Tag Archives: NHS UK

The NHS assessment system is used to identify patients at risk of death based on evidence of disability, research suggests | Instant News

Launch of an early warning system used in hospitals to identify patients at greatest risk of death based on flawed evidence, according to a study.

Medical researchers say problems with the UK NHS National Early Warning Score system (NEWS) have “frequently” appeared in reports of avoidable deaths.

The system sees each patient given an overall score based on a number of vital signs such as heart rate, oxygen levels, blood pressure and level of consciousness. Doctors and nurses can then prioritize patients with the most urgent NEWS scores.

But some professionals argue that the system has reduced nursing assignments to the task list rather than the process of providing overall clinical judgment.

A study published in British Medical Journal (BMJ) shows that many studies supporting the launch of NEWS are biased and overly dependent on scores that can put patients at greater risk.

Professor Alison Leary, a member Royal College of Nursing and chair of the health and labor model at London South Bank University, to Independent: “In our analysis of the prevention of future reports of coronary death, early warning scores and misconceptions about features of frequent use.

“It’s clear that some organizations use a grading system and checkbox approach more to care because they lack the right amount of skilled staff, most of them registered nurses.”

NEWS was introduced in 2012 as a way for medical staff to detect patients in acute situations whose health is rapidly declining and possibly at risk of death, and is now applied in all ambulance trusts and 76 percent of acute trusts in the UK.

Guidance on how to follow NEWS was updated in 2017 following concerns that it was not implemented in the same way throughout hospitals.

A research team led by Oxford University said that the research used to justify the launch of NEWS represented “weak evidence” of its effectiveness.

Death was the most frequent prediction for development studies (44 percent) and validation studies 79 percent.

The most common predictors used in scores were respiratory rate (88 percent of studies), heart rate (83 percent), oxygen saturation, temperature, and systolic blood pressure (all 71 percent).

Age (38 percent) and gender (9 percent) were included less frequently.

Looking at 95 studies, the researchers also found that handling statistics, such as missing data, was inadequate in many cases.

Some studies fail to report important details such as sample size, number of events, population characteristics, and details of statistical methods.

“Early warning scores may not perform as well as expected and therefore they can have a detrimental effect on patient care,” the study authors concluded.

“Future work should focus on following the recommended approach to develop and evaluate early warning scores, and investigate the impact and safety of using these scores in clinical practice.”

Independent have approached the British NHS and Royal College of Physicians for comments.


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The number of deaths due to coronavirus in the UK among Covid-19 hospital patients has increased with the lowest number since March | Instant News

Death toll in between corona virus Patients in British hospitals have risen to the lowest one-day total since March 31.

NHS UK was announced 329 new deaths, while 13 were recorded in Scotland. Eight further deaths were recorded in Wales, bringing the total to 350.

Figures from Northern Ireland have not yet been announced.

The total is based on separate NHS figures and usually differs from the number of deaths recorded by the Department of Health.

It comes as Boris Johnson told the nation beforehand that there was “Real signs now that we are crossing the peak” and thanked the public for their “grit and guts” so far.

The Prime Minister returned to Downing Street on Sunday evening after he was hospitalized three weeks ago because of the disease.

Boris Johnson said England made progress against Covid-19 when he returned to No. 10

Making his first public speech in a month this morning, the Prime Minister called on families and businesses to be patient and not “throw away all the efforts and sacrifices of the British people”.

He warned Brits: “This is a moment of maximum risk,” regardless of those signs Covid-19 cases and deaths are very high.

The lowest number before today was Sunday, when 413 new deaths were recorded nationally, bringing the total to more than 20,500, according to official Government figures.

Before that, the lowest daily toll was on March 31.

PM warns UK public: “This is a moment of maximum risk,” despite signs that Covid-19 cases and deaths are up and down (REUTERS)

The NHS UK has announced 329 new deaths from people who tested positive for Covid-19, bringing the total number of deaths reported in hospitals in the UK to 18,749.

Of the 329 new deaths announced by the UK NHS, 58 occurred on 26 April, 162 occurred on 25 April and. 50 occurred on April 24.

The figures also show 40 of the new deaths occurred between April 1 and April 23 while 19 other deaths occurred in March, with the earliest new deaths occurring on March 17.

Boris Johnson speaks outside 10 Downing Street after recovering from coronavirus (Via REUTERS)

Figures published by the NHS England show April 8 continues to have the highest number of hospital deaths that have occurred in a single day, with a total of 857 currently.

Wales Public Health said further 203 people had tested positive for Covid-19, bringing the total number of confirmed cases to 9,280.

Dr Giri Shankar, from Wales Public Health, said: “Based on the number of new cases, there is emerging evidence that shows a decrease in the number of new cases of Covid-19 in Wales, which may be an indication of the effectiveness of locking measures.

“However, it is still too early to say with certainty and it is too early to put an end to the current rules of social distance.”

Meanwhile, a total of 1,262 patients have died in Scotland after testing positive for the corona virus, up 13 from 1,249 on Sunday, Nicola Sturgeon said.

The First Minister said 10,521 people were now tested positive for the virus in Scotland, up 197 from 10,324 the day before.

There were 134 people in intensive care with symptoms of coronavirus or coronavirus, an increase of one on Sunday, he added.

There are 1,762 people in hospitals with Covid-19 confirmed or suspected.

Ms Sturgeon added that 2,380 people who tested positive for the corona virus can now leave the hospital.

He said the overall trends in statistics provided “grounds for cautious optimism”.


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The coronavirus mortality rate in the UK is more than double the hospital rate, new analysis shows | Instant News

The actual number of victims of corona virus in the UK already more than 40,000, a new analysis shows – twice the total once described as “good results”.

The ministers announced on Tuesday that there were 17,337 deaths, but this only counted those who had died in hospital after being tested positive for the virus.

Meanwhile office for national statistics (ONS) has found the number of deaths registered in the week ending April 10 to be 75 percent above normal in England and Wales, at 18,516.

Now Financial time has used that number to calculate the possible number of “excess deaths” since the coronavirus hit Britain – concluding it could be as many as 41,000.

Because 24 percent of deaths usually occur in nursing home, analysis shows that less than 11,000 more people than usual have died in home care, perhaps from Covid-19.

Carl Henegan, professor of evidence-based medicine at Oxford University, said: “I don’t think we have ever seen a sharp increase in mortality at that level.”

He said a seasonal flu outbreak in 2017-18 might have killed 50,000 people in Britain, but the deaths “spread for several weeks”.

Last month, Stephen Powis, medical director at NHS UK, said 20,000 deaths from the corona virus would be “good results” – when an Imperial College study estimated at least 5,700.

The excess mortality from all causes is 16,952 above the seasonal average in the UK since deaths from Covid-19, a disease caused by a virus, began to increase in mid-March.

However, due to delays in collecting death registration data, ONS figures only cover the period until April 10 that are significantly out of date.

Assuming the relationship between hospital deaths and excess deaths has remained stable since then, the FT estimate of the total deaths from the virus on April 21 is 41,102.

They consisted of nearly 38,000 deaths in England and Wales, just under 3,000 in Scotland and under 500 in Northern Ireland.

The ONS described the number of deaths recorded as “unprecedented”, especially given the sunny and warm weather ahead of the Easter weekend.

18,516 deaths in the week to April 10 compared with the average of the last five years 10,520 for the same week this year.

David Spiegelhalter, professor of public understanding of risk at Cambridge University at Winton, supports this analysis as “the only impartial comparison” given the problem that measures death and its causes.

He said coronavirus was not given as the cause of many death certificates, but was likely to be a direct or indirect factor.

Many doctors were initially reluctant to designate the virus as the cause of death certificates because it was a new disease and they could not confirm it.

Some of those who die from other causes may be too afraid to go to the hospital, or don’t want to be a burden on health services – so they can be considered as indirect victims of the virus.


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