Tuesday, September 27, 2011

UK Nursing is a Mess

_Nursing is a mess but those at the top fail to admit it_

 

Julie Bailey

 

Something has gone badly wrong with the nursing profession. But despite all the evidence, I fear we are no closer to doing something about it. Everyone’s talking about it, but the very people who can help to do something are still in denial.

 

Traditionally, we have been reluctant to criticise nurses — partly because we fear that relatives still in hospital will suffer the backlash if we complain. It isn’t easy to put your head above the parapet and speak out. I did because I owed it to my mother — but be prepared to be very unpopular.

 

I lost my mother in Stafford Hospital. She went in for a routine hernia operation but eight weeks later she died; a nurse dropped her and she never recovered from the fall. The ward she had been on was chaotic; the staff seemed to be oblivious to the suffering of patients, many of whom were screaming out in pain.

 

Now the noise of complaint is getting too loud for the medical profession and authorities to ignore. Report after report highlights these failings. Yet those in nursing leadership roles still do little. Dame Christine Beasley, the Chief Nursing Officer, gave evidence recently to the public inquiry into the appalling conditions at Stafford. We the bereaved relatives sat in the gallery hoping to hear that urgent action was being taken. We wanted to hear how she was ensuring that the nursing profession would return to high standards of care. She gave no indication that she was even aware that there was a problem, or any urgency to do anything about it.

 

Peter Carter, the president of the Royal College of Nursing, also gave evidence to the inquiry in March. I struggle with the very idea that the RCN can be a royal college; it is a politicised union that has overseen this decline in standards. This week Mr Carter blames the unregulated healthcare assistants for appalling care and says that relatives should be helping to meet basic nursing needs for family members because nurses are too busy. These are the very people leading the profession and yet they fail miserably to acknowledge the extent of their failings.

 

The culture of caring has been crushed by the way nursing is now taught and by managers focused on targets and finance. The NHS must be turned the right way up with clinicians and nurses, not managers, leading the way. They should tell those who have brought shame on their profession to change or leave. Above all, they should remember that the most important person is the patient and the purpose of being a nurse is to serve the sick.

_

Julie Bailey set up Cure the NHS and led the campaign to improve standards at Stafford Hopital_ Julie via Times London

 

 

Sadly, Julie Bailey has described most hospitals in UK and the attitude of many nursing staff. 

Thursday, September 15, 2011

Blood-letting

Attending local hospital for fasting blood test is valuable experience for any doctor.

This morning here I am waiting with my fellow patients to get bled.

In this place it is as if the world as healthy world knows it has been left behind.

A parallel world marching to a different drum. Outside traffic queues. Children are making their way to school. Here we all have ”issues".

As far as the lady's taking our blood are concerned we are little more than a vein to stab.

What a strange production line this is.

It is a far cry from the old-fashioned leeching of past centuries when the doctor was solely responsible for blood-letting.

The mystery of the body humours has been resolved now. However, I still think there remains in the mind of many that getting better depends on a blood-letting.

Wednesday, September 7, 2011

Fw: News from The National Archives | September 2011


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From: The National Archives <nationalarchives@enews.nationalarchives.gov.uk>
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Sent: Wednesday, 7 September, 2011 11:23:12
Subject: News from The National Archives | September 2011

The National Archives
Image from Merchant Navy poster, showing the red duster. Catalogue reference INF3-127
New Merchant Navy records now available online

We have some exciting news for you this month - findmypast.co.uk has just released 1 million Merchant Navy seamen records. Dating from 1918 to 1941, these records cover a significant era in nautical history, when ocean travel was at its peak.

The Merchant Navy covered all cargo and passenger ships and their crew, so if your ancestor 'went to sea' and you've previously not found them in Royal Navy records, this may be where they're hiding. The records, which are now available online*, contain rarely seen photos of the mariners along with descriptions including hair and eye colour, height and distinguishing marks. 

Don't forget we have some useful guides on our website to help with your research into merchant seamen. And if you'd like to read more, My Ancestor was a Merchant Seaman is available in paperback from our bookshop.

Good luck with your research!

Laura Cowdrey
Editor

From the bookshop: discounts off selected titles on women and the Second World War
To celebrate the role and achievements of women during the Second World War we're offering a range of discounts in our bookshop.

I Only Joined For The Hat, a witty account of life as a WREN and Land Girl, a copy of the practical guide given to the volunteers of the Women's Land Army, are both only £8.99.

Browse our online bookshop.

Search other merchant seamen records online
If you've discovered a seafaring ancestor in your family tree you may also be interested in our Merchant Navy medal cards from the First World War and the Second World War.

Merchant shipping movement cards for the Second World War are also available and there's a handy guide to interpreting them, using the SS Athenia as an example. Search the records now*.

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We want to know what you think of our new Discovery service
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Save the date
Save the date!

On 14 April 2012 we will be holding a one-day conference about RMS Titanic. Online booking will open later in September, check our website for details or look out for more information in next month's enewsletter.

What's on at The National Archives
What's on at Kew

We hold free talks every Thursday afternoon. This month's talks include:

Untold story of women in the Crimea War

Births, marriages & deaths in The National Archives

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Our recommended podcasts this month are:

Galaxy Zoo & Old Weather

Merchant Navy Operational Records

MI5 file release
New intelligence from the Security Service

171 new files from MI5 have recently been released. They shed new light on double agents, espionage and the individuals being monitored during the Second World War and beyond.
Read more online.

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Fw: General Practice with Primary Healthcare - enews - September '11


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To: Dr Lewis <lewisfromoz@btinternet.com>
Sent: Wednesday, 7 September, 2011 16:11:05
Subject: General Practice with Primary Healthcare - enews - September '11

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The Royal Society of Medicine
Diary dates RSM Website Email us
Section News and Events
General Practice with Primary Healthcare
September 2011
Dear Dr Lewis ,


In this issue: Message from the President and President Elect | Section meetings | Dates for your diary | Other meetings of interest | Prizes


Message from the President and President Elect

Dear Colleague,

The beginning of a new academic year brings a change in the presidency of the Section and I shall be handing over to Dr Richard Gray on October 1st. I have enjoyed the last two years and would like to thank members of the Section and Council for their support. There are changes ahead in the way we deliver patient care and I am sure that Richard will provide the Section with strong leadership during this time of change. He brings to the presidency his experience of clinical practice, academia and his commitment to inter-professional learning. These are reflected in the programme he has planned for next year which he outlines below.

  Margaret
President

Dear Colleague

I would like to congratulate Professor Margaret Lloyd on her successful presidency and thank her for her invaluable contribution to the section during this time. I feel privileged to be taking over from her as president in October. Meanwhile we have been planning the academic programme for the next academic year and I would particularly like to bring to your attention to the next two section events:

  Firstly, we invite you join us for our first study day of the academic year which is being held on 19/11/11 and is entitled  "Your future in commissioning". The day will be hosted by the general practice and primary care section of the RSM in association with the London Deanery. Whilst the day is designed to be useful for practice managers, GP registrars, and all GPs whatever their stage of professional development, it is specifically directed towards those who have little experience or knowledge of commissioning. We believe this will be a valuable and instructive day and as participant number will be limited, we would strongly encourage you to book a place as soon as possible.  Further details are included below.

We look forward to welcoming you to our section study day in November.

  Thank you,

  Richard
President Elect

................................................................................

Section meetings

31st Annual GP forum
Monday 12 - Friday 16 September 2011
Organiser: General Practice with Primary Healthcare Section | Venue: RSM

Ethics the coalface: A practical workshop exploring ethico-legal issues in primary care
Monday 17 October 2011
Organiser: RCGP NWL Faculty in association with the General Practice with Primary Healthcare Section, RSM | Venue: The Royal College of General Practice, London

Minor surgery course
Wednesday - Thursday - 19-20 October 2011
Organiser: General Practice with Primary Healthcare Section | Venue: RSM

Your future in commissioning
Saturday 19 November 2011
Organiser: General Practice with Primary Healthcare Section in association with London Deanery | Venue: RSM

Minor surgery course
Thursday - Friday 24-25 November 2011
Organiser: General Practice with Primary Healthcare Section | Venue: RSM

Cancer care; The GP, the patient and the oncologist
Monday 23 January 2012
Organiser: Organised jointly by the Sections of Oncology and General Practice with Primary Health Care | Venue: RSM

One for all or all for one: Primary Care ethics - solidarity or personal freedom
Wednesday 1 February 2012
Organiser: A joint meeting organised by the General Practice with Primary Healthcare Section and Open Section, RSM in association with the Royal College of General Practitioners | Venue: RSM

................................................................................

Dates for your diary

Minor surgery course
Thursday - Friday 16-17 February 2012
Organiser: General Practice with Primary Healthcare Section

The rights and risks of the elderly and 38th Albert Wander lecture
Wednesday 4 April 2012
Organiser: A joint meeting organised by the General Practice with Primary Healthcare Section and Section of Geriatrics & Gerontology | Venue: RSM

Minor surgery course
Thursday - Friday 17-18 May 2012
Organiser: General Practice with Primary Healthcare Section

Refugees and asylum seekers
Wednesday 23 May 2012
Organiser: General Practice with Primary Healthcare Section | Venue: RSM

15th National registrars and new practitioners study day
Wednesday 13 June 2012
Organiser: General Practice with Primary Healthcare Section | Venue: RSM

John Fry lecture
Wednesday 11 July 2012
Organiser: General Practice with Primary Healthcare Section | Venue: RSM

32nd Annual GP Forum
Monday 10 - Friday 14 September 2012
Organiser: General Practice with Primary Healthcare Section | Venue: RSM

 ................................................................................

Other meetings of interest


Prognostic dilemmas and decision making in end of life care
Thursday 22 September 2011
Organiser: Royal Society of Medicine and St Ann's Hospice | Venue: Renaissance Hotel, Manchester

The INPiC consensus conference: Invasive neurodestructive procedures in cancer pain
Monday 10 October 2011
Organiser: Joint meeting of the Palliative Care Section with The Marie Curie Palliative Care Institute Liverpool and the National Cancer Research Institute | Venue: RSM

What's new in sleep medicine?

Tuesday, 11 October 2011
Organiser: Occupational Medicine Section | Venue: RSM

A century after John Hughlings Jackson: A historical symposium on the centennial of his death
Organiser: Society Conferences
Friday 14 October 2011 | Venue: National Hospital of Neurology & Neurosurgey, Queen Square
Saturday 15 October 2011 at the Royal Society of Medicine

Research methods and critical appraisal course
Friday 14 October 2011
Organiser: RSM Trainees | Venue: RSM

Acute care for older people: Old age medicine at the front door
Monday 24 October 2011
Organiser: Geriatrics & Gerontology Section | Venue: RSM

Drugs in the environment - Ecopharmacovigilance for better health
Monday 31 October 2011
Organiser: Epidemiology & Public Health Section | Venue: RSM

Specialty careers fair
Friday 11 November 2011
Organiser: RSM Students | Venue: RSM

The genetics of diabetes, metabolic and endocrine disease
Monday 14 November 2011
Organiser: Endocrinology & Diabetes Section | Venue: RSM

Safer doctors, safer patients: Improving care from the front-line.  Practical patient safety for students and trainees
Monday 21 November 2011
Organiser: Patient Safety Section | Venue: RSM

Sleep and mental health

Wednesday 23 November 2011
Organiser: Joint meeting of the Sleep Medicine Section with the Mental Health Foundation | Venue: RSM

...............................................................................


Prizes

Young Medical Authors Prize Trainees committee prize
Submission deadline: Friday 23 September 2011
Organiser: RSM Trainees
Prize: £100 of book vouchers and signed copies of OHCM and Clinical Medicine.

Safer doctors, safer patients: Dragon's den and poster prize
Submission deadline: 20 October 2011
Organiser: RSM Patient Safety Section
Prize: The winner in each category will win £100 and the overall winner will win a one year membership to the RSM

...............................................................................

Please note that we require details of any dietary requirements and full payment to guarantee your place at least five working days before the meeting.

Upon arrival at meetings all participants must register to collect their personalised name badge, programme and other related information. 

..................................................................................

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Fw: Rheumatology Update from NEJM.org


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Sent: Wednesday, 7 September, 2011 17:27:25
Subject: Rheumatology Update from NEJM.org

Visit NEJM.org
Update Rheumatology

A Summary of Recent Published Activity
PERSPECTIVE
ONLINE FIRST
G.D. Curfman and R.F. Redberg
N Engl J Med, August 10, 2011



IMAGES IN CLINICAL MEDICINE
M. Fernandes das Neves and S. Oliveira
N Engl J Med 365:842, September 1, 2011



S.A. Chillag and S. Greenberg
N Engl J Med 365:e14, August 18, 2011
VideoVideo

CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITAL
D.C. Bienfang and Others
N Engl J Med 365:549, August 11, 2011



CLINICAL IMPLICATIONS OF BASIC RESEARCH
X. Bosch
N Engl J Med 365:758, August 25, 2011




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