Exclusive: CCG resists Virgin Care demands for more money (HSJ: 23 October 2017)
Virgin Care has demanded more money for a controversial prime provider contract it signed with commissioners in Staffordshire last year, HSJ has learned.
East Staffordshire Clinical Commissioning Group has said it is “resisting” requests from the company for more money for the £270m prime provider contract.
Virgin is responsible for commissioning services for people with long term conditions
Both the CCG and Virgin Care have refused to confirm the amount being asked for, however, sources have told HSJ the private provider has asked for nearly £5m extra....read more
Children waiting up to 18 months for mental health treatment – CQC (The Guardian: 20 October 2017)
Children with mental health problems are waiting up to 18 months to be treated, a government-ordered report will reveal next week, in an indictment of the poor care many receive.
A Care Quality Commission report into child and adolescent mental health services (Camhs) will warn that long delays for treatment are damaging the health of young people with anxiety, depression and other conditions.
The NHS watchdog will conclude that when under-18s in England do get help from the NHS, it is “caring”. However, it will voice alarm that so many of them encounter much difficulty once they are referred by their GP or a teacher at their school.
Experts at the CQC who have drawn up the report, due to be published next Friday, were surprised to find that accessing care took so long and delays occurred in so many parts of England. Children can wait months after referral before their initial assessment and then further months before they start treatment.
NHS waiting times: hospital bosses fear 'a return to 1999' (The Guardian: 19 October 2017)
Hospital bosses have taken the unusual step of publicly drawing attention to the NHS’s declining ability to treat patients quickly enough, with one comparing lengthening waits for care to the huge delays last seen in 1999.
Four NHS trust chief executives in England have posted comments on Twitter since Tuesday lamenting the challenges the service is facing while it struggles with a tight budget and mounting staffing problems.
Their interventions reflect acute anxiety within the highest levels of the NHS that patients are being let down and that it could collapse if there is another winter crisis....read more
NHS will struggle to meet targets without more cash, health chief says (The Independent: 18 October 2017)
The health service will find it difficult to meet treatment targets without increased funding, an NHS executive has said.
NHS England’s director for acute care, Professor Keith Willett, said the health service was trying to deal with rising demand.
The comments came after a BBC survey found targets for cancer care, A&E treatment and planned operations were being routinely missed....read more
Cygnet named in new care model despite serious failings at hospital (HSJ: 18 October 2017)
NHS England named Cygnet Health Care as a partner in a new care model for young people’s mental health 10 days after inspectors found serious failings at its hospital in Woking that led to the temporary closure of its adolescents’ psychiatric intensive care unit.
The Care Quality Commission rated the psychiatric intensive care services at the hospital inadequate. The inspection in June found young people had repeatedly self-harmed while under constant observation; there was a high level of incidents and use of restraint, including prone restraint; and staff did not have the skills and experience to manage the young people in their care. In eight reported cases, male staff had not intervened when a patient was self-harming until a female nurse arrived....read more
NHS straining at the seams year before 70th birthday, finds regulator (The Guardian: 10 October 2017)
The NHS is in danger of a sharp decline in its services around its 70th birthday next year, with the risk of the quality of care becoming precarious, the health service’s regulator has warned.
The Care Quality Commission said staff shortages, rising demand and increasing numbers of patients with preventable illnesses meant services were straining at the seams.
An increase in the number of older people who are frail, many with dementia and have multiple long-term conditions, was placing unprecedented pressure on the system, it added.
Examples of pressure in the system include the fact 2.5 million people spent longer than four hours in A&E in 2016-17, up from 1.8 million the previous year. Hospital bed occupancy reached record levels of 91.4% this year.
Behan said the NHS was in need of modernisation and it had been created almost 70 years ago when the big issues were diseases such as TB and polio.
“Today, the NHS and social care are dealing with obesity, diabetes, coronary heart disease, cancers, dementia. All of which are driven less by those diseases of the middle of the last century and more by lifestyle choices.”
He continued: “We are living longer but are not living healthier so I think what we are signalling is that the system now and into the future has got to deal with those increased numbers of older people who are going to have more than one condition.”....read more