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Showing posts with label Patients. Show all posts
Showing posts with label Patients. Show all posts

Patients die after NHS rules breach

4 February 2014 Last updated at 16:50 Watford General Hospital Of 810 patients at Watford General Hospital reviewed, 686 have been told there are no clinical concerns Two cancer patients died after failing to be given follow-up appointments at Watford General Hospital, in breach of NHS rules, a report has found.

West Hertfordshire NHS Trust started an internal review of the process for monitoring patients referred to the hospital with suspected cancer.

Of 810 patients reviewed, 686 have been told there are no clinical concerns, while 121 are still being reviewed.

It says the care of three patients was compromised, two of whom have died.

A spokeswoman for the trust said one of these patient's "diagnosis was delayed because of the proper process not being followed, however, their cancer was still found at the earliest stage. We have apologised for the delay".

She added: "We have also met the family of a patient who has since died. Our clinical view is that a delay in seeing the patient may have contributed to their death, but it is not certain.

"We are also in the process of contacting the family of another patient who has since died. Sadly, this patient was already at an advanced stage of their illness when the initial referral was made. We have offered our sincerest apologies to both of these families."

Two managers have been suspended.

The trust said a number of measures have been put in place following the review:

A new IT system to track each patient's appointments, missed appointments and cancellationsWeekly meetings to review the overall management of all referrals and appointmentsRetraining and better supervision of staffDaily review of all patients who miss a booked cancer appointment to ensure they receive a new appointment

Samantha Jones, chief executive of the trust, said: "These concerns date back a number of years and were identified as part of the new management team's commitment to improve the way we administer and manage patient care. I would like to apologise to each and every patient who has been affected and particularly to the relatives of those who have since died.

"We have, of course, made significant changes to help prevent this ever happening again and will share the outcome of our investigations with those affected and with the wider public."


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Patients 'in dark' over database

4 February 2014 Last updated at 13:20 By Nick Triggle Health correspondent, BBC News Medical records Care.data, a giant database of health records, is to be rolled out some time after April The roll-out of a new NHS data-sharing scheme involving medical records should be delayed as patients have been left "in the dark", a patient watchdog says.

A giant database, Care.data, is being set up with anonymised records to help aid medical research and the monitoring of performance.

But Healthwatch England said the way NHS England had tried to explain the system had been confusing.

NHS England said privacy concerns were misplaced.

The central database - to be launched after April - will enable experts to assess diseases, examine new drugs on the market and identify infection outbreaks as well as monitor the care patients get.

Information is already available about what happens in hospitals, but to date it has been difficult to link those records with the information that was available about what is happening to patients when they are under the care of GPs.

Continue reading the main story
Once again the NHS has decided it knows best and is ploughing ahead with plans to share this data whether we like it or not”

End Quote Anna Bradley Healthwatch England However, concerns have been raised about the prospect of keeping all of the information in one place, with campaigners saying that it could lead to privacy problems and data breaches.

There is a proposal - to be discussed next month - which could give access to non-NHS bodies, including private firms.

Healthwatch England chair Anna Bradley said nearly a quarter of the 148 local Healthwatch groups had been in contact to raise concerns about the scheme in recent days.

It comes after NHS England started last month a mass mail out to every household explaining the project and giving people the chance to opt out.

Not everyone has received the leaflets yet, but Ms Bradley said there had been reports of people throwing away the leaflets as they did not realise what they were, struggling to understand what they were about and cases where GPs have decided to opt out all their patients themselves.

Concerns

Ms Bradley said: "Once again the NHS has decided it knows best and is ploughing ahead with plans to share this data whether we like it or not.

"To make matters worse, the communications around this have been so poor that we are now in the situation where all of us are about to be automatically opted in to a scheme we know little or nothing about.

"While we recognise that sharing the data could be of significant benefit to researchers, the NHS has a moral duty to consult with all of us and trust us to make our own decisions."

She said Healthwatch England has now written a letter to NHS England chief executive Sir David Nicholson asking him to put back the roll-out of the scheme so patients could be consulted more.

Dawn Monaghan, of the Information Commissioner's office, also said she had concerns.

"At the moment, we don't think it is clear enough on the website or in the information that has been sent out exactly what data is going to go and what is not going to go."

But Tim Kelsey, NHS England's national director for patients and information, said patients need not have concerns as the information would not be "identifiable".

"This data is stripped of all the identifiers so, for example, the name and address features nowhere on this data; postcode, numbers, the data is stripped of all the identifiers and in their place are substituted meaningless pseudonyms in order that this data can be linked with other data sets.

"Can I be categorical? No one who uses this data will know who you are."


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