The Health News United Kingdom April 6 2018

  • Willows is one of four nursing homes across the London boroughs of Barking and Dagenham, Havering and Redbridge taking part in a £400,000 pilot scheme. Jointly funded by the prime minister’s challenge fund (which awarded £50m to 20 pilot projects in England to improve access to general practice) and the local clinical commissioning groups, Health 1000 is a dedicated primary care practice providing 431 residents of the homes with 8am to 8pm, seven-days-a-week GP support, as well as training and advice for staff and help from a consultant geriatrician.
  • The Government has stated that nearly 700 GPs have sought early retirement due to ill health since since 2010. Responding to a parliamentary question from the Labour Party, health minister Steve Brine revealed that 5,437 GPs retired before the age of 60 between 2009/10 and 2016/17. Of these, 4,753 took voluntary retirement, while 684 retired due to ill health.
  • The Duke of Edinburgh is known for his active lifestyle and has generally enjoyed good health well into his later years. As his age has advanced beyond 90, Philip has faced a number of scares. Abdominal surgery, bladder infections and a blocked coronary artery have seen him admitted to hospital on a number of occasions. The first public acknowledgement of his advancing years came as he was preparing to turn 90 when he stepped down as president or patron of more than a dozen organisations ahead of his milestone birthday.

News on Health Professional Radio. Today is the 6th of April 2018. Read by Tabetha Moreto.

https://www.theguardian.com/society/2018/apr/04/regular-gp-visits-reduce-hospital-admissions-nearly-40-per-cent

Willows is one of four nursing homes across the London boroughs of Barking and Dagenham, Havering and Redbridge taking part in a four hundred thousand pound pilot scheme. Jointly funded by the prime minister’s challenge fund (which awarded fifty million pounds to twenty pilot projects in England to improve access to general practice) and the local clinical commissioning groups, Health one thousand is a dedicated primary care practice providing four hundred thirty one residents of the homes with eight am to eight pm, seven-days-a-week general practitioner support, as well as training and advice for staff and help from a consultant geriatrician.

Crucially, the nursing homes are allocated a GP, directly employed by Health one thousand, who visits the home each week. This is far from normal practice. Often, care home residents are registered with different GP practices, which do not always come out to care homes, or only provide phone consultations. In a review of the sector in two thousand twelve, the Care Quality Commission found only thirty eight percent of care homes had regular visits from GPs.

A new evaluation published on Wednesday by the health think tank the Nuffield Trust found that in the three years to two thousand seventeen the scheme resulted in a thirty six percent reduction in emergency admissions to hospital, and emergency bed days spent in hospital fell by fifty three percent. These reductions in admissions are valued at up to one thousand pounds per patient per year. The findings are especially striking given that care home residents have between forty percent and fifty percent more emergency admissions to hospital than the general population aged over seventy five.

http://www.pulsetoday.co.uk/your-practice/practice-topics/employment/ill-health-pushes-700-gps-into-early-retirement-health-minister-reveals/20036464.article

The Government has stated that nearly seven hundred general practitioners have sought early retirement due to ill health since since two thousand ten.  Responding to a parliamentary question from the Labour Party, health minister Steve Brine revealed that five thousand four hundred thirty seven GPs retired before the age of sixty between two thousand nine to two thousand ten and two thousand sixteen to two thousand seventeen. Of these, four thousand seven hundred fifty three took voluntary retirement, while six hundred eighty four retired due to ill health.

Shadow health secretary Jonathan Ashworth, who posed the written question, used the Pulse Live conference last week to announce Labour plans to boost GP funding, should the party come into power. He announced a five hundred million pound infrastructure fund dedicated to primary care as part of a proposal to spend five billion pounds a year on the NHS, via a tax rise for the top five percent of earners.

He pledged that general practice would see a rising proportion of the NHS budget – a promise the current Government has yet to achieve.
….
In a Pulse survey of more than eight hundred GPs last year, almost half said their ability to care for patients had been affected by the stress of general practice. It further found one in ten GPs had taken time off work in the past twelve months because of stress or burnout, while a further twenty two percent feared they would have to do so within the next year.

https://www.belfasttelegraph.co.uk/news/uk/the-duke-of-edinburghs-health-in-recent-years-36771301.html

The Duke of Edinburgh is known for his active lifestyle and has generally enjoyed good health well into his later years. As his age has advanced beyond ninety, Philip has faced a number of scares. Abdominal surgery, bladder infections and a blocked coronary artery have seen him admitted to hospital on a number of occasions. The first public acknowledgement of his advancing years came as he was preparing to turn ninety when he stepped down as president or patron of more than a dozen organisations ahead of his milestone birthday.
….
In the middle of the Queen’s Diamond Jubilee celebrations in June two thousand twelve, the Duke was forced to miss the majority of the festivities after falling ill with a bladder infection.
He had taken part in the Jubilee river pageant in extremely wet and windy conditions the day before. Philip was released from hospital the day before his 91st birthday. Asked if he was feeling better as he was leaving, he quipped: “Well, I wouldn’t be coming out if I wasn’t.”
….
On June six, two thousand thirteen, Buckingham Palace announced that he had been admitted to hospital for an exploratory operation on his abdomen and was expected to stay in the London Clinic for up to two weeks. He underwent surgery under general anaesthetic the next day and the Palace said he was progressing satisfactorily and that the results would be analysed and he would spend two months convalescing. Philip spent his ninety second birthday in hospital, when he was visited by his youngest son, the Earl of Wessex, and then the Queen.
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He missed the Maundy Thursday service with the Queen on March twenty nine because of a problem with his hip, and also did not attend church on Easter Sunday. The Duke was admitted to hospital on Tuesday, ahead of a planned operation on his hip on Wednesday.

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