The Health News United Kingdom November 21 2017

  • Philip Hammond has dismissed calls from the head of the NHS for an emergency cash injection of £4 billion, as he said people running public services always predict ”Armageddon” before a budget. The chancellor hinted the NHS could get more money to cover the cost of ending the public sector pay freeze for nurses and other workers.
  • New figures show that surgeons are performing hip replacements on children as young as ten because of the damage caused by obesity. In the past 3 years, the total number of obese people needing joint replacements has risen by almost 60%  per cent to more than 37,000. But much of the rise has been driven by young adults and people in middle age who require surgery far earlier than ever before because of the strain on their joints caused by excess weight.
  • The NHS must end its “ideological” drive to deny women caesarean sections, campaigners have said after an IVF patient lost her “miracle” baby because staff favoured natural birth. Experts have warned that the wishes of expectant mothers are being ignored and their safety put in jeopardy, despite midwifes scrapping a longstanding campaign  for “normal births” earlier this year. Under NHS rules, women have the right to ask for a caesarean, however hospital bosses remain under pressure to keep numbers low.

News on Health Professional Radio. Today is the 21st of November 2017. Read by Tabetha Moreto.

https://www.theguardian.com/uk-news/2017/nov/19/philip-hammond-dismisses-nhs-chiefs-call-for-4bn-emergency-cash-injection-budget

Philip Hammond has dismissed calls from the head of the NHS for an emergency cash injection of four billion pounds, as he said people running public services always predict ”Armageddon” before a budget. The chancellor hinted the NHS could get more money to cover the cost of ending the public sector pay freeze for nurses and other workers. But he downplayed the need for the four billion pounds cash injection demanded by Simon Stevens, the health service chief. He also accused Stevens of failing to meet his side of a bargain in which he pledged to turn around the NHS in return for an extra ten billion pounds by two thousand twenty.
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The idea that the NHS got what it requested has been previously disputed by Stevens, who said earlier this month: “As I have told parliament on many occasions, for the next three years we did not get the funding the NHS had requested. So two thousand eighteen, which happens to be the seventieth anniversary of the NHS, is poised to be the toughest financial year.” The turnaround plan was also based on the government sorting out the crisis in social care, which has not happened. The chancellor’s restraint towards the NHS likely to disappoint Conservative MPs who are looking for bold measures they can sell to voters at a time when Labour is ahead in the polls.
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Ahead of the budget, Hammond will seek to concentrate on higher spending on science and transport. He will accompany Theresa May, Chris Grayling, the transport secretary, and Greg Clark, the business secretary, on a visit to the West Midlands on Monday, where they will announce the UK’s “ biggest ever increase in research and development investment” and a new fund to transform transport connections within city regions across the country.

http://www.telegraph.co.uk/science/2017/11/19/10-year-old-children-now-fat-need-hip-replacements-figures-show/

New figures show that surgeons are performing hip replacements on children as young as ten because of the damage caused by obesity. In the past three years, the total number of obese people needing joint replacements has risen by almost sixty per cent to more than thirty seven thousand. But much of the rise has been driven by young adults and people in middle age who require surgery far earlier than ever before because of the strain on their joints caused by excess weight. According to statistics from NHS Digital, ten children and teenagers aged ten  to nineteen have had hip replacements due to excess weight since two thousand fourteen. Two more obese children in this age group had knee replacements.

In addition, eighty six people in their twenties had hip replacements and eleven had new knees due to weight–related damage. Professor Philip James, past president of the World Obesity Federation, told The Sunday Express: “It is shocking. These figures also show doctors and surgeons are now waking up to the burden of obesity which is steadily rising.”
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Research by the University of Liverpool earlier this year found that obese children were at high risk of a painful hip disease called slipped capital femoral epiphysis (SCFE).

 Recent NHS data showed that nine point six per cent of children are dangerously overweight by the time they start school. By the time children reach the age of ten and eleven, twenty per cent are obese, the statistics for two thousand sixteen and two thousand seventeen show. Recent figures from Public Health England also showed that Britain’s obesity epidemic is also fuelling a rise in amputations, with eight thousand five hundred operations carried out each year on people suffering from diabetes.

http://www.telegraph.co.uk/news/2017/11/18/nhs-hospitals-must-end-ideological-hostility-caesareans-say/

The NHS must end its “ideological” drive to deny women caesarean sections, campaigners have said after an IVF patient lost her “miracle” baby because staff favoured natural birth.
Experts have warned that the wishes of expectant mothers are being ignored and their safety put in jeopardy, despite midwifes scrapping a longstanding campaign  for “normal births” earlier this year. Under NHS rules, women have the right to ask for a caesarean, however hospital bosses remain under pressure to keep numbers low.Charities and safety campaigners issued the warning as a major London trust admitted it had failed to provide a pregnant woman with the procedure, even though prior interventions to treat her infertility had made it unsafe for her to give birth naturally. The woman, a lawyer who asked not to be identified, was scheduled for a vaginal delivery despite showing obstetricians a photograph on her phone of the letter from previous doctors warning of the risk.

The charity Birthright revealed more than a quarter of calls to its advice concern rights to caesarean sections as it accused trusts of routinely “flouting” official rules. In August the Royal College of Midwives ended its twelve-year “normal birth” campaign. The body said it had “created the wrong impression” but denied it had compromised safety. Approximately twenty five per cent of births are achieved via caesarean in the UK, with about nine per cent planned and the remainder emergencies.
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Lewisham and Greenwich NHS Trust paid damages after admitting their failure to perform a caesarean section on a patient, who had undergone several invasive infertility procedures which damaged her uterus, caused the death of her daughter.

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