logo
Measles 'circulating' in area where child died from disease, expert warns

Measles 'circulating' in area where child died from disease, expert warns

Sky Newsa day ago
A Liverpool City Council official has urged the public to be aware of the symptoms of measles after a child died from the disease.
Speaking on The UK Tonight with Sarah-Jane Mee, director of public health for Liverpool City Council, Professor Matthew Ashton, said he wanted to raise awareness of the virus.
It comes after a child died at the city's Alder Hey Children's Hospital after becoming ill with measles and other health problems.
Mr Ashton said that measles was "circulating" in the community, with 17 cases recorded at Alder Hey since the start of June - which he said "is a worry for us".
"It's a really nasty virus," he added. "No matter who you are, if you're not protected, it can do you harm."
Earlier on Monday, chairman of the Local Government Association's community wellbeing board, councillor David Fothergill, said there was "an urgent need to address falling immunisation rates".
"These gaps have contributed to 529 confirmed measles cases in England so far in 2025," he said, "with 68% occurring in children under the age of 10."
41:50
Speaking to Sky News, Mr Ashton said: "Vaccination rates have been declining nationally for the last decade... In Liverpool, we're down below 74%.
"Nationally, it's a bit higher than that, but it's still far too low. And the trouble is then, when you have unexposed populations or unprotected populations, the potential for measles going rogue is very high."
Mr Ashton said vaccination rates have been declining nationally for the last decade and that the World Health Organisation (WHO) recommends 95% vaccination levels to reach herd immunity.
3:03
Mr Ashton noted "there's lots of reasons why vaccination rates have dropped," citing "fatigue" from the COVID pandemic and "disinformation," but added: "I do think it's more complicated than that.
"I think we have to recognise that life for our communities has got significantly harder over the last ten years, and people are working really hard to make sure they can still pay the bills, put food on the table, look after loved ones.
"Sometimes routine health care appointments are just not top of the list of things to do."
What are the symptoms of measles?
The first symptoms of measles include:
• A high temperature
• A runny or blocked nose
• Sneezing
• A cough
• Red, sore or watery eyes
Cold-like symptoms are followed a few days later by a rash, which starts on the face and behind the ears, before it spreads.
The spots are usually raised and can join together to form blotchy patches which are not usually itchy.
Some people may get small spots in their mouth too.
What should you do if you think your child has measles?
Ask for an urgent GP appointment or call 111 if you think your child has measles.
If your child has been vaccinated, it is very unlikely they have measles.
You should not go to the doctor without calling ahead, as measles is very infectious.
If your child is diagnosed with measles by a doctor, make sure they avoid close contact with babies and anyone who is pregnant or has a weakened immune system.
The public health director said that while "people assume it's an old disease or it's one that's gone away... it couldn't be further from the case".
He noted that one case of measles can infect up to 15 people, and urged people that if they think they have symptoms, call their GP or 111 - and do not go to A&E.
Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Six patient deaths linked to use of ‘substitute' doctors by NHS
Six patient deaths linked to use of ‘substitute' doctors by NHS

Times

time2 hours ago

  • Times

Six patient deaths linked to use of ‘substitute' doctors by NHS

Six patient deaths have been linked to the NHS introducing physician associates as a 'substitute' for fully trained doctors, a government-commissioned review has found. Professor Gillian Leng, the president of the Royal Society of Medicine, was asked by Wes Streeting, the health secretary, to examine the role of physician associates (PAs), a group of 3,500 NHS staff who assist doctors but do not have a medical degree. Leng's 134-page report concluded there had been cases where PAs had been used as a substitute for doctors in the NHS, which was 'clearly risky and confusing for patients'. She said that, in future, PAs should be renamed physician 'assistants' and wear lanyards, badges and uniforms that make it clear to patients that they are not trained doctors.

NHS physician associates should not diagnose untriaged patients, review finds
NHS physician associates should not diagnose untriaged patients, review finds

The Guardian

time2 hours ago

  • The Guardian

NHS physician associates should not diagnose untriaged patients, review finds

NHS physician associates should be banned from diagnosing patients who have not already been seen by a doctor, a government review has concluded. The review calls for the government to overhaul the role of physician associates (PAs), who it says have been substituted in for doctors to fill staffing gaps despite having significantly less training. The health secretary, Wes Streeting, ordered the review of the more than 3,500 PAs and 100 anaesthesia associates (AAs) working in the NHS after six high-profile deaths of patients who were misdiagnosed by PAs. Prof Gillian Leng, the president of the Royal Society of Medicine, spoke to more than 1,000 people for the review and concluded there were 'no convincing reasons to abolish the roles of AA or PA' but there was also no case 'for continuing with the roles unchanged'. She wrote in the report: 'Despite the significantly shorter training, PAs and to a lesser extent AAs have sometimes been used to fill roles designed for doctors. The rationale for doing this is unclear, and was probably one of pragmatism and practicality, relying on medical staff to provide the additional expertise when required. 'This lack of planning may have been responsible for driving the resentment felt by some resident [doctors] and potentially exposed patients to unnecessary risk.' One of her main recommendations is that PAs should not see 'undifferentiated or untriaged patients', meaning those who have not yet been diagnosed by a doctor. Leng recommended further work to establish which patients they should be able to see and to set clinical protocols that would enable PAs to diagnose patients with mild ailments. 'Let's be clear, [the role of PAs] is working well in some places, but there indeed has been some substitution and any substitution is clearly risky and confusing for patients,' she said. Leng recommended PAs should be renamed 'physician assistants' and AAs 'physician assistants in anaesthesia' to ensure that patients and their families are clear on whether they have been seen by a doctor. She observed that this confusion was the core concern voiced by the bereaved families she had spoken to, who believed it was a contributing factor in their loved ones' death. She noted in her report that despite the role's rapid expansion since it was introduced in the early 2000s, there was limited data and evidence on whether PAs were safe or unsafe. Most concerns related to PAs being the first clinician to see patients unsupervised. 'Making the wrong initial diagnosis and putting patients on an inappropriate pathway can be catastrophic,' she said. The report found that 'relatively few doctors felt it was appropriate for PAs to diagnose illness' and it identified disparities between the tasks PAs considered right for them to carry out and what doctors thought. Leng recommended that newly qualified PAs work in hospitals for two years before they are allowed to work in GP surgeries or mental health trusts, enabling them to start their careers where there are more training opportunities and supervision. She also recommended more leadership training for doctors, who shared concerns about the lack of preparation for supervision duties, and better career development for PAs and AAs. She suggested a named doctor supervise each PA, while uniforms, lanyards, badges and staff information should be standardised to 'distinguish physician assistants from doctors'. Dr Tom Dolphin, the chair of the British Medical Association, said the report 'laid bare the catastrophic failures in NHS leadership that have put patients at serious risk of harm', but he argued the recommendations did not go far enough on national patient safety standards. 'Prof Leng has succeeded in exposing how NHS England introduced these roles and encouraged their expansion without any robust evidence of their safety,' he said. 'The report reveals inadequate national leadership, no accountability and no attempt to listen to the concerns raised by doctors, patients and coroners. 'The blurring of lines between doctors and non-doctors, aided and abetted by the GMC [General Medical Council], has been an unfolding disaster for all to see, and many doctors today will be relieved to see that they were right to raise the alarm,' Dolphin said. Dr Naru Narayanan, the president of the hospital doctors' union, the HSCA, said: 'Safety concerns will continue until a properly defined national scope is established. The review acknowledges this by calling for standardised job descriptions and clinical protocols. This work needs to be fast-tracked. 'Given how poorly these roles have been defined, and the fact physician assistants earn more after a couple of years of clinical training than resident doctors do after nearly a decade in medicine, it's not surprising there's been tension. We've got a shortage of medical training places and a limited supply of trainers. Additional support and time for senior doctors, as recommended by Prof Leng, are essential.'

Physician associates need new job title, says review
Physician associates need new job title, says review

BBC News

time2 hours ago

  • BBC News

Physician associates need new job title, says review

Physician associates (PAs) and anaesthesia associates (AAs), who assist doctors in GP surgeries and hospitals, should be known as "assistants" to avoid confusing patients, an independent review review recommends PAs and AAs wear standardised clothing and badges to distinguish them from doctors, and that they should not diagnose patients. Health Secretary Wes Streeting announced the review last year, following a heated debate over the roles and responsibilities of the healthcare doctor's union, the BMA, says the review should have gone further. Review author Prof Gillian Leng talked to doctors, patients and the public to collect evidence on the safety and effectiveness of the roles of PAs and said a clear vision "was largely missing" when they were introduced in 2000 and there was no national plan for how the new roles would fit into existing teams, resulting in growing "confusion about the roles' purpose and remit". "Where capacity was limited in local services, gaps in medical posts were sometimes covered by PAs, without taking into account their more limited training or ensuring that supervisors had the necessary understanding of the roles and the time and skills required to provide appropriate oversight," Prof Leng also listened to families of relatives who died after being treated by PAs, believing them to be qualified Chesterton was told the calf pain she was experiencing in October 2022 was a sprain but it was in fact a blood clot. She died, aged 30, after being seen twice by a physician Pollitt, 77, was being treated by a PA in hospital two years ago after a pump was left in her stomach for 15 hours longer than it should have been. She died from an infection two days daughter Kate says the family have never blamed the PA involved but want more clarity. "As a family, when you've got someone in hospital, you don't think straight because you're just worried about your relative," she says."Even though people are telling you who they are, you're not registering it. So I do think it needs to be made clear, with the uniform and the badges and the name. So we do welcome that," Kate other cases, patients said they were satisfied after seeing a PA and felt listened to, the review says. The review recommends physician associates should:be renamed "physician assistants" to reflect their supportive role in medical teamsnot see new patients in primary or emergency care or make a diagnosishave at least two years' hospital experience before working in a GP surgery or mental health trustbe part of a team led by a senior doctor wear badges, lanyards and clothing to set them apart from doctorsAnaesthesia associates should be renamed "physician assistants in anaesthesia" or addition, patients should be given clear information about the role of a PA and there should be a faculty to represent PAs and set standards for training. Physician associates (PAs) and anaesthesia associates (AAs) were introduced into the NHS in the early 2000s to ease doctors' their numbers grew, concerns were raised about the safety of the roles, the lack of clarity around their responsibilities and the impact they had on junior medics' work and are not authorised to prescribe medication but they can order certain scans, take medical histories and conduct physical associates (AAs) support surgery teams and are a much smaller are now more than 3,000 PAs and AAs in England but the NHS workforce plan envisages that increasing to 12,000 by PAs and AAs have to complete a two-year postgraduate course. To be eligible they need to have either a science-related undergraduate degree or be a registered healthcare professional Academy of Medical Royal Colleges said there was a growing campaign against their use, fuelled by unsubstantiated claims on social media. It requested an independent review to set out the jobs they can safely and AAs have been regulated by the General Medical Council, the body which also regulates doctors, since December training takes many years longer, and anti-social hours and exams are a regular British Medical Association has said PAs and AAs were being asked to do tasks they were not meant to do and the lines with doctors were getting blurred. Dr Emma Runswick, from the BMA, says the name change to physician assistants is "positive" but doctors haven't got everything they wanted and more still needs to be done."Patients can know who they are seeing, but it does not make the key changes that we are looking for in terms of setting out what they can and cannot do.""But we would be a fool to say that it wasn't some progress."Dr Hilary Williams, incoming vice president of the Royal College of Physicians, said the review was "thoughtful" and "thorough", and showed that "reform is urgently needed" to ensure safe teamworking in the NHS.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store