Superbug hits baby ward at University College Hospital

One of four premature babies infected with a bacteria at a London hospital died from the bug, it has been revealed.

The babies were infected at the University College London Hospital neonatal unit with the so-called "gram-negative" bacteria.
The infection killed one of the babies while two of the others died of other causes. One baby has survived.

The hospital has not said when the baby died, but the bug hit the ward in July. The babies were among 15 at the unit found to be carrying several types of bacteria, of whom 13 had bacteria resistant to treatment. Of those, nine were carrying the bacteria on their skin and four were found to have it in their blood streams...

Source: BBC.

"Hospital put plaster cast on child's wrong arm"

Hospital staff at Southampton General have issued an apology after medics plastered the wrong arm of a two-year old. Toddler, Honey Wight, chipped a bone in her left elbow after she jumped off a slide. However, for reasons unknown, medical staff in A and E plastered Honey's right arm.

 

The youngster's mum, Ms Wight, told the Southern Daily Echo; "I was so angry. I just couldn't believe it." The twenty-nine year old continued; "The nurse was there and it said 'left elbow' but she put it on the right arm. It is just crazy."

 

Ms Wight, who realised the medical mishap the next day, having put her daughter straight to bed after her eventful time, returned to Southampton hospital the next day where the mistake was rectified.

 

Dr Michael Marsh, medical director at the hospital, said: "We are deeply sorry to Honey and her family. Incidents like this are extremely rare and we will be carrying out a full investigation into how it happened."

 

Source: The Metro

Doctors missed Francis McConville's broken back

Francis McConville was released after doctors failed to see he had broken his back in three places, his family claim. Francis McConville's shoulder was X-rayed after he had a fit and he was given a sling.

 

Three broken vertebrae were apparently spotted nearly three weeks later after the 39-year-old of South Ockendon, Essex, had another scan. Basildon Hospital's care was 'horrendous', said mother Frances.

 

The patient's concerns would be addressed at his next appointment, said the hospital.

 

Source: The Metro

‘Superdad’ Dave Brown delivers baby after hospital rejects mum in labour

A 'superdad' delivered his baby after his partner was turned away from hospital twice in 24 hours. Dave Brown also gave mouth-to-mouth resuscitation to his newborn girl after girlfriend Emma Habens had been told she was not about to give birth. Mr Brown, 42, said he followed tips he had seen on television programmes to help deliver Maisie safely.

 

Miss Habens says hospital staff told her the day before her daughter was born that a birth was not imminent, even though her waters had broken. The 30-year-old went into labour the next morning and returned to the maternity unit. 'They said to me, "Go home, take two paracetemol and have a lie down",' said Miss Habens. 'We went home and, a few hours later, I was lying down when it just happened.'

 

Mr Brown then called an ambulance and said his adrenalin kicked in when the birth was about to begin. 'I kept telling Emma, "Keep breathing," but I didn't know that's what I was supposed to say – I'd just seen them say it on telly*,' he added, 'When she [Maisie] came out she was blue. I blew into her mouth and she started coughing and screaming.' The ambulance then took the family, of Newbury, Berkshire, to hospital.

 

'Dave was amazing. He was a superdad,' said Miss Habens.

 

Sandra Housten, head of midwifery at North Hampshire Hospital in Basingstoke, said: 'Every effort is made to ensure women are assessed and able to spend the early part of labour at home and then deliver safely in hospital. 'But some babies do arrive quickly once labour starts.'

 

Source: The Metro

 

* Call me a sentimental old fool, but I find that bit very touching.

 

Cumbria cancer cases detected by review

Eight women who were given the all-clear for breast cancer are now being treated for the disease after a review of the screening service in Cumbria.

In July, North Cumbria University Hospitals NHS Trust announced breast screening was being temporarily halted for a major review to be carried out. It involved 1,600 women who had had further tests following routine mammograms since April 2007.

The trust has apologised for any distress caused. It decided to have the review when data showed that among women who were called for a second screening, cancer was detected in fewer cases than would be expected...

 

Source: BBC

Damages for boy who lost right eye

The parents of a boy whose right eye had to be surgically removed after a two-month delay in diagnosing his cancer have received a substantial damages settlement.

 

The undisclosed five-figure sum, which will be put into a trust to meet the future needs of three-year-old Harvey Dellar, was approved by a judge at Birmingham County Court. In a statement issued after the brief hearing, Harvey's mother, Caroline Haywood, said she believed her son may not have lost his eye if he had been diagnosed sooner...

 

Source: Press Association/Yahoo

‘It's like they thought, she's got dementia, she's dying, why do we need to do anything?’

Dora Duggan, 81, who was terminally ill and suffering from dementia, was moved from her ward to a room which was full of boxes and was being used for storage at the time.

The hospital also left a bag full of tablets within her grasp, prevented more than two members of her family visiting her bedside at the same time and did not put a wristband on her during her four day stay in hospital.

Ladies and gentlemen, I give you…the caring profession.

Nottingham University Hospitals Trust has now apologised ‘unreservedly’ for the great-grandmother’s treatment which they admit was ‘not acceptable’.

No s***, Sherlock.

Mrs Young, 46, a civil servant, said: ‘They treated her like an animal and shut her in a room that wasn’t even sterile.

‘I don’t believe they wheeled the bed in along with all her other stuff – there wasn’t room and there were only three nurses on that night.

‘She was supposed to be on oxygen, so I’ve no idea how they’d have got that in.’

She added: ‘The nurses hadn’t even written on the notes that night that she’d been moved into the cupboard. They added that later on - after I’d made a complaint.’

Millions spent on doctor 'gagging orders' by NHS, investigation finds

A combination of pay-offs and fear is preventing whistleblowers going public with criticisms over care, reports Nigel Morris

Hospital doctors who quit their jobs are being routinely forced to sign "gagging orders" despite legislation designed to protect NHS whistleblowers, it is revealed today.

Millions of pounds of taxpayers' money are being spent on contracts that deter doctors from speaking out about incompetence and mistakes in patient care.

Nearly 90 per cent of severance agreements hammered out between NHS trusts and departing doctors contain confidentiality clauses.

A joint investigation by the Bureau of Investigative Journalism and Channel 4 News has discovered that at least 170 doctors in England and Wales agreed such a settlement with the trust employing them – backed up by pay-offs totalling more than £3m.

Fifty-five of the 64 contracts supplied by the trusts to the investigation team contained gagging clauses. The agreements have to be approved by the Treasury. The bureau discovered that a further 19 NHS staff who decided to go to employment tribunals after blowing the whistle on hospital standards eventually settled before their allegations were made public.

The widespread use of "gagging orders" against senior NHS staff who could raise patient safety concerns will intensify the doubts over the protection given to whistleblowers.

Campaign groups claim that NHS managers sometimes resort to intimidatory tactics to deter medics from coming forward, while others that break cover can face years of expense and uncertainty before their cases reach court. The result, they say, is that doctors accept the gagging clauses in order to protect their careers and avoid legal wrangling.

Mike Parker, of the Royal College of Surgeons, said: "The trusts find something upon which they can influence this individual and hold them virtually to ransom, and say: 'You speak up and this will happen.' It's effectively a form of bullying, if you like, but we do hear about this sort of thing happening."

Using Freedom of Information (FoI) requests, it emerged that 71 NHS trusts had entered into these agreements with a total of 170 doctors, although the true figure could be higher, as many failed to respond.

Twenty-two of the agreements were signed at the South London and Maudsley NHS Foundation Trust.

Forty spent a total of just over £3m on the agreements. However, a further 31 trusts simply refused to disclose the size of the payments. Further FoI requests discovered that another 19 health whistleblowers decided to take their cases to court, but abandoned them after signing so-called compromise agreements with employers.

David Bowles, the former chairman of an NHS Trust, told Channel 4 that he believed their use was "endemic". "You shouldn't be at a position of needing a compromise agreement with a whistleblower. You should never get to that point in the first place. You should have listened to the concerns and you should have managed them in accordance with legislation and indeed the NHS's own published code."

Worries over gagging orders in the NHS were underlined by the recent disclosure that Kim Holt, a paediatrician, repeatedly raised the alarm about children's services at St Ann's Hospital in Haringey, north London, more than year before the death of Baby Peter in 2007. Her employer, Great Ormond Street Hospital, reportedly offered her £120,000 to stay silent but she refused. The hospital denied it was an attempt to gag her.

Andrew Lansley, the Health Secretary, has acknowledged that a scandal of care at Mid-Staffordshire hospital went undetected because whistleblowers' warnings went unheeded.

Whistleblowers gained full protection from dismissal or victimisation under the Public Interest Disclosure Act (PIDA) of 1999, which was supported by unions and all political parties. It covers employees in both the public and private sectors.

It followed a succession of cases where whistleblowers had been ignored, including the problems at Bristol Royal Infirmary, where 29 babies and children died after heart surgery. In opposition, the Conservatives said they would give NHS staff the contractual right to report errors and failings to the health regulator without fear of reprisal.

Shonali Routray, a lawyer at the charity Public Concern at Work, stressed last night that the law protected whistleblowers even if they had signed confidentiality clauses.

But she added: "They have a real fear factor and discourage people from raising concerns. The worry is the person who has signed the agreement feels under pressure, or vulnerable, or do not understand their options."

A spokeswoman for the Department of Health said last night: "The Health Secretary has made it clear that patient safety should be at the heart of the NHS and that the improvement of whistleblowing policies is a key part of this ... organisations across the NHS will also need to be clear that whistleblowing is not something that should be regarded as letting down your organisation."

Source: The Independant

NHS pays £250k for mistaken amputation

Crikey! Perhaps this poor guy would have been better served getting a neighbour to cut his toe off with a rusty saw.

A series of medical failures has lad to an NHS Trust paying £250,000 in damages after a patient was admitted to hospital with a toe infection and ended up having his leg amputated.

Former butcher Ian Watts said the Medway hospital’s failure to control his diabetes led to him losing half of his left leg after he was taken into hospital with pain in his toe in July 2004.

The hospital first decided to amputate his toe, but the pain in Watt’s left foot worsened and doctors said they would need to remove the leg below the knee.

Watts said medical staff neglected to control his blood sugar levels and had to revive him after he lost consciousness on the way to the operating theatre.

He also claimed that after the operation nurses nearly gave him the wrong medication because the hospital ward was in a “state of disarray”.

Watt’s condition was made worse when a pressure stocking was applied too tightly to his right leg causing a blood blister to develop.

After he was sent home an ulcer formed on his right foot and he was readmitted to hospital where he was told he would lose his right leg as well.

“I was extremely depressed and distraught at the treatment I had received,” said Watts. “I couldn’t face living without legs.”

But after seeking a second opinion, Watts underwent a nine-hour operation which saved his right leg.

Kashmir Uppal from Thompsons Solicitors said “Medway NHS Trust never admitted liability for what we consider to have been a series of failures that led to the loss of one leg and the near loss of the other,” adding that the Trust initially refused to settle the case out of court.

But a few months before the trial, Medway NHS Foundation Trust agreed to pay Watts £250,000 in compensation in an out-of-court settlement.

Source: Health and Safety at Work

Gearing Up For Withdrawal Of Goodwill?

Working to rule is the most favoured method of industrial action among the 5,185 nurses and midwives who took part in Nursing Times’ exclusive survey.

Asked what duties they would refuse to do as part of formal industrial action, 59 per cent of respondents said they would refuse to work unpaid overtime and 53 per cent said they would insist on leaving the ward or clinic for breaks - something nurses in practice are often unable to do.

Other targets for bolshy nurses may be ‘non-nursing duties’:

Just over half said they would refuse to carry out non-nursing duties such as cleaning and portering - another role nurses are frequently asked to do when workplaces are short staffed.

Of course, should this take place, patients are unlikely to notice the difference:

A report by the National Health Service has found that millions of patients suffer falls or malnutrition during their stay in hospital, according to the Daily Mail.

When you have to remind people exactly what their jobs are, you may well ask how they’d have the nerve to go on strike in the first place…

The report, entitled High Impact Actions for Nursing and Midwifery: The Essential Collection, concluded that many of the injuries could have been avoided and reminded staff of their duties.

Almost a quarter of patients are malnourished the report, which was sent to hospitals last month, found.

It admitted: "Most patients, carers, health care professionals, commissioners, senior managers and chief executives do not realise how common it is in the UK and so it goes unrecognised and untreated."

Elderly patients 'leaving NI hospitals malnourished'

Too many elderly people are leaving hospital malnourished, a charity has claimed.

Age Northern Ireland said older patients were being left hungry because they were unable to eat the food left on their hospital tray.

The charity said patients depended on families to both provide the food and feed it to them.

It said relatives were concerned patients were malnourished because food was not being pureed or cut up.

Duane Farrell from the charity said ensuring patients are properly looked after in hospital is more important than ever in the current economic climate.
Standards

"Under these conditions older people are going to spend longer in hospital, they're at risk of getting more infections and are going to need more medicine, so the economic reasons are argument enough," Mr Farrell said.

"We believe that hospital trusts need to be at the forefront of this, directors of nursing within those trusts need to be compiling information about how standards are being implemented and coming up with action plans."

Leandre Munroe, from Belfast, said her mother was sometimes unable to even reach her food tray.

"They can't bend over if they've just had surgery so the tray was just too far away.

"If it was closer, even then she couldn't cut it so you had to try and spoon feed, just to drink things she would need a straw," Ms Munroe added.

"Unless you were there to feed the person you were caring for, there wasn't enough staff to do that."

In a statement, the Department of Health said nutritional standards for patient food in hospitals was launched in 2007.

Since then trusts had adopted a screening tool to identify those patients who are at most risk, the department said.

Source: BBC

Schoolgirl, 15, had four heart attacks and died days after doctors sent her home and told her 'take paracetemol'

A frightened schoolgirl suffered multiple organ failure and four heart attacks just days after doctors sent her home with paracetamol and told her to take 'plenty of rest', an inquest heard.

Amy Carter, 15, begged doctors not to discharge her, telling them 'I'm dying' but medics assured her she would be fine. Two days later on Christmas Eve, Amy - who had not been able to eat for 19 days and weighed just six stone - was rushed into hospital and died hours later.

An inquest heard the teenager had developed a lethal combination of conditions never before seen in a patient. A post-mortem revealed Amy, from Stourport-on-Severn, Worcestershire, died from glandular fever and streptococcal toxic shock syndrome..."

Source: Daily Mail

Twin born after 23 week pregnancy becomes most premature baby to survive

A twin girl has become the youngest baby to be born prematurely and survive in Britain, it has been claimed.

Amelia Hope Burden was born before the 24-week legal limit for abortion when her mother was just 23 weeks and two days pregnant, the Daily Mail reported.

She was born weighing only 1lb 2oz ten days before her brother Arthur arrived at 1lb 4oz.


He was born in July after Amanda Staplehurst had been pregnant for 24 weeks.

She went to hospital complaining of stomach cramps only to be told that she was in labour.

Amelia Hope showed little sign of life but doctors were able to revive her.

Under law they are not obliged to do so unless they feel it is in the child’s best interest.

Miss Staplehurst, 30, from Bournemouth, told the Daily Mail: “Doctors said she had just a 10 per cent of chance of survival and we never thought she’d pull through.

“Then having delivered Amelia Hope, it was totally bizarre that for ten days I remained pregnant with Arthur. The doctors have told us they’ve never come across a case like it.”

The babies are being kept in incubators but are putting on weight and said to be developing well.

The twins’ survival will give weight to the campaign to have the abortion limit lowered.

Some campaigners would like to see it reduced to 20 weeks.

David Cameron, the Prime Minister, voted for a cut earlier this year and has said that an upper limit of 20 or 22 weeks would be “sensible”.

The previous British record for surviving premature twins was 24 weeks, the paper reported.

Source: The Telegraph

Updated: Baby born at 23 weeks dies because she was 'one week too early'

See Above.

A heartbroken mum who tried for five years to get pregnant told yesterday how a hospital let her premature baby die - because she was born one week too early.

Latisha Brown and husband Robert, 30, begged staff to put daughter Alexis in a special care incubator after she was born at home at 23 weeks. Alexis, who weighed 1lb 1oz and was 28cms long, was breathing, kicking and waving her arms when taken to hospital on June 26.

But a midwife at Norfolk and Norwich University Hospital said there was nothing they could do. Alexis clung on to life for two hours without any medical help before she died. Guidelines say babies born less than 24 weeks into pregnancy should not be resuscitated.

Nursery nurse Latisha, 23, from Attleborough, Norfolk, said: "I can't understand why they just left her to die."

The hospital said: "There was no question of survival for such a premature baby."

Source: The Daily Mirror.

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Baby Peter GP suspended for year

A GP who saw Baby Peter eight days before his death has been suspended from working as a doctor for 12 months.

The General Medical Council had already ruled there were "serious failings" in Dr Jerome Ikwueke's care.

Peter, from north London, died aged 17 months in August 2007 after sustained abuse.

His mother Tracey Connelly, her boyfriend Stephen Barker and his brother Jason Owen were jailed last year for causing or allowing his death.
Continue reading the main story
“Start Quote

You don't pose a risk of repeating this behaviour”

End Quote Dr Judith Worthington, GMC panel chairman

Dr Ikwueke, 63, who was the family's GP, had noted that the toddler was not his "usual happy self", seemed "withdrawn" and pulled away when he saw him for the last time on July 26 2007.

The GMC had said the GP breached his professional duty towards the child in not carrying out a full examination, making an urgent referral for further checks or sharing information with a health visitor or social workers.

But giving her judgement, panel chairman Dr Judith Worthington, said: "You don't pose a risk of repeating this behaviour and there's no evidence of deep-seated attitudinal or personality problems."

She also spoke of how Dr Ikwueke had shown remorse, and had taken "remedial action", such as attending a number of child protection courses and improving procedures at his surgery.

Dr Worthington said that, despite the serious breaches identified in Baby Peter's case, striking Dr Ikwueke off the medical register would not be "proportionate or in the public interest".

But she said the panel had decided it was necessary to suspend the GP for the maximum period of 12 months "in order to maintain public confidence in the profession and to declare and uphold proper standards of conduct and behaviour".

Patients of Dr Ikwueke had given written and verbal testimonies to the hearing in his support.
Face value

The GP saw Peter at his north London surgery at least 14 times in the months before his death.

The GMC panel ruled there were "serious" failings to prioritise the toddler's welfare in the doctor's care.

It said Dr Ikwueke should have considered the possibility of child abuse when he noticed Peter had bruises on his chest and head at an appointment on October 13 2006.

Instead he accepted a claim by the child's mother that he had fallen downstairs at "face value".

The GP also failed to mention these injuries when he referred Peter to hospital with further bruising two months later.

Dr Ikwueke, who qualified as a doctor in Nigeria and worked as a GP for nearly 20 years, denied misconduct.

Source: BBC

Out-of-hours GP firm had systematic failings, CQC says

I know we've mentioned this story before, but it just gets worse:

A company providing out-of-hours care in an area where a pensioner died after a painkiller overdose had "systematic" failings, the NHS regulator says.

David Gray, 70, from Manea, Cambridgeshire, was killed by Dr Daniel Ubani, a German medic working his first NHS shift for Take Care Now. The now-defunct firm was criticised for failing to act on previous cases and warnings on standards.

The Care Quality Commission said the whole NHS should learn lessons too. The death of Mr Gray in February 2008 after he was given 10 times the normal dose of diamorphine has focused national attention on weekend and night GP cover, which in many cases is provided by private firms.

The CQC criticised Take Care Now (TCN) for failing to investigate and learn from two previous cases of diamorphine overdoses prior to Mr Gray's death...

Source: BBC

Nurses thought anorexic teenager who died in their care 'was just sleeping'

An anorexic teenager under 24-hour hospital supervision died in bed - in front of nurses who thought she had just fallen asleep. Rachael Stubbs, 17,was on the highest level supervision and should have had her hands and neck in full view of nurses at all times at the private Cheadle Royal Hospital, in Cheadle, Greater Manchester, an inquest heard. A coroner is now writing to health bosses, saying observations 'were not carried out properly'.

The teenager went to bed face down and began to make heavy breathing noises 'like she was hyperventilating', on January 13, 2008. Nurses, who should have been within arm's reach of Rachael at all times, did not intervene and 15 minutes later the noises stopped, but they assumed she had fallen asleep. Nurses on the Meadows Unit dialled 999*; when they realised she was not breathing 10 minutes later

Stockport deputy coroner Joanne Kearsley said: 'I find from the evidence that the (level four) observations were not being carried out correctly. I accept that this was a particularly difficult time for the unit and the staff who have to deal with distressing and difficult patients and situations, but I fail to find any reason why the guidance was not followed. Perhaps of most concern was the fact that CPR was not commenced when Rachael was found. I would expect all staff to be reminded of the importance of this in an emergency situation.'

Source: Daily Mail

* WTF? Aren't nurses supposed to know CPR? Isn't that a bit like the fire brigade calling the fire brigade?

Nurses spend more time doing paperwork than looking after patients

Some nurses are spending more than half their time doing paperwork instead of looking after patients, according to new figures.

Statistics from one group of hospitals show senior sisters and charge nurses – who oversee all the patients and staff on a ward – spend as little as 44 per cent of their time with patients.

Managers at Cambridge University NHS Trust have handed senior sisters and charge nurses new contracts to ensure they spend at least 80 per cent of their time to caring for patients.

Chief nurse Karen Castille said: “The trust is piloting a scheme to free up sisters’ and charge nurses' time and trying to measure the impact of this.”

She told the Nursing Standard magazine the hospitals would be trying out the new contracts until the end of the year.

It comes amid growing concerns that nursing staff are being increasingly swamped by bureaucracy and target-chasing.

Dr Peter Carter, General Secretary of the RCN said: “Nurses enter the profession because they want to care for patients, and so measures that increase the amount of time they spend with patients are a good thing.

"However, it is often problems with resourcing that reduce the amount of time nurses spend with patients.

“It is vital that wards are sufficiently resourced so nurses can provide patients with the level of care they want and deserve.”

The Royal College of Nursing has repeatedly warned that nurses are being forced to spend too much time on paperwork.

Source: The Telegraph

Aylesbury and Wycombe MPs slam treatment after Stoke Mandeville Hospital death

FURIOUS MPs have slammed the "shocking" hospital treatment of a 77-year-old woman whose death came after nurses failed to give her medication for 36 hours. Health bosses said they were launching a 'detailed investigation' following an inquest into the death of Hughenden Valley resident Margaret Brown at Stoke Mandeville Hospital.

 

The inquest heard on Friday drugs to treat Mrs Brown were unavailable after staff at the hospital's pharmacy could not be contacted. Nurses' attempts to obtain the drugs was described as "haphazard" by coroner Richard Hulett, who recorded a verdict of misadventure.

 

Buckinghamshire Hospitals NHS Trust this week apologised to Mrs Brown's family and offered its "sincere condolences"...

 

Source: This is local London