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Devon heart attack care trial pulled to review feedback

Devon heart attack care trial pulled to review feedback

BBC News28-05-2025
A proposal to trial changes to heart attack services in part of Devon has been withdrawn to allow time to consider feedback on the plan.NHS Devon's Integrated Care Board (ICB) was due to discuss a "test and learn" process for out-of-hours services in Torbay and Exeter during a meeting on Thursday.As part of the move, the trial could have seen patients driven to hospital in Exeter rather than Torbay to help cut costs and release resources to cut treatment backlogs.However, following concerns raised locally, NHS Devon said it had decided to delay the proposal so comments can be reviewed before an updated plan is presented to the ICB in July.
'Deeply concerning'
A report which formed part of the trial from NHS Devon said it believed consolidating centres might "provide increased value with minimal and clinically acceptable impact on safety and quality".However, the idea was criticised by Liberal Democrat MPs Steve Darling and Caroline Voaden who both raised the issue in the House of Commons.Torbay MP Darling said the proposal put patients at risk of not receiving treatment fast enough while South Devon MP Voaden said it would put people in critical danger.Former Torbay Conservative MP Kevin Foster also raised concerns with the trial, which he described as "deeply concerning".
In a statement on Wednesday, NHS Devon said its chair and chief executive had decided to pull the plans from the board meeting off the back of "wide-ranging" comments from politicians, health professionals and patients."This will enable the feedback to be fully considered and allow time to reflect on whether such a process will lead to clarity on future commissioning arrangements to ensure the long-term sustainability of this important service," NHS Devon said.It added its key priority was to commission "safe, reliable and sustainable" services for the future of healthcare in the county.NHS Devon said: "We will engage with our clinicians and partners to design this and find the most effective solutions for the whole population of Devon."An updated proposal will be presented to the board in July, taking into account the valuable feedback received."
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GP partners in Northern Ireland vote for collective action over funding
GP partners in Northern Ireland vote for collective action over funding

BBC News

timean hour ago

  • BBC News

GP partners in Northern Ireland vote for collective action over funding

GP partners in Northern Ireland have voted in favour of taking collective action as part of their fight for increased funding for general 80% of GP partners who are British Medical Association (BMA) members took part in the ballot of which 98.7% voted in favour of medics' trade union said this will see GP practices withdrawing some non-funded services which will take time away from patient NI GP committee chair, Dr Frances O'Hagan, said the result sent a "clear and unequivocal message" to Health Minister Mike Nesbitt. "We have been warning for well over a decade now that general practice was not being funded to meet the needs of growing patient lists and that failure to act on this would have consequences on patient care," she said."Frustratingly, these warnings have fallen on deaf ears." Dr O'Hagan said the health minister "wants to shift healthcare services into the community where general practice sits at the core" and hopes to achieve this "by imposing an under-funded contract and publicly dismissing GPs' valid concerns on how this will impact patients in these very same communities". "It is demoralising and has left GPs with no choice but to vote in favour of collective action."Dr O'Hagan said the "imposed contract would serve to work against improving patient access". GPs 'left with no choice' She called on the health minister to "act urgently" and resume contract negotiations."Not one GP who voted in favour of collective action wants to have to go down this road, but they feel they have been left with no choice."The minister needs to demonstrate that he values general practice and that he has our backs by coming back to the negotiating table with an improved 2025/2026 contract offer." The BMA had made a number of proposed collective actions in relation to the included:Limiting daily patient consultations per clinician to the UEMO (European Union of General Practitioners) recommended safe maximum of 25Serving notice on any voluntary activityCeasing completion of unfunded paperworkSwitching off Medicines Optimisation Software In a statement on Friday morning, the Department of Health said it had "not yet received formal confirmation from the BMA of the outcome, nor of the specific measures that will comprise the collective action".It said that it would be "important that GPs continue to adhere to the terms of their contract while taking any action, that there is no negative impact on patient safety and that access to service are maintained"."The department recognises that primary care system is under considerable, sustained pressure and GPs and their teams are working hard but are struggling to meet the demand from patients."It added that the financial challenges facing the Department of Health are well-known and in "that context, the £9.5m in additional funding included in the 2025/26 GMS contract represented the best possible offer the department could make for 2025/26"."It is a matter of regret that the department has not been able to reach agreement in relation to the 2025/26 GMS contract."The department said the health minister "remains open to discussion as to how best to secure the future of general practice so that it can remain a central part of primary care services now and in the future". It said it had "already written to NIGPC inviting them to engage in formal negotiations to develop a new GMS contract", and that it "has not yet had a response to this offer".

Milei took a chainsaw to Argentina's health system. Now it's ‘bleeding to death'
Milei took a chainsaw to Argentina's health system. Now it's ‘bleeding to death'

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timean hour ago

  • Telegraph

Milei took a chainsaw to Argentina's health system. Now it's ‘bleeding to death'

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This has coincided with new HIV infections climbing for the first time in over a decade with a 25 per cent spike and syphilis cases hitting a three-decade high. Now the public health system is 'bleeding to death in silence', said Argentina's Federation of Health Professionals' (FESPROSA) President María Fernanda Boriotti. Formally employed Argentines are eligible for social security, funded by payroll contributions, which in theory provides some medical coverage and subsidies. But less than half of the employed population hold registered salaried jobs, leaving the rest to the mercy of public hospitals. Even for those who supposedly have medical coverage, the bureaucratic nightmare often means they end up paying catastrophic sums out of pocket anyway – after a long wait in the queue. Ms Pilla was turned away from the oncology hospital after waiting two months for an appointment. 'I was number 312 that day at the hospital, and there were just as many people waiting behind me. 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Woman died after ‘rampant STI' invaded her body and attacked her vital organs – 4 signs you must know
Woman died after ‘rampant STI' invaded her body and attacked her vital organs – 4 signs you must know

The Sun

time2 hours ago

  • The Sun

Woman died after ‘rampant STI' invaded her body and attacked her vital organs – 4 signs you must know

A WOMAN died after an untreated STI invaded her body and attacked her vital organs. The unnamed woman from Alaska, who was in her 50s, passed away from disseminated gonococcal infection (DGI). 1 This is a rare but serious complication of the sexually transmitted infection gonorrhoea. It occurs when Neisseria gonorrhoeae bacteria spreads from the initial site of infection, seeping into the bloodstream and vital organs. DGI is thought to occur in just 0.5 percent of all gonorrhoea cases. The woman arrived at her local emergency department in Anchorage, Alaska, in spring this year, already in a critical condition. She was in respiratory distress - when the lungs aren't working properly due to serious illness - and was diagnosed with septic shock and heart failure, caused by endocarditis, a potentially fatal infection of the heart's inner lining. Further testing revealed her body had been invaded by gonorrhoea bacteria. But the patient wasn't diagnosed with DGI until after she'd passed away. There were no records of her being tested for gonorrhoea prior to her presenting at the emergency department. She'd been treated twice in the prior six months for opioid abuse, according to the Alaska Department of Health. Eight cases of DGI were reported in Alaska between January and May 2025, report authors added. How to put a condom on - NHS The cases were spotted after patients were evaluated in emergency departments in Anchorage. Epidemiologic investigations didn't establish connections between any of the DGI cases. While gonorrhoea can be got rid of with antibiotics, some infected people may not get tested or treated as they don't have symptoms of the STI, according to Dr Liz Ohlsen, a staff physician with the Alaska Department of Health who wrote the report. As a result, they run the risk of developing dangerous DGI, she told the Alaska Beacon. Health officials fear that a strain less likely to cause symptoms is circulating in Alaska, Dr Ohlsen went on. 'We think the most likely explanation for the rise in DGI cases is that more people with gonorrhoea are not getting tested and treated in a timely manner," she said. "Asymptomatic infections are thought to pose a greater risk of persistent untreated infection because people are less likely to have sought care." The Alaska Department of Health bulletin warned that people in Anchorage with a new sexual partner, more than one sexual partner, or a partner with multiple partners might be at risk of acquiring a strain of N. gonorrhoeae that's thought to carry a higher risk of causing DGI. Symptoms of gonorrhoea Typical symptoms of gonorrhoea include: A thick green or yellow discharge from the vagina or penis Pain when urinating Pain and discomfort in the rectum Lower abdominal pain and bleeding between periods in women and other people with a uterus or ovaries Gonorrhoea can affect other parts of your body that come into contact with semen or vaginal fluid. This can cause: Pain, itching and discharge from your bottom A sore throat Eye redness, pain and discharge However, many people infected with gonorrhoea will have no symptoms, especially for infections in the throat, vagina or rectum. This lack of symptoms makes it important to test regularly when having sex with new or casual partners. If you do get symptoms, they usually start around two weeks after infection, although they sometimes do not appear until many months later. Untreated gonorrhoea can lead to serious health complications including: Infertility and pelvic inflammatory disease (PID) An infection of the female reproductive system, which includes the womb, fallopian tubes and ovaries An infection in the testicles or prostate In rare cases, gonorrhoea bacteria can cause a disseminated gonococcal infection (DGI). It can cause frequently results in purple or pus-filled spots on the skin, joint pain, inflamed tendons or septic joint infections. Rarely, DGI can lead to inflammation of the liver, endocarditis - an infection of the inner heart lining - and meningitis. Having gonorrhoea during pregnancy can increase your risk of premature birth and your baby having a low birth weight. There's also a risk the infection could spread to your baby's eyes during birth, which is called gonococcal conjunctivitis. This can cause blindness if it's not treated with antibiotics. "While no specific sexual network has been identified, this strain may be circulating more broadly among persons with gonorrhea infection in Southcentral Alaska," report authors said. "The absence of documented gonorrhoea risk factors in most DGI cases suggests patients may not be asked about or disclosing key sexual history. "Few had symptoms before presenting with DGI, consistent with its progression from untreated mucosal infections. "Asymptomatic or mildly symptomatic patients with GC are less likely to seek health care and may be at a higher risk of persistent untreated infection leading to disseminated infection." In the UK, health officials issued warnings earlier this year over cases of "extensively drug resistant" gonorrhoea that aren't responding to antibiotic treatment. While most gonorrhoea infections can be treated effectively, certain resistant strains "present significant treatment challenges", the UK Health Security Agency (UKHSA) said. It warned that increased resistance could one day make the STI 'untreatable'. Meanwhile, the NHS announced it would begin vaccinating people against gonorrhoea come August, after cases of the STI hit a record 85,000 in 2023. Local sexual health clinics will offer the jab to gay and bisexual men, who are most at risk. Patients will receive the 4CMenB vaccine for meningitis B, which has been found to nearly halve the chances of catching gonorrhoea in adults. Health chiefs reckon they can prevent around 10,000 cases per year.

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