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AUDIO: Charity defends pancreatic cancer ad

A charity have defended an advert showing pancreatic cancer patients "wishing" they had other forms of the disease.

Pancreatic Cancer Action say the disease is the UK's 5th biggest cancer killer, yet receives less than 1% of overall cancer funding.

Ali Stunt, the charity's founder, claims that the advert describes "exactly" how she felt when she was diagnosed with pancreatic cancer in 2007, aged 41.

She told BBC Radio 5 live's Victoria Derbyshire: "I really really wished that if I was going to have any cancer at all, it would be something that would give me a better survival rate."


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New strain of 'deadly' bird flu

5 February 2014 Last updated at 00:52 By Michelle Roberts Health editor, BBC News online Avian influenza Experts are concerned that the virus could mutate to spread far and wide Experts are concerned about the spread of a new strain of bird flu that has already killed one woman in China.

The 73-year-old from Nanchang City caught the H10N8 virus after visiting a live poultry market, although it is not known for sure if this was the source of infection.

A second person has since become infected in China's Jiangxi province.

Scientists told The Lancet the potential for it to become a pandemic "should not be underestimated".

Continue reading the main story
Previously we did not think that H7N9 infections might be so lethal. Now we also must consider H10N8 infections as well”

End Quote Dr John McCauley Director of the WHO Collaborating Centre for Influenza This particular strain of influenza A virus has not been seen before.

In recent months, China has already been coping with an outbreak of a similar influenza virus called H7N9, which has killed around a quarter of those infected.

Pandemic risk

Scientists who have studied the new H10N8 virus say it has evolved some genetic characteristics that may allow it to replicate efficiently in humans.

The concern is that it could ultimately be able to spread from person to person, although experts stress that there is no evidence of this yet.

Dr Mingbin Liu from Nanchang City Centre for Disease Control and Prevention said: "A second case of H10N8 was identified in Jiangxi province, China, on 26 January 2014. This is of great concern because it reveals that the H10N8 virus has continued to circulate and may cause more human infections in future."

Ducks at poultry market Experts believe the source of infection may have been contaminated poultry at a market

Dr Linda Klavinskis, senior lecturer in immunobiology at King's College London, said there was no immediate threat.

Continue reading the main story Bird flu or avian influenza is an infectious disease of birds caused by type A strains of the influenza virusThese viruses do not normally infect humans, but some particularly virulent strains, such as H10N8, can and willIn most cases, the people infected had been in close contact with infected poultry or with objects contaminated by their faecesThere is concern that the virus could mutate to become more easily transmissible between humans, raising the possibility of an influenza pandemicDr John McCauley, director of the WHO[World Health Organization] Collaborating Centre for Influenza, MRC [Medical Research Council] National Institute for Medical Research, said: "The potential epidemiological significance of this zoonotic infection is not clear. Avian influenza viruses of the sub-type H10N8 are probably not particularly unusual. Whether there were complications in this case is unclear.

"This case reminds us to be aware of human infections from animal influenza viruses, like the H7N9 cases in China which increase daily. Previously we did not think that H7N9 infections might be so lethal. Now we also must consider H10N8 infections as well."

Dr Jeremy Farrar, director of the Wellcome Trust, said: "We should always be worried when viruses cross the species barrier from birds or animals to humans as it is very unlikely that we will have prior immunity to protect us.

"We should be especially worried when those viruses show characteristics that suggest they have the capacity to replicate easily or to be virulent or resistant to drugs. This virus ticks several of these boxes and therefore is a cause for concern."


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VIDEO: One family's experience of FGM

Doctors and nurses in the UK will be required to log details of the injuries suffered by victims of female genital mutilation (FGM).

The practice has been illegal in Britain since 1985, but no-one has ever been prosecuted for FGM, which is widely carried out by communities originally from the Middle East, Africa or Asia.

At least 66,000 girls and women in the UK are believed to be victims.

Three generations of one Somali family, scarred by the practice, have spoken out.

Reeta Chakrabarti reports.


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NHS 'getting better', says Hunt

5 February 2014 Last updated at 07:51 By Nick Triggle Health correspondent, BBC News Hospital ward The health secretary says the culture of the NHS will not be transformed straight away The NHS in England has "changed for the better" in the year since the Francis Inquiry, the health secretary says.

The report, published on 6 February last year, accused the NHS system of betraying the public over the Stafford Hospital scandal.

The criticisms led to a series of changes, including a new inspection regime and tougher measures for failing hospitals.

Jeremy Hunt will say later these moves are making a difference.

'Shift in priorities'

Addressing a health conference in London, he will also point to data from the Health and Social Care Information Centre from October 2013 - the latest available information - which shows the number of hospital nurses has been risen by more than 3,500 in the past 12 months to top 172,000.

Continue reading the main story

The Francis Inquiry report made 290 recommendations. The government has claimed it has accepted all but nine of them.

Those not taken forward include the call for the regulators Monitor and the Care Quality Commission to be merged.

This was never likely to happen as both organisations had recently been given extra responsibilities and undergone changes under the reforms to the NHS made earlier this year.

But of the 281 recommendations the government says have been met, one in four have not been accepted in full.

For example, the report called for a system of registration for healthcare assistants, but the care certificate being introduced falls short of that.

Meanwhile, the inquiry wanted the duty of candour to apply to individuals not just organisations.

Nonetheless, inquiry chairman Robert Francis QC said he was happy, describing the government's response as a "comprehensive collection of measures".

Although data from the centre also shows that overall nurse numbers - once those employed outside of hospitals is taken into account - have fallen since the last election.

Mr Hunt will say: "Twelve months on, we cannot expect to have solved everything or have completely transformed the culture of the country's largest and finest institution.

"But we have seen a real shift in priorities - new inspections, more nurses and a stronger voice for patients with compassionate care starting to replace tick-box targets as the major focus on boards and wards."

Since the report was published, 14 hospitals have been placed in special measures - with management either replaced or supported to make improvements.

A new post of chief inspector of hospitals has been created and the Care Quality Commission has overhauled the way it inspects hospitals.

This is leading to a new Ofsted-style rating system that will be rolled out later this year.

What is more, from April hospitals will have to publish staffing levels on wards and state whether they fall short of recommended numbers.

'Wrong direction'

But Labour focused on the overall nurse figures, which had shown a drop.

Shadow health minister Jamie Reed said: "This winter he's left the NHS facing an A&E crisis with thousands fewer nurses. It is yet more proof that you can't trust the Tories with the NHS."

Royal College of Nursing general secretary Peter Carter said there had been some "good news".

But he added: "We are also not seeing nursing staff spread evenly across the health system - we have severe shortages in mental health and in the community, and district nurse numbers are down which is very worrying and has many knock-on effects.

"We need to see the government put forward a long-term vision for workforce planning and make sure NHS patients get the care they deserve wherever they receive it."

The inquiry was chaired by Robert Francis QC, following events at Stafford Hospital.


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Scots could 'sleepwalk into obesity'

7 February 2014 Last updated at 01:16 Obese man Professor Blair said exercise could be prescribed by doctors Scots risk "sleepwalking into obesity" if they do not take more exercise, an expert has warned.

Professor Steven Blair, from the University of South Carolina, said a "greater emphasis" had to be placed on physical activity to prevent the problem reaching US proportions.

He suggested exercise could be "prescribed" to patients by their doctors or other health professionals.

He was speaking ahead of a major conference in Edinburgh.

The event has been organised by the Royal College of Physicians of Edinburgh and the Royal College of Surgeons of Edinburgh.

It will focus on sports and exercise medicine ahead of the Commonwealth Games in Glasgow in July.

Prescribing exercise

Prof Blair, from the university's Arnold School of Public Health, claimed physical inactivity had become "the biggest public health challenge of the 21st Century" and said people must consider their levels of activity as well as their diet.

Continue reading the main story
We are talking about changing the mind-set from thinking 'I must go on a diet' to 'I must become more active'”

End Quote Professor Steven Blair University of South Carolina He said much of the internationally-published scientific literature on the causes of obesity was "flawed", arguing that it placed "an over-emphasis on dietary intake, at the expense of measuring the positive effect of physical activity".

Prof Blair said: "Obesity rates continue to rise and in international obesity terms, Scotland is not far behind the US. If we wish to prevent levels in Scotland reaching that of the US, greater emphasis has to be placed on exercise.

"This could involve creative solutions such as considering the provision of exercise advice, or indeed the prescribing of exercise to patients by doctors and other health professionals.

"We have to become more active if we are to stop collectively sleepwalking into obesity."

Prof Blair added: "In simple terms, we are talking about changing the mind-set from thinking 'I must go on a diet' to 'I must become more active'.

"By bringing together leading experts in the field of sports medicine in the year of the Commonwealth Games, we hope to shine a light on developments in sports medicine, stimulate wider awareness about the many benefits of physical activity and creative thinking about this can be applied to improve health."

The conference will hear from a number of other speakers including Scotland's Chief Medical Officer Sir Harry Burns, former Scotland manager Craig Brown and ex-footballer Pat Nevin.


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Birth order link to being overweight

6 February 2014 Last updated at 14:00 By Helen Briggs BBC News Siblings Siblings: Could birth order affect your weight? First-born children may be more likely than second-borns to be overweight in later life.

A small study of middle-aged men living in New Zealand found children born first into their family were about one stone (7kg) heavier and had a bigger BMI than second-borns.

They also had more insulin resistance, which can lead to health problems.

Birth order may affect the risk of cardiovascular disease and type 2 diabetes, say researchers.

Larger studies are needed to fully evaluate this link, they add.

There is some evidence to suggest birth order may influence the body's fat make-up and metabolism, from infancy to the teenage years.

However, the potential impact in mid-life is unknown.

Prof Wayne Cutfield and colleagues at the University of Auckland studied 50 overweight but otherwise healthy men between the ages of 40 and 50.

"First-born men were heavier and had lower insulin sensitivity than second-borns," they report in the journal, Scientific Reports.

"Thus, first-born adults may be at a greater risk of metabolic and cardiovascular diseases."

Prof Cutfield said the risk of developing obesity or diabetes occurs when enough risk factors come together.

"Being first born is one such risk factor, it does not mean first-borns will become overweight or diabetic, being first-born simply increases the risk."

The researchers say the study needs to be repeated in pairs of siblings and with more subjects.

Continue reading the main story First-born men were 6.9kg heavier and had a greater BMI (29.1 versus 27.5) than second-borns and insulin sensitivity was 33% lower in the older groupInsulin is a hormone which controls the level of glucose in the bloodIf the body becomes less sensitive to insulin, it can mean higher levels of glucose in the blood and lead to type 2 diabetesChristopher Allen, senior cardiac nurse at the British Heart Foundation, said carrying extra weight can not only increase the risk of cardiovascular disease, but also affect how sensitive the body is to insulin.

"By having lower insulin sensitivity, this increases your risk of developing type 2 diabetes.

"It's also important to note where you carry your weight.

"People who carry more fat around their middle are more likely to be resistant to the insulin their body is producing."


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Bionic hand allows patient to 'feel'

5 February 2014 Last updated at 19:46 Dennis Aabo was able to feel what was in his hand via sensors connected to nerves in his upper arm

Scientists have created a bionic hand which allows the amputee to feel lifelike sensations from their fingers.

A Danish man received the hand, which was connected to nerves in his upper arm, following surgery in Italy.

Dennis Aabo, who lost his left hand in a firework accident nearly a decade ago, said the hand was "amazing".

In laboratory tests he was able to tell the shape and stiffness of objects he picked up, even when blindfolded.

The details were published in the journal Science Translational Medicine.

Implant

An international team carried out the research project, which included robotics experts from Italy, Switzerland and Germany.

It was a very exciting moment when after endless hours of testing....Dennis turned to us and said with disbelief, 'This is magic! I can feel the closing of my missing hand!'”

End Quote Dr Stanisa Raspopovic Bioengineer, EPFL Lausanne

"It is the first time that an amputee has had real-time touch sensation from a prosthetic device" said Prof Silvestro Micera from the Ecole Polytechnique Federale de Lausanne and Scuola Superiore Sant'Anna, Pisa.

The scientific advance here was not the hand itself, but the electronics and software that enabled it to give sensory feedback to the brain.

Micera and his team added sensors to the artificial hand which could detect and measure information about touch. Using computer algorithms, the scientists transformed the electrical signals they emitted into an impulse that sensory nerves could interpret.

During an operation in Rome, four electrodes were implanted onto nerves in the patient's upper arm. These were connected to the artificial sensors in the fingers of the prosthetic hand, so allowing touch and pressure feedback to be sent direct to the brain.

Mr Aabo, 36, a property developer, spent a month doing laboratory tests, firstly to check the electrodes were functioning, and then with these fully connected to the bionic hand.

Dennis Aabo and scientists Dennis Aabo spent a month doing laboratory tests of the bionic hand

He said: "The biggest difference was when I grabbed something I could feel what I was doing without having to look. I could use the hand in the dark.

"It was intuitive to use, and incredible to be able to feel whether objects were soft or hard, square or round."

Hero

The bionic hand is still a prototype, and due to safety restrictions imposed on clinical trials, Mr Aabo required a second operation to remove the sensors.

"He is a hero," said Professor Paolo Rossini, neurologist, University Hospital Agostino Gemelli, Rome.

"He gave a month of his life and had two operations to test this device.

"We are all very grateful to him."

Prof Rossini said a lot of pre-training was done involving surgery on pigs, and with human cadavers, to ensure they knew exactly how to attach electrodes to the tiny peripheral nerves in the upper arm.

Another member of the team, Dr Stanisa Raspopovic said: "It was a very exciting moment when after endless hours of testing....Dennis turned to us and said with disbelief, 'This is magic! I can feel the closing of my missing hand!'"

Those working in the field in the UK were also enthusiastic.

"This is very interesting work, taking research in upper limb prosthetics into the next stage by adding sensory feedback, said Dr Alastair Ritchie, Lecturer in Biomaterials and Bioengineering, University of Nottingham.

"This technology would enable the user to know how firmly they are gripping an object, which is vital for handling fragile objects - imagine picking up an egg without any feeling in your fingers."

prosthetic hand Although a milestone in prosthetics, the bionic hand of movies remains the stuff of science fiction

The international team is now working on how to miniaturise the technology so that it could be used in the home.

"We must get rid of the external cables and make them fully implantable" said Prof Thomas Stieglitz, University of Frieburg, Germany, whose laboratory created the ultra-thin implantable electrodes.

Recently, scientists in Cleveland, Ohio released a video of a patient using the fingers of a prosthetic hand to pull the stalks from cherries while blindfolded. But the research has not yet been published in a peer-reviewed journal.

There is no precise timetable, but scientists think it could be a decade before a sensory feedback bionic hand is commercially available.

And they believe it may pave the way for more realistic prosthetic devices in the future which can detect texture and temperature.

'Bring it on'

But it will undoubtedly be very expensive, well beyond the means of most patients. And artificial hands still lack the precision and dexterity of the real thing.

The super-functioning bionic hand of science fiction films remains the stuff of fiction.

Nonetheless, Dennis Aabo, who now has his old prosthesis back, is ready to swap it for the bionic hand in any future trial.

"If they offer it to me, I will say bring it on, I'm ready."


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Health experts back car smoking ban

7 February 2014 Last updated at 07:31 Nick Triggle By Nick Triggle Health correspondent Person smoking in car with a small child in the back seat Smoking was banned in most enclosed public spaces in England in 2007 More than 700 doctors and other health experts have put their names to a letter urging MPs to back a ban in England on smoking in cars with children present.

The issue is due to be voted on in Parliament on Monday.

The signatories to the letter in the British Medical Journal say the move is needed "to protect the well-being of children now and in the future".

They include nurses, doctors and surgeons working across the NHS.

The ban being debated would apply to under-18s - as 18 is the legal age at which people can buy cigarettes.

The letter argues that second-hand smoke exposure is a "major cause of ill-health in children", particularly among the most disadvantaged groups.

It says smoking in cars exposes children to particularly "high amounts of tobacco smoke" and there is now a consensus that children should be protected from such unnecessary hazards.

Continue reading the main story Just over a fifth of adults smoke and just over a fifth of those admit to smoking in front of their childrenSmoke can stay in the air for up to two and a half hours even with a window openSecond-hand smoke contains more than 4,000 chemicals, some of which are known to cause cancer Exposure has been strongly linked to chest infections, asthma, ear problems and cot death in childrenResearch shows that 300,000 children in the UK visit the GP each year due to second-hand smoke, with 9,500 visiting hospital Smoking in a car creates a higher concentration of toxins than in a bar - some research has put it at 11 times higherBans on smoking in cars when children are present already exist in some US states, including California, as well as in parts of Canada and Australia It also says there are precedents to a ban, including laws to require people to wear seatbelts and, more recently, the ban on mobile phones while driving.

The signatories have been co-ordinated by Dr Nicholas Hopkinson, from Imperial College London, who is chairman of the British Thoracic Society's chronic obstructive pulmonary disease specialist advisory group.

He said: "This letter issues a powerful statement from the medical professionals of this country - the people who, every day, are treating illnesses brought on by second-hand smoke in children - about the rights of children to breathe clean air that won't make them sick.

"Next week, MPs have a chance to help protect children from the proven dangers of second-hand smoke.

"If they vote in favour, it could help protect the health of literally hundreds of thousands of children nationwide. If they vote against, it will go down in history as a huge missed opportunity."

Nurse Rebecca Sherrington, chairwoman of the Association of Respiratory Nurse Specialists, said: "Many people don't realise quite how serious second-hand smoke can be for children, especially in the concentrations that can build up in the car.

"Parents are often surprised that it can lead to illnesses such as ear infections, meningitis and cot death."

Dr Penny Woods, chief executive of the British Lung Foundation, added: "Bans on smoking in cars carrying children already exist and are being enforced in countries such as Australia, Canada, South Africa and the USA. It's about time that we started protecting children in this country too."

Tobacco specialist Peter Mackereth, from Manchester's Christie Hospital, said children's smaller undeveloped lungs and narrower airways struggled to cope with the sidestream of heavily concentrated cigarette smoke, which can contain carbon monoxide, arsenic and formaldehyde.

Tobacco specialist Peter Mackereth: "Rolling down the window... just funnels the smoke right back"

Rolling down car windows only served to funnel the smoke right back into the car towards the children in the backseats, he told BBC's Breakfast.

'Unnecessary intrusion'

Simon Clark, director of smokers' lobby group Forest, said: "Smoking in cars with children is inconsiderate but there is a line the state shouldn't cross when it comes to dictating how people behave in private places.

"Very few adults smoke in a car with children these days. We urge MPs to reject this unnecessary intrusion into people's private lives and trust parents to make the right decision for their children without the need for heavy-handed state intervention."

The vote by MPs comes after the House of Lords last week backed a Labour amendment to the Children and Families Bill.

The amendment empowers, but does not compel, the government to make it a criminal offence for drivers to fail to prevent smoking in their vehicles when children are present.

The government has now told its MPs they can have a free vote on the issue.

Labour has said that if the measure does not become law before the next election, it will be included in its manifesto.

Calls to prohibit smoking in private vehicles when children are present have been raised in Parliament on several occasions since the 2007 ban on smoking in public places came into effect.

The Welsh government has said it would consider a ban should an awareness campaign not lead to a drop in children's exposure to second-hand smoke.

Meanwhile, in Scotland, Lib Dem MSP Jim Hume has indicated he will be presenting a bill this year to bring in a ban, while Northern Ireland's health minister has announced plans for a consultation on the issue.


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VIDEO: Teen told he would die beating odds

A teenager who was told two months ago that he had just three days to live has astounded medical professionals.

Deryn Blackwell, 14, from Watton in Norfolk, is the only person in the world to have been diagnosed with both leukaemia and another rare form of cancer.

Two months ago after contracting another disease which attacked his immune system, he was told by doctors he would die before the new year.

Deryn was sent to an end of life hospice where doctors and his family prepared him for the worst. But now his body is fighting back and has started to produce red blood cells.

Nikki Fox reports.


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CBT 'effective' in schizophrenia

6 February 2014 Last updated at 01:06 By James Gallagher Health and science reporter, BBC News Cognitive behavioural therapy session Changing the way people think about and deal with schizophrenia could be as effective as drugs, say researchers.

Cognitive behavioural therapy is an officially recommended treatment, but is available to less than 10% of patients in the UK with schizophrenia.

A study published in the Lancet indicates CBT could help the many who refuse antipsychotic medication. Experts say larger trials are needed.

About four-in-10 patients benefit from taking antipsychotic medication.

But the drugs do not work for the majority and they cause side-effects such as type 2 diabetes and weight gain.

Up to half of patients with schizophrenia end up not taking the drugs.

The study looked at cognitive behaviour therapy in 74 people.

The therapy works by identifying an individual patient's problem - such as hearing voices, paranoid thinking or no longer going out of the house - and developing techniques to deal with them.

Continue reading the main story
This study suggests that there may be a better option and that offering CBT is better than just leaving such patients to languish”

End Quote Prof Robin Murray Prof Tony Morrison, director of the psychosis research unit at Greater Manchester West Mental Health Foundation Trust, said: "We found cognitive behavioural therapy did reduce symptoms and it also improved personal and social function and we demonstrated very comprehensively it is a safe and effective therapy."

It worked in 46% of patients, approximately the same as for antipsychotics - although a head-to-head study directly comparing the two therapies has not been made.

Douglas Turkington, professor of psychiatry at Newcastle University, said: "One of our most interesting findings was that when given the option, most patients were agreeable to trying cognitive therapy."

He added that drugs and cognitive therapy combined were the best treatment.

But while nearly everyone will be offered drugs, only a small proportion have access to cognitive behaviour therapy.

Prof Robin Murray, from the Institute of Psychiatry at King's College London, said: "Many patients don't like to take antipsychotics in the long term, this is not surprising as they have significant side-effects.

"So what to do for patients with continued psychotic symptoms who don't want to take antipsychotics?

"Until now little was done except lecture them on how silly this was, with the usual result that the patients would simply stop attending.

"This study suggests that there may be a better option and that offering CBT is better than just leaving such patients to languish."


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Liverpool Care Pathway 'wrongly blamed'

27 January 2014 Last updated at 07:43 By Dr Claud Regnard Newcastle upon Tyne Carer holding elderly person's hands There is now debate over what should replace the Liverpool Care Pathway For 10 years the Liverpool Care Pathway (LCP) was used to monitor care at the end of life, but negative media reports raised concerns it had led to poor care and even deaths - and last summer a panel led by the Baroness Neuberger decided that the LCP should no longer be used.

But writing in Scrubbing Up, Dr Claud Regnard, a consultant in palliative care medicine in Newcastle-upon-Tyne, suggests the media, government and Neuberger panel were wrong to blame the LCP and questions whether the ban was justified and will benefit patients.

The distressing stories of poor care presented to the panel looking into the LCP could not be ignored.

The panel rightly laid the blame at many different doors including poor communication skills, inadequate attention to the need for food and drink, questionable decision making and insufficient training.

These have been noted before in many reports or research papers and they always deserve repeating.

And yet, the report rejected the accusation that the LCP was a means of deliberately hastening someone's death and even praised it as an effective tool.

A University of Nottingham review that accompanied the report found no evidence that such pathways cause harm.

The panel did criticise checklists like the LCP, but was apparently unaware that used intelligently and compassionately they are crucial to ensure safety - on your next flight try telling the pilots they cannot use a checklist.

Many improvements in the care of dying patients in the last 45 years are thanks to hospice and specialist palliative care teams and, had they been included in the panel, the outcome for patients might have been different since there was nothing in the report to justify banning the LCP.

The LCP wasn't perfect - nothing ever is. But it had improved over 10 years and could have been improved further.

The LCP never required patients to be denied food or drink and never demanded that patients be sedated.

When these happened inappropriately they occurred because of poor decision making, not because of the LCP.

Care 'vacuum' risk

The LCP did require patients to be regularly monitored for any sign that they might improve and benefit from treatment to reverse the cause.

It also required carers to communicate clearly and work in partnership with the patient and relatives.

Ignoring these requirements happened because of poor skills and training, not because of the LCP.

Continue reading the main story
Many health professionals are frustrated at the loss of the LCP, and some fear that that care of the dying may be set back years. ”

End Quote The Neuberger report wanted the LCP phased out by July this year, but it is now clear that no-one wants to create a replacement that may be banned by a future similar panel.

The consequence will be a vacuum in monitoring care with the risk that poor care continues without hindrance.

It was easy to make the LCP a scapegoat, but this has been a disservice to dying patients. Banning the LCP was like banning the Highway Code because of a few bad drivers.

What now?

Relatives who received excellent care under the LCP have already expressed their surprise at the ban.

Many health professionals are frustrated at the loss of the LCP, and some fear that that care of the dying may be set back years.

But one recommendation in the Neuberger report may provide a way forward: to set up a national leadership alliance to improve end of life care.

There are cases of poor care, but there is also a remarkable amount of compassionate care that still exists in all health care settings with a determination amongst health professionals to work in partnership with patients, partners and families.

Some good may come from this, despite the decision to ban the LCP.


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VIDEO: Smoking in cars: What are the risks?

Hundreds of doctors and health experts have signed a letter urging MPs in England to support a ban on smoking in cars carrying children.

Critics say the move would be an unnecessary intrusion into people's lives, but those supporting it say second hand smoke is a major cause of ill health in youngsters.

MPs are due to vote on the issue next week.

Peter Mackereth is a tobacco specialist at the Christie Hospital, which is one of the largest cancer centres in Europe.


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