return to work following an injury. She pleaded guilty
at South Worcestershire Magistrates' Court to theft of
one ampoule and received a conditional discharge for
twelve months.
The Panel further heard that Alison Reynolds felt immense stress about the possibility of returning to work
on her own, even though she had been progressing
well under supervision. She did not seek help for this
stress from the professionals who were assisting her
with her recovery.
The Panel decided the most appropriate action was
to suspend Alison Reynolds from the Register for a
period of twelve months with an Interim Suspension
Order in place to cover the appeal period.
Alison Reynolds was present and represented by
counsel at the hearing.
The Panel decided the most appropriate action was
© Brunswicks LLP 2014 http://www.brunswicks.eu
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29. Sharon O’Toole - Social worker
suspended for misconduct
20 December 2013 - HCPC
Social worker Sharon O’Toole has been suspended
from the HCPC Register for misconduct after consistently poor practice whilst working for Wigan Council.
A panel of the HCPC Conduct and Competence
Committee heard that Sharon O’Toole failed to conduct statutory visits, appropriately complete annual
reviews and keep the necessary records in relation
to ten foster carers. On one occasion, she made a
positive recommendation for E and F to become foster carers after only one visit, when she should have
visited at least four times. She also led her manager
to believe she was progressing with her caseload,
when this was not always the case.
The Panel further heard from Sharon O’Toole, who
conceded her practice at the time was poor and that
she was working in a “bubble”.
The Panel decided the most appropriate action was
to suspend Sharon O’Toole from the Register for a
period of twelve months with an Interim Suspension
Order in place to cover the appeal period.
Sharon O’Toole was present and represented herself
via telephone link at the hearing.
30. Jacqueline Rose O’Boyle - Social worker
struck off for racist comment to colleague
20 December 2013 - HCPC
Social worker Jacqueline Rose O’Boyle has been
struck off the HCPC Register for making a racist
comment to a colleague whilst working for Durham
County Council.
A panel of the HCPC Conduct and Competence
© Brunswicks LLP 2014 http://www.brunswicks.eu
Committee heard that Jacqueline Rose O’Boyle approached Colleague A, who was originally from Zimbabwe, as she ate a banana, and commented that
she was “eating a banana like a monkey” or words to
that effect. The incident had a substantial effect on
Colleague A’s emotional wellbeing and on her performance at work, and she sought counselling as a
result of the incident.
The Panel further heard that Jacqueline Rose
O’Boyle maintained that the comment was merely
light-hearted and was not intended to be racist.
The Panel decided the most appropriate action was
to strike Jacqueline Rose O’Boyle from the Register
with an Interim Suspension Order in place to cover
the appeal period.
Jacqueline Rose O’Boyle was not present or represented at the hearing.
31. Trust suspends top surgeon who
‘engraved liver’
26 December 2013 - The Times
Social worker struck off for making a racist
comment to her Zimbabwean colleague
24 December 2013 – Community Care
An experienced children’s social worker who made a
racist comment to her colleague has been struck off
the register in England.
Jacqueline Rose O’Boyle was working for Durham
council in October 2011 when she approached her
colleague, who was originally from Zimbabwe, and
said she was “eating a banana like a monkey” or
words to that effect.
Volume 9 Issue 1
08 January 2014
A panel of the Health and Care Professions (HCPC)
council’s conduct and competence committee heard
that the incident had a “substantial effect” on her colleague’s emotional wellbeing and on her performance
at work. The woman sought counselling as a result of
the incident.
O’Boyle, who had, until then, had an unblemished
record in social work, admitted making the comment,
but maintained it was light-hearted and not intended
to be racist.
The panel did not accept that O’Boyle was joking. It
found the comment was “objectionable and made
with reference to [O’Boyle’s colleague’s] racial background” – and was therefore racist.
The panel added that O’Boyle’s behaviour was “all
the more serious” because she was an experienced
social worker who had undergone diversity training.
It decided the most appropriate action was to strike
O’Boyle from the register. O’Boyle was not present or
represented at the hearing.
http://www.communitycare.co.uk/2013/12/24/social-workerstruck-making-racist-comment-zimbabwean-colleague/
32. Top surgeon ‘branded his initials on to
patient’s liver’
26 December 2013 - Daily Mail
It is reported that surgeon Simon Bramhall, 49, was
suspended by University Hospitals Birmingham NHS
Foundation Trust after another surgeon apparently
found a patient with a transplanted liver bearing the
initials of the surgeon now suspended. It is thought
that the initials were made using a “beam of argon”.
O’Boyle was suspended with immediate effect and
resigned in March 2012.
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33. Bodmin Hospital nurse Gideon Bryant
struck off
03 January 2014 – BBC News
A 48-year-old psychiatric staff nurse who had a relationship with a teenager was struck off the nursing
register.
Gideon Bryant met the 19-year-old when she was
under his care at Bodmin Hospital in Cornwall in
January 2011.
A Nursing and Midwifery Council (NMC) hearing in
December found him guilty of misconduct.
The NMC said striking off was the only sufficient order to maintain public confidence in the profession.
The hearing in London heard that the vulnerable
teenager - known as Client A - was admitted to the
hospital's psychiatric unit after being sectioned under
the Mental Health Act and became "fixated" on the
father of two.
Mr Bryant said his "loving and sexual relationship"
with the teenager only began after she was discharged.
http://www.bbc.co.uk/news/uk-england-cornwall-25596856
Cases in the news
34. Common law solution to ‘right to die’
impasse, Supreme Court told
17 December 2013 - Law Society Gazette
The DPP could ‘disapply' statutory law to ensure that
third parties are not open to criminal charges if they
help certain people in assisted suicide cases, the
Supreme Court heard in the final stage of the Nicklinson and Lamb case.
© Brunswicks LLP 2014 http://www.brunswicks.eu
The Court of Appeal dismissed the challenge in July
2013, on grounds that the law can be changed only
by Parliament, not by judges, following the High Court
ruling against Nicklinson’s assisted suicide plea on
16.08.2012. Nicklinson, who suffered from locked-in
syndrome, refused nutrition and medical treatment
and died of pneumonia on 22 .08.2012.
Representing the appellants, Paul Bowen QC of
Doughty Street Chambers said that in the absence of
statutory regulation, the common law defence of necessity, which states that an action that is harmful but
praiseworthy is justified, would be one solution.
He said: “The DPP could provide a policy where
cases of this kind are exempted.” This would amend
the policy to effectively ‘disapply’ the law and provide
a remedy to make it compatible with Article 8.
The current policy issued by the DPP states that a
person commits an offence under section 2 of the
Suicide Act if he or she commits an act capable of
encouraging or assisting the suicide or attempted
suicide of another person.
London firm Bindmans partner Saimo Chahal, who
acted for the appellants, said: ‘The appeal to the Supreme Court marks what Jane and Paul hope is the
final stage of their long journey to obtain a legal remedy to escape the extraordinary and cruel consequences for them, and Tony before Paul.’
She said other countries have managed to devise
laws which 'provide protection to the vulnerable and
also relief to people in Paul’s situation’.
The hearing will close today, with a decision expected
early next year.
Page 11
Volume 9 Issue 1
08 January 2014
35. London Borough of Ealing (12 012 697)
17 December 2013 - Local Government Ombudsman
Residential care
Fault found causing injustice and recommendations made
The lady complained on behalf of her aunt about a
care home placement arranged and funded by the
Council. She says:
 no-one told her that her aunt's placement was per


manent from September 2011 until January 2012.
She thought the placement was temporary;
the Council did not move her aunt to her chosen
care home for nine months;
her aunt was neglected at the care home; and
the finance team delayed in telling her about and
invoicing for the aunt's contribution to her care.
The Ombudsman found maladministration causing
injustice.
Recommended remedy
To remedy the injustice caused, the Council has
agreed to:
 apologise to both parties;
 pay the lady £500 for her distress and time and

trouble in bringing the complaint; and
pay the aunt £2,350 (50% of the charge) for her
distress in receiving poor care.
The Ombudsman also recommends that the Council
reviews its contracting arrangements and satisfies
itself that those arrangements minimise the risk of
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Volume 9 Issue 1
08 January 2014
these types of failings happening to others it places
in residential care.
38. Care home owner and boss jailed for
neglect
40. Elm View nursing home bosses jailed for
neglect
36. Hospital trust ‘betrayed’ breast cancer
patients
NHS chiefs ‘ignored warnings’ on work of
rogue breast surgeon
24 December 2013 - Daily Mail
The owner of Elm View care home, Halifax, Phillip
Bentley, 65, was jailed for offences of neglect of residents after he put cost-cutting above care. The care
home manager, Faheza Simpson, 49, was also jailed
for neglect. There was poor pressure ulcer management and a lack of care – the home was understaffed. They were each jailed for 12 months.
24 December 2013 – BBC News
A former nursing home owner and its manager were
jailed for 12 months for neglecting elderly people.
Ed. Without excusing in any way what took place
in the care home, I just wonder how many residents were council placements and I just wonder
what the council paid for care...
The court heard that some residents developed pressure sores due to bad care.
20 December 2013 - The Times
NHS surgeon could have botched 4,500
breast cancer ops
20 December 2013 - Daily Mail
Items about Ian Paterson who conducted so-called
‘cleavage-sparing’ mastectomies and may have persuaded 450 healthy women to have operations.
There is a police investigation and there is a 166
page report from Sir Ian Kennedy into why Paterson
was not stopped sooner than he was. It is said that
there was a culture of bullying and secrecy in the
team.
37. Lord Justice Munby probes ‘court
secrecy’
21 December 2013 - The Telegraph
The case of Alessandra Pacchieri prompted Sir
James Munby, President of the family courts to hand
down a judgement in relation to the case of the Italian woman who’s child was taken into care after having been delivered by a court sanctioned caesarean
section. He is described as going further in “his crusade to meet the growing criticism of our dysfunctional ‘child protection’ system by exposing it to ‘the
glare of publicity’”.
39. Surgeon suspended from Birmingham
hospital over allegedly "branding" his name
on a patient's liver
24 December 2013 – BBC News
A surgeon was suspended over allegations that he
“branded” his initials onto a patient’s liver.
University Hospitals Birmingham NHS Foundation
Trust confirmed that they were investigating the
claims made against a surgeon at the Queen Elizabeth Hospital in Birmingham.
The surgeon is now suspended whilst an internal investigation is under way.
My abuser’s caught but justice fails me
http://www.independent.co.uk/news/uk/home-news/surgeonsuspended-from-birmingham-hospital-over-allegedly-branding
-his-name-on-a-patients-liver-9024393.html
© Brunswicks LLP 2014 http://www.brunswicks.eu
The charges against Bentley related to the care of
three women. Simpson was convicted with respect to
the same three women and a man.
The jury heard how the home suffered from chronic
understaffing and even the most basic care procedures were often neglected. Police were called to the
home in 2011.
http://www.bbc.co.uk/news/uk-england-leeds-25505370
The letters were apparently found by a colleague who
was performing a routine operation on the unnamed
patient.
http://www.telegraph.co.uk/women/womens-life/10530850/
Lord-Justice-Munby-probes-court-secrecy.html
22 December 2013 - The Sunday Times
See item 6 in ‘Abuse’.
Philip Bentley owned the Elm View home in Halifax,
West Yorkshire, and was sentenced at Bradford
Crown Court on 22.12.2013 along with nurse Faheza
Simpson.
Page 12
41. Haven Whitechapel apologises over
'inexcusable failings'
27 December 2013 – BBC News
An NHS Trust has apologised for its "inexcusable failings" at a sexual assault referral centre in London
after complaints that samples were not sent to forensic laboratories for DNA tests.
Two staff members were dismissed from the Haven in
Whitechapel and the centre is under new management.
NHS England said results from some samples had
also not been passed on and that 93 clients were affected.
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Barts Health NHS Trust said swift action was taken
to retest samples.
http://www.bbc.co.uk/news/health-25524166
42. John Leigh and Deborah Harrison
accused of £1m NHS fraud
31 December 2013 – BBC News
A man and woman suspected of stealing £1m from
the National Health Service appeared before magistrates accused of fraud.
Volume 9 Issue 1
08 January 2014
44. Dorothy Spicer death: Orders of St John
Care Trust fined
46. Gran furious with hospital because they
won't amputate her LEG
02 January 2014 – BBC News
A care home trust was fined £140,000 over the death
of a woman left outside in freezing conditions for several hours.
04 January 2014 – Mirror
A gran is currently battling with her hospital trust because they won't amputate her leg.
Dorothy Spicer, 84, was found lying face down outside Whitefriars care home in Stamford, Lincolnshire,
and died of pneumonia two months later.
Elaine Denton, 52 began suffering with crippling arthritis five years ago and has already had three knee
replacements on her left leg. She has also had three
operations cancelled by North Manchester General.
John Leigh and Deborah Harrison, were remanded
in custody to appear at Manchester Crown Court on
14 January by the city's magistrates.
The Orders of St John Care Trust pleaded guilty at
Lincoln Crown Court to failing in its duty to her.
Fed up of the pain and disappointment from failed
operations, she wants her leg amputated.
The pair face eight charges each.
The trust said it had improved training and procedures since her death in 2010.
http://www.bbc.co.uk/news/uk-england-manchester-25563392
43. Sheffield care home deputy manager
admits £15,000 fraud
02 January 2014 – BBC News
A deputy care home manager could be handed a
prison sentence after she admitted defrauding 25
residents out of almost £15,000.
Denise Nichols admitted taking £14,646.84 from residents at the Wensley Street Care Home in Sheffield.
The 55-year-old pleaded guilty to one count of fraud
by abuse of position between 2008 and 2013.
http://www.bbc.co.uk/news/uk-england-lincolnshire-25580885
45. Six hospital porters suspended after
claims they were drinking during their shifts
on New Year's Day
03 January 2014 – Daily Record
NHS Lothian has started a full investigation following
allegations concerning workers at the Western General Hospital in Edinburgh.
Six porters were suspended from their jobs following
allegations they were drinking while on duty.
She was bailed ahead of sentencing at Sheffield
Crown Court on 12.02.2014.
NHS Lothian is investigating allegations that the staff
consumed alcohol during their shifts at the Western
General in Edinburgh on New Year's Day.
The fraud was uncovered after an audit in September and it is understood the money has been repaid.
The porters' roles do not involve any contact with patients.
http://www.bbc.co.uk/news/uk-england-south-yorkshire25577387
© Brunswicks LLP 2014 http://www.brunswicks.eu
http://www.mirror.co.uk/news/uk-news/gran-furious-hospitalbecause-wont-2986308#ixzz2pYo0ktHw
47. Whistleblower claims Dudley Group
Hospitals patients 'restrained against their
will'
05 January 2014 – Birmingham Mail
Health watchdogs are investigating claims elderly
patients and a child at a Black Country hospital trust
were locked up or restrained against their will.
The whistleblower said security guards became so
concerned about the alleged practice that on one occasion they refused to restrain a child, warning management it was illegal.
The CQC is now investigating after the Department of
Health was made aware of the allegations.
http://www.birminghammail.co.uk/news/whistleblower-claimsdudley-group-hospitals-6469454
http://www.dailyrecord.co.uk/news/local-news/six-hospitalporters-suspended-after-2983816
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Children
48. Atkinson: Child sex abuse reporting
should be mandatory
20 December 2013 - The Times
The Children's Commissioner will say today that
teachers, social workers and doctors should be
forced to report suspicions of child sex abuse.
Maggie Atkinson said that she had listened to arguments for and against mandatory reporting and the
evidence was inconclusive. However, this was not an
excuse for doing nothing. "We strongly believe pilots
should be carried out to provide this evidence and
children's views must also be considered before a
firm decision is made, because we think that there
must be sound justification for not proceeding with a
requirement on professionals to report abuse," she
said.
Rochdale grooming: 'Shocking' failure over
sex abuse
20 December 2013 - bbc.co.uk/news
See item 1 above under ‘Abuse’.
My abuser’s caught but justice fails me
22 December 2013 - The Sunday Times
See item 6 above in ‘Abuse’.
49. Parents to adopt online
24 December 2013 - The Times
From 24.12.2013 people were able to check online
which councils are best able to help them find a child
instead of being limited to their own local authority.
Soon, families approved for adoption will be able to
browse profiles of thousands of children awaiting
new homes.
© Brunswicks LLP 2014 http://www.brunswicks.eu
50. Consultation outcome: Changes to the
Children's Homes Regulations 2001 (as
amended) and the Care Standards Act 2000
(Registration) (England) Regulations 2010
03 January 2014 – Gov.uk
The Government response to this closed consultation
on proposed changes to the regulations regarding
children's homes and care standards has been
added.
https://www.gov.uk/government/consultations/changes-to-thechildrens-homes-regulations-2001-as-amended-and-the-carestandards-act-2000-registration-england-regulations-2010
51. Consultation outcome: Improving
safeguarding for looked-after children:
changes to the Care Planning, Placement
and Case Review (England) Regulations 2010
03 January 2014 – Gov.uk
The government response to its consultation on improving safeguarding for looked-after children has
now been added.
https://www.gov.uk/government/consultations/improvingsafeguarding-for-looked-after-children-changes-to-the-careplanning-placement-and-case-review-england-regulations2010
52. Councils told to stop housing vulnerable
children miles away from home
03 January 2014 – Gov.uk
Children and Families Minister Edward Timpson announced new residential care rules.
https://www.gov.uk/government/news/councils-told-to-stophousing-vulnerable-children-miles-away-from-home
53. Children in care to be kept near home
towns
03 January 2014 - The Times
From the end of this month new children’s homes will
be prevented from opening in areas where there are
bail hostels, red light districts, or a high number of
sex offenders. Homes already operating in such arPage 14
Volume 9 Issue 1
08 January 2014
eas will have to comply with tougher Ofsted inspections or face closure.
Conferences & Events
54. Dementia Friends Champion training
courses
Show your support for the 670,000 people across
England living with dementia in 2014 - volunteer as a
Dementia Friends Champion. Dementia Friends
Champions are trained volunteers who encourage
others to learn a little bit about dementia, and inspire
them to help people with dementia live well. Our next
Dementia Friends’ Champions training courses are
being held:
11 January - Hove
11 January - Exeter
14 January - Guildford
14 January - Worcester
14 January - Carlisle
14 January - Darlington
14 January - Southampton
55. Moving Up – BAME
Dates:



25 February
17 March
27 March – Review Day
This programme is for BAME (Black, Asian and Minority Ethnic) Leaders who already have experience
managing services, typically service manager, registered manager, head of service level (or equivalent in
the independent sector) or operations manager who
have the ambition and potential to progress to the
most senior positions in social care.
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This programme will:
 Develop your leadership potential as a social care



professional
Extend your capabilities to lead in a complex and
changing environment
Increase your confidence and leadership knowledge
Develop and utilise networks of both formal and
informal support
It’s designed to be thought provoking and is tailored
to your needs.
The programme is for:
Employees who:
 Already have experience of managing or leading


a serviceService Managers in small and medium
sized organisations
Are experienced Operational or Registered Managers
Would like to play a larger part in the delivery of
high-quality care
Employers who want to:
 Improve outcomes for diverse communities
 Ensure their leaders can cope with the changes in
care delivery
 Have access to a leadership programme to sup-
Learners attend a two day residential at Warwick University in Coventry at the beginning of the programme
and a ½ day review at the end of the programme,
which will take place in London. In-between you will
be required to attend four learning days. In addition
learners receive one to one coaching.
You shape your own structured learning journey. With
your commitment, we will encourage you to:
 Develop your own authentic leadership style, ex





plore its effectiveness in a complex, changing environment
Improve your ability to develop high-performance
relationships, teams and partnerships
Meet the challenges of leadership, reform and
transformation within social care
Track the impact of the programme during and
after the modules
Increase productivity and effectiveness
Show a commitment to effective leadership and
personal development
Build a network to support you in your career
This programme also includes two coaching sessions, a professional mentor and a project.
To find out more about the programme or to express an
interest, please contact [email protected]
https://www.nsasocialcare.co.uk/programmes/moving-upbame?
utm_medium=email&utm_source=NSA+Social+Care&utm_ca
mpaign=3152218_Moving+Up+%e2%80%
93+BAME&dm_i=78P,1VK9M,31374K,6Q6HL,1
port their own talent management arrangements
 Delivery of a significant project
How you benefit:
© Brunswicks LLP 2014 http://www.brunswicks.eu
Volume 9 Issue 1
08 January 2014
56. Westminster Health Forum Keynote
Seminar
The developing role of NICE and the
implementation of value-based pricing
16 January 2014 – Central London
with
Professor David Haslam, Chair, NICE; Paul Catchpole, Value and Access Director, ABPI; Professor
Gillian Leng, Deputy Chief Executive and Director of
Health and Social Care, NICE and Sally Chisholm,
Programme Director, Health Technologies Adoption
Programme, NICE
and
Peter Hay, Birmingham City Council; Eric Low, Myeloma UK; Julia Manning, 2020Health and Dr Fiona
Sim, Royal Society for Public Health
This event is CPD certified
Website | Book Online | Live Agenda
This seminar will provide a timely opportunity to consider the implementation of value-based pricing from
January, and the challenges and opportunities facing
NICE across health, public health and social care.
Topics for discussion include:
 How successfully NICE has adapted to its



Page 15
changed role in the reformed NHS;
Commissioning standards, the Quality Outcomes
Framework and the Clinical Commissioning Group
Outcomes Indicators Set;
Innovation and the impact of the NHS Technology
Adoption Centre (NTAC) being incorporated into
the Institute;
Ways in which NICE Technology Appraisals
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


should continue to encourage the uptake of innovative health technologies;
Integration and the role of NICE in social care and
public health;
Value-based pricing: implementation, development, the role of industry and the future of pricing;
and
Next steps for NICE, including priorities for the
year ahead and beyond.
The draft agenda is regularly updated version and
available to view online here.
Speakers
There will be keynote addresses from: Professor
David Haslam, Chair, NICE; Paul Catchpole, Value
and Access Director, ABPI; Sally Chisholm, Programme Director, Health Technologies Adoption Programme, NICE and Professor Gillian Leng, Deputy
Chief Executive and Director of Health and Social
Care, NICE.
Further confirmed speakers include: Peter Hay, Strategic Director, Adults and Communities, Birmingham
City Council; Eric Low, Chief Executive, Myeloma
UK; Julia Manning, Chief Executive, 2020Health and
Dr Fiona Sim, Chair, Royal Society for Public Health.
Booking arrangements
To book places, please use our online booking form.
57. Westminster Health Forum Keynote
Seminar
Personal Budgets in health and care –
integration, personalisation and towards
implementation
23 January 2013 – Central London
with
Dr Alison Austin, Lead, Personalisation and Control,
NHS England; Dr Angela Coulter, Visiting Fellow, The
King’s Fund and Dr Johnny Marshall, Director of Policy, NHS Confederation
and
Sharon Allen, Skills for Care; Professor Peter Beresford, Brunel University; Kiran Bhogal, Weightmans;
Dame Philippa Russell, Standing Commission on
Carers; and Julie Stansfield, In Control
08 January 2014
commissioning and delivery of services.
The agenda includes keynote addresses from Dr Alison Austin, Lead, Personalisation and Control, NHS
England; Dr Angela Coulter, Visiting Fellow, The
King’s Fund and Dr Johnny Marshall, Director of Policy, NHS Confederation.
Areas for discussion include:
 Progress on implementation and addressing chal


Seminar supported by The ExtraCare Charitable
Trust
This event is CPD certified

Website | Book Online | Live Agenda

Following the publication of the Care Bill - which sets
out a new legal right for everyone with a care and
support plan to have a personal budget - this timely
seminar will provide a timely opportunity to discuss
key issues surrounding implementation of the national programme.

Delegates will discuss the impact that patient personalisation will have on commissioning services and
patient health outcomes. Further sessions will focus
on the move towards integrated health and social
care, how budgets are fitting into the wider personalisation agenda, and the role of Clinical Commissioning Groups, local authorities and NHS England in
© Brunswicks LLP 2014 http://www.brunswicks.eu
Volume 9 Issue 1
Page 16

lenges;
The role of the GP in delivering personal budgets;
Legal implications and considerations for users of
personal budgets;
Financial planning, and the impact it has on Clinical Commissioning Groups, local authorities and
NHS England in the commissioning and delivery of
services;
Standards and regulation of personal budgets in
health and social care;
Personalised care and the regional provision of
services;
Service integration and the impact upon patient
outcomes; and
Next steps for policy - April 2014 and beyond.
The agenda has been structured following consultation with officials at NHS England. The draft agenda
is regularly and available to view online here. The
seminar is supported by The ExtraCare Charitable
Trust, and organised on the basis of strict impartiality
by the Westminster Health Forum.
Speakers
There will be keynote addresses from: Dr Alison Austin, Lead, Personalisation and Control, NHS England;
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Dr Angela Coulter, Visiting Fellow, The King’s Fund
and Dr Johnny Marshall, Director of Policy, NHS
Confederation.
Further confirmed speakers include: Sharon Allen,
Chief Executive Officer, Skills for Care; Professor
Peter Beresford, Professor of Social Policy and Director of Centre for Citizenship Participation, Brunel
University; Kiran Bhogal, Partner, Weightmans;
Dame Philippa Russell, Chair, Standing Commission
on Carers; and Julie Stansfield, Chief Executive Officer, In Control.
Booking arrangements
To book places, please use our online booking form.
58. The NHS Estate Summit
Investing to deliver tomorrow’s needs
A One-Day Conference
23 January 2014 – Central London
Organised by City & Financial with the support of
Community Health Partnerships
The Health and Social Care Act, which came into
force in April this year, has completely transformed
the way in which the NHS Estate is managed and
how it will be developed in the future. At the time the
Act was passed, it was unclear precisely how the
NHS Estate fitted into the overall reform of the NHS
and how the main players – some of them completely new - would work together to develop the estate. Only during recent months has the picture
started to become clearer.
Against this background, C&F’s “NHS Estate Summit: Investing to deliver tomorrow’s needs”, which is
being held on 23rd January in central London, is extremely timely. The objective of the conference is to
discuss the future of the primary care estate in the
post-reform world. Specifically, it will seek to ad© Brunswicks LLP 2014 http://www.brunswicks.eu
dress:





Volume 9 Issue 1
08 January 2014
also be found at www.cityandfinancial.com/nhs1.
BOOKING YOUR PLACE
The Government's vision for the estate
(particularly in relation to the integration of health
and social care)
The roles of the main players – the CCGs, CHP,
NHS England and NHS Property Services - and
how they will coordinate
Views of how the estate may develop
The various funding and delivery models that are
available
How projects will be approved.
We are delighted to have an excellent faculty of
speakers, including Simon Holden, Chief Executive of
NHS Property Services, Dr Sue O’Connell, Chief Executive of Community Health Partnerships and Dr
Michael Dixon, Interim President, NHS Clinical Commissioners.
Since the quality of the NHS Estate plays a significant
role in the level of care provided to patients and, consequently to clinical outcomes, it is vitally important
that the new arrangements for the development of the
estate work well and are properly understood by all
those who are involved. This is particularly true in
light of the £20 billion in efficiency savings that the
NHS must make by 2015. A key objective of the conference will therefore be to provide insights into how
delegates can achieve efficiency savings from the
estate as well as generate new revenue streams.
The conference programme is designed to meet the
needs of NHS staff and CCGs, as well as potential
private sector partners such as LIFT companies, construction companies, facility managers, investors,
lenders and specialist advisers.
You can book your place in one of three ways:
Reply to this email confirming that your contact details
below are correct.
Complete the registration form found below and email
or fax back to us.
Book online at www.cityandfinancial.com/NHS1
59. Information Governance and Information
Sharing in health: Implementing the findings
of Caldicott 2
05 December 2013 - ICO
The Government published ‘Information: to share or
not to share’ in response to the Caldicott Review on
12.09.2013. The response accepted the review’s
recommendations for data sharing across the health
service in full, but mentioned that “while information
sharing is essential to provide good care for everyone, there are rules that must be followed.”
An event being held in London on the 29.01.2014 and
chaired by Christopher Fincken, Chair of The UK
Council of Caldicott Guardians will discuss how the
recommendations are being implemented and what
they mean for organisations working in the health
sector.
Details of how you can book your place can be found
on the event’s website, or you can email Gemma
Belford-Bawden on the event team at [email protected]. A 20% discount is available to ICO enewsletter subscribers quoting ref: HCUK20ICOIG
when booking.
The conference programme is listed below and can
Page 17
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60. Relaunch of online undergraduate course
Course starts on 31 January 2014
DSDC has announced the re-launch of its online,
undergraduate course ‘Improving dementia care.’
The 15 week distance learning course is for health
and social care practitioners looking to improve their
knowledge and practice in the field of dementia care.
The course aims are: to improve knowledge of current approaches to care and support for people with
dementia and those who care for them; and to develop better understanding of how to promote
change in dementia care, improving outcomes for
people with dementia.
In joining its distance learning courses in dementia
studies, students become part of an international,
multi-disciplinary community of students and academics, committed to creating change and improving
dementia practice and the experience of living with
dementia.
For more information contact Lesley Guthrie on [email protected] or 01786 467746
For an application form visit:
www.dementia.stir.ac.uk/education/advanced-study/
undergraduate
Cost £640
61. Moving Up – the programme that aims to
use the talents of the whole social care
workforce
Black, Asian and Minority Ethnic (BAME) managers
are having an enormous impact in care environments. But in an increasingly diverse society we still
aren’t managing to harness the full talents that
BAME staff bring to the workplace.
© Brunswicks LLP 2014 http://www.brunswicks.eu
The Moving Up programme sets out to change that,
with a new and inspiring approach to leadership development.
Moving Up is for Black, Asian and Minority Ethnic
leaders who already have experience managing services and have the ambition and potential to move to
more senior positions.
An innovative blend of learning styles underpins the
programme, which offers learning networks, one-toone coaching, and a 24 hour residential with mentoring throughout, in order to maximise the value of the
programme to you. We aim to develop your leadership potential and extend your ability to lead in complex and changing care environments.
We welcome learners from a wide variety of care
backgrounds to the programme. We’ll ask the organisation you work for to nominate a senior manager as
a sponsor, to support you throughout.
With your energy and commitment we’ll set out to
enable you to meet the challenges of leadership and
transformation within social care.
Up for the challenge? We’d love to hear from you
If you are interested in joining the Moving Up programme please contact us at [email protected]
Dates and fees
New cohort starts in February 2014. Book Now!
Costs
Members: £200.00 + VAT
Non Members: £500.00 + VAT
Page 18
Volume 9 Issue 1
08 January 2014
62. Secretary Of State For Health To Speak
On The Francis Inquiry
05 February 2014 - Healthcare Conferences UK
The report of the Public Inquiry led by Robert Francis
QC looking into the alarming events that led to needless patient harm at Mid Staffordshire NHS Foundation Trust was published on the 6th February 2013.
The government issued an initial response and their
full response and recommendations were released in
November 2013 through the publication of Hard
Truths the Journey to Putting Patients First. Jeremy
Hunt MP Secretary of State for Health will give a keynote address at a national conference reflecting on
the Francis Inquiry one year on.
“My recommendations represent not the end but the
beginning of a journey towards a healthier culture in
the NHS in which good practice in one place is not
considered to be a reason for ignoring poor practice
somewhere else; where personal responsibility is not
thought to be satisfied by a belief that someone else
is taking care of it; where protecting and serving patients is the conscious purpose of everything everyone thinks about day in day out.”
Robert Francis QC
With a full line up of national speakers this conference will focus on what has changed a year after
Francis and how the NHS can move forward in implementing the recommendations from the Inquiry and
the full government response to Francis.
Confirmed national speakers include:
Jeremy Hunt MP Secretary of State for Health
Ann Clywd MP for Cynon Valley & Joint Lead for
the National Review into Complaints Handling
in the NHS
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Jackie Smith Chief Executive Nursing and Midwifery Council
Sir Richard Thompson President The Royal College of Physicians
Julie Bailey Founder Cure the NHS
Mark Easton BBC Home Editor
Dr Nick Bishop Senior Medical Advisor Care
Quality Commission
Jan Sobieraj Managing Director NHS Leadership
Academy
The conference is due to take place at the ICO Conference Centre, London. Visit http://
www.healthcareconferencesuk.co.uk/francis-inquiry-a-yearon.
63. WORKSHOP
Developing An Ethical Approach to
Improving Care
05 February 2014 – Cowbridge
ADR is holding a workshop to explore the role,
boundaries and focus of ethical leadership as the
basis of ensuring patients, clients (and staff) are
treated with dignity and respect.
Please email ([email protected] if you
would like more information.
64. Best Practice in Dementia Care
04-05 February 2014 - Reebok Stadium, Bolton
26-27 February 2014 - DSDC, Stirling : Email
Dawn Humble
20-21 March 2014 - The Mount, Belfast : Email
Lorraine McAuley
This award-winning programme cascades dementia
training throughout the care home, hospital and domiciliary care settings to reduce training costs and
develop a shared ethos of care. We train one of your
staff members as a facilitator to deliver this pro© Brunswicks LLP 2014 http://www.brunswicks.eu
gramme to eight staff members in your workplace
using a cascade approach.
Email Dawn Humble
65. Westminster Health Forum Keynote
Seminar
Palliative and End of Life Care: the next
steps for funding, commissioning services
and provision of care
04 February 2014 - Central London
Website | Book Online | Live Agenda
This timely seminar will examine palliative and end of
life care, for patients, their families and the workforce.
It follows the release of the Government’s review into
the Liverpool Care Pathway which recommended a
personalised approach as patients reach the end of
life.
Delegates will discuss the next steps for policy and
care models, including the progress of the Department of Health pilot sites - collating information on
providing a fairer per-patient funding model - and the
implementation of the new system for funding palliative care by 2015.
Further sessions will focus on the commissioning and
delivery of services in the reformed NHS, and key
issues such as tackling regional variations, improving
patient and family experience, and enabling the workforce to deliver compassionate patient-centred care.
Volume 9 Issue 1
08 January 2014
 The Care and Support Bill and lessons to be taken



from the pilot sites;
The Liverpool Care Pathway: reflections and next
steps;
How can the workforce be equipped to deal with
the complexities facing patients at the end of life;
and
Next steps for end of life and palliative care.
The draft agenda is regularly updated and available
to view online here.
Booking arrangements
To book places, please use our online booking form.
66. Dementia Design School
11-13 February 2013 – Altro Design Centre, London
The design and dementia school will cover a range of
design issues including effective commissioning, project management, designing the internal and external
environment and lighting. The school will provide both
theoretical and practical input over three days and will
involve lectures, workshops and discussion groups.
For the Belfast venue, email Lorraine McAuley on
[email protected],
For the Stirling venue, go to http://
events.dementia.stir.ac.uk/dementia-design-school-stirling10th-12th-september-2013
For the London venue, go to http://
events.dementia.stir.ac.uk/dementia-design-school-stirling11th-13th-february-2014
Topics for discussion include:
 Tackling the global challenges of end of life care;
 Commissioning services and patient personalisation;
Page 19
67. Leadership & Management in Dementia
Care: Aspiring to Excellence
12-13 February – DSDC, Stirling
26-27 March 2014 – DSDC, Stirling
This programme will support key personnel from your
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Brunswicks LLP
teams and organisations to make effective changes
in order to deliver excellent and ethical support for
people living with dementia.
Visit our events site
68. Westminster Health Forum Keynote
Seminar
Clinical Senates and Networks, and the next
steps for specialised commissioning
25 February 2013 – Central London
with
James Palmer, Clinical Director for Specialised Services, Medical Directorate, NHS England; Dr Janet
Williamson, Director of National Improvement Programmes, NHS Improving Quality and Dr Charles
Alessi, Chairman, National Association of Primary
Care
and
Dr Adrian Bull, Imperial College Health Partners;
Howard Catton, RCN; Professor Graeme Poston,
NHS Specialised Commissioning Internal Medicine
Programme of Care and European Society of Surgical Oncology; Janet Ratcliffe, Strategic Clinical Network & Senate (Greater Manchester, Lancashire &
South Cumbria), NHS England and Jan Vaughan,
Strategic Clinical Networks and Senate (Cheshire
and Merseyside), NHS England
08 January 2014
sioning.
to view online here.
Planned sessions focus on the challenges and opportunities senates and networks face, as well as their
emerging priorities and how effectively they are working alongside other bodies such as NHS England,
Clinical Commissioning Groups and Health and Wellbeing Boards.
Speakers
We are delighted to be able to include in this seminar
keynote addresses from: James Palmer, Clinical Director for Specialised Services, Medical Directorate,
NHS England; Dr Janet Williamson, Director of National Improvement Programmes, NHS Improving
Quality and Dr Charles Alessi, Chairman, National
Association of Primary Care.
Delegates will also consider the impact of specialised
commissioning on prescribed services and patient
outcomes, and the next steps for how NHS Improving
Quality, Academic Health and Science Networks, and
other key stakeholders can drive improvement and
disseminate best practice.
The conference agenda includes keynote addresses
from James Palmer, Clinical Director for Specialised
Services, Medical Directorate, NHS England; Dr
Janet Williamson, Director of National Improvement
Programmes, NHS Improving Quality and Dr Charles
Alessi, Chairman, National Association of Primary
Care.
Topics for discussion include:
 Assessing the progress of senates and networks:
Chaired by:
Lord Turnberg, Chair, All-Party Parliamentary Group
on Medical Research


This event is CPD certified

Website | Book Online | Live Agenda

This seminar will provide a timely opportunity to discuss the progress of Clinical Senates and Networks,
and the key issues surrounding specialised commis-

© Brunswicks LLP 2014 http://www.brunswicks.eu
Volume 9 Issue 1
priorities, influence and working with others;
Utilising expertise and engaging clinicians;
Commissioners and senates: developing strategy
and relationships;
Setting the strategy for commissioning specialised
services;
Challenges of improving prescribed services, standards and patient experience; and
Next steps for policy and delivering quality.
The draft agenda is regularly updated and available
Page 20
Further confirmed speakers include: Dr Adrian Bull,
Managing Director, Imperial College Health Partners;
Howard Catton, Head of Policy and International,
RCN; Professor Graeme Poston, Chair, NHS Specialised Commissioning Internal Medicine Programme of
Care and President, European Society of Surgical
Oncology; Janet Ratcliffe, Associate Director, Strategic Clinical Network & Senate (Greater Manchester,
Lancashire & South Cumbria), NHS England and Jan
Vaughan, Associate Director, Strategic Clinical Networks and Senate (Cheshire and Merseyside), NHS
England.
Lord Turnberg, Chair, All-Party Parliamentary Group
on Medical Research has kindly agreed to chair part
of this seminar.
Booking arrangements
To book places, please use the online booking form.
69. CMM Insight – The Future of Learning
Disability Care
25 February 2014 - The Renaissance Hotel, Manchester, M3 2EQ
THE DAY WILL INCLUDE:
Keynote presentations - from two main perspectives, provider and commissioner.
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Interactive panel discussions with the speakers they will be on hand to answer any questions you
may have in relation to their presentations plus any
other issues that you may have.
Series of workshops - designed to highlight specific
issues that providers might require guidance on from
a range of experts in their fields.
'Live' Business Clinic - your opportunity to discuss
the challenges and opportunities affecting your business with a panel of industry experts.
Exhibition - take a look around our exhibition of service providers and products.
70. Best Practice in Dementia Care
26-27 February 2014 - DSDC, Stirling
17-18 March 2014 - The Mount, Belfast:
08-09 April 2014 – Arlington Conference Centre,
London
07-08 May 2014 - DSDC, Stirling
This award-winning programme cascades dementia
training throughout the care home, hospital and domiciliary care settings to reduce training costs and
develop a shared ethos of care. We train one of your
staff members as a facilitator to deliver this programme to eight staff members in your workplace
using a cascade approach.
£1500, this allows 9 staff to complete the programme. Book before Christmas and save 10%
Email Lorraine McAuley for 17-18 March date only
Email Dawn Humble for all other dates
© Brunswicks LLP 2014 http://www.brunswicks.eu
71. Westminster Social Policy Forum
Keynote Seminar
Tackling health inequalities in England:
commissioning, integration and innovation
03 March 2013 – Central London
with
Professor Sir Michael Marmot, Lead on the Health
Inequalities Post 2010 in England Review and Director, Institute of Health Equity, University College London; Ruth Passman, Deputy Director for Equality and
Health Inequalities, NHS England; David Buck, Senior Fellow, Public Health and Inequalities, The King’s
Fund; Dr Paul Cosford, Director for Health Protection
and Medical Director, Public Health England and Dr
Stephanie O’Keeffe, National Director Health and
Wellbeing, Health Service Executive, Republic of Ireland
and
Dr Tom Scanlon, Brighton & Hove City Council; Councillor David Shields, Southampton City
Council and Helen Undy, Mind
Volume 9 Issue 1
08 January 2014
Delegates at this seminar will also discuss how clinical commissioning groups and Health and Wellbeing
Boards have adapted to their role and what more can
be done to encourage innovative and cost-effective
measures to tackle health inequalities. Further sessions will focus on the challenges presented by welfare reform, and the impact of wider changes in housing policy.
The agenda includes keynote addresses from Professor Sir Michael Marmot, Lead on the Health Inequalities Post 2010 in England Review and Director, Institute of Health Equity, University College London;
Ruth Passman, Deputy Director for Equality and
Health Inequalities, NHS England; David Buck, Senior Fellow, Public Health and Inequalities, The
King’s Fund; Dr Paul Cosford, Director for Health Protection and Medical Director, Public Health England
and Dr Stephanie O’Keeffe, National Director Health
and Wellbeing, Health Service Executive, Republic of
Ireland.
Chaired by:
Baroness Thornton, Shadow Minister for Equalities
Overall topics for discussion include:
This event is CPD certified
Review;
 The progress of Health and Wellbeing Boards and
Clinical Commissioning Groups;
 Emerging opportunities for the third and independent sectors to deliver health services;
 Options to develop an evidence based approach
to public health;
 Innovation and the role of telehealth in driving
down costs and reducing health inequalities;
 Next steps for developing integrated service delivery between health and social care and its potential to reduce health and social care inequalities;
and
Our Website | Book Online | Live Agenda
Delegates at this timely seminar will discuss the future for local and national initiatives to tackle health
inequalities.
It is timed to take place one year on from the authorisation of Health and Wellbeing Boards, Clinical Commissioning Groups and the launch of Public Health
England, and following the launch of the Institute for
Health Equity’s program of work on the role of health
professionals in tackling health inequalities.
Page 21
 Tackling health inequalities beyond the Marmot
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Volume 9 Issue 1
08 January 2014
 A case study from Ireland of the Healthy Ireland
Framework.
Booking arrangements
To book places, please use our online booking form.
The draft agenda is available to download here.
72. Meaningful Activity for People with
Dementia
Website
Book Online
Live Agenda
04-05 March 2014 – DSDC, Stirling
This course will provide delegates with the knowledge
and skills to develop and present a varied programme
of activity in a care setting. The course will provide an
understanding of the range of meaningful activities for
people with dementia.
Seminar
Delegates at this seminar will consider how effectively
a liberalised legal services market is encouraging
innovation, growth and enterprise in the provision of
legal services.
Speakers
We are delighted to be able to include in this seminar
keynote addresses from: Professor Sir Michael Marmot, Lead on the Health Inequalities Post 2010 in
England Review and Director, Institute of Health Equity, University College London; Ruth Passman,
Deputy Director for Equality and Health Inequalities,
NHS England; David Buck, Senior Fellow, Public
Health and Inequalities, The King’s Fund; Dr Paul
Cosford, Director for Health Protection and Medical
Director, Public Health England and Dr Stephanie
O’Keeffe, National Director Health and Wellbeing,
Health Service Executive, Republic of Ireland.
Further confirmed speakers include: Dr Tom Scanlon, Director of Public Health, Brighton & Hove City
Council; Councillor David Shields, Cabinet Member
for Health and Adult Social Care, Southampton City
Council and Helen Undy, Senior Policy and Campaigns Officer, Mind.
Baroness Thornton has kindly agreed to chair part of
this seminar.
Additional senior participants are being approached,
but if you or a colleague would like to be considered
as a speaker at this seminar, please contact us at
[email protected] specifying the
event and session where you would like to speak
and we’ll get back to you as soon as possible. If you
are offering to speak yourself please don’t fill in the
booking form, as this will be taken as an order and
you will be charged for a place subject to our T&Cs.
© Brunswicks LLP 2014 http://www.brunswicks.eu
Register your interest
ILA funding may be available to participants living in
Scotland, please contact Lynsey Manson for details
73. Westminster Legal Policy Forum Keynote
Seminar Innovation in the legal services
market - growth, skills and emerging
business models
11 March 2014 – Central London
with
David Edmonds, Chair, Legal Services Board and
Felicity Banks, Institute of Chartered Accountants in
England and Wales; Richard Cohen, Epoq; Sonya
Leydecker, Herbert Smith Freehills; Professor Avrom
Sherr, University of London and Legal Education and
Training Review; David Sprake, Solicitor.info; Pete
Storey, 1Solicitor and speaker confirmed from Legal
Services Consumer Panel
Chaired by:
Lord Brennan QC, Vice-Chair, All-Party
Parliamentary Group for Legal and Constitutional
Affairs and Jonathan Djanogly MP, former
Parliamentary Under-Secretary of State for Justice
Page 22
This event is CPD certified
It is scheduled as policymakers and legal regulators
consider wide-ranging proposals for reform affecting
the future of the legal services market, including
Government’s current review of the legal services
statutory framework, and the recently published Legal
Education and Training Review (LETR).
Sessions will bring together practitioners from a range
of legal disciplines and wider professional services,
alongside investors, training providers, consumer
bodies, regulators and policymakers - and will be
informed by a keynote address from the Legal
Services Board’s inaugural Chair, David Edmonds.
Topics for discussion include:
 Emerging business models - with reference to
multi-disciplinary practices, marketing and
outsourcing across legal service provision;
 Technology and software - looking at innovative
processes across internal and customer-facing
operations of law firms;
 Skills and the LETR - with perspectives on what
employers are looking for in tomorrow’s
practitioners;
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 Consumer priorities across an evolving market
place - particularly in relation to choice, financial
protection and complaint handling; and
 Growth and competitiveness - including what
more can be done to promote UK legal services
overseas.
The agenda has been structured following
consultation with the Legal Services Board. The draft
agenda is regularly updated version and available to
download here.
Speakers
There will be a keynote address from: David
Edmonds, Chair, Legal Services Board.
Further confirmed speakers include: Felicity Banks,
Head of Business Law, Institute of Chartered
Accountants in England and Wales; Richard Cohen,
Chairman and Head of Institutional Sales, Epoq;
Sonya Leydecker, Partner and Global Head of
Dispute Resolution, Herbert Smith Freehills;
Professor Avrom Sherr, Woolf Professor of Legal
Education and Director, Institute of Advanced Legal
Studies, University of London and Member, Review
Research Team, Legal Education and Training
Review; David Sprake, Founder, Solicitor.info; Pete
Storey, Director, 1Solicitor and a speaker confirmed
from Legal Services Consumer Panel.
Lord Brennan QC, Vice-Chair, All-Party
Parliamentary Group for Legal and Constitutional
Affairs and Jonathan Djanogly MP, former
Parliamentary Under-Secretary of State for Justice
have kindly agreed to chair this seminar.
Booking arrangements
To book places, please use the online booking form
© Brunswicks LLP 2014 http://www.brunswicks.eu
74. Westminster Health Forum Keynote
Seminar Next steps for regulation in health
and social care
13 March 2014 – Central London
with
Adrian Masters, Managing Director, Sector
Development, Monitor and David Prior, Chairman,
CQC and Sally Brearley, Sutton Healthwatch and
Sutton Clinical Commissioning Group; Christian
Dingwall, Hempsons; Chris Hopson, Foundation
Trust Network; Jackie Smith, Nursing and Midwifery
Council and Tim Spencer-Lane, Law Commission
Review of Health and Social Care Professional
Regulation
This event is CPD certified.
Website
Book Online
Agenda
Delegates at this seminar will discuss next steps
facing the regulation of health and social care
services.
They will also assess progress made to date,
following the expanded role of the CQC which
includes the new positions of Chief Inspectors for
Hospitals, General Practice and Social Care; and the
developing role of Monitor in the promotion of
integrated care.
The agenda includes keynote addresses from David
Prior, Chairman, CQC, and Adrian Masters,
Managing Director, Sector Development, Monitor.
Further sessions will focus on the work undertaken by
the Law Commission on the regulation of health and
social care professionals, with their final report due to
Page 23
Volume 9 Issue 1
08 January 2014
be published alongside a draft bill in early 2014, and
what impact The Keogh Mortality Review and the Mid
Staffordshire NHS Foundation Trust Public Inquiry
have had, one year on, in meeting the challenges of
improving care standards through an enhanced
system of regulation.
Topics for discussion include:
 Challenges facing the regulation of health and
social care providers;
 Supporting financial sustainability and good
governance of health providers through the
regulatory process;
 Providing a level playing field in choice and
competition, and preventing anti-competitive
behaviour;
 The role of inspectors in driving up standards, and
challenges facing the implementation of Ofstedstyle ratings for hospitals and care homes; and
 How the workforce can be supported in meeting
new standards and delivering care with
compassion and candour.
The draft agenda is available to download here
Speakers
There will be keynote addresses from: Adrian
Masters, Managing Director, Sector Development,
Monitor and David Prior, Chairman, CQC.
Further confirmed speakers include: Sally Brearley,
Member, Sutton Healthwatch and Lay Member,
Sutton Clinical Commissioning Group; Christian
Dingwall, Partner, Hempsons; Chris Hopson, Chief
Executive, Foundation Trust Network; Jackie Smith,
Chief Executive and Registrar, Nursing and Midwifery
Council and Tim Spencer-Lane, Lawyer, Public Law
Team, Law Commission and Lead, Law Commission
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Review of Health and Social Care Professional
Regulation.
Booking arrangements
To book places, please do so here
75. Westminster Health Forum Keynote
Seminar
Community care and the next steps for
pharmacy: integration, efficiency and access
25 March 2013 – Central London
with
Professor John Newton, Chief Knowledge Officer,
Public Health England; Dr Keith Ridge, Chief Pharmaceutical Officer, NHS England and
and
Sarah Billington, Hampshire & IOW Local Pharmaceutical Committee; Dr Paul Edmondson-Jones,
York Council and Association of Directors of Public
Health; Mike Farrar, NHS Confederation; Mike Holden, National Pharmacy Association; Crystal Oldman, The Queen’s Nursing Institute; Ash Soni, Royal
Pharmaceutical Society and NHS Lambeth Clinical
Commissioning Group and Michael Thomas, AT
Kearney
Chaired by:
Oliver Colvile MP, Vice Chair, All-Party Parliamentary Group on Pharmacy
This event is CPD certified
Website | Book Online | Live Agenda
This seminar will provide an opportunity to discuss
the next steps for pharmacy and the future for delivering community care services.
© Brunswicks LLP 2014 http://www.brunswicks.eu
Following the release of the shared commitment to
integration, attendees will examine the progress of
Public Health England, NHS England, CCGs and local authorities in improving wellbeing, and the role of
community care in meeting the challenges of an ageing population, increasing long-term conditions and
financial pressures.
Further sessions will focus on the potential for pharmacy as a 'third pillar' of the NHS, and the key issues
surrounding access to medicines and care, valuebased pricing, supported self-care, and the wider personalisation agenda.
The agenda includes keynote contributions from Professor John Newton, Chief Knowledge Officer, Public
Health England and Dr Keith Ridge, Chief Pharmaceutical Officer, NHS England.
The conference will bring policymakers from Parliament together with further senior government officials
and others involved in this area of public policy;
healthcare professionals from across health, public
health and social care; representatives of the healthcare and pharmaceutical industries; user groups,
charities and academics; and representatives of the
national and trade press.
Topics for discussion include:
 Challenges for improving the delivery of community care and engaging patients;
 Improving wellbeing, reducing inequalities and the
role of Public Health England;
 Medicine optimisation: reducing waste, improving
safety and helping patients take ownership; and
 Community pharmacy: access, innovation and
supported self-care.
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Volume 9 Issue 1
08 January 2014
The draft agenda is regularly updated version and
available to download here.
Speakers
We are delighted to be able to include in this seminar
keynote addresses from: Dr Paul Edmondson-Jones,
Deputy Chief Executive and Director of Health and
Wellbeing, York Council and Secretary, Association
of Directors of Public Health; Mike Farrar, Chief Executive, NHS Confederation; Professor John Newton,
Chief Knowledge Officer, Public Health England;
Crystal Oldman, Chief Executive, The Queen’s Nursing Institute; Dr Keith Ridge, Chief Pharmaceutical
Officer, NHS England and Ash Soni, Vice Chair, English Pharmacy Board, Royal Pharmaceutical Society
and Clinical Network Lead, NHS Lambeth Clinical
Commissioning Group.
Further confirmed speakers include: Sarah Billington,
Chief Officer, Hampshire & IOW Local Pharmaceutical Committee; Mike Holden, Chief Executive, National Pharmacy Association and Michael Thomas,
Partner, AT Kearney.
Oliver Colvile MP, Vice Chair, All-Party Parliamentary
Group on Pharmacy has kindly agreed to chair part of
this seminar. Additional senior participants are being
approached.
Booking arrangements
To book places, please use our online booking form.
76. Dementia Design School
March 2014 (TBC) – DSDC
The design and dementia school will cover a range of
design issues including effective commissioning, project management, designing the internal and external
environment and lighting. The school will provide both
theoretical and practical input over three days and will
involve lectures, workshops and discussion groups.
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77. Westminster Health Forum Keynote
Seminar
Electronic health records and IT in the NHS:
implementing the ten year technology
strategy
01 April 2013 – Central London
with
Beverley Bryant, Director of Strategic Systems and
Technology, NHS England and Karen Thomson,
Strategic Information Governance Lead, NHS England
and
Dan Alexander, Professional Records Standards
Body and NHS Greater Manchester Commissioning
Support Unit; Professor Iain Carpenter, Royal College of Physicians and Dr Joe McDonald, CCIO Leaders Network and Tyne and Wear
NHS Foundation Trust
This event is CPD certified
Website | Book Online | Live Agenda
Timed to follow the release of NHS England’s 10
year technology strategy Unleashing the Power of
People, due in March 2014, this seminar will provide
an opportunity to consider next steps for IT in the
NHS.
Planned sessions focus on challenges in increasing
access to electronic patient records, and supporting
the workforce in engaging with information systems
towards the delivery of a paperless NHS by 2018.
With the Secretary of State announcing a further
£240m for the ‘Safer Hospitals, Safer
Wards’ Technology Fund that will see the government and NHS organisations invest £1 billion in IT
© Brunswicks LLP 2014 http://www.brunswicks.eu
over the next three years, delegates will also consider
the role of new technologies in providing improved
patient care.
Further topics for discussion include:
 Challenges in implementing the ten year technology strategy;
 The role of innovation in providing new models of




care delivery;
Data protection, and the use of patient data by
third parties;
GPs and the roll-out of electronic patient records
as part of the care.data programme;
Advancing open source technology within healthcare; and
Standards in information governance, and progress on implementing recommendations following
the government’s response to the Caldicott Review.
The draft agenda is copied below my signature, and a
regularly updated version is available to download
here. The seminar is organised on the basis of strict
impartiality by the Westminster Health Forum.
Speakers
We are delighted to be able to include in this seminar
keynote addresses from: Beverley Bryant, Director of
Strategic Systems and Technology, NHS England
and Karen Thomson, Strategic Information Governance Lead, NHS England.
Further confirmed speakers include Dan Alexander,
Project Manager, NHS
Greater Manchester Commissioning Support Unit;
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Volume 9 Issue 1
08 January 2014
Professor Iain Carpenter, Chair, Professional Records Standards Body and Associate Director, Health
Informatics Unit, Royal College of Physicians and Dr
Joe McDonald, Chairman, CCIO Leaders Network
and Deputy Medical Director, Quality and Patient
Safety, Northumberland, Tyne and Wear NHS Foundation Trust.
Booking arrangements
To book places, please use our online booking form.
78. Policy Forum for Wales Keynote Seminar
Cancer policy in Wales: prevention,
treatment and patient care
03 April 213 – Central Cardiff
with
Dr Chris Jones, Deputy Chief Medical Officer, Welsh
Government; Susan Morris, Chair, Wales Cancer Alliance and General Manager, Wales, Macmillan Cancer Support; Dr Tom Crosby, Clinical Director, Velindre Cancer Centre and Professor Malcolm Mason,
Director, Wales Cancer Bank; Cancer Research
Wales Professor of Clinical Oncology and Dean of
Research, Life Sciences and Health, Cardiff University
and
Clare Bath, Cancer Research UK; Dr Lee Campbell,
Cancer Research Wales; Tina Donnelly, RCN
Wales; Gill Evans, North Wales Cancer Network Patient Forum; Dr Rosemary Fox, Public Health Wales;
Dr Ian Lewis, Tenovus; Dr Matthew Makin, North
Wales Cancer Service and Betsi Cadwaladr University Health Board and Professor Philip Routledge, AllWales Medicines Strategy Group
Chaired by:
Andrew RT Davies AM, Member, Cross Party Group
on Cancer, National Assembly for Wales and Leader,
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Welsh Conservatives and Julie Morgan AM, Chair,
Cross Party Group on Cancer, National Assembly for
Wales
This event is CPD certified
Our Website | Book Online | Live Agenda
This seminar focuses on what can be done to improve cancer prevention and diagnosis in Wales,
including how research can be targeted more effectively.
Delegates will discuss what further needs to be done
to reach the targets as set out in the Welsh Government’s Cancer Delivery Plan - including Local Health
Boards producing their own delivery plans, and how
to reduce the ‘gap between the most and least deprived areas of Wales’ in terms of cancer treatment.
The development of the specialised cancer care
workforce and steps that can be taken to help patients rate their care experiences will also be discussed at this seminar.
It includes keynote addresses from Dr Chris Jones,
Deputy Chief Medical Officer, Welsh Government;
from Susan Morris, Chair, Wales Cancer Alliance
and General Manager, Wales, Macmillan Cancer
Support; Dr Tom Crosby, Clinical Director, Velindre
Cancer Centre and Professor Malcolm Mason, Director, Wales Cancer Bank; Cancer Research Wales
Professor of Clinical Oncology and Dean of Research, Life Sciences and Health, Cardiff University.
Overall, areas for discussion include:

Prevention - improving general wellbeing and the
impact of a healthy lifestyle on reducing risk of can© Brunswicks LLP 2014 http://www.brunswicks.eu
cer;

Screening - developing clinically - and costeffective screening services and increasing the takeup by hard-to-reach groups;
 Treating cancer - workforce development, patient
care and the role of the Key Worker;
 Patient care - including how the relationship between NHS and third sector care can be improved
with regard to patient care; and
Research - effective targeting for funding research
into early diagnosis, and options for a Cancer Drugs
Fund in Wales.
Volume 9 Issue 1
08 January 2014
Tenovus; Dr Matthew Makin, Chief of Staff, Cancer
Clinical Programme Group, North Wales Cancer Service and Consultant in Palliative Medicine, Betsi Cadwaladr University Health Board and Professor Philip
Routledge, Chairman, All-Wales Medicines Strategy
Group
Andrew RT Davies AM, Member, Cross Party Group
on Cancer, National Assembly for Wales and Leader,
Welsh Conservatives and Julie Morgan AM, Chair,
Cross Party Group on Cancer, National Assembly for
Wales have kindly agreed to chair this seminar.
Additional senior participants are being approached.
The agenda has been structured following consultation with officials in the Welsh Government. The draft
agenda is available to view download here.
Speakers
We are delighted to be able to include in this seminar
keynote addresses from: Dr Chris Jones, Deputy
Chief Medical Officer, Welsh Government; Susan
Morris, Chair, Wales Cancer Alliance and General
Manager, Wales, Macmillan Cancer Support; Dr Tom
Crosby, Clinical Director, Velindre Cancer Centre
and Professor Malcolm Mason, Director, Wales Cancer Bank; Cancer Research Wales Professor of Clinical Oncology and Dean of Research, Life Sciences
and Health, Cardiff University.
Further confirmed speakers include: Clare Bath, Public Affairs Officer for Wales, Cancer Research UK; Dr
Lee Campbell, Scientific Projects and Communication
Manager, Cancer Research Wales; Tina Donnelly,
Director, RCN Wales; Gill Evans, Chair, North Wales
Cancer Network Patient Forum; Dr Rosemary Fox,
Director, Screening Division, Public Health Wales; Dr
Ian Lewis, Associate Director of Research,
Page 26
Booking arrangements
To book places, please use our online booking form.
79. Westminster Health Forum Keynote
Seminar
Developing primary care and the next steps
for general practice
03 April 2014 – Central London
with
Dr Mike Bewick, Deputy Medical Director, NHS England; Professor David Colin-Thomé, Chairman, Primary Care Commissioning; Dr David Geddes, Head
of Primary Care Commissioning, NHS England and
Dr Richard Vautrey, Deputy Chair, General Practitioners Committee, BMA
and
Paul Baker, South Devon and Torbay Clinical Commissioning Group; Sarb Basi, Vitality Partnership; Dr
Michelle Drage, Londonwide Local Medical Committees; Jonathan Lewis, Bromley Healthcare and Dr
Peter Swinyard, Family Doctor Association
Chaired by:
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Baroness Fritchie, Chair, 2gether NHS Foundation
Trust
This event is CPD certified
Website | Book Online | Live Agenda
This seminar will be a timely opportunity to discuss
the next steps for primary care and the role of general practice.
It is scheduled to follow the release of NHS England’s primary care strategy; Improving general practice - a call to action.
Delegates will discuss how new models of primary
care can be developed, as well as the impact of integration and the challenges of access, funding and
contracting.
Further sessions focus on the GP contract, as well
as key issues surrounding regulation, commissioning, and the workforce.
The conference includes keynote addresses from Dr
Mike Bewick, Deputy Medical Director, NHS England; Professor David Colin-Thomé, Chairman, Primary Care Commissioning; Dr David Geddes, Head
of Primary Care Commissioning, NHS England and
Dr Richard Vautrey, Deputy Chair, General Practitioner’s Committee, BMA.
Additional areas for discussion include:
 Commissioning of primary care services, following
calls for CCGs to play a bigger role;
 Delivering innovative new models of primary care
to address the challenges of an ageing population, increases in long-term conditions and rising
© Brunswicks LLP 2014 http://www.brunswicks.eu
public expectations;
 Integrating care and implementing 7 day services;
 Regulating general practice; and
 Impact of the GP contract and engaging the workforce.
The draft agenda is available to download here.
Speakers
There will be keynote addresses from: Dr Mike Bewick, Deputy Medical Director, NHS England; Professor David Colin-Thomé, Chairman, Primary Care
Commissioning; Dr David Geddes, Head of Primary
Care Commissioning, NHS England and Dr Richard
Vautrey, Deputy Chair, General Practitioners Committee, BMA.
Further confirmed speakers include: Paul Baker,
Head of Unplanned Care Commissioning, South
Devon and Torbay Clinical Commissioning Group;
Sarb Basi, Chief Operating Officer, Vitality Partnership; Dr Michelle Drage, Chief Executive, Londonwide Local Medical Committees; Jonathan Lewis,
Chief Executive, Bromley Healthcare and Dr Peter
Swinyard, Chairman, Family Doctor Association.
Baroness Fritchie, Chair, 2gether NHS Foundation
Trust has kindly agreed to chair part of this seminar.
Additional senior participants are being approached.
Booking arrangements
To book places, please use our online booking form.
Volume 9 Issue 1
08 January 2014
80. Westminster Health Forum Keynote
Seminar
Next steps for mental health policy:
integration, parity of esteem and public
mental health
29 April 2013 – Central London
with
Dr Geraldine Strathdee, National Clinical Director for
Mental Health, NHS England; Gregor Henderson,
Director, Wellbeing and Mental Health, Health and
Wellbeing Directorate, Public Health England; Dr
Margaret Murphy, Clinical Chair, Specialised Services
Mental Health Programme, NHS England and Professor Dinesh Bhugra, Professor of Mental Health and
Cultural Diversity, Institute of Psychiatry, King’s College London and Chair of Trustees, Mental Health
Foundation
and
Professor Sue Bailey, Royal College of Psychiatrists;
Stephen Dalton, NHS Confederation; Professor Chris
Hollis, MindTech Healthcare Technology Cooperative and University of Nottingham; Dr Emma
Stanton, Beacon UK and South London and Maudsley NHS Foundation Trust and Dr Miranda Wolpert,
University College London and Anna Freud Centre
Chaired by:
Lord Carlile of Berriew, Member, All-Party Parliamentary Group on Suicide and Self Harm Prevention and
Co-founder, Rekindle
This event is CPD certified
Website | Book Online | Live Agenda
This seminar will provide a timely opportunity to discuss the next steps for improving mental health policy, services and outcomes in England.
Page 27
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Sessions will focus on the impact of integration of
health and social care on services and patient experience, as well as the challenges of giving mental
health equal parity with physical health, and for making sure that patients and families are involved in
decision-making.
Including a keynote address from the National Clinical Director for Mental Health, delegates will also
examine the impact of new commissioning bodies on
mental health services, and the key issues surrounding public mental health - such as reducing inequalities and developing the effectiveness of interventions, and of public information campaigns.
Topics for discussion include:
 Tackling the economic and population challenges
of service delivery;
 NHS England and the commissioning of specialised mental health care;
 Integrating services and the progress of Clinical
Commissioning Groups, Health and Wellbeing
Boards and local authorities;
 Priorities and challenges of improving public mental health; and
 Patient experience and involvement: early intervention, access and personalisation.
The draft agenda is regularly updated version and
available to download here.
Speakers
We are delighted to be able to include in this seminar
keynote addresses from: Professor Dinesh Bhugra,
Professor of Mental Health and Cultural Diversity,
Institute of Psychiatry, King’s College London and
Chair of Trustees, Mental Health Foundation; Gregor
Henderson, Director, Wellbeing and Mental Health,
© Brunswicks LLP 2014 http://www.brunswicks.eu
Health and Wellbeing Directorate, Public Health England; Dr Margaret Murphy, Clinical Chair, Specialised
Services Mental Health Programme, NHS England
and Dr Geraldine Strathdee, National Clinical Director
for Mental Health, NHS England.
Further confirmed speakers include: Professor Sue
Bailey, President, Royal College of Psychiatrists;
Stephen Dalton, Chief Executive, Mental Health Network, NHS Confederation; Dr Emma Stanton, Chief
Executive, Beacon UK and Psychiatrist, South London and Maudsley NHS Foundation Trust; Professor
Chris Hollis, Director, MindTech Healthcare Technology Co-operative and Professor of Child and Adolescent Psychiatry, University of Nottingham and Dr
Miranda Wolpert, Director, Child and Adolescent
Mental Health Services (CAMHS) Evidence Based
Practice Unit (EBPU), University College London and
Anna Freud Centre.
Lord Carlile of Berriew, Member, All-Party Parliamentary Group on Suicide and Self Harm Prevention and
Co-founder, Rekindle has kindly agreed to chair part
of this seminar.
Additional senior participants are being approached.
Booking arrangements
To book places, please use our online booking form.
81. Westminster Health Forum Keynote
Seminar
Improving elderly care services: integration,
personalisation and access
08 May 2014 – Central London
with
Professor John Young, National Clinical Director for
Integration and Frail Elderly, NHS England; Andrea
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Volume 9 Issue 1
08 January 2014
Sutcliffe, Chief Inspector of Adult Social Care, Care
Quality Commission; Dr Charles Alessi, Chairman,
National Association of Primary Care; Tom Wright,
Chief Executive, Age UK and Professor Julienne
Meyer, Professor of Nursing Care for Older People,
City University London and Executive Director, My
Home Life Programme
and
Roger Battersby, PRP Architects; Jonathan Ellis,
Help the Hospices; Heléna Herklots, Carers UK; Dr
Linda Patterson, Royal College of Physicians and
Councillor Lesley Salter, Southend Health and Wellbeing Board
This event is CPD certified
Website | Book Online | Live Agenda
This seminar will be an opportunity to discuss the
next steps for the integration and delivery of elderly
care services in England.
With GPs taking responsibility for vulnerable elderly
patients’ out of hospital care around the clock from
April, debate will focus on how outcomes across primary, secondary and domiciliary care can be improved, and the challenges of personalisation. It is
timed with the Government report on vulnerable older
people due to be released shortly, and with the Care
Bill - which suggests changes to funding - currently in
Parliament.
Attendees will also consider the key issues surrounding integration, end of life and dementia care, and
assisted living.
Overall, areas for discussion include:
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 Reconfiguring services to meet the challenges of




an ageing population;
Commissioning elderly care, and the developing
role of the GP;
Treating frailty as a long-term condition;
Regulation and the role of the new Chief Inspector of Adult Social Care; and
Delivering patient-centred services and maintaining independence.
The draft agenda is available to download here.
Speakers
We are delighted to be able to include in this seminar
keynote addresses from: Dr Charles Alessi, Chairman, National Association of Primary Care; Professor Julienne Meyer, Professor of Nursing Care for
Older People, City University London and Executive
Director, My Home Life Programme; Andrea Sutcliffe, Chief Inspector of Adult Social Care, Care
Quality Commission; Tom Wright, Chief Executive,
Age UK and Professor John Young, National Clinical
Director for Integration and Frail Elderly, NHS England.
Further confirmed speakers include: Roger Battersby, Managing Partner, PRP Architects; Jonathan
Ellis, Director of Policy and Advocacy, Help the Hospices; Heléna Herklots, Chief Executive, Carers UK;
Dr Linda Patterson, Past Clinical Vice President,
Royal College of Physicians and Councillor Lesley
Salter, Chair, Southend Health and Wellbeing Board.
Booking arrangements
To book places, please use our online booking form
© Brunswicks LLP 2014 http://www.brunswicks.eu
Consultations
82. Consultation on standards of proficiency
for paramedics
Consultation closes: 31 January 2014
HCPC is currently consulting on proposed amendments to the profession-specific standards of proficiency for paramedics. It has already revised and
restructured the generic standards.
Under the new structure, most standards will be profession-specific, listed under the 15 new
generic standards. At the start of the review HCPC
asked the College of Paramedics to review the standards and recommend changes.
HCPC will use the responses to decide if further
changes are needed. HCP will then publish
the finalised version, once they are approved by its
Council. It will work with education providers to
phase-in the new standards after the profession’s
revised standards are published.
.
How to comment
You can respond to this consultation in the following
ways.
Online at:
www.research.net/s/
proficiencystandardsforparamedics
By emailing at: [email protected]
By writing to:
Consultations, Policy and Standards Department,
The Health and Care Professions Council,
Park House,
184 Kennington
Park Road,
Page 29
Volume 9 Issue 1
08 January 2014
London SE11 4BU
By sending a fax to: +44 (0)20 7820 9684
83. Limiting Physical Restraint: New
Consultation Commissioned From Royal
College Of Nursing
Consultation opens: 19 December 2013
Consultation closes: 13 February 2013
The desire to protect the vulnerable and to ensure
distressed ill people are treated humanely and above
all safely has motivated all of us working in - or with the care and support sector to do more.
The Department of Health's report into the scandal of
abuse at Winterbourne View and its recent update Transforming care one year on - demonstrates this
resolve. Within its pages a promise was made to review existing guidance on the use of restraint, seclusion and other restrictive practices.
The Royal College of Nursing (RCN) has agreed to
carry out a consultation on our behalf into the use of
physical restraint across a wide range of health, adult
social care settings and special schools. It presents a
unique opportunity for service users, their families,
staff and other interested stakeholders to respond to
the consultation and help shape our final guidance,
which will be published in March.
A broad team of experts will explore the use - and
misuse - of physical restraint and other means of control.
It is already accepted that physical restraint should be
used only as a last resort after all efforts to calm and
reason with a person have failed. And where human
force, straps, hand cuffs and other means of restraint
are deployed, they must be done so by highly trained
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staff with the acute understanding this must be for
the shortest possible duration.
One intended benefit of this consultation is to raise
the standard and prevalence of appropriate training
in the system. Health and care staff, wherever they
work (in hospitals, A&E departments, ambulances,
care homes and people's own homes), should be
able to perform physical interventions with minimal
risk to the person involved. To this end, the Department's partner organisations, Skills for Care and
Skills for Health are to explore what more can be
done in this area. More broadly, the National Institute
of Clinical Excellence (NICE) is also developing quality standards on managing violence and aggression.
We urge you to contribute to this consultation and
help protect the dignity and safety of vulnerable children and adults wherever they are in the care and
support system.
You can find the consultation here:
http://www.rcn.org.uk/support/consultations/pages/
use_of_restrictive_practices_in_health_and_adult_social_car
e_and_special_schools
84. NICE: Current consultations
To browse through consultations go to
http://www.nice.org.uk/page.aspx?=consultations.current
Care Quality Commission,
CSSIW, Social Care and
Social Work Improvement
Scotland & Healthcare
Improvement Scotland
85. Children and young people’s expert, Dr
Sheila Shribman joins CQC
18 December 2013 - CQC
CQC hired Dr Sheila Shribman to support its plans for
inspecting specialist children’s and young people’s
health services.
The former National Clinical Director for children,
young people and maternity at the Department of
Health will lead a small team to design methodology
for the CQC’s revised inspection programme.
Reporting to the Chief Inspector of Hospitals, Professor Sir Mike Richards, Dr Shribman will plan how
CQC inspects specialist children's services including
stand-alone hospitals, linking this with children's services at a local level.
Dr Shribman said:
"This is about recognising the importance of specialist services for children and young people and making sure CQC’s new approach considers the complexities of such provision."
Chief inspector of Hospitals, Professor Sir Mike Richards added:
"We’re delighted to have the expertise of Dr Shrib-
Volume 9 Issue 1
08 January 2014
man on board, supporting plans for how we will inspect from next April.
"We are committed to making sure children and
young people using specialist services get the best
possible outcomes in the new approach to hospital
inspection."
86. CQC Sets Out New Plans For Inspecting
Community Health Care
19 December 2013 The Care Quality Commission (CQC) is to inspect
more health services provided in the community. Inspections will be carried out by larger teams who will
spend more time visiting services. The starting point
will be inspections of large organisations that are
commissioned to provide a wide range of NHS services to local people.
The plans are set out in A fresh start for the regulation and inspection of community health care, published today (19 December).
More and more health services are delivered in community settings, including people's homes, health
centres and community hospitals. Care is getting
more complex as some acute services are moved out
of hospital settings and, where appropriate, people
are being cared for where the feel most comfortable,
such as their own home.
Some people may receive a range of community
health services, as well as other care and support
services, at the same time. This increases the need
for services to be co-ordinated within an organisation
and for it to work well with other local providers and
agencies.
CQC's inspections of these services will be carried
© Brunswicks LLP 2014 http://www.brunswicks.eu
Page 30
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out by larger teams and will include specialists in the
different aspects of care provided. Inspections will
also involve people who use services. Teams will
include:
• Expert CQC inspectors
• Relevant clinicians - for example district nurses,
community nurses, health visitors, allied health professionals such as occupational therapists, GPs,
paediatricians, directors and managers
• Experts by Experience - our comprehensive inspections will always involve people who have experience
of using care services.
People's experiences of services will be at the heart
of CQC's assessments of these services. This
means looking at issues such as access to services
beyond office hours, the effectiveness of care and
support for people living at home, preventing people
from being admitted and re-admitted to hospital, the
quality of long-term conditions management, the
quality of integrations across health and care services, and the sharing on medical records across the
system.
Our inspection approach will be to look at a range of
services, locations and local areas and we will look
at how well quality and risks are managed across all
services. CQC wants to improve its understanding of
how well services are governed across widely dispersed locations and teams.
The inspection programme will be led by CQC's
Chief Inspector of Hospitals, Professor Sir Mike Richards, who said: 'Community health care services
have an increasingly important role in people's lives,
particularly in terms of providing care to people close
to where they live.
© Brunswicks LLP 2014 http://www.brunswicks.eu
'We have not given enough specific attention to community health services in the past, so I am determined to strengthen our oversight of the sector and
develop a picture of the quality of care that is so important in many people's lives. I will be giving ratings
to community service providers so people can be
clear about the quality of services and to help drive
improvement.
'Where we can, we will align our inspections of community health services with other sectors we regulate,
such as community mental health or learning disability services, substance misuse services, primary care
services and acute hospitals.'
CQC's new approach will start with inspections of five
large, complex organisations that provide a range of
services, including NHS trusts and social enterprise
providers. Once we have tested the approach for
these providers, we will consider how we can adapt it
to smaller community health care providers in the
independent and voluntary sectors.
The five organisations to be inspected between January and March are:
• Bridgewater Community Healthcare NHS Trust
• Central Essex Community Services
• Derbyshire Community Health Services NHS Trust
• Solent NHS Trust
• St Georges Healthcare NHS Trust (hospital and
community health services)
A fresh start for the regulation and inspection of community health care says CQC will identify a set of services that it will always inspect for a community
health provider. For the first inspections, these will
be:
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Volume 9 Issue 1
08 January 2014
• Services for children and families
• Adults with long-term conditions (including district
nursing, specialist and rehabilitation services)
• Adults requiring community inpatient services (we
will visit all community hospitals)
• People receiving end-of-life care.
We will learn from the first group of inspections and
work with the sector and with patients and the public
to explore whether this is the best approach and also
to do more detailed work to describe what good and
outstanding care looks like for these services.
Community healthcare organisations provide a range
of services for adults and children. These include universal services to specific groups, particularly children
and families, as well as more specialist and enhanced
healthcare services.
Care and treatment services that fall within the community healthcare sector include the following:
• District nursing
• Health visiting
• School nursing
• Community rehabilitation
• Community therapist
• Specialist nursing services for people with long-term
conditions
• Hospital at home services
• End-of-life care delivered at home
• Specialist community dental services.
A fresh start for the regulation and inspection of community health care is available on CQC's web site
http://www.cqc.org.uk/node/760762
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87. Jeremy Hunt crazy to call hospital
bosses, says regulator
port its staff.
21 December 2013 – BBC News
David Prior, chairman of the CQC has said that it is
"crazy" for Health Secretary, Jeremy Hunt, to personally call hospital bosses who miss A&E targets.
The home has over 40 residents, some of whom
have dementia.
The Department of Health said Mr Hunt "would not
be doing his job" if he did not keep in touch with
frontline staff at hospitals and this has previously included phoning chief executives.
30 December 2013 - CQC
CQC is changing the way it inspects health and social
care services and has published information about its
new approach to mental health care, community
health care and GP and out-of-hours services. You'll
see that some of the changes being made include
bigger inspection teams that include more Experts by
Experience, specialist inspectors and professionals
and it wil also rate services so you have a better understanding of how well they're performing.
http://www.bbc.co.uk/news/health-25476090
88. Pentland Hill Nursing Home – update
23 December 2013 – SCSWIS
The Scottish Care Inspectorate says that its inspectors have seen evidence of improvement at Pentland
Hill Nursing Home, but more needs to be done.
The home was required to make specific improvements by the end of November or face closure.
The Care Inspectorate confirmed it would extend the
current Improvement Notice until the New Year
pending further assessment of how changes in management and care practices are impacting on residents.
http://www.scswis.com/index.php?
option=com_content&view=article&id=8352:pentland-hillnursing-home-update&catid=283:Latest-news&Itemid=695
89. Callington's St Theresa's Nursing Home
'not respecting dignity'
24 December 2013 – BBC News
CQC has found that a nursing home in Cornwall has
not been respecting the privacy, dignity and independence of its residents.
http://www.bbc.co.uk/news/uk-england-cornwall-25503987
90. Inspecting mental health care, community
care & GPs
91. Question time with our chief inspectors
30 December 2013 - CQC
James Titcombe, CQC’s National Advisor on Patient
Safety, Culture and Quality, puts questions from the
public to its Chief Inspectors. Watch as Andrea Sutcliffe, Professor Steve Fields and Professor Sir Mike
Richards discuss poor care, staffing, catering
to people's specific needs and more.
Watch the interview...
92. A fresh start – your chance to help shape
the CQC
November 2013 - Healthcare Business
Kevin Craig of PLMR writes of the importance for
care providers of getting to grips with CQC’s report ‘A
fresh start to for the regulation and inspection of adult
social care’ and some of the radical proposals contained. The first pilot inspections under the new protocols will begin in March 2014.
St Theresa's Nursing Home in Callington was also
told by the regulator that it needed to do more to sup© Brunswicks LLP 2014 http://www.brunswicks.eu
Page 32
Volume 9 Issue 1
08 January 2014
93. New Chief Inspector sets out her initial
priorities
November 2013 - Healthcare Business
Andrea Sutcliffe, who has taken over as Chief Inspector of Adult Social Care in CQC sets out the priorities
for the first phase of her stewardship.
94. Hidden cameras in care – an invasion of
privacy or a necessary precaution
November 2013 - Healthcare Business
Zara Rubin of PLMR writes about the proposals by
CQC to possibly use covert filming to ensure that
care is delivered well.
95. A fresh start for regulation
November 2013 - Healthcare Business
Prof. Martin Green OBE gives his view of the proposals for regulation made by Andrea Sutcliffe/CQC and
points out that it is not possible to deliver greater
quality care for less money. He also points out that
CQC CEO, David Behan, has identified commissioning as one of the primary influences on quality.
Dementia
96. Vitamin E 'beneficial' in dementia
01 January 2014 – BBC News
New research suggests that a daily dose of vitamin E
could help people with dementia.
A study in the journal JAMA found people with mild to
moderate Alzheimer's disease on high doses of vitamin E had a slower rate of decline than those given a
dummy pill and they were able to carry out everyday
tasks for longer and needed less help from carers.
The Alzheimer's Society said the dosage was very
high and might not be safe.
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In the study, 613 people with mild to moderate Alzheimer's disease received either a daily dose of vitamin E, a dementia drug treatment known as memantine, a combination of vitamin E and memantine, or
placebo.
http://www.bbc.co.uk/news/health-25552768
97. Tell us your actions
Dementia Friends want you to tell us your action.
They’ve been hearing lots of inspiring actions from
Dementia Friends, from helping someone to find the
right bus to spreading the word about dementia,
every action counts. Visit its facebook page or twitter
feed and use the hashtag #ActiononDementia
http://www.belfasttelegraph.co.uk/news/local-national/
northern-ireland/gp-visit-fees-inevitable-29884963.html
99. Downe and Lagan Valley A&E shut at
weekends
04 January 2014 – BBC News
A&E units at two Northern Ireland hospitals are set to
close at the weekends from 04.01.2013.
Volume 9 Issue 1
08 January 2014
Well National Advisory Group, has made a series of
recommendations that will see LCP phased out and
replaced by a more -flexible, personalised system to
be drawn up in coming months.
http://www.heraldscotland.com/news/health/halt-called-tocontroversial-end-of-life-patients-regime.23016767
101. NHS taskforce to improve hospital out-of
-hours care
The changes will be taking place at Downe Hospital,
Downpatrick and Lagan Valley Hospital in Lisburn
and the blame lies with a shortage of qualified emergency doctors.
29 December 2013 – Herald Scotland
A Government taskforce is to meet this year to discuss how the NHS in -Scotland can provide a comprehensive seven-days-a-week service.
http://www.hsj.co.uk/5066497.article?
WT.tsrc=Email&WT.mc_id=EditEmailStory&referrer=e130#.Us
b5OWeYbs0
The emergency units will be only be open from Monday to Friday 08:00 GMT - 20:00 GMT.
Ireland, Scotland & Wales
The Health and Social Care Board said it accepted
the trust's view that the changes were "unavoidable".
Health Secretary Alex Neil said the group - made up
of senior Government and NHS officials - will consider how to improve services out of hours, particularly over weekends.
Ireland
98. GP visit fees 'inevitable'
03 January 2014 – Belfast Telegraph
A leading doctor has said that the introduction of
charges for medical treatment in Northern Ireland is
"inevitable".
The British Medical Association NI said despite wanting the health service to remain free and universally
accesible, growing demands on staff could mean
politicians will put the fees in place.
Dr Tom Black, chairman of the BMA (Northern Ireland) General Practitioners' Committee, spoke after a
poll of GPs in England revealed 32% of family doctors said introducing fees for some visits would be
the most cost-effective way of cutting unnecessary
A&E attendances.
http://www.bbc.co.uk/news/uk-northern-ireland-25596328
Scotland
100. Halt called to controversial end-of-life
patients regime
http://www.heraldscotland.com/news/health/nhs-taskforce-toimprove-hospital-out-of-hours-care.23047954
21 December 2013 – Herald Scotland
The Liverpool Care Pathway (LCP), the controversial
end-of-life regime that allows patients' deaths to be
hastened through withdrawal of medication, food and
water is to be withdrawn in Scotland.
102. Apology after McDonald's food served at
care home in Fort William
A critical review south of the Border by the Neuberger
Inquiry, which found poor training meant it had been
"misused" in recent years.
The chef did not turn up to work, so a member of staff
at Invernevis House in Fort William went to McDonald's to order food on 27.12.2013.
It became discredited after its use spread and it became associated with financial targets by health
boards.
NHS Highland blamed "a breakdown in communication and an error of judgement" for the decision and
said the established procedure was for the local hospital to provide food if there was a problem with catering.
In Scotland, an expert group, The Living and Dying
© Brunswicks LLP 2014 http://www.brunswicks.eu
Nurses' and doctors' leaders have warned additional
investment will be required, with health boards already struggling with demand for services.
Page 33
03 January 2014 – BBC News
NHS Highland has issued an apology after fast food
was served to residents in a care home in Lochaber.
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http://www.bbc.co.uk/news/uk-scotland-highlands-islands25593678
105. Health service report for mid Wales
ordered by minister
103. Party city blamed for hospitals’ norovirus hotspot
25 December 2013 – BBC News
The Welsh health minister has ordered a report on
the future of health services in mid Wales.
04 January 2014 – Edinburgh News
Lothian hospital wards seem to have been hit hardest by the norovirus vomiting bug this winter, and
health professionals claim the city’s reputation as a
party Mecca could be to blame.
Mark Drakeford's move was made in the wake of a
meeting with Ceredigion AM Elin Jones and a delegation of senior clinicians from Ceredigion and Powys.
http://www.bbc.co.uk/news/uk-wales-mid-wales-25493169
Figures published by Health Protection Scotland,
which takes a “snapshot” of norovirus cases every
Monday, reveal that almost 70% of hospital patients
hit by the bug over December are from the region,
which is home to just 15% of the national population.
106. Doctors' fears over flu jab uptake
http://www.edinburghnews.scotsman.com/news/health/partycity-blamed-for-hospitals-norovirus-hotspot-1-3255759
Just 47.7% of patients - just under 135,000 - in this
group have been vaccinated so far.
Wales
01 January 2014 – BBC News
Latest figures reveal more than half of those at risk
under 65 across Wales have not yet had their flu jab.
104. Tawel Fan ward at Glan Clwyd hospital
closed and investigated
Doctors have expressed their fears that this group is
more likely to develop potentially serious complications of flu such as bronchitis and pneumonia.
23 December 2013 – BBC News
A hospital ward at a mental health unit in north
Wales is now closed amid concerns about the
"quality and safety of patient care".
The health board said those most at risk include
pregnant women and people who have a weakened
immune system.
A "thorough investigation" into Tawel Fan ward in the
Ablett Unit at Glan Clwyd hospital is under way according to Betsi Cadwaladr University Health Board.
107. MPs launch scathing report on the
write-off of millions of pounds' worth of
pandemic flu drug
Some staff have been removed from clinical duties
and some patients are being cared for elsewhere.
03 January 2014 – Wales Online
Report condemns 'cultural failure' which stops drug
manufacturers sharing results of clinical trials with
doctors.
North Wales Police said the force was helping with
the investigation.
http://www.bbc.co.uk/news/uk-wales-north-east-wales25498293
© Brunswicks LLP 2014 http://www.brunswicks.eu
http://www.bbc.co.uk/news/uk-wales-25562415
The influential public accounts committee has published a scathing report on how the UK Government
has written off stock worth millions of pounds of a
controversial flu drug.
Page 34
Volume 9 Issue 1
08 January 2014
The report shows how the UK Government spent
£424m stockpiling Tamiflu, supposedly one of the key
defences against a flu pandemic, but had to write-off
£74m of stocks as a result of poor record-keeping.
http://www.walesonline.co.uk/news/wales-news/mps-launchscathing-report-write-off-6463841
Learning Disabilities
108. Out of sight - Stop the neglect and
abuse of people with a learning disability in
institutions like Winterbourne View
20 December 2013 - Mencap
See item 3 above in ‘Abuse’
Legislation Update
109. The Health and Personal Social Services
(General Medical Services Contracts)
(Amendmen No. 2) Regulations (Northern
Ireland) 2013
23 December 2013 – OPSI
http://www.legislation.gov.uk/nisr/2013/301/contents/made
110. The Children’s Homes and Looked after
Children (Miscellaneous Amendments)
(England) Regulations 2013
24 December 2013 – OPSI
http://www.legislation.gov.uk/uksi/2013/3239/contents/made
Mental Capacity
111. MENTAL CAPACITY ACT 2005 SELECT
COMMITTEE
Oral and written evidence – Volumes 1 & 2
20 December 2013 - House of Lords
Below is the full text, running to over 1,800 pages, of
the evidence taken by the House of Lords Select
Committee – both written and oral.
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The Committee is due to complete its Report next
month.
Title
Mental Capacity Act 2005 - Evidence
volume 2 (L - W) (
)
Mental Capacity Act 2005 - Evidence
volume 1 (A - K) (
)
Date published
20.12.2013
20.12.2013
Mental Health
Inspecting mental health care, community
care & GPs
30 December 2013 - CQC
See item 90 in CQC etc...
112. Best of 2013: Mental health services
30 December 2013 – HSJ
A round-up of the best articles from HSJ’s Leadership, Commissioning, Innovation and Efficiency
channels.
http://www.hsj.co.uk/5066497.article?
WT.tsrc=Email&WT.mc_id=EditEmailStory&referrer=e130#.Us
sSRWeYbs0
You can also check the weekly statistics:
NHS England: winter pressures
Public Health England: winter health watch
NHS Choices has more information about individual’s
winter health.
114. Red Tape Challenge removes
unnecessary health and care regulation
18 December 2013 - DH
Over two-thirds of regulations on healthy living and
social care have been scrapped or improved as part
of plan to reduce ‘red tape’.
A review by the Department of Health found that 128
of the 555 regulations covering public health, quality
of care, mental health, NHS and professional standards were not necessary. It also found that another
252 could be improved.
Following the review, DH will take forward proposals
including:
 removing outdated rules that ban the sale of HIV
Miscellaneous

113. NHS winter planning

04 December 2013 - DH
Information and plans for winter including announcements about A&E winter pressure, the cold weather
plan and flu immunisation.
Contents
Winter Pressures
Cold weather plan
Flu immunisation
© Brunswicks LLP 2014 http://www.brunswicks.eu

home testing kits so that people have more choice
on how to get tested or treated early, and so businesses can benefit
simplifying a large number of professional standards regulations
working with the Department for Communities and
Local Government to reduce duplication of care
home inspections by the Care Quality Commission
and local authorities
reviewing the Deprivation of Liberty forms used by
hospitals and care homes where authorisation is
required to deprive a person of their liberty when
they lack the mental capacity to consent to treatment or care, in response to comments received
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Volume 9 Issue 1
08 January 2014
about their number and complexity
 updating the Nursery Milk regulations to make the

scheme more efficient and sustainable
working with retailers to to make the paper vouchers for the Healthy Start scheme easier to handle
The review was carried out as part of the government’s Red Tape Challenge, which looked at regulations across Whitehall, with the aim of removing them
unless there was a very good case for them to remain.
Between November 2012 and January 2013, the 555
healthy living and social care regulations underwent
public consultation through the Red Tape Challenge
website and comments were received from a wide
variety of organisations and individuals on a number
of areas of DH regulation. These were carefully examined to decide which suggestions could be taken
forward.
Many of DH’s regulations are essential to make sure
patients and the public are properly protected, and
that high standards are maintained. The Department
has however looked at where regulatory reform is
appropriate and should be made to reduce unnecessary burdens.
The document ‘Proposals for the regulations in the
Healthy Living & Social Care Red Tape Challenge
theme’ shows the full list of regulations to be
scrapped and improved.
More information can be found in the written ministerial statement.
Ed. Look at bullet point three – the duplication of
inspection of care homes needs to be addressed
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with a degree of urgency. One assumes that
councils stepped up their so-called contract
compliance inspections because they had collectively lost faith in the CQC’s abilities to inspect
effectively.
115. The National Skills Academy for Social
Care is moving offices
20 December 2013 - NSASC
From Thursday 2nd January 2014, our new office will
be
Floor 9,
One Euston Square,
40 Melton Street,
London,
NW1 2FD
The location is just outside Euston Station, near the
corner of Euston Road and Melton Street.
We will also be within easy walking distance of
King’s Cross and St Pancras mainline stations, and
of Warren street and Euston Square tube stations.
Our telephone number will change to 0203 011 5270.
Our email addresses and all other details will remain
the same and any named contacts you have will
have their new direct line on their signature. If you
would like to call them in the meantime, please call
the main number and you will be put through.
We will be closed for the move to our new office from
the afternoon of Friday 20th December to Thursday
2nd January.
If you have any urgent calls in the meantime, please
call Debbie Sorkin on 07813 744 502.
© Brunswicks LLP 2014 http://www.brunswicks.eu
Out of sight - Stop the neglect and abuse of
people with a learning disability in
institutions like Winterbourne View
20 December 2013 - Mencap
See item 3 above in ‘Abuse’
116. New public health research partnerships
to get £47.5 million.
20 December 2013 - DH
13 partnerships between universities and Public
Health England will share funding worth £47.5 million
for health protection research.
Universities competed for the money - from existing
research funding – in a competition run by the National Institute for Health Research (NIHR) and
funded by the Department of Health. The successful
applications have now been announced by the department.
The contracts for the new NIHR Health Protection
Research Units (HPRUs) will run for 5 years from 1
April 2014.
Funding for each Unit will be held by a university in
partnership with Public Health England (PHE) to enable collaboration between world class research in
academia and PHE.
Applications were assessed by an international panel.
Thirteen successful applications have been offered
funding to form Units across 12 public health priority
areas, ranging from immunisation to radiation hazards. The outcome means there will be strengthened
research focus in key areas, such as emergency preparedness and response, and the impact of environmental hazards.
Volume 9 Issue 1
08 January 2014
applicants, in partnership with PHE, are:
 Environmental Change and Health – London











School of Hygiene and Tropical Medicine with
Exeter University and University College London
Impact of Environmental Hazards – King’s College
London with Imperial College London Health
Emergency Preparedness and Response – King’s
College London with Newcastle University and
University of East Anglia
Chemical and Radiation Threats and Hazards –
Newcastle University
Emerging Infections (including zoonoses) and Biological Threats – University of Liverpool with Liverpool School of Tropical Medicine
Immunisation – London School of Hygiene and
Tropical Medicine
Respiratory infections – Imperial College London
with Imperial College NHS Trust and Birmingham
University
Gastrointestinal infections – University of Liverpool
with University of East Anglia, University of Oxford,
and Institute of Food Research
Blood-borne and Sexually Transmitted Infections –
University College London with London School of
Hygiene and Tropical Medicine
Healthcare Associated Infections and Antimicrobial
Resistance – Imperial College London with Wellcome Sanger Institute, NWL Academic Health Science Network, and Cambridge Veterinary School
Healthcare Associated Infections and Antimicrobial
Resistance – University of Oxford with Animal
Health and Veterinary Laboratories Agency
Development of Modelling Methodology – Imperial
College London
The 12 priority areas and the successful university
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 Evaluation of Interventions – University of Bristol
with University College London, Cambridge MRC
Biostatistics Unit, and University of the West of
England
Chief Medical Officer Professor Dame Sally Davies
said:
“These partnerships will bring together research from
academia and Public Health England to ensure world
class health protection research in England.
By focusing on research across a wide range of public health areas, the units will take new scientific discoveries from the lab to benefits for patients and the
public. I believe they will have a significant impact on
the health of the population.”
Duncan Selbie, chief executive of Public Health England, said:
“These innovative public health research partnerships confirm the place of health protection research
right up where it needs to be, alongside the very best
in clinical medicine. We are incredibly grateful to the
National Institute for Health Research and the Chief
Medical Officer for guiding us to this end, and of
course the successful University applicants.”
117. GPs urged to get drugs data on addict
patients
20 December 2013 - The Times
The Home Affairs Select Committee has said that
GPs should begin to collect data on patients suspected of being hooked on prescription drugs to ensure that they are not ‘doctor shopping’.
118. MPs want GPs to record prescription
drug abuse
20 December 2013 – OnMedica
The Home Affairs Committee is calling for GPs to
anonymously record all proven and suspected cases
of prescription drug addiction on the National Drug
Treatment Monitoring System.
The MPs called for the medical Royal Colleges to
examine whether local health teams are communicating effectively their concerns about people who go
‘doctor shopping’ around multiple practices to request
specific drugs. They want NHS England to issue
guidance to clinical commissioning groups, who
should have a stronger administrative function so that
they can take central responsibility for collating and
sharing these data with all health professionals in the
area.
http://www.onmedica.com/newsarticle.aspx?id=d9309e802222-4e60-846d-c2996a04399d
119. Soldiering on when you’re sick helps no
one, says NHS chief
23 December 2013 - The Times
Prof Keith Willett, national clinical director for acute
care at NHS England urged people to see their GPs
over the holiday weeks rather than soldiering on with
a misplaced stoicism risking becoming sicker.
120. Sarah’s Law unmasks 700 paedophiles
23 December 2013 - The Times
About five sex offenders each week were identified to
worried parents and guardians since the scheme was
launched in 2011.
121. Company-led drug recall: Parallel
Imported Crestor 5mg - Beachcourse Limited
- CLDA (13)A10
24 December 2013 - MHRA
Beachcourse Limited is recalling a specific batch of
© Brunswicks LLP 2014 http://www.brunswicks.eu
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Volume 9 Issue 1
08 January 2014
Parallel Imported Crestor 5mg tablets to pharmacy
level, because the blister is incorrectly labelled as
Crestor 10mg. All other labelling is correct and tablets
present in the blisters are 5mg strength.
http://www.mhra.gov.uk/Safetyinformation/
Safetywarningsalertsandrecalls/DrugAlerts/Companyledrecalls/CON357140
122. £20,000 of illicit medicines seized in
counterfeit sex drugs raid
24 December 2013 - MHRA
Investigators from the MHRA have today seized
7,000 tablets, including heart and erectile dysfunction
drugs along with counterfeit versions of Viagra and
Cialis, in a raid in East London.
http://www.mhra.gov.uk/NewsCentre/Pressreleases/
CON357136
123. At last, a Health Secretary puts patients
first
27 December 2013 - Daily Mail
Item about Jeremy Hunt and how his successes thus
far stem from the fact that he has not tried to appease
those running the NHS but has championed patients
and their rights and expectations. He spends one
day a week on the front line, making beds and taking
on other tasks in an attempt to fully understand the
NHS.
124. Marie Fleming dead
27 December 2013 - The Times
Born in 1953 Marie Fleming was terminally ill with MS
when, 12 months ago, she sought to challenge in the
High Court Dublin the ban on assisted suicide. She
failed and failed again on appeal. Her autobiography
is to be published in February – entitled ‘An Act of
Love’. She died on 20.12.2013.
Ed. We extend our condolences to Ms Fleming’s
partner of 20 yrs, Tom Curran, her children and
grandchildren.
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125. Register for breast implants planned but only in England for now
29 December 2013 – Wales Online
Welsh Government is considering following England's lead on recording breast implant operations on
a new register.
The new register to log the details of women who
undergo breast implant surgery is to be set up by the
UK Government in an attempt to prevent a repeat of
the scandal in which tens thousands of women received faulty implants.
Ministers have accepted the majority of the recommendations of a review by NHS England’s medical
director Sir Bruce Keogh following the disclosure that
the French firm Poly Implant Prothese (PIP) had
been manufacturing implants using industrial grade
silicone.
The register will apply to all women who have the
operations in England, but the Welsh Government
said yesterday it will consider the plans when a full
report of the Department of Health’s proposals is
published in January.
http://www.walesonline.co.uk/news/health/welsh-governmentconsider-following-englands-6452542
126. Curbs on cosmetic surgery ads ‘do not
go far enough’
30 December 2013 - The Times
Clampdown on rogue cosmetic surgeons
30 December 2013 - Daily Mail
Doctors warned that people will be vulnerable to misleading ads promoting cosmetic surgery because
Ministers will not introduce new restrictions following
the PiP scandal.
Plans for a national register of breast implants will be
a waste of time unless companies are forced to submit data.
127. CBE for Mid-Staffs whistleblower:
Campaigner who exposed horrific neglect at
NHS hospital is honoured in new year's list
30 December 2013 – Daily Mail
The whistleblower who exposed horrific neglect at an
NHS hospital has been honoured with a CBE.
Julie Bailey was forced to flee her home town and sell
her business following death threats after she revealed her mother’s appalling treatment at Stafford
Hospital, where neglect cost up to 1,400 lives.
She started a pressure group Cure the NHS to campaign for better care and helped to force an official
inquiry into failings at the hospital.
http://www.dailymail.co.uk/news/article-2531416/CBE-MidStaffs-whistleblower-Campaigner-exposed-horrific-neglectNHS-hospital-honoured-new-years-list.html#ixzz2p9cCrXTW
128. HSJ Rising Stars
31 December 2013 – HSJ
Article by HSJ Rising Stars celebrating the healthcare
leaders of tomorrow − and influencers of today
http://www.hsj.co.uk/5066648.article?
WT.tsrc=Email&WT.mc_id=EditEmailStory&referrer=e94#.Ush
8tGeYbs0
129. National Care Association
31 December 2013
Nadra Ahmed OBE, Chairman of National Care Association in her New Year message to the care sector
looks forward to the opportunities and challenges in
2014 for care providers.
Volume 9 Issue 1
08 January 2014
will have an impact on the ability of care providers' to
meet the growing expectations of the delivery of
quality services which the public and those that purchase services expect and deserve.
Mrs Ahmed said:
"National Care Association is committed to ensuring
that its membership is a crucial part of the solution to
challenges faced by the sector and we look forward to
continuing our dialogue with the government and interested parties in the coming year."
"We are mindful and take great pride in the fact that
our membership, which is predominately the community based owner operators of care businesses, provide an exceptional service supporting people in their
own homes as well as within care homes 24 hours a
day, every day of the year. The challenge of ever decreasing public funds continues to impact on the frail
and most vulnerable in our society at the most critical
period of their lives. In 2014 we have opportunities to
resolve this funding dilemma through the Care Bill
and we will be at the forefront of the debate."
Mrs Ahmed OBE also looked forward to the full
merger and formation of Care England but in the
meantime she said
"We remain committed to continuing to provide care
and support for our members when they need it most.
No provider should feel alone when faced by the challenges of delivering quality services against a background of diminishing funding, so with our partners
National Care Association will continue to work hard
to support them"
She warned that the continuing pressures on funding
for the provision of care, both locally and nationally,
© Brunswicks LLP 2014 http://www.brunswicks.eu
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130. Trials to begin on new degradable
surgical implant
02 January 2014 – BBC News
The protective patch, which wraps round soft tissue
repairs, is to be trialled in patients with shoulder injuries and it is hoped in time this approach could help
patients with other conditions including arthritis, hernias and heart defects.
The implant was developed using a mix of modern
and ancient technology.
http://www.bbc.co.uk/news/health-25421657
131. Research and analysis: Winter health
watch summary: 2 January 2014
02 January 2014 – Gov.uk
Public Health England monitors winter health indicators on a weekly basis, from October to March.
https://www.gov.uk/government/publications/winter-healthwatch-summary-2-january-2014
132. Lack of consensus over how well
Tamiflu actually works
03 January 2014 - Commons Select Committee
Our £400m stockpile of flu medicine that
might not even work
03 January 2014 - Daily Mail
The Public Accounts Committee published its 35th
report of 2013-14 on access to clinical trial information and the stockpiling of Tamiflu.
Report: Access to clinical trial information and the
stockpiling of Tamiflu (HTML)
Report: Access to clinical trial information and the
stockpiling of Tamiflu (PDF)
Public Accounts Committee
Richard Bacon MP, member of the Committee of
Public Accounts, said:
© Brunswicks LLP 2014 http://www.brunswicks.eu
“The full results of clinical trials are being routinely
and legally withheld from doctors and researchers by
the manufacturers of medicines.
“This has ramifications for the whole of medicine. The
ability of doctors, researchers and patients to make
informed decisions about treatments is being undermined. Regulators and the industry have recently
made proposals to open up access, but these do not
cover the issue of access to the results of trials in the
past which bear on the efficacy and safety of medicines in use today.
“Research suggests that the probability of completed
trials being published is roughly 50%. And trials which
gave a favourable verdict are about twice as likely to
be published as trials giving unfavourable results.
”This is of extreme concern to this Committee. The
Department and MHRA must make sure, both prospectively and retrospectively, that clinical trials are
registered and the full methods and results of all trials
are available for independent wider scrutiny by doctors and researchers.
“There is also no routine sharing between NICE and
the MHRA of information provided by manufacturers
during the process of licensing medicines.
“There is still a lack of consensus over how well the
antiviral medicine Tamiflu, stockpiled for use in an
influenza pandemic, actually works. The lack of transparency of clinical trial information on this drug to the
wider research community is preventing proper discussion of this issue among professionals. We are
disturbed by claims that regulators do not have access to all the available information.
“The case for stockpiling antiviral medicines at the
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Volume 9 Issue 1
08 January 2014
current level is based on judgement rather than on
evidence of their effectiveness during an influenza
pandemic. Before spending money in future to maintain the stockpile the Department needs to review
what level of coverage is appropriate. It should look at
the level of stockpiling in other countries, bearing in
mind that the patent for the medicine runs out in
2016.”
Richard Bacon was speaking as the Committee published its 35th report of this Session which examined
the availability of clinical trial results; how the Medicines and Healthcare Products Regulatory Agency
(MHRA) and the National Institute for Health and
Care Excellence (NICE) share information; and the
stockpiling of Tamiflu.
The Committee took evidence from the Department of
Health, the MHRA, NICE, Dr Ben Goldacre and Dr
Fiona Godlee, Editor-in-Chief of the British Medical
Journal.
Clinical trials
The Committee was surprised and concerned to discover that information is routinely withheld from doctors and researchers about the methods and results
of clinical trials on treatments currently prescribed in
the United Kingdom.
This problem has been noted for many years in the
professional academic literature, with many promises
given, but without adequate action being taken by
government, industry or professional bodies. This
now presents a serious problem because the medicines in use today came on to the market—and were
therefore researched—over the preceding decades.
None of the latest proposals from regulators or industry adequately addresses the issue of access to the
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results of trials from previous years on the medicines
in use today.
Recommendation
The Department should take action to ensure that
the full methods and results are available to doctors
and researchers for all trials on all uses of all treatments currently being prescribed, and should also
ensure that there is clear and frequent audit of how
much information is available and how much has
been withheld.
The results of clinical trials on humans are the key
evidence used by regulators, researchers and clinicians to assess whether a medicine works and how
safe it is. Medicine manufacturers submit evidence
on products they wish to market in the UK to the
Medicines and Healthcare Products Regulatory
Agency (MHRA) or the European Medicines Agency
(EMA).
The scope for independent scrutiny of a medicine’s
effectiveness is undermined by the fact that the full
methods and results of many clinical trials are not
made available to doctors and researchers. The
problem of non-publication of clinical trial results has
been known since the mid-1980s. The Committee
also heard evidence that trials with positive results
are about twice as likely to be published as trials with
negative results.
While several clinical trial registries have been established, none covers all clinical trials on all uses of all
treatments currently being prescribed worldwide.
There have been recent announcements by the
EMA, and some manufacturers, to improve access to
information about clinical trials but none adequately
addresses the issue of incomplete disclosure
throughout medicine.
© Brunswicks LLP 2014 http://www.brunswicks.eu
Opening up information about all clinical trials to
medical researchers would support the work of regulators by permitting thorough, independent external
review by doctors and researchers.
Recommendation
The Department and the MHRA should ensure, both
prospectively and retrospectively, that clinical trials
are registered on an appropriate registry and that the
full methods and results of all trials should be available for wider independent scrutiny, beyond the work
undertaken by regulators during the licensing process.
NICE and the MHRA do not routinely share information provided by manufacturers during the process for
licensing medicines. When applying for a licence,
manufacturers have a legal obligation to provide all
the information on the safety and efficacy of a medicine that is required by European regulators. However, NICE does not have statutory powers to demand information from manufacturers, in contrast to
the Institute for Quality and Efficiency in Healthcare in
Germany, which performs a similar role to NICE.
NICE seeks confirmation from the medicine manufacturer’s UK medical director on the completeness of
information, but this may not include all clinical trials
in other parts of the world, not least because UK
medical directors may themselves not have full information. The MHRA confirmed there was no legal obstacle that would prevent it from sharing information
with NICE.
However, there is no routine sharing of the information provided by manufacturers to regulators as part
of the licensing process with NICE. This leads to the
risk of omissions and duplication in the collection of
evidence.
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Volume 9 Issue 1
08 January 2014
Recommendation
NICE should ensure that it obtains full methods and
results on all trials for all treatments which it reviews,
including clinical study reports where necessary;
make all this information available to the medical and
academic community for independent scrutiny; and
routinely audit the completeness of this information.
NICE and the MHRA should put in place a formal information-sharing agreement to ensure when NICE
appraises medicines it has access to all of the information provided to regulators by the manufacturer
during the licensing process.
Tamiflu
The number one risk on the Government’s national
risk-assessment for civil emergencies, ahead of both
coastal flooding and a major terrorist incident, is the
risk of pandemic influenza. Between 2006-07 and
2012-13, the Department spent £560 million on stockpiling two antiviral medicines for use in an influenza
pandemic—£424 million on Tamiflu and £136 million
on Relenza.
There remains a lack of consensus over how well
Tamiflu works and there is disagreement about
whether regulators and NICE received all the information on Tamiflu during the licensing process. The
MHRA is confident that European regulators received
all the information on Tamiflu.
However, following the hearing the Cochrane Collaboration wrote to the Committee to draw attention to
trials where the Cochrane Collaboration concluded
the EMA had incomplete information. Table 1 of
Cochrane’s submission sets out the information that
the Cochrane Collaboration received from the EMA in
response to a request for all information held by the
agency, and it is plain that for many large trials no
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information was available, and that for many more
trials only partial information was available.
The Committee shares the concern expressed by the
Cochrane Collaboration when it wrote:
“We find it perplexing that the regulators continue to
state that they had all the available evidence”. The
Cochrane Collaboration is now receiving full clinical
study reports from Roche, the manufacturer of
Tamiflu, which will enable the Cochrane Collaboration to complete its review of the effectiveness of
Tamiflu with complete information for the first time.
“Whether or not the Cochrane Collaboration’s overall
recommendation changes, it is extremely concerning
that there has been a five-year delay and that there
continues to be a lack of clarity over who saw what.”
Recommendation
Once the Cochrane Collaboration has completed its
review of Tamiflu using all clinical study report information, the Department, MHRA and NICE should
consider whether it is necessary to revisit previous
judgements about the efficacy of Tamiflu.
The case for stockpiling antiviral medicines at the
current levels is based on judgement rather than evidence of their effectiveness during an influenza pandemic. It is difficult to extrapolate the results of clinical trials involving seasonal influenza to Tamiflu’s
effectiveness during a pandemic. During 2008, the
Department developed a business case to establish
a stockpile of antivirals and pre-influenza pandemic
vaccine. The business case included increasing antiviral medicines to 80% population coverage in a twostage process.
Despite there being only limited evidence and wide© Brunswicks LLP 2014 http://www.brunswicks.eu
Volume 9 Issue 1
08 January 2014
spread disagreement among regulators and other
bodies internationally on whether Tamiflu confers any
benefits on complications and mortality, the business
case used an assumption that there would be a 40%
to 50% reduction in complications and mortality. This
assumption was based on advice from a range of
experts including the Department’s Scientific Pandemic Influenza Advisory Committee.
2014 accountability hearing with Health and Care
Professions Council.
Recommendation
Before spending the £49 million to maintain a stockpile at 50% population coverage, scheduled for 201314, the Department should review the appropriate
level of population coverage; the level of stockpiling
in other countries; and take into consideration the fact
that the patent for Tamiflu expires in 2016.
Health and Care Professions Council
 Dr Anna van der Gaag, Chair
 Marc Seale, Chief Executive and Registrar
The Department wrote off £74 million of Tamiflu as a
result of poor record-keeping by the NHS on how the
medicine had been stored during the 2009 influenza
pandemic. During the pandemic, Tamiflu was distributed to many places around the country. When unused stocks were returned, it was not clear whether
they had been stored, as required, below 25C. The
Department has put in place additional guidance for
the storage of antivirals following distribution during a
pandemic.
Recommendation
The Department should seek assurances that bodies
involved in the distribution of antiviral medicines during a pandemic follow the Department’s revised guidance and have robust storage and quality-control systems in place.
Inquiry: Health and Care Professions Council
Health Committee
Witnesses:
At 2.30pm
134. Giving blood also seems to mean giving
time
03 January 2014 - The Times, Letters to the Editor
Three correspondents all bemoaning the poor state of
the NHS Blood Transfusion Service which operates a
system of appointments which invariably run late.
Ed. As a lapsed blood donor, I stopped several
years ago after three successive sessions were
aborted because of the inability to successfully
lance a vein, I would be beside myself to be given
an appointment which was routinely running 40
mins late!
135. GPs’ £1,500 for a shift in A&E
04 January 2014—Daily Mail
Using Freedom of Information Act requests, the Daily
Mail has uncovered some startling information including one recruitment firm charging St Thomas’ in
South London £120ph for family doctors engaged to
work shifts in A&E - £1,440 for a 12hr shift.
133. 2014 accountability hearing with Health
and Care Professions Council
03 January 2014 - Parliament
On 07.01.2014 the Health Committee will hold its
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136. HCPC publishes revised standards of
proficiency speech and language therapists
sion.”
06 January 2014 - HCPC
The Health and Care Professions Council (HCPC)
has published new revised standards of proficiency
for speech and language therapists.
The HCPC will now work with education providers to
gradually phase in the new standards.
The standards of proficiency are the professional
standards that every registrant must meet in order to
become registered, and must continue to meet in
order to remain on the HCPC Register. The standards set out what professionals should know, understand and be able to do to practise safely and
effectively.
November 2013 - Healthcare Business
A useful reminder about the acceptance and use of
new equipment in the workplace.
The standards of proficiency are divided into generic
standards (which apply to all HCPC-regulated professions) and standards specific to each profession.
The HCPC Council approved revised generic standards in March 2011 and the HCPC is now working
to update the standards that apply to each individual
profession. The revised profession-specific standards for speech and language therapists have been
published as part of this process.
139. Lifetime achievement award for ‘giant’ of
social care
Michael Guthrie, Director of Policy and Standards,
commented:
“We have worked closely with the Royal College of
Speech and Language Therapists to review the standards for their profession and asked them to make
recommendations. We also consulted on proposed
changes and are grateful for the feedback we have
received from all our stakeholders.
“The changes we have made to the professionspecific standards for speech and language therapists ensure that they reflect current practice and
include language that is appropriate to the profes© Brunswicks LLP 2014 http://www.brunswicks.eu
137. Work equipment within your business –
the use of equipment
138. How new inquest laws affect providers
November 2013 - Healthcare Business
Jonny Landau discusses some of the changes to
Coroners Rules which came into force in July 2013.
November 2013 - Healthcare Business
Item about the award by Care Forum Wales to Mike
Parsons, CEO, Barchester Healthcare.
140. PrimeCare Insurance on the ’15-minute
care’ debate
November 2013 - Healthcare Business
David Waters of CHIS expresses the view that 15
minutes of domiciliary care should be the exception,
not the rule.
NHS
141. ‘Bed blocking’ getting worse at
hospitals
14 December 2013 - Huddersfield Daily Examiner
Shame of bed blocking
14 December 2013 - The Weekend Examiner –
Brighouse and Elland Edition
Item reporting that Calderdale is ranked 10th worst in
England for blocked beds and Kirklees is 34th.
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08 January 2014
142. Monitor and NHS England publish new
rules for the 2014/15 NHS payment system
17 December 2013 - Monitor
New rules will come into force later this year allowing
local experiments in ways of paying for NHS-funded
services in order to develop innovative new models of
care for patients. The rules were successfully consulted on by NHS England and Monitor during autumn 2013.
Local price setting (excluding block contracts) currently accounts for about a quarter of the £67bn covered by the NHS payment system. Our proposals for
2014/15 encourage the widespread use of flexible but
transparent local approaches.
Responsibility for the national tariff has this year been
passed from the Department of Health to joint arrangements in which Monitor, the sector regulator,
leads on the prices and rules for groups of health
care services that are determined by NHS England,
the NHS Commissioning Board.
The two organisations have agreed it is reasonable to
expect providers to be able to make annual efficiency
savings of 4%. The national tariff of prices and rules
for 2014/15 also takes account of rising NHS costs of
2.5%, so on average the prices providers are paid for
acute services next year should go down by 1.5%.
This will allow trusts to keep more of their budget to
deal with challenges identified by the Francis and Keogh reports.
For 2015/16, Monitor and NHS England will develop a
payment system that seeks to encourage innovative
approaches to health care that promote well-being as
well as treating illness.
Ric Marshall, Director of Pricing at Monitor said:
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"The 2014/15 payment system is designed to help
commissioners and providers address the key challenges facing NHS care in their localities.
bridge University Hospitals NHS Trust inspectors
noted a number of areas of concern.
Professor Sir Mike Richards said:
"We are offering them more opportunities to encourage the development of new service models, maintaining incentives to provide care more efficiently and
providing greater financial certainty to underpin effective planning for patients."
Sam Higginson, Director of Strategic Finance at NHS
England, said:
"This is good news for patients and good news for
the NHS. NHS England has worked with Monitor to
adjust the price hospitals are paid to treat patients, in
recognition that some hospitals will incur additional
costs to improve patient safety and care.
The change to the tariff sits alongside work NHS
England is already implementing, and we expect it to
be used to ensure all patients are treated with dignity
and compassion, every time."
143. Latest Hospital Inspections Find Good
Care, But Still Too Much Variation
18 December 2013 - CQC
CQC has identified "exceptional" care at Salford
Royal NHS Foundation Trust, according to the Chief
Inspector of Hospitals, Professor Sir Mike Richards.
Professor Richards was commenting as CQC publishes the latest reports from its new acute hospital
inspection programme. He noted that the four reports
demonstrated variations in care: at Salford Royal and
Royal Surrey County Hospitals NHS Foundation
Trusts, inspectors found good examples of care, but
at the Royal Bournemouth and Christchurch NHS
Foundation Trust and at Barking, Havering and Red© Brunswicks LLP 2014 http://www.brunswicks.eu
"We have now published reports on eight trusts following our new-style inspections. The larger teams
and the involvement of more clinical specialists and
members of the public is giving us a good picture of
what care looks like across these large and complex
organisations. When we go in, we are looking to see
if services are safe, effective, caring, responsive to
people's needs and well-led.
"Our reports show a mixed picture of care, but I am
particularly pleased that we have seen good examples of care, even in hospitals where the overall findings have not been positive. I want hospitals to learn
from each other to help them improve their services
and we will continue to highlight good practice where
we find it."
All of the inspection teams included doctors, nurses,
hospital managers, trained members of the public,
CQC inspectors and analysts. They carried out a mixture of announced and unannounced inspections,
held focus groups with staff, and held a public listening event. The reports are based on a combination of
inspection findings, information from CQC's Intelligent
Monitoring system, and information provided by patients, the public and other organisations.
Professor Richards said:
"Salford Royal strives to be the best in the country
and to deliver care which is safe, clean and personal
every time. We found it is an extremely well-run trust,
with a strong and stable leadership which was embedded at all levels within the trust, across all wards,
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Volume 9 Issue 1
08 January 2014
consistently and without fail.
"Staff were encouraged to be innovative in improving
the quality of care. They were able to tell us how
quality was given a high priority and that patient care
was personalised.
"The trust showed an openness and commitment to
continuous improvement, with patient safety at the
top of its priorities."
Examples of good practice at Salford included the
bereavement service, the electronic patient records
system and the trust's system for being transparent
about staffing levels. Inspectors also praised the
"exceptional leadership qualities at all levels across
all staff groups" and noted that "the engagement and
leadership on the non-executive directors and the
governing council were outstanding".
At the Royal Surrey County Hospital, inspectors
noted good practice in a number of areas including
the paediatric ward, the maternity service and nurseled cancer clinics.
Professor Richards said:
"Staff we spoke to were positive and engaged, and
patients we spoke to were generally very positive
about the care that they had received at the hospital."
At the other end of the scale, Professor Richards has
recommended that the Trust Development Authority
puts Barking, Havering and Redbridge into special
measures.
He said:
"The long-standing issues in the trust's two A&E de-
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partments are clearly affecting patients - and all attempts to address these problems over the last few
years have failed to deliver.
"While we understand that the leadership team is
trying to resolve the issues, it is clear to us the Trust
is unable of doing so without help. That's why we've
asked the NHS Trust Development Authority to put
this trust in special measures to tackle the issues it
faces."
The Royal Bournemouth Hospital also came in for
criticism from inspectors, who found that medical
care, including older people's care was inadequate.
A&E, surgical services and outpatient services also
required improvements.
Professor Richards said:
"The hospital had a high occupancy rate and there
had been ongoing use of escalation beds when a
ward or unit was full - even though these beds could
not meet patients' needs properly. The trust did not
employ enough staff, even though it was fully aware
that nearly all its beds were occupied all the time."
There will also be changes to the training pathway to
help support junior medics while more training places
will be opened up to foreign doctors to work in the UK
over a longer period.
Other doctors who have trained in different specialities may also be allowed to switch to emergency
medicine without having to start their training from the
beginning.
http://m.hsj.co.uk/5066557.article
145. Green light for new device to treat
complex disease of the main heart artery
18 December 2013 - NICE
NICE has recommended the use of the E-vita open
plus stentgraft system for treating complex aneurysms and dissections of the thoracic aorta.
Some people might normally need a two stage repair
operation because of the extent of disease or damage affecting their aorta, but using the device could
remove the need for a second procedure and the associated risk of serious complications.
Volume 9 Issue 1
08 January 2014
standard two stage procedures.
Savings are generated from around two years after
the procedure using E-vita open plus. At 10 years
after the procedure estimated savings range from just
under £22,000 to around £28,000 per patient compared with current practice.
Professor Carole Longson, Director of the NICE Centre for Health Technology Evaluation, said:
“This final guidance supports the NHS using the Evita open plus for treating complex aneurysms and
tears in the wall of the aorta.
“When used in a carefully selected group of people
who may have extensive disease or damage affecting
their aorta, the device is estimated to potentially save
the health service up to £28,000 per patient over 10
years compared to standard management. As a second surgical procedure would be avoided by using
the E-vita open plus, this device is good news for the
patient as well as the NHS.”
The E-vita open plus device consists of two sections
joined together which allows two areas of damaged
aorta to be treated in one procedure. Once in place,
the blood flows through the device, instead of into the
aneurysm or the tear in the wall of the aorta.
146. Exclusive: Medical students face new
NHS entry exam
144. Plan to solve emergency staffing crisis
revealed
The device can also replace part of the aorta if it is
badly damaged. The blood in the aneurysm or the
damaged wall of the aorta eventually forms a clot,
posing no further risk.
Under new plans they would have to sit an additional
exam to gain entry onto the foundation programme
that allows them to work for the NHS.
18 December 2013 – HSJ
A report, supported by the College of Emergency
Medicine, will see an extra 75 emergency medicine
training posts created annually for junior doctors over
a three year period starting in 2014.
Because there is no need for a second operation and
the risk of complications is reduced, outcomes for
patients are improved and there are anticipated savings associated with using the device compared to
The reports are clear about where the hospitals in
question need to make improvements. Inspectors will
return to the trusts to follow up the findings from
these inspections and to report on progress in making the required improvements.
© Brunswicks LLP 2014 http://www.brunswicks.eu
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20 December 2013 – HSJ
Medical students could be given a full licence to practise medicine as soon as they graduate.
If the proposals from Health Education England go
ahead they would signal a major change to the way
the NHS recruits and trains junior doctors.
http://m.hsj.co.uk/5066640.article
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147. Correspondence: Letter from John
Newton, PHE to Paul Baumann, NHS
England
20 December 2013 – Gov.uk
The Chief Knowledge Officer of PHE wrote to advise
the Chief Financial Officer of NHS England about
commissioning healthcare services.
https://www.gov.uk/government/publications/letter-from-johnnewton-phe-to-paul-baumann-nhs-england
148. NHS England would 'very rarely' close a
GP practice
20 December 2013 – HSJ
The deputy medical director of NHS England said it
would only close a GP practice if it was “at the extremes of immediate public safety”.
Mike Bewick said the national body had “been working with CQC to make sure there are some appropriate responses available when major deficiencies are
found” so it is “not coming into this completely in the
dark”. The CQC’s first 1,000 general practice inspections found major concerns in nine surgeries.
Practices must be registered with the CQC, but NHS
England has “overall governance” over them, given
that it commissions and contracts general practice
http://m.hsj.co.uk/5066643.article
149. Hospital turns stroke patient away at
4:57pm on Friday
20 December 2013 - The Times
Ambulance carrying John Mallalieu, 89, was diverted
from King’s Mill Hospital, Sutton-in-Ashton to City
Hospital, Nottingham 17 miles away – highlighting
some of the pressures in the NHS.
© Brunswicks LLP 2014 http://www.brunswicks.eu
150. NHS 'was too powerful to criticise' says
regulator
21 December 2013 – BBC News
David Prior, chairman of the CQC says that the NHS
"became too powerful to criticise" despite many patients receiving a "wholly unsatisfactory" service.
The CQC chairman said the NHS should not be
treated as a "national religion" beyond criticism.
However, he said the health service was becoming
more honest about failings, which made it more likely
they would be addressed.
http://www.bbc.co.uk/news/health-25475354
151. George Eliot Hospital takeover shortlist
revealed
23 December 2013 – BBC News
Five organisations are now shortlisted to takeover the
running of a Warwickshire hospital.
Volume 9 Issue 1
08 January 2014
Putting an end to high weekend mortality rates
CCGs and providers must work together to deliver
safer, 24/7 care that consigns higher weekend mortality rates to history, say Steve Kell and Mike Pinkerton.
In Bassetlaw, joint working between provider trusts
and the CCG has led to significant improvements in
local hospital services with primary and secondary
care clinicians co-designing its new seven-day working system.
How staff at a ‘failing’ trust are leading its turnaround
“Failing” organisations are often forced to seek outside help, damaging staff morale in the process.
Barking, Havering and Redbridge University Hospitals
Trust achieved lasting change from a leadership programme that sought solutions from within.
The NHS Trust Development Authority (NTDA) said
in September George Eliot Hospital could be administered by "a non-NHS organisation" or another trust.
The quiet revolutionaries: how patient leaders
make a difference
David Gilbert and Mark Doughty took an in-depth look
at the highs and lows experienced by patient leaders
who work with and influence others to promote positive sustainable change in care delivery.
It was put in special measures in late 2013 due to
major failings.
153. Heston helps older patients get a
healthy appetite back
http://www.bbc.co.uk/news/uk-england-coventry-warwickshire
-25499522
23 December 2013 - The Times
Item about the help of Heston Blumenthal in devising
new recipes to encourage older people to eat hospital
food – the key is increasing the umami in meals
rather than increasing salt.
152. Best of 2013: Clinical leadership
23 December 2013 - HSJ
Steve Kell, chair of Bassetlaw Clinical Commissioning
Group discusses collaboration between commissioners and providers to deliver safer seven-day working,
while Simon Douglass, clinical accountable officer at
Bath and North East Somerset CCG wrote on the
steps taken by the clinical team at Royal United Hospital Bath Trust to cope with winter pressures.
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154. Queen's Medical Centre patient waited
hours for prescription
24 December 2013 – BBC News
An 83-year-old woman had to wait 12 hours for a prescription after being discharged from hospital – due to
staff losing her file.
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Joyce Rowbottom was left waiting in a side room at
the Queen's Medical Centre in Nottingham for over
six hours.
The medication was eventually delivered by a taxi at
22:00 GMT, after her daughter-in-law had taken her
home.
which supports rape victims, has been slated saying
basic protocols were routinely breached. Samples
which should have been sent for analysis were left in
a refrigerator and exhibits stored in plastic bags.
Barts Health NHS Trust has apologised.
158. Now two-thirds of casualty wards don’t
have enough doctors
http://www.bbc.co.uk/news/uk-england-nottinghamshire25510478
27 December 2013 - Daily Mail
Item about FoI requests made by the Daily Mail which
show that two thirds of casualty departments in England are short of at least one consultant.
155. Named doctor and nurse for every
patient
159. Axe routine follow-ups to ease pressure
on NHS
The hospital apologised for the delay and said it
would call her to discuss her concerns directly.
24 December 2013 - Daily Mail
Health Secretary has said that every patient is to
have a named doctor and named nurse above the
patient bed so that patients are not passed from pillar
to post.
156. Patients will no longer be passed from
pillar to post
24 December 2013 - Daily Mail
Jeremy Hunt, Health Secretary, writes in the Daily
Mail of why he is introducing the requirement that
every patient have a note above their bed of the doctor and a nurse who is responsible for the particular
patient.
Ed. Forgive me, but, why has the NHS forgotten
the lessons from the past? In the 1970s I found
myself as an in-patient in five hospitals, in each
case the name of the consultant, under whose
care I was, appeared in large letters!
157. NHS accused of hiding failings at centre
for rape victims
27 December 2013 - The Times
A report into Whitechapel Haven, East London,
© Brunswicks LLP 2014 http://www.brunswicks.eu
27 December 2013 - Daily Mail
Macmillan Cancer Support say that recovering cancer
sufferers who have an automatic six monthly checkup is wasteful of resources. Rather, doctors should
identify those patients who would benefit from such
check-ups.
160. Good hospital can do better, says chief
after inspection
27 December 2013 – Get Surrey
CQC has found the Royal Surrey County Hospital to
be safe, responsive and caring but inspectors raised
issues over low staffing levels in several wards and a
crowded eye clinic.
The hospital was inspected under new CQC procedures.
The CQC spoke to patients with a majority being
positive about the caring nature of the staff, but there
were some who reported a poor attitude in the way
they were spoken to by nursing staff, doctors and
consultants.
Volume 9 Issue 1
08 January 2014
161. Cash row is blocking hand transplants,
says surgeon
28 December 2013 - The Times
Prof Simon Kay, Leeds General Infirmary, who performed the first UK hand transplant last year on Mark
Cahill says that the reasons that there have not been
more such procedures is because CCG’s refuse to
approve funding saying that it is for NHS England to
make the funding available as it pays for specialised
care.
162. A&E consultant crisis as ‘manic
Monday’ looms
28 December 2013 - The Times
Data indicates that two thirds of all casualty departments are short of at least one senior A&D doctor
some are missing 50% of the compliment.
163. Growing Migration of A&E Doctors to
Australia Hinders NHS Functioning
28 December 2013 – News Tonight
According to a latest report published in The Guardian, the College of Emergency Medicine has pointed
towards migration of NHS A&E doctors to other countries. NHS services now face the negative impact of
losing doctors at a time of understaffing in A&E units
and patients have to wait longer for treatment.
It was admitted by the College of Emergency Medicine that NHS is unable to afford to lose so much talent at this time, when understaffing in A&E units prevails.
Sources have revealed that the work pressure in the
overcrowded A&E units has resulted in the quitting of
hundreds of doctors from NHS.
http://newstonight.co.za/content/growing-migration-ae-doctors
-australia-hinders-nhs-functioning
http://www.getsurrey.co.uk/news/local-news/good-hospitalcan-better-says-6444638
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165. NHS funding row holding up hand
transplants reveals doctor who performed
first successful operation
28 December 2013 – Mirror
Professor Simon Kay, who heads the transplant
team in Leeds, has spoken of his frustration at the
delay as the patients could be operated on
“immediately” if funding was available
Prof Simon Kay said two patients in England were
waiting for transplants, following a successful op on
Mark Cahill, 52, a year ago, but the NHS can’t decide
whether Clinical Commissioning Groups or NHS
England should pay.
The next patient likely to undergo the transplant will
be from Scotland in the summer - as funding north of
the border, which has had no re-organisation, is
available.
http://www.mirror.co.uk/news/uk-news/nhs-funding-handtransplants-held-2965194#ixzz2ooHPtNeS
166. The 300 'maternity tourists'
28 December 2013 – Telegraph
Hundreds of pregnant foreigners are flying to Britain
days before they give birth in order to receive free
care on the NHS.
A Government report found that immigration officials
at one airport stopped more than 300 such mothersto-be spanning over two years.
Most of the women had to be admitted and allowed
to give birth on the NHS, the report found, because
their pregnancies were too advanced for them to fly
home.
http://www.telegraph.co.uk/news/uknews/
immigration/10540881/The-300-maternity-tourists.html
© Brunswicks LLP 2014 http://www.brunswicks.eu
167. Extended NHS Charging For Visitors
And Migrants
30 December 2013 - DH
Migrants will be charged by NHS
30 December 2013 - Daily Mail
Migrants to face NHS emergency care
charges in England
30 December 2013 – BBC News
Visitors and migrants who wish to use NHS services
will have to pay, the Government announced today
as part of its clampdown on abuse of the NHS.
New changes to be introduced will include:
extending charging for primary care services, such as
prescriptions. GP and nurse consultations will remain
free, which will mean that everyone will continue to
have initial access to prevent risks to public health
such as HIV, TB and sexually transmitted infections.
Other types of primary care services that are being
considered for charging include minor surgery that is
carried out by a GP and physiotherapy that has been
referred through a GP overseas visitors paying higher
charges for services that are subsidised for patients
entitled to free NHS care. These include optical and
dental services which are currently highly subsidised
a new system for identifying and recording patients
who should be charged for NHS services the introduction of charging for A&E services for visitors and
migrants including emergency care.
No one will be turned away in an emergency.
The changes will allow the NHS to recoup money and
will create a consistent charging system across the
NHS whilst encouraging only those who need urgent
and emergency care to attend
Volume 9 Issue 1
08 January 2014
Health Minister Lord Howe said:
“Having a universal health service free at the point of
use rightly makes us the envy of the world, but we
must make sure the system is fair to the hardworking
British taxpayers who fund it.
“We know that we need to make changes across the
NHS to better identify and charge visitors and migrants. Introducing charging at primary care is the
first step to achieving this.
“We are already looking at taking action and next
year we will set out our detailed plans to clamp down
on the abuse of our NHS.”
A recent government consultation looked at improving
the system for charging visitors and migrants and
making more NHS services chargeable, including
primary care.
The consultation also asked people whether certain
services should be exempt, including maternity care.
The overwhelming response from NHS frontline staff
was that maternity care must not be provided free for
everyone and that we must remain firm.
Current rules already state that, while services should
not be withheld, an overseas visitor identified as
chargeable and wishing to receive maternity or antenatal care must pay for any services they receive.
We know that some people are abusing the system
by coming into the country early enough to have one
or more antenatal appointments before giving birth on
the NHS - without the intention to pay.
The announcement follows a Department of Health
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study which estimated that up to £500 million could
be recovered from overseas visitors' and migrants'
use of the NHS every year through better charging.
Many changes will start to be introduced over the
coming year. Further detail on the timing for implementation will be available in March 2014.
http://www.bbc.co.uk/news/health-25529636
168. I had to rescue my mum from a
PRIVATE hospital as the nurses were so
callous: Think woeful care is just an NHS
problem?
30 December 2013 – Daily Mail
An article by Gilly Sergeant over the care she experienced for her mother at a private London hospital.
http://www.dailymail.co.uk/health/article-2531390/I-rescuemum-PRIVATE-hospital-nurses-callous-Think-woeful-carejust-NHS-problem-HARRIET-SERGEANTS-bitter-experienceproves-otherwise.html#ixzz2p9cuJNBL
169. Migrants to face A&E charges
30 December 2013 - The Times
Government plans are that patients arriving at hospital A&E departments will have to prove that they are
entitled to free NHS care. GP consultations are to
remain free although people not otherwise entitled to
NHS free healthcare would have to pay for prescriptions and other primary health needs.
170. Ministers demand passports for
healthcare
30 December 2013 – Morning Star Online
Overstretched A&E staff will be forced to root out
foreigners with immigration checks, so overstretched
staff face having to check patients' nationalities so
that "foreigners" can be charged for treatment.
http://www.morningstaronline.co.uk/a-b4f0-Ministers-demandpassports-for-healthcare#.UsF4wWeYbs0
© Brunswicks LLP 2014 http://www.brunswicks.eu
171. Extended NHS charging for visitors and
migrants
30 December 2013 - DH
Visitors and migrants who wish to use NHS services
will have to pay, the Government announced as part
of its clampdown on the abuse of the NHS.
New changes to be introduced will include:
 extending charging for primary care services, such
as prescriptions. GP and nurse consultations will
remain free, which will mean that everyone will
continue to have initial access to prevent risks to
public health such as HIV, TB and sexually transmitted infections. Other types of primary care services that are being considered for charging include minor surgery that is carried out by a GP
and physiotherapy that has been referred through
a GP
Volume 9 Issue 1
08 January 2014
must make sure the system is fair to the hardworking
British taxpayers who fund it.
“We know that we need to make changes across the
NHS to better identify and charge visitors and migrants. Introducing charging at primary care is the
first step to achieving this.
“We are already looking at taking action and next
year we will set out our detailed plans to clamp down
on the abuse of our NHS.”
A recent Government consultation looked at improving the system for charging visitors and migrants and
making more NHS services chargeable, including
primary care.
The consultation also asked people whether certain
services should be exempt, including maternity care.
 overseas visitors paying higher charges for services that are subsidised for patients entitled to
free NHS care. These include optical and dental
services which are currently highly subsidised
The overwhelming response from NHS frontline staff
was that maternity care must not be provided free for
everyone and that we must remain firm.
 a new system for identifying and recording patients who should be charged for NHS services
Current rules already state that, while services should
not be withheld, an overseas visitor identified as
chargeable and wishing to receive maternity or antenatal care must pay for any services they receive.
 the introduction of charging for A&E services for
visitors and migrants including emergency care.
No one will be turned away in an emergency. The
changes will allow the NHS to recoup money and
will create a consistent charging system across
the NHS whilst encouraging only those who need
urgent and emergency care to attend
Health Minister Lord Howe said:
“Having a universal health service free at the point of
use rightly makes us the envy of the world, but we
Page 48
We know that some people are abusing the system
by coming into the country early enough to have one
or more antenatal appointments before giving birth on
the NHS - without the intention to pay.
The announcement follows a Department of Health
study which estimated that up to £500 million could
be recovered from overseas visitors’ and migrants’
use of the NHS every year through better charging.
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Many changes will start to be introduced over the
coming year. Further detail on the timing for implementation will be available in March 2014.
vealed that fewer patient meals meet the standards
set for prison food than is claimed by the Department
of Health.
172. Consultation outcome: Migrant access
to the NHS
In November this year the Department of Health
claimed that half of patient meals meet Government
Buying Standards, which are mandatory for food
served in government departments and prisons, but
which are voluntary for hospitals. The government
has rejected calls to make the standards mandatory
for patient meals, claiming that half of hospitals are
already voluntarily adopting them.
30 December 2013 – Gov.uk
Consultation on charging migrants and overseas visitors to use NHS and how better to identify patients
who should be charged. This has been updated with
the Government’s response.
https://www.gov.uk/government/consultations/migrants-andoverseas-visitors-use-of-the-nhs
173. County's hospitals struggling to cope
30 December 2013 – Redditch Standard
Operations have had to be cancelled and extra medical beds made available due to pressure on the
county's hospitals.
Worcestershire Acute Hospitals NHS Trust said that
there has been sustained emergency demand on
both of its A&E departments over the festive period,
with the Worcestershire Royal struggling in particular
with demand being up 10% on the same time last
year.
http://www.redditchstandard.co.uk/2013/12/30/news-County%
27s-hospitals-struggling-to-cope-93418.html
High numbers of elderly patients fall in hospitals
30 December 2013 – Epworth Bells
For full report see Older People—item 202
174. Government Accused Of Using Figures
Which Exaggerate The Quality Of Hospital
Food
31 December 2013 - Campaign for Better Hospital
Food
The Government has today been accused of exaggerating the quality of hospital food, as it was re© Brunswicks LLP 2014 http://www.brunswicks.eu
However, an investigation by the Campaign for Better
Hospital Food found that at least 1 in every 3 hospital
Trusts which claim to be compliant with Government
Buying Standards are failing to meet one of its most
basic mandatory criteria, which is that half of tea and
coffee bought for patients is fairly traded.
Alex Jackson, Co-ordinator of the Campaign for Better Hospital Food, said:
"We've had enough of the government using poor
excuses and fiddled figures to justify why it won't introduce mandatory quality standards for patient
meals. Their refusal to do this is appalling and inexplicable, and is an affront to thousands of hospital patients and to their families. Ministers must be living on
another planet if they think it's acceptable to set standards to improve meals served to prisoners, but not
to sick patients".
Government Buying Standards also include criteria to
improve the healthiness of meals and the standard of
their production. For example, the standards limit the
amount of saturated fat and salt in meals and require
that a minimum amount of food meets higher standards of production, including organic certification,
Page 49
Volume 9 Issue 1
08 January 2014
and that fish is proven to be sustainable.
98 organisations supporting the Campaign for Better
Hospital Food, including the Royal College of Physicians, British Heart Foundation and the Patients Association, are calling on the Government to support
the Health and Social Care (Amendment) (Food Standards) Bill which has been introduced to Parliament
by Baroness Cumberlege, and would improve all patient meals by requiring them to meet mandatory
quality, nutritional and environmental standards.
175. Minister’s fury as man dies after 2-hour
ambulance wait
31 December 2013 - The Times
Norman Lamb, Minister of State for Care and Support
and the MP for Norfolk, has castigated the ambulance
service after it was revealed that Peter Neilson, 26,
died of a brain haemorrhage in November 2013 after
waiting two hours for an ambulance despite repeated
requests for a speedier response from a paramedic
who was on site within 15minutes of the 999 call
176. Hospitals ‘get away with serving worse
food than prisons’
31 December 2013 - The Times
Prison food regulated more tightly than
hospital meals: Campaigners claim current
situation is an 'affront' to patients
31 December 2013 – Daily Mail
The Campaign for Better Hospital Food has reported
that NHS hospitals have been wrongly claiming to
comply with voluntary standards on food quality which
are mandatory in prisons and other sectors such as
schools. CQC says only half of patients rate hospital
food as good.
http://www.dailymail.co.uk/news/article-2531521/Prison-foodregulated-higher-standards-hospitals.html
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Ed. As regular readers of this publication will
know, last year I consumed more than 500 hospital meals – many of poor quality, many comprised foods I did not order and lacked the foods
I had ordered! What many readers will not know
is that almost 30yrs ago I was a prosecutor for
the Prison Service prosecuting inmates for
breaches of prison discipline – some were very
violent and serious matters. The cases were
heard by a panel of Prison Visitors. The Chair of
one such Board took me under his wing early on
and told me that if I happened to be in a particular prison on a Friday I should make sure that I
ate in the prison canteen, staffed by inmates,
which produced the “best fish and chips” in the
North. He wasn’t wrong. By comparison the fishn-chips served in hospitals have been, in my experience, dreadful.
He said that the NHS is "struggling just to keep pace"
and cautioned that efficiency savings were failing to
keep up with increased costs in the health service.
177. There are no easy prescriptions for
local hospitals
The restrictions are in place on Friday and will remain
until further notice.
31 December 2013 - The Times, Thunderer
Lech Mintowt-Czyz whose local hospital A&E service
shuts at 21:00hrs speaks of the confusion of staff at
the new centre of excellent 1.8miles further away.
However, when her son fell ill on the Saturday before
Christmas at 20:00hrs she found the clinical care at
the ‘new’ hospital “on top of its game clinically.”
Thankfully, her son is now recovered.
180. Fat suits to help NHS deal with obese
patients
178. If NHS was a country it would 'barely
have a credit rating', says BMA
31 December 2013 – Telegraph
Dr Mark Porter, chairman of council at the British
Medical Association (BMA), says that the financial
outlook of the National Health Service is so dire that
if it were a country it would "barely have a credit rating at all".
© Brunswicks LLP 2014 http://www.brunswicks.eu
http://www.telegraph.co.uk/health/healthnews/10544100/IfNHS-was-a-country-it-would-barely-have-a-credit-rating-saysBMA.html
179. Visitor access to a ward at Weston
Hospital restricted to control outbreak of
Norovirus
31 December 2013 – Bristol Post
Visitor access to a ward at Weston Hospital is now
restricted in a bid to control an outbreak of Norovirus.
Health chiefs are urging people not to visit loved ones
on Harptree Ward unless ‘absolutely necessary’ following a suspected outbreak of the virus – also
known as the ‘winter vomiting bug’.
http://www.bristolpost.co.uk/Visitor-access-ward-WestonHospital-restricted/story-20383336-detail/
story.html#ixzz2p9dU2jgO
31 December 2013 – Gulf News
In London, NHS workers are being trained in how to
care for obese patients – by wearing a fat suit.
Staff at Peterborough City Hospital use the £1,000
(Dh6,075) padded suit to practise lifting and moving a
40st (254kg) person.
They have been told the outfit will help them think
about morbidly obese patients “in a different way”.
However, critics say the NHS should be directing its
efforts at preventing obesity
http://gulfnews.com/news/world/fat-suits-to-help-nhs-dealwith-obese-patients-1.1272560
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Volume 9 Issue 1
08 January 2014
181. Kent hospital's A&E delays 'due to minor
ailments'
31 December 2013 – BBC News
Patients at a Kent hospital faced a wait of up to 10
hours to be admitted on to wards because of people
seeking treatment for minor ailments.
The Queen Elizabeth the Queen Mother Hospital in
Margate said many could have been dealt with by
pharmacies and local GPs.
http://www.bbc.co.uk/news/uk-england-kent-25564907
182. Worcestershire hospitals cancel surgery
due to A&E demand
31 December 2013 – BBC News
Non-urgent operations and appointments were cancelled at two hospitals in Worcestershire due to increased pressure on their A&E units.
The trust running Worcestershire Royal Hospital and
the Alexandra Hospital in Redditch said it was experiencing "an unexpected level of demand."
It said extra beds had been made available at both
sites and some staff leave had been cancelled.
Worcestershire Acute Hospitals NHS Trust said it had
seen 10% more emergency admissions than expected with more than 3,000 people admitted between 30.11.2013 and 15.12.2013.
http://www.bbc.co.uk/news/uk-england-hereford-worcester25557960
183. Drunks in high heels, idiocy of 111
operators: what it’s REALLY like to be a
doctor in A&E
01 January 2014 - Daily Mail
A report and diary over three days of Christmas/New
Year by Dr Dan Sefton, 42, an NHS doctor on the
front line.
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184. NHS groups seek 'new page' after
scandals of 2013
01 January 2014 – BBC News
The leaders of 10 NHS groups have called for a "new
page to be turned" in 2014 after the "failures of the
past".
Organisations include the Royal College of GPs who
said the fact millions received "high-quality" care
"often got lost amid last year's headlines".
Scandals like that at Stafford Hospital made negative
headlines during 2013.
http://www.bbc.co.uk/news/health-25565581
185. South Western ambulance's
'demanding' new year calls
01 January 2014 – BBC News
Over 2,000 emergency calls were made to the South
West ambulance service between 18:00 GMT on
New Year's Eve and 06:00 GMT on News Year's
Day.
The South Western Ambulance Service NHS Foundation Trust covers Cornwall, Isles of Scilly, Devon,
Dorset, Wiltshire, Gloucestershire, Bristol, Bath,
North Somerset and South Gloucestershire.
The 2,037 figure was down slightly on last year's
2,240 calls.
http://www.bbc.co.uk/news/uk-england-25568375
186. New parking system introduced at
South Tyneside Hospital
01 January 2014 – BBC News
A Tyneside hospital has initiated new arrangements
designed to stop people parking illegally.
The new system will use number plate recognition
technology, and be "more efficient" and "convenient".
Parking charges will remain the same.
http://www.bbc.co.uk/news/uk-england-tyne-25567568
187. Extra A&E staff drafted in to east Kent
hospitals for new year
Volume 9 Issue 1
08 January 2014
190. NHS 111 retendering 'to cost £500,000 in
West Midlands'
02 January 2014 – BBC News
The British Medical Journal says that renegotiating
the contract to run the 111 medical helpline in the
West Midlands is expected to cost £500,000.
01 January 2014 – BBC News
Extra staff were deployed to A&E departments in
Kent to deal with patients over the new year.
The contract to originally manage it was won by NHS
Direct, NHS Direct withdrew in July because of financial problems.
47 patients had attended the William Harvey Hospital
in Ashford between midnight and 07:00 GMT, 26 of
them with alcohol-related issues, whilst South East
Coast Ambulance Service said it had nearly 200 calls
overnight.
The helpline had suffered problems including calls
going unanswered and patients being given poor advice.
http://www.bbc.co.uk/news/uk-england-kent-25567335
188. Don’t spare NHS, top Tory tells Cameron
02 January 2014 - The Times
Don’t spare the ‘wasteful’ NHS from future
cuts, says top Tory
03 January 2014 - Daily Mail
Dr Liam Fox MP, a former GP, has urged the Prime
Minister not to ring-fence NHS funding when seeking
re-election.
West Midlands Ambulance Service (WMAS) took
over the running of the region's service in December.
http://www.bbc.co.uk/news/uk-england-birmingham-25574164
191. North health boards lose dozens of
patient records
02 January 2014 – BBC News
New figures show that Health boards across the north
and north-east have lost dozens of confidential patient records in recent years.
189. Why having so many women doctors is
hurting the NHS
In the last five years there have been more than 125
incidents, including patient documents found dumped
in a bin and in a hospital car park.
02 January 2014 - Daily Mail
Prof. J Meirion Thomas writes about the influence of
greater numbers of women entering the medical profession and how then electing to work part-time is
placing a strain on the NHS.
The figures also show there were more than 700 incidents of information being lost, leaked and other
breaches of the Data Protection Act by health boards
across Scotland.
http://www.pressandjournal.co.uk/Article.aspx/3523213/
Patients and visitors arriving at South Tyneside District Hospital will also be able to park closer to wards
from 03.01.2014.
© Brunswicks LLP 2014 http://www.brunswicks.eu
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192. Liam Fox calls for end to protection of
NHS spending
195. Bournemouth and Poole agree not to
merge for a decade
02 January 2014 – BBC News
Former Defence Secretary, Liam Fox, says that the
automatic protection of spending on the National
Health Service should not continue after the next
election.
03 January 2014 – HSJ
The two south coast foundation trusts whose planned
merger was blocked last year have now signed an
undertaking not to attempt to merge again for the
next 10 years.
The promise to increase spending on the NHS - even
when many departments faced big cuts - was one of
David Cameron's key messages at the 2010 election.
Leaders at Royal Bournemouth and Christchurch
Hospitals and Poole Hospital described the final undertakings – which are a normal part of the Competition Commission’s procedure – as less “onerous”
than expected.
But Dr Fox says the idea that "throwing money" at it
"will make it better" had been "tested to destruction".
http://www.bbc.co.uk/news/uk-politics-25574096
193. Patients demand and complain too
much, says top GP
03 January 2014 - The Times
Gauging the NHS
03 January 2014 - The Times, Letters to the Editor
Dr Michael Dixon, chairman of the NHS Alliance, observes a change over 30rs of the public moving to an
ethos of entitlement – he says “In 2014 I would ask
not what can the NHS do for you, but what you can
do for the NHS?”
194. Charge £10 for A&E visits, say a third of
GPs
03 January 2014 - Daily Mail
A survey of 800 GPs indicated that many believe that
charging patients for trivial visits to A&E will help reduce the pressure, all those with genuine need would
have the £10 refunded.
As well as banning a merger or acquisition the document, which was drawn up by the Competition Commission, also requires the trusts to comply with any
future requests for information from the competition
regulators to provide assurance that any service
changes do not constitute a merger.
http://m.hsj.co.uk/5066732.article
196. DoH: 'Not unusual' for A&E to employ in
-house GPs
04 January 2014 – ITV.com
Statement by the Department of Health:
“It's not unusual for A&E departments to employ inhouse GPs. They provide a valuable source of expertise and help patients to be seen and treated
promptly.
There are over 20 per cent more A&E consultants
now than there were in 2010, but we know more are
needed, so we've set up the first ever independent
body to work on recruiting more doctors to A&E and
planning extra training posts.
Volume 9 Issue 1
08 January 2014
care needs to be changed. That's why we've agreed
a new GP contract, backed by doctors, which is part
of a longer-term plan to bring back the personal link
with patients so GPs can focus on giving people the
care they need and preventing unnecessary trips to
A&E in the first place.”
– Department of Health spokeswoman
http://www.itv.com/news/update/2014-01-04/doh-not-unusualfor-a-e-to-employ-in-house-gps/
197. NHS chiefs under fire after spending
millions on advice in ‘merry-go-round of
waste’
04 January 2014 The Times
Labour condemned as “unacceptable waste” the
spending of £40m on management consultants to
implement the Government’s NHS reforms – including £10m on advice for their own advisors.
198. Seven-day surgeries will need 'an extra
20,000’ NHS staff
05 January 2014 – Telegraph
The Head of Royal College of GPs has said that doctors need an extra £1 billion of taxpayers’ money to
recruit sufficient staff to open practices at weekends,
if David Cameron wants his plan for surgeries to
work.
Dr Maureen Baker said without the extra money, the
NHS risked becoming unsustainable as doctors and
hospitals struggled to cope with the extra demand
over the winter.
http://www.telegraph.co.uk/health/nhs/10552342/Seven-daysurgeries-will-need-an-extra-20000-NHS-staff.html
And we know that the whole system of out of hours
© Brunswicks LLP 2014 http://www.brunswicks.eu
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Nursing
199. Nursing and Midwifery Council progress
remains fragile
19 December 2013 - Parliamentary Committees
and Public Enquiries
The House of Commons Health Committee welcomed improvements in the performance of the
Nursing and Midwifery Council (NMC) over the last
year, but expressed continuing concern that the progress made so far remains fragile.
The Committee emphasises that it is important to
ensure that the new challenges facing the NMC do
not become a distraction from the continuing requirement to improve its performance of its core functions.
Report: 2013 accountability hearing with the Nursing
and Midwifery Council (HTML version)
Report: 2013 accountability hearing with the Nursing
and Midwifery Council (pdf version)
Inquiry: 2013 accountability hearing with the Nursing
and Midwifery Council
Health Committee
The report is the first example of a Health Committee
review of a professional regulator which builds on the
work of the Professional Standards Authority (PSA).
The PSA gave evidence to the Committee in July;
the Committee is grateful for the evidence of the PSA
which provided a valuable independent point of view
about the service delivered by the NMC.
The length of time the NMC takes to conclude its
fitness to practise cases has been an enduring con© Brunswicks LLP 2014 http://www.brunswicks.eu
Volume 9 Issue 1
08 January 2014
cern for the Committee. From 2015, the NMC proposes to toughen the target period for resolving fitness to practise cases to 15 months. The MPs welcome this target and urge the NMC to commit themselves to delivering this objective in every case.
not direct responsibilities of the NMC, health professionals who have concerns about staffing levels have
a professional obligation to raise these concerns in an
appropriate manner, and the NMC must make this
clear to its registrants.
The Committee also welcomes the commitment of
the NMC to further reduce the target period to 12
months, provided necessary legislative changes are
introduced. The Committee urges the Government
and NMC to work together to achieve these changes
before the end of 2014.
The issue of appropriate language controls for health
professionals continues to cause the Committee concern. High quality care requires that staff can communicate effectively with patients, and the Department of
Health must ensure that EU legislation is amended to
support, rather than obstruct, this essential principle.
The NMC has announced plans to introduce a system of revalidation by the end of 2015. Although welcoming this commitment, the NMC's plans are still at
an early stage, and the Committee will therefore seek
an update on progress in this specific area at the end
of the first quarter of 2014.
Committee Chair
Launching the report, the Chair of the Health Committee, Stephen Dorrell MP, said:
Francis Report
The Francis Report into the failings at Mid Staffs examined the role of regulators, including the NMC, in
detail. The Report stresses the importance of ensuring firstly that registrants understand their professional obligation to raise concerns when they see
evidence of poor patient care, and secondly that patients and public are made more aware of the role of
the NMC as the regulator of professional and clinical
standards.
The Committee heard evidence from the Chief Executive of the NMC that, on these issues, “there are
many things that we can do better”. The Committee
agrees and urges the NMC to take urgent steps to
raise the profile of the NMC both among its registrants and among patients and public.
“The Committee has undertaken annual reviews of
the work of the NMC since the beginning of this Parliament.
“The NMC has had a troubled recent history, and
while we welcome the evidence that there has been
an improvement in its performance, it is essential that
the new challenges it now faces do not cause the
NMC to take its eye off the ball.
“Following the publication of the Francis report, all
aspects of healthcare are facing increasing scrutiny;
the pressure is therefore on for the NMC to demonstrate to an increasingly sceptical public that it can
function effectively to underwrite clinical standards.
“The Committee will review the progress made by the
NMC with its plans for revalidation during Spring 2014
and we shall conduct a further full review in Autumn
2014”.
While determining and monitoring staffing levels are
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200. Southampton researchers lead review
into nursing staff levels in hospitals
20 December 2013 – Daily Echo
Southampton researchers are currently leading a
national review into the levels of nursing staff in UK
hospitals, in response to the Francis Enquiries which
looked into the failings at Mid-Staffordshire Hospital
and how these can be avoided in the future.
Nursing academies from the University of Southampton have been chosen to conduct the government
backed review looking into how staffing levels of
nurses affects care in hospitals The National Institute
of Health and Care Excellence (NICE) chose the university to carry out the review in a bid to support the
development of guidelines on safe staffing, as part of
the government's response to the Francis report.
http://www.dailyecho.co.uk/
news/10891793.Hospital_nursing_staff_review/
Older People
201. It’s that time of the year again...but
feeling lonely and isolated won’t be on the
cards
24 December 2013 - The Times
As part of The Times Christmas Appeal a feature on
older people who were to spend Christmas in a care
home operated by the Abbeyfield Society which
opened their doors to anyone facing a lonely Christmas.
202. High numbers of elderly patients fall in
hospitals
30 December 2013 – Epworth Bells
New figures show that the number of elderly patients
who fall over in hospitals in Doncaster and Bassetlaw
is “significantly high”.
© Brunswicks LLP 2014 http://www.brunswicks.eu
Volume 9 Issue 1
08 January 2014
Work is continuing to improve the situation at hospitals in the region after it was revealed 845 patients
fell in Doncaster and Bassetlaw Trust hospitals this
year – 11 of which were serious.
 accompanying an older person on an activity they
Further analysis has revealed there are several patients who are falling on more than one occasion.
“As the Christmas festivities draw to a close, many
older people will be facing a lonely January, spending
days without seeing or speaking to anyone. Some
may have even spent Christmas day alone.
http://www.epworthbells.co.uk/news/local/high-numbers-ofelderly-patients-fall-in-hospitals-1-6342091
203. Make a New Year’s resolution to help an
older, lonely person near you
02 January 2013 DH
Many of us commit to getting fit or quitting smoking in
the New Year, but for 2014 we should also make a
resolution to help a lonely older person, the Care and
Support Minister Norman Lamb and the older people’s charity Royal Voluntary Service said this week.
At the beginning of 2013, 6.2 million people said they
were planning to try something new and volunteer,
according to research by the Royal Voluntary Service; however the research also shows Britons are
twice as likely to fail with their new year’s resolutions.
In light of this, the Care and Support Minister, Norman Lamb, and Royal Voluntary Service have come
together to call for everyone to make a commitment
to help combat loneliness for an older person near
them in 2014.
There are lot of simple ways people can help, such
as:
 popping round to an elderly neighbour’s for a cup


of tea
taking an older person shopping to buy groceries
giving an older person a hand with anything from
gardening to household chores
Page 54
are passionate about, such as dancing or singing
Care and Support Minister Norman Lamb said:
“Every one of us can take action to combat loneliness. If we all make a resolution to help an older person this New Year we will give them the companionship they deserve in their later years and will help to
build a fairer society.”
David McCullough, Chief Executive of Royal Voluntary Service, said:
“It’s perhaps easy to see why things we try to ‘give
up’ fall off the priority list, despite good intentions.
Aiming to try something new, such as volunteering, is
something to look forward to and I guarantee it will
not only help others but make the people who volunteer happier too.
“Even a small amount of time, just an hour a week to
spare, can make a huge difference and be really interesting and rewarding too. We would encourage
people to make a new year’s resolution list that’s
worthwhile this year and focus on what they really
want to say they’ve achieved by this time next year.”
Royal Volunteer Society research shows Great Britain’s good intentions go to waste
“One in three Britons think volunteering is good for
your health and one in 10 think they should volunteer
to gain work experience and skills. This year, 5.1 mil-
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lion people (11% of the population) have identified
volunteering for a good cause as one of their plans
for 2014.
“However, the research by the charity shows that the
number of people who said they were currently volunteering (for any organisation) at the end of 2013
only grew by 2%. This is despite the 2012 Olympic
Games fever that led to one in five people at the beginning of 2013 saying the Olympic Games had
made them think more positively about volunteering.”
Surprisingly, young adults (18 – 24 year olds) are
twice as likely to keep their resolutions, than any
other age group aged 35 and over.
Parliament
Volume 9 Issue 1
08 January 2014
sary to accompany the Care Bill.
https://www.gov.uk/government/publications/the-care-billfactsheets
205. Surrey's social care director Sarah
Mitchell resigns
03 January 2014 – BBC News
A council boss who apologised for departmental failings to help a woman who died after being left without
food and medication for days, has now resigned.
Surrey County Council said Sarah Mitchell, strategic
director for adult social care, left for "personal reasons and by mutual consent".
In September, she issued an apology and said two
staff had been suspended after a report into Gloria
Foster's death.
http://www.bbc.co.uk/news/uk-england-25589834
09.01.2014 – HoC - Care Bill [HL] Committee Subject: to consider the Bill
Workforce
2014 accountability hearing with Health and
Care Professions Council
Nothing to report
03 January 2014 - Parliament
See item 133 above under ‘Miscellaneous’
Social Care
204. Guidance: The Care Bill: factsheets
23 December 2013 – Gov.uk
Updated: Factsheets have been updated and added
to reflect changes to the Bill that have been made
since it was published in May 2013. There are 2 new
factsheets to reflect the provisions added to the Bill
on Chief Inspectors and CQC independence
(factsheet 17) and Trust Special Administration
(factsheet 18).
The article originally had 18 factsheets and a glos© Brunswicks LLP 2014 http://www.brunswicks.eu
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New Year’s Honours 2014
Knights Bachelor
Knighthoods
Order of the British Empire
Commanders of the Order of the British Empire
David Nigel DALTON Chief Executive, Salford Royal
NHS Foundation Trust. For services to Healthcare.
(Willaston, Cheshire)
Jane Rachel, Mrs ASHCROFT Chief Executive, Anchor Trust. For services to Older People.
(Tanworth in Arden, Warwickshire)
Professor Peter John RATCLIFFE, FRS Nuffield Professor of Clinical Medicine, University of Oxford.
For services to Clinical Medicine. (Kidlington, Oxfordshire)
Ms Julie Dawn BAILEY Campaigner, Cure the NHS,
Staffordshire. For services to the Care of Older People.
(Shrawley, Worcestershire)
Order of the Bath
Companions of the Order of the Bath
Ms Susan BOTT Director, Disability Rights UK. For
services to People with Disabilities and their Families.
(London)
Dr Derek William FEELEY Lately Director-General,
Health and Social Care, Scottish Government. For
services to Healthcare.
(USA)
Order of the British Empire
Dames Commander of the Order of the British
Empire
Professor Susan Mary BAILEY, OBE President,
Royal College of Psychiatrists. For services to Psychiatry and for voluntary service to People with Mental Health Conditions.
(Didsbury, Greater Manchester)
Professor Pamela Jean SHAW Professor of Neurology, Sheffield. For services to Neuroscience, particularly through the Sheffield Institute for Translational
Neuroscience.
(Bradwell, Derbyshire)
© Brunswicks LLP 2014 http://www.brunswicks.eu
Professor Olivier James GARDEN Regius Chair of
Clinical Surgery, University of Edinburgh. For services to Surgery.
(Newington, Edinburgh)
Professor Catherine Anne GERRISH Professor of
Nursing, University of Sheffield and Sheffield Teaching Hospitals NHS Foundation Trust. For services to
Nursing.
(Sheffield, South Yorkshire)
Volume 9 Issue 1
08 January 2014
Professor Peter Wilson MACFARLANE, FRSE Emeritus Professor, Institute of Cardiovascular and Medical
Sciences, University of Glasgow. For services to
Healthcare.
(Bridge of Weir, Renfrewshire)
Professor David Edgar NEAL Professor of Surgical
Oncology, University of Cambridge. For services to
Surgery.
(Cambridgeshire)
Professor Richard PARISH Lately Chief Executive,
Royal Society for Public Health. For services to Public
Health.
(Moggerhanger, Bedfordshire)
Ms Mary Elizabeth PATTISON Head of Division, Ageing Society and State Pensions, Strategy Group, Department for Work and Pensions. For services to
State Pension Reform.
(London)
Dr Keith William RIDGE Chief Pharmaceutical Officer,
Department of Health. For services to the Pharmacy
Profession and to Patients.
(Kings Worthy, Hampshire)
Ms Lynda Caroline HAMLYN Chief Executive, NHS
Blood and Transplant. For services to Healthcare.
(London)
Professor Stephen Basil Cuthbert SCOTT Director,
National Academy for Parenting Research. For services to Families.
(London)
David Charles HOLMES Lately Chief Executive, British Association for Adoption and Fostering. For services to Children and Families.
(London)
Dr Paula Marie VASCO-KNIGHT Chief Executive,
South Devon Healthcare NHS Foundation Trust. For
services to the NHS.
(Okehampton, Devon)
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Professor John Gordon WILLIAMS Professor of
Health Services Research, Swansea University. For
services to Medicine.
(Swansea)
Order of the British Empire
Officers of the Order of the British Empire
Michael ACTON SMITH Chief Executive and Founder, Mind Candy. For services to the Creative Industries.
(London)
Craig ANDERSON Chief Executive, Furniture ReUse Network. For services to the Voluntary Sector in
the UK.
(Cotham, Bristol)
Professor Susan Ellen BALE Assistant Nurse Director, Research and Development, Aneurin Bevan Local Health Board. For services to Nursing and Nursing Research.
(Magor, Monmouthshire)
Dr Jane Margaret BARRETT President, Royal College of Radiologists. For services to Radiology.
(Blewbury, Oxfordshire)
Ms Tara BARTLEY National Nursing Representative,
Society for Cardiothoracic Surgery. For services to
Nursing.
(Leamington Spa, Warwickshire)
Professor Linda Dolores CARDOZO Consultant Gynaecologist, King's College Hospital, London. For
services to Urogynaecology and Women's Health.
(London)
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Professor Juliet Elizabeth COMPSTON Emeritus Professor of Bone Medicine, Department of Medicine,
University of Cambridge. For services to the Treatment of Osteoporosis.
(Linton, Cambridgeshire)
Shirley-Anne, Mrs CROSBIE Headteacher, The Chiltern School, Caddington, Bedfordshire. For services
to Children with Special Needs Education.
(Caddington, Bedfordshire)
Sally, Mrs DAVIES Headteacher, Thriftwood Special
School, Chelmsford. For services to Special Needs
Education.
(Westcliff on Sea, Essex)
Helene, Mrs DONNELLY Nurse Practitioner and Ambassador, Staffordshire and Stoke-on-Trent Partnership Trust. For services to the NHS.
(Gnosall, Staffordshire)
Dr Margaret DU FEU For services to Deaf People in
Northern Ireland.
(Leominster, Herefordshire)
Hyacinth, Mrs EUBANKS Executive Headteacher,
Grinling Gibbons and Lucas Vale Primary Schools,
Lewisham. For services to Education.
(London)
Stephen Christopher FIRN Chief Executive, Oxleas
NHS Foundation Trust. For services to Healthcare
particularly Mental Health.
(London)
William James HALLIDAY Chief Executive, Mindwise.
For services to People with Disabilities and Mental
Health Conditions in Northern Ireland.
(Ballynahinch, Down)
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08 January 2014
Miss Jane Elizabeth HUNT Member, Disabled Customers Consultant Group, HM Revenue and Customs. For services to Taxpayers with Disabilities.
(Cowplain, Hampshire)
Stephen Andrew JACK Chairman, Independent Living
Fund. For services to Disabled People.
(London)
Ms Aideen JONES Lately Chief Executive, Southdown Housing Association. For services to People
with Intellectual Disabilities.
(Seaford, East Sussex)
Edward John LLOYD Chairman, Edward Lloyd Trust.
For services to Young People with Intellectual Disabilities.
(London)
Ms Shona Beattie MALCOLM Disability Athletics Development Officer. For services to Athletics.
(Tillicoultry, Clackmannanshire)
Professor Mary Kathrine MCCOLGAN Professor of
Social Work, University of Ulster. For services to the
Social Care Sector in Northern Ireland.
(Limavady, Londonderry)
Ms Pamela Margaret NIVEN Implementation Manager, Organ Donation Task Force, NHS Lothian. For
services to Healthcare and Organ Donation in Scotland.
(Craigentinny, Edinburgh)
Candice Patricia, Mrs PELLETT District Nurse, Lincolnshire Community Health Services NHS Trust. For
services to Nursing.
(Spalding, Lincolnshire)
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Volume 9 Issue 1
08 January 2014
Professor Abhay RANE Consultant Urological Surgeon, East Surrey Hospital, Redhill, Surrey. For services to Laparoscopic Surgery.
(Tadworth, Surrey)
Ashok SONI Pharmacist, Croydon and Founding
Member, NHS Future Forum, Surrey. For services to
Community Pharmacy and the NHS.
(London)
Gareth Wyn WILLIAMS Principal, West Kirby Residential School. For services to Special Needs Education.
(Wirral, Merseyside)
Terrence Anthony RILEY Chief Executive, British
Sign Language Broadcasting Trust and Chair, British
Deaf Association. For services to Broadcasting and
Deaf People.
(Ashford, Kent)
Lorraine Roslyn, Mrs STOBIE Lately Head, Southcraig Campus, South Ayrshire. For services to Children with Special Educational Needs.
(Doonfoot, Ayrshire and Arran)
Fiona, Mrs YOUNG Chief Executive, Disability Snowsport UK. For services to Disability Sport.
(Boat of Garten, Inverness-shire)
Dr Anne Elizabeth Kerslake ROBERTS Associate
Professor and Senior Lecturer in Occupational Therapy, University of Plymouth. For services to Occupational Therapy.
(Exeter, Devon)
Doreen, Mrs ROWLAND Occupational Therapist,
Ministry of Defence. For services to Armed Forces
Personnel.
(Banstead, Surrey)
Ms Kathryn Margaret RUDD Principal, National Star
Specialist College. For services to Further Education
for Young Adults with Complex Disabilities and Severe Learning Difficulties.
(Cheltenham, Gloucestershire)
Susan Elizabeth, Mrs SHARPE Chief Executive,
Pharmaceutical Services Negotiating Committee. For
services to the Pharmaceutical Industry.
(London)
Janet, Mrs SHEARD Lately Executive Director of
Nursing and Allied Health Professionals, Nottinghamshire Healthcare NHS Trust. For services to Healthcare.
(Nottingham, Nottinghamshire)
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Professor Elizabeth Matilda TANSEY Professor, History of Modern Medicine, Queen Mary University of
London. For services to Research in the Medical Sciences and to the Public Understanding of Science
(London)
Professor Wendy Belinda TINDALE Scientific Director, Sheffield Teaching Hospitals and Clinical Director, NIHR Devices for Dignity Healthcare Technology
Cooperative. For services to Healthcare.
(Sheffield, South Yorkshire)
Elaine Harrington, Mrs WARBURTON Chief Executive Officer, QuantuMDx Group Ltd. For services to
Innovation in Healthcare.
(London)
Order of the British Empire
Members of the Order of the British Empire
Dr Diane Edna AMES Consultant Clinician for Stroke
Medicine, Imperial College Healthcare NHS Trust,
London. For services to Stroke Medicine.
(London)
Iain David ANDERSON Consultant Surgeon, Hope
Hospital, Salford. For services to Clinical Surgery
and Medical Education.
(Bolton, Greater Manchester)
Ms Anita ASTLE Managing Director, Wren Hall Nursing Home. For services to Older People.
(Selston, Nottinghamshire)
Dr Catherine WHITE Clinical Director, St Mary’s Sexual Assault Referral Centre, Manchester. For services
to Vulnerable People.
(Didsbury, Greater Manchester)
Dr Anne BARNES Associate Specialist in Oncology
and End of Life Care Ward 10, Withybush General
Hospital, Haverfordwest. For services to Cancer Patients in Pembrokeshire.
(Haverfordwest, Pembrokeshire)
Professor Moira Katherine Brigid WHYTE Professor
of Respiratory Medicine, University of Sheffield. For
services to Respiratory Medicine.
(Sheffield, South Yorkshire)
Peter John BENNION Assistant Commissioner, St
John Ambulance Training. For voluntary service to St
John Ambulance in the West Midlands.
(Staffordshire)
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Ms Patricia BLEAU Founder, Chantelle Bleau Memorial Fund, and Foster Carer, Bradford. For services to
Children, Young People and Families.
(Bradford, West Yorkshire)
Nigel Michael BROAD Charge Nurse, Anglesey
Ward, Abertawe Bro Morgannwg University Health
Board, Swansea. For services to Nursing.
(Neath, Neath Port Talbot)
Julie, Mrs BROWN Ward Sister, Stroke Unit, Nevill
Hall Hospital, Abergavenny, Monmouthshire. For
services to Nursing and Stroke Services in Wales.
(Abergavenny, Monmouthshire)
Kathleen, Mrs BUCKLEY Foster Carer, County Durham. For services to Children and Families.
(Consett, Durham)
Anne Claire, Mrs CANN Chair, Board of Trustees,
Age Concern Kingston. For voluntary service to
Older People.
(London)
Glenys, Mrs COCKCROFT Foster Carer, Oldham.
For services to Children and Families.
(Oldham, Greater Manchester)
Harold COCKCROFT Foster Carer, Oldham. For
services to Children and Families.
(Oldham, Greater Manchester)
Dr Jacqueline CRAISSATI Consultant Clinical and
Forensic Psychologist and Clinical Director of Forensic Services, Oxleas NHS Trust. For services to
Mental Health.
(London)
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Professor Rosslyn CROCKET Director of Nursing,
NHS Greater Glasgow and Clyde. For services to
Nursing and Midwifery in Greater Glasgow and
Clyde.
(Newton Mearns, Glasgow)
Paul Victor DEDMAN For services to St John Ambulance and to the community in Steyning, West Sussex.
(Steyning, West Sussex)
Volume 9 Issue 1
08 January 2014
Kathleen Anne, Mrs FARNELL Founder, Butterfly
Thyroid Cancer Trust. For services to Thyroid Cancer
Research and Thyroid Cancer Sufferers.
(Newcastle-upon-Tyne, Tyne and Wear)
Kathleen, Mrs FERGUSON Founder and Honorary
Secretary, Brainwaves Northern Ireland. For services
to People with Brain Tumours and their Families.
(Carrickfergus, Antrim)
Brian DICKINSON President, British Disabled Fencing Association. For services to Wheelchair Fencing.
(Blackpool, Lancashire)
Harriet Virginia, Mrs FOGES Foster Carer, London
Borough of Camden. For services to Children and
Families.
(Guildford, Surrey)
Elaine, Mrs DOWELL Founder, Encephalitis Society.
For charitable services to People with Encephalitis
and their Families.
(Sinnington, North Yorkshire)
Dr Diana Rosemary FORREST Director of Public
Health, Knowsley Health and Wellbeing Headquarters, Merseyside. For services to Public Health.
(Sale, Greater Manchester)
Ms Edyth DUNLOP Regional Manager, Northern Ireland Union of Supported Employment. For services to
people with Disabilities in Northern Ireland.
(Londonderry)
Berenice Shelley, Mrs GILBERT For services to Bereaved Children and their Shelley Families through
the Grief Encounter Project Charity.
(London)
Harry Frederick David DYMOND Area President, St
John Ambulance, Hampshire. For voluntary service to
First Aid and Older People.
(Southampton, Hampshire)
Patric Alan GILCHRIST Executive Director, Theatre
by the Lake, Keswick. For services to the Arts.
(Cockermouth, Cumbria)
Professor Robin Anthony Jeffery EADY Emeritus Professor, St. John's Institute of Dermatology, University
of London. For services to Dermatology and voluntary
service to Governance in the Charitable Sector.
(London)
Dr Claire Anne GILLIGAN Senior Vice-President,
Global Quality, Warner Chilcott Group. For services
to Research and Development in the Pharmaceutical
Industry in Northern Ireland and Overseas.
(Belfast)
Catherine, Mrs GLASS Trauma and Orthopaedics
Manager, Altnagelvin Hospital. For services to
Healthcare.
(Ballymoney, Antrim)
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Ann Eileen, Mrs GREEN Special Educational Needs
Teacher, Speech and Language Centre, Croydon.
For services to Education.
(Redhill, Surrey)
Ann, Mrs HAYES For services to the University of the
Third Age and to the community in Northern Ireland.
(Lisburn, Antrim)
Michael Keith GREENE For services to Health and to
the community in Whitehaven, Cumbria.
(St. Bees, Cumbria)
Miss Michelle Ann HERRING For voluntary and charitable services particularly through St John Ambulance.
(London)
Dr Karen Elizabeth GROVES Consultant in Palliative
Medicine, West Lancs, Southport and Formby. For
services to Palliative Care.
(Southport, Merseyside)
Ms Lucie May HEYES Social Worker and Media
Spokesperson, College of Social Work. For services
to Children and Families.
(London)
Wilma Brydon, Mrs GUNN Founder, Scottish Heart
at Risk Testing. For services to Cardiac Health and
to charity in Scotland.
(Selkirk, Roxburgh, Ettrick and Lauderdale)
Miss Lucy HODGES For services to Blind Sailing.
(Rochford, Essex)
Moira, Mrs HAMILTON, JP Lately Chair, Abbeyfield
Dunfermline Society Ltd. For voluntary service in
Fife.
(Dunfermline, Fife)
Dr Geoffrey Peter HANLON General Practitioner,
Leicestershire. For services to Primary Care.
(Loughborough, Leicestershire)
Ms Michele Deborah HARRIS Family Recovery Project Manager, London
Borough of Wandsworth. For services to Children
and Families.
(London)
Elizabeth Patrick, Mrs HAY Community Nurse,
Aviemore Health Centre. For services to Healthcare
and charity.
(Aviemore, Inverness-shire)
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Susan Ann, Mrs HOUGH Chief Executive, Dorset
County Football Association. For services to
Women's and Disability Football.
(Poole, Dorset)
Rosemary Julie, Mrs JORDAN Volunteer, Riding for
the Disabled. For services to People with Disabilities
in Northern Ireland.
(Craigavon, Armagh)
Ms Allyson Jane KAYE Founder, Ovarian Cancer
Action. For services to People with Ovarian Cancer.
(London)
Anthony Edward KEMP Vice-Chairman, British Association for Immediate Care. For services to Pre- hospital Emergency Care.
(Tunbridge Wells, Kent)
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Volume 9 Issue 1
08 January 2014
Angela Joan, Mrs KIRKHAM Manager, Victoria Brook
Childcare Centre and Nursery School, Chadderton,
Oldham. For services to Children and Families.
(Oldham, Greater Manchester)
Professor Peter Reginald LANSLEY Professor Emeritus of Construction Management, University of Reading. For services to Research into Ageing and WellBeing of Older People.
(Hook, Hampshire)
Thomas Alan LEE For services to Children with Special Needs in Cheshire.
(Chester, Cheshire)
Ms Jayne LEESON Chief Executive, Changing Our
Lives. For services to People with Learning Disabilities.
(Cradley Heath, West Midlands)
Suzanne Katherine, Mrs LOMAX Nurse, Departmental Manager, Complex Care and Stroke, Bolton NHS
Foundation Trust. For services to Healthcare.
(Bolton, Greater Manchester)
Ms Keira Jane MACDOUGALL For voluntary and
charitable services in Scotland through the Dystophic
Epidermolysis Bullosa Research Association and the
Second Chance Project.
(Hillfoots Road, Stirling)
Dr Heather Susan MACKINNON Lately Consultant
General Paediatrician, Whittington Hospital, London.
For services to Paediatrics, Child Health and Child
Protection.
(London)
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Miss Annie (Eleanor Anne) MAWSON Founder, Sunbeams Music Trust. For services to Music Therapy in
Cumbria.
(Penrith, Cumbria)
David Kenneth METHERELL Co-Founder, The Elizabeth Foundation. For services to People with Hearing
Impairments and their Families.
(Portsmouth, Hampshire)
Shirley, Mrs METHERELL Co-Founder, The Elizabeth Foundation. For services to People with Hearing
Impairments and their Families.
(Portsmouth, Hampshire)
Pauline, Mrs MULHOLLAND Lead Professional Dietitian and Allied Health Professions Lead for Hospital
Services, South Eastern Trust. For services to Dietetics and Healthcare in Northern Ireland.
(Newcastle, Down)
Dr Martin Adrian MYERS Consultant Clinical Scientist, Clinical Biochemistry Department, Royal Preston
Hospital, Lancashire. For services to Healthcare Science.
(Preston, Lancashire)
Stuart Jeffery NIXON Trustee and Vice Chair, Multiple Sclerosis Society. For voluntary service to People
with Multiple Sclerosis.
(Newport)
Michael Paul Patrick O'DRISCOLL Mental Health
Nurse, Nottinghamshire Healthcare NHS Trust. For
services to Mental Health Nursing.
(Nottingham, Nottinghamshire)
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Robert OLIVER Lately Bill Manager, Department for
Health and Social Services, Welsh Government. For
services to the Legislative Process in the UK, particularly Wales.
(Swansea)
Ms Barbara Elizabeth PAGE Dermatology Liaison
Nurse Specialist, Queen Margaret Hospital, Dunfermline. For services to Dermatological Nursing.
(Kinghorn, Fife)
Tapshum, Mrs PATTNI Assistant Director, Adult Social Care, Birmingham Social Services. For services
to Social Care.
(Birmingham, West Midlands)
Derek John PHILLIPS Foster Carer, Bedfordshire.
For services to Children and Families.
(Bedfordshire)
Volume 9 Issue 1
08 January 2014
Mary Patricia, Mrs RICHARDSON Foster Carer, Exmouth, Devon. For services to Children and Families.
(Exmouth, Devon)
Ann Susan Elizabeth, Lady RICHES For voluntary
services to Improving Healthcare in London.
(London)
Agnes Satherer, Mrs ROBERTSON Lately Chair,
Renfrewshire Children’s Panel Advisory Committee.
For services to the Children's Hearings System in
Scotland.
(Howwood, Renfrewshire)
Dr Carol ROBINSON Special Educational Needs
Consultant. For services to Children with Special
Educational Needs.
(Bristol)
Hazel Catherine, Mrs PHILLIPS Foster Carer, Bedfordshire. For services to Children and Families.
(Bedfordshire)
Dr Anna-Maria ROLLIN Consultant Anaesthetist, Epsom and St Helier University Hospitals NHS Trust.
For services to Anaesthesia.
(Epsom, Surrey)
John PHILLIPS Co-Chair, Learning Partnership
Board, Isle of Wight. For services to People with
Learning Disabilities.
(Shanklin, Isle of Wight)
Dr Malcolm Quentin RUSSELL Medical Incident Officer, West Midlands Ambulance Service NHS Trust.
For services to Emergency Medicine.
(Hereford, Herefordshire)
Dr Peter Cliver Crawford PITT, TD Medical Escort.
For voluntary service to the Royal British Legion and
Heroes Return.
(Lavenham, Suffolk)
Ms Maureen Grimmer RYLES Head of Paediatric
Physiotherapy, NHS Grampian. For services to
Healthcare and charity.
(Aberdeen)
John Herbert RICHARDSON Foster Carer, Exmouth,
Devon. For services to Children and Families.
(Exmouth, Devon)
Miss Angela Elizabeth SHEARER Committee Chair,
Relay for Life Peterhead, Aberdeenshire. For charitable services to Cancer Research UK.
(Huntly, Aberdeenshire)
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Joan Susan Younger, Mrs TAYLOR Midwife, NHS
Fife. For services to Complementary Therapies.
(Glenrothes, Fife)
Health Science, Aneurin Bevan Health Board. For
services to Radiology and Healthcare in Wales
(Cwmbran, Torfaen)
Dr Rosalind TAYLOR, DL Medical Director, The Hospice of St Francis, Hertfordshire. For services to Hospice Care.
(Kings Langley, Hertfordshire)
Order of the British Empire
Medallist of the Order of the British Empire
Dr Natalie Miriam TEICH For services to Public
Health.
(London)
Dr Carol Agnes TROTTER Consultant Psychiatrist,
Portsmouth. For Dr Carol Duncan services to Mental
Health.
(Botley, Hampshire)
Maureen Ann, Mrs UPTON District Manager, West
Midlands Region, St John Ambulance. For voluntary
service to St John Ambulance.
(Stoke-on-Trent, Staffordshire)
Anne Virginia, Mrs VILLIERS Chairman, Westminster
Society for People with Learning Disabilities. For services to People with Learning Disabilities.
(London)
Dr Theodore Paul WESTON General Practitioner,
Cumbria. For services to Victims of Trauma.
(Penrith, Cumbria)
Jane Rachael, Mrs WHETNALL Co-Founder, Cheshire Academy of Integrated Sports and Arts. For services to Disability Sport.
(Crewe, Cheshire)
Jeanette Agnes, Mrs BARTON Lately Personal Assistant, Health and Social Care Integration Directorate,
Scottish Government. For services to Community
Care.
(Edinburgh)
Ralph Klaus BLUMENAU Member, University of the
Third Age, London. For services to Adult Education.
(London)
Irene, Mrs BUDD Staff Nurse, The Christie NHS
Foundation Trust. For services to Nursing.
(Audenshaw, Greater Manchester)
Dorothy, Mrs BULLED Member, Whipps Cross Hospital Patients' Panel. For services to Patients.
(London)
Lynne Margaret, Mrs CAINE Funding Officer, BASICS Hampshire. For services to Immediate Care.
(Waterlooville, Hampshire)
Michael Richard CLARKE For services to the Guide
Dogs for the Blind Association in Bury St Edmunds,
Suffolk.
(Bury St. Edmunds, Suffolk)
Blanche, Mrs CURRAN For services to Nursing in
Northern Ireland.
(Cookstown, Tyrone)
Marilyn, Mrs WILLIAMS Lately Radiology Directorate
Manager and Assistant Director of Therapies and
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Volume 9 Issue 1
08 January 2014
Ms Helen Carole DALTON-HARE Chief Executive,
About with Friends. For services to People with
Learning Disabilities.
(Cromer, Norfolk)
Beryl Clare, Mrs DARE Member, League of Friends
of Arrowe Park Hospital, Wirral University Teaching
Hospital NHS Foundation Trust. For services to the
community.
(Wirral, Merseyside)
Muriel, Mrs DEACON For services to the Portsmouth
Pensioners' Association, Hampshire.
(Portsmouth, Hampshire)
Christina, Mrs DERRICK Team Manager, Safeguarding Children Team, Derby City Council. For services
to Children and Young People.
(Derbyshire)
Ms Ann DONNARUMMA Volunteer in Child Protection and Cruse Bereavement Care, Bromley, Kent.
For services to Children and Families in Kent.
(London)
Marian Margaret, Mrs DOWNING Member, Canton
and Riverside Division, Cardiff, St John Ambulance.
For voluntary service to St John Ambulance.
(Cardiff, Mid Glamorgan)
Miss Geraldine DUGGAN Vice-Chair, Belfast Lough
Sailability. For services to Sailing and People with
Disabilities in Northern Ireland.
(Carrickfergus, Antrim)
Christopher Philip EVANS For services to Young
People with Special Needs in Cheltenham, Gloucestershire.
(Cheltenham, Gloucestershire)
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Cecily Mavis, Mrs GILBERT Hospital Librarian, Good
Hope Hospital, Heart of England NHS Foundation
Trust. For services to the community.
(Sutton Coldfield, West Midlands)
Ms Susan HOFFMAN Receptionist, Nevill Hall Hospital, Abergavenny. For services to the NHS in Monmouthshire.
(Caerleon, Newport)
Michael Alfred GRIFFITHS For voluntary services to
the British Polio Fellowship in the North West.
(Southport, Merseyside)
David Noel HUGHES For charitable services to Hope
House Children's Hospice, Wrexham.
(Wrexham)
Pamela Jean, Mrs HURCOMB Bank Staff Nurse, Essex. For services to Healthcare.
(Colchester, Essex)
Carol Penelope GRIPPER Lately Service User Member, Care Council for Wales. For voluntary service to
Patient Care in Wales.
(Ferryside, Carmarthenshire)
Anita Patricia, Mrs HAYCOCK Member, Tewkesbury
Hospital League of Friends and Volunteer Group,
NHS Gloucestershire. For voluntary services to
Healthcare.
(Tewkesbury, Gloucestershire)
Anthony Samuel HAYCOCK Member, Tewkesbury
Hospital League of Friends and Volunteer Group,
NHS Gloucestershire. For voluntary services to
Healthcare.
(Tewkesbury, Gloucestershire)
Irene May, Mrs HAYLOCK Volunteer, Southend Hospital Audiology Department. For voluntary services to
People with Hearing Impairments.
(Benfleet, Essex)
Lily Virginia, Mrs HERBERT-BLANKSON Nursery
Supervisor, Kings College, London.
For services to Children.
(London)
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Trevor John Gray JARVIS Ambassador for Dementia,
Alzheimer's Society. For voluntary service to promoting Dementia Friendly Communities.
(Doncaster, South Yorkshire)
Elizabeth Edith, Mrs JONES For services to People
with Visual Impairments.
(London)
Anthony KNOWLES Trustee, Emma Jayne Memorial
Fund, Hull Royal Infirmary. For charitable services to
Neurological Treatment in East Yorkshire.
(Sutton on Sea, Lincolnshire)
Ruth Maureen, Mrs KNOWLES Trustee, Emma
Jayne Memorial Fund, Hull Royal Infirmary. For charitable services to Neurological Treatment in East
Yorkshire.
(Sutton on Sea, Lincolnshire)
Marie Molly, Mrs LANGDON For services to Hayward
House Palliative Care Cancer Unit at Nottingham City
Hospital and to the community in Nottingham.
(Radcliffe-on-Trent, Nottinghamshire)
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Volume 9 Issue 1
08 January 2014
James LEWIS Chief Clerk to HM Coroner Liverpool.
For services to the Bereaved.
(Liverpool, Merseyside)
Laurence LOFT Lately Chairman, Local Safeguarding
of Children Board, Blackburn with Darwen. For services to Children and Young People.
(Blackburn, Lancashire)
Elizabeth Agnes, Mrs MACDONALD For services to
the NHS and the Medic 1 Trust.
(Edinburgh)
Brian MARSH, DL Chairman, Humberston Park Hydrotherapy Pool Committee. For charitable services
to Education Therapy for Children with Physical and
Intellectual Disabilities.
(Cleethorpes, Lincolnshire)
Joan, Mrs MARSHALL For charitable services to the
Neo Natal Unit, University of Wales Hospital, Cardiff
and for voluntary service to Windsor Clive Primary
School, Cardiff.
(Ely, Cardiff)
Pamela Ruth, Mrs MILLINGTON For voluntary services to the Mold Hospital
League of Friends and to the community in Mold,
Flintshire.
(Mold, Flintshire)
Kim Elizabeth, Mrs MILNER For services to Fitness
and to Elderly People through the Active Life Group in
Pudsey, West Yorkshire.
(Pudsey, West Yorkshire)
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Mary Elizabeth Patricia, Mrs MORRISON Member,
Carers UK. For services to Carers and Older People
in Northern Ireland.
(Belfast)
David Tony SPENCER Lately Founder and Lead
Worker, Southmead Adventure Playground, Bristol.
For services to Children and Young People.
(Bristol)
James Robert NEILSON For voluntary services to
the Elderly and People with Disabilities through the
Seagull Trust Cruises in Ratho, Midlothian.
(Ratho, Midlothian)
Kevin STANIFORTH Charity Fundraiser, Royal Berkshire NHS Foundation Trust. For services to charity.
(Reading, Berkshire)
David John RADBURN For services to Healthcare in
Oxfordshire.
(Witney, Oxfordshire)
Dr Alistair Paul SUTCLIFFE General Practitioner,
Spring Vale Medical Centre, Whitby, North Yorkshire.
For services to General Practice and the community.
(Whitby, North Yorkshire)
Kenneth George RADFORD For services to People
with Learning Disabilities through People and Gardens at the Eden Project in St Austell, Cornwall.
(St. Austell, Cornwall)
Tracey Pauline, Mrs UZOR Immunisation Coordinator, Aneurin Bevan Health Board. For services to the
NHS in Newport, South Wales.
(Cardiff)
Susan, Mrs RATCLIFFE Fundraiser, Guide Dogs.
For services to People with Visual Impairments.
(Harlow, Essex)
Mair Elizabeth, Mrs WILLIAMS For charitable services to Cancer Research and for voluntary service to
the community in Flintshire.
(Treuddyn, Flintshire)
Derek Gordon REDWOOD For charitable services in
South Wales, particularly to Bobath Therapy Centre
for Children with Cerebral Palsy.
(Cardiff)
Maria Louisa, Mrs RIGHETTI Founder, Michael’s
Movers for Parkinson’s. For services to charity.
(Glasgow)
Stuart Anthony SKYRME Home Carer. For services
to Elderly People in Talgarth, Powys.
(Brecon, Powys)
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Volume 9 Issue 1
08 January 2014
Clarice Brenda, Mrs WILSON Volunteer Manager,
Treetops Hospice Shops. For charitable services to
Fundraising for the Treetops Hospice.
(Draycott, Derbyshire)
Eleanor Letitia, Mrs WRIGHT Member, Manchester
and Cheshire District, St John Ambulance. For voluntary service to St John Ambulance.
(Stockport, Greater Manchester)
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Linda Mason
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08 January 2014
Warnings
Keith M Lewin
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Volume 9 Issue 1
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