Patients forced to wait in ambulances due to lack of hospital beds
Hundreds of patients have been forced to wait for more than an hour in the back of ambulances due to a lack of hospital beds, it has been found.
Up to 700 people needing urgent hospital treatment have been forced to wait with ambulance staff in the back of the vehicle because doctors and nurses in A&E have been unable to take them.
The data, which relates to just the first seven weeks of 2012 in London, was collected by London Ambulance Service as part of drives to improve turnaround times at hospital.
The problem, known as black breaches, affects 999 services because ambulances that are queued up outside hospital cannot answer new emergency calls.
A lack of available hospital beds has been blamed by some hospital managers.
The data was obtained by Health Service Journal and is the first time figures for every hospital trust in London has been collected and released.
The problem is particularly severe at some hospital sites. At Queen’s Hospital, run by Barking, Havering and Redbridge University Hospitals Trust, there were 186 reported black breaches between the beginning of the year and 19 February.
North West London Hospitals Trust’s Northwick Park site had 105 black breaches and Lewisham University Hospital Trust 84 over the same period.
There were no black breaches at 10 of London’s 33 accident and emergency units.
A spokesman for the strategic health authority said Northwick Park Hospital had seen a 10 per cent increase in A&E attendances over the past three years and had a “lack of bed capacity”. Bed capacity was also identified as an issue at Queen’s.
Northwick Park was last week earmarked to receive £21m of Department of Health cash to pay for a new A&E department.
A Lewisham spokesman said ambulance traffic had seen an “unprecedented” increase and “emergency department facilities are currently being upgraded”. The work is due to be finished in April.
Derek Hicks, fellow of the College of Emergency Medicine, told HSJ delayed admissions were a problem nationwide.
He said: “A relatively small increase in ambulance numbers is resulting in a disproportionate increase in delays.”
Andrew Frazer, chairman of the Royal College of Nursing’s emergency care association, said: “Across Britain we have cut beds in order to save money. We did that with the mantra that we will get more efficient but that hasn’t matched up.”
British supermarket tells suppliers: Don’t fly the Union flag on your packets (because it might offend the Scots)
This sounds like saying not to fly Old Glory in Tennessee in case it offends Southerners
With the Diamond Jubilee and London Olympics fast approaching, many companies are proud to fly the British flag. Not Asda.
The supermarket has complained to suppliers using the Union flag on their packaging – amid fears it might offend customers in Scotland and Northern Ireland. The chain said the decision to add the flag to products had been made by manufacturers without consulting the supermarket.
It claimed that using the image ‘is a big issue because this packaging will potentially land in both Northern Ireland and Scotland stores’. That is despite both being represented in the flag, playing a key role in the jubilee celebrations and being part of team GB at London 2012.
Asda’s warning came in an email from its headquarters in Leeds. Sent to 20 suppliers including Coca-Cola, it stressed that ‘standard packaging is to be sent to Northern Ireland and Scottish stores’, and asked for suppliers to list the products they intend to decorate with the flag, so Asda can ‘manage the distribution accordingly’.
The email has been met with confusion from manufacturers who believe the Diamond Jubilee and London 2012 provide a unique nationwide marketing opportunity for their products. One supplier said: ‘There was a stunned silence in the office when the email landed because it makes absolutely no sense.
‘Sporting events such as the World Cup are always important but they are usually confined to England and you wouldn’t expect to sell products marked with the St George’s Cross in Scotland. ‘But to have both the Diamond Jubilee and the Olympic Games in one summer offers a unique opportunity to capture the imagination of Britain as a whole.
‘We are aware there are issues of sensitivity in Northern Ireland but this email clearly states that they want standard packaging to be sent to Scotland too. ‘It also says there will be no British event within the seasonal aisle in Scotland where they normally sell summer goods. ‘Does that mean they don’t believe the Diamond Jubilee and Olympics are British events?’
Events celebrating the Diamond Jubilee are taking place as far away as the Falkland Islands where beacons will be lit to celebrate the Queen’s 60th year on the throne. The Queen will visit Northern Ireland as part of her Jubilee tour and celebrations are expected to end in Scotland with a garden party at Balmoral.
Scottish athletes such as the cyclist Sir Chris Hoy are senior members of Team GB at London 2012 and are expected to lead the charge for gold medals. Sir Chris Hoy has described himself as ‘a Scottish athlete in a British team’ and Glasgow will even host eight Olympic football matches at the city’s Hampden Park stadium.
The email was sent at a time when the issue of independence for Scotland is on the political agenda because of a promised referendum by the Scottish First Minister Alex Salmond.
But Conservative MP Andrew Rosindell has predicted a backlash against Asda if it panders to the Scottish nationalist stance. He said: ‘I think it’s very unwise move by Asda to go down this route.
‘For Asda to play petty politics at a time that we are celebrating the Queen’s Diamond Jubilee, a time of national unity and celebration will leave a great many people deeply offended. ‘I for one won’t be shopping at Asda if that is the game they are going to play.’
Last night Asda claimed the email sent to more than 20 suppliers and copied to two of the supermarket’s own executives was ‘a badly worded note.’ A spokesman added: ‘All our stores that want Union Jack branded products will receive them.’
Marriage is good for children and state must back it, declares British government minister
Marriage provides a more stable environment for bringing up children than other relationships and should be supported and encouraged by the state, ministers will say today.
The Social Justice Strategy paper will stress that marriage is an ‘excellent’ environment in which to raise families, and warns that family instability or breakdown can have ‘devastating’ long-term consequences.
The hard-hitting document, launched by Work and Pensions Secretary Iain Duncan Smith, adds that children enjoy better life outcomes when the ‘same two parents’ give support and protection throughout childhood.
It warns that children who experience parental breakdown are more likely to have poor life outcomes than those who grow up with both of their parents.
The document adds that one in three cohabiting couples separate before a child’s fifth birthday, compared with a figure of around one in ten married parents.
Most significantly, the paper clearly spells out the Government’s support for the institution of marriage.
The report states: ‘Given that married relationships tend to have greater longevity and stability than other forms, this Government believes marriage often provides an excellent environment in which to bring up children. ‘So the Government is clear that marriage should be supported and encouraged.’
The strategy provides welcome ammunition for campaigners who are trying to push David Cameron into keeping his promise to give a tax break to married couples. It comes days after figures showed that marriage is coming back into fashion after 40 years of decline.
The number of weddings has risen by 3.7 per cent in a year. Analysts believe the recession has caused a return to family values and a desire for the stability marriage offers.
The document will form the blueprint of the Government’s plans to tackle the root causes of poverty, which include earlier interventions for problem families and encouraging people back into work.
Mr Duncan Smith will warn that family breakdown is a root cause of many of the problems in society. He will say that the family is the most important ‘building block’ in a child’s life. ‘When families are strong and stable, so are children,’ he will say.
‘We know that children raised by parents reporting high relationship quality and satisfaction tend to have higher levels of wellbeing, while intense conflict between parents has been shown to be detrimental to children’s outcomes.’ ‘When families break down, the consequences can be severe,’ he added.
Mr Duncan Smith will add: ‘At the heart of this, it means emphasising the Government’s support for marriage.’
The Social Justice Strategy paper warns that men who have been separated from a parent, experienced high family conflict or multiple transitions in new families, were more likely to be involved in crime.
In a survey of offenders, 41 per cent reported witnessing violence in their home as a child and 29 per cent – or almost a third – reported emotional, sexual or physical abuse as a child.
It finds: ‘Children who have experienced parental relationship breakdown are more likely to have poor cognitive development and education and employment outcomes than those who have lived with both birth parents.’
The paper says that ‘multiple relationship transitions’ are particularly detrimental to children.
Ministers acknowledge that couples who are not married can also provide ‘good family environments’. It says: ‘Evidence suggests that the way in which a family functions has more effect on outcomes for children than the type of family. ‘This is not to say that lone parents and step-families cannot provide high levels of love and support for children. ‘All types of family structure have the potential to provide the stability that is vital for enabling good outcomes.’
Most British children still in mixed-ability classes, despite endless promises from ministers
Most classes in secondary schools are still mixed-ability, despite repeated Conservative and Labour promises to increase the use of streaming. Ofsted figures show that state school pupils are taught in streams or sets for just 45 per cent of their lessons. The split was the same 15 years ago.
Tony Blair’s decision to drop Labour’s historic support for mixed-ability teaching in 1997 was seen as an acknowledgement that the practice had failed a generation. Labour education ministers repeated the commitment, claiming that sorting pupils by ability helped ‘raise standards’.
While in opposition, the Conservatives also demanded changes. David Cameron called for a ‘grammar stream’ in every subject in all comprehensives, saying he was ‘passionate about the importance of setting by ability within schools, so that we stretch the brightest kids and help those in danger of being left behind’.
Despite this claim, his party has said little on the issue since entering into a coalition with the Liberal Democrats.
Responding to a Commons written question, Tory schools minister Nick Gibb said last week: ‘The Department [for Education] has not provided specific guidance to schools on setting. However, case studies showing the effective use of setting in schools are available on the Department’s website.’
Figures show that just 36 per cent of year seven lessons – for 11- to 12-year-olds – observed by Ofsted inspectors in 2010/11 were organised into ability groups. The rate rose to 48 per cent among 15- to 16-year-olds, and averaged 45 per cent across all age groups. In 1997/98, the average was also 45 per cent. Year seven pupils had 31 per cent of their classes split by ability, while in year eleven the rate was 46 per cent.
A spokesman for the Department for Education said: ‘Teachers should have high expectations for all pupils regardless of ability, with brighter pupils stretched and weaker students given the support they need.
‘It is for schools to judge how and when to group and set pupils by ability – they are best placed to know exactly what their students need.
‘Parents would expect teachers to keep control of their lessons regardless of if it is mixed-ability or not – that’s why we have given them tough, new powers to restore their authority.’
Another classic of untested medical “wisdom”
Heather Justice was just 25 when cervical cancer struck. To save her life, surgeons had to perform radical — and distressing — surgery to remove her womb and vagina, but unfortunately that wasn’t the end of her ordeal.
For Heather’s surgeon had been struck by the fact that hers was a particularly rare and aggressive type of cervical cancer only usually seen in post-menopausal women.
Further investigations led to the start of one of Britain’s longest-running and most shocking drug scandals. Heather, now 59, was the UK’s first confirmed case of DES-related injury.
DES, or diethylstilboestrol, was prescribed to pregnant women — including Heather’s mother Gladys — from the Fifties to the Seventies in the mistaken belief that it prevented miscarriage. Instead, it left behind a hidden legacy of damage to the foetus.
The drug is now making headlines in Britain because a leading American compensation lawyer, Aaron Levine, has announced that he plans to coordinate a UK-wide hunt for women like Heather Justice — ‘DES daughters’ — to launch a class-action claim.
Up to 300,000 Britons may have been exposed to the drug, but the vast majority will be unaware of this risk to their health. DES was discovered in 1938 by British researchers and developed as a cheap, super-strong form of the female hormone oestrogen.
It was given widely to women at risk of miscarrying, as it was thought to bolster their reproductive systems. But by the Fifties, studies showed DES did not improve the chance of a successful pregnancy. Then scientists found it could even be dangerous and might cause breast tumours.
However, GPs prescribed it until 1971, when the drug’s makers finally admitted it could have a profound impact on the health of those exposed to it in the womb — causing cancers and gynaecological abnormalities in women and testicular problems in men.
Heather’s mother, Gladys, was put on DES pills in the early Fifties because she had miscarried once, before becoming pregnant with Heather. No one thought any more of it until Heather was 25. She had just given birth to her second son and had a routine smear test.
‘They found something suspicious,’ she remembers. ‘Doctors did more tests and found I had a form of cervical cancer normally only seen in post-menopausal women.’
The cancer, called clear-cell adenocarcinoma, was so invasive that surgeons had to perform a hysterectomy and partial vaginectomy. Heather, a mother-of-two from Jarrow, Tyne & Wear, said: ‘I was only 25 — so young to be going through all of this. It was late December when the doctors discharged me, and my husband, David, wondered if they were letting me out to have one last Christmas.’
Instead, thanks to the doctors’ skill, Heather has been cancer-free for more than three decades. ‘The hysterectomy left me very ill and weak for three months,’ she says. ‘I felt lucky, however, that I’d had my two boys when I was so young. I needed a lot of help initially, but you can’t be ill for long with two under-fives around. If I hadn’t had my sons, I’d have been a lot more depressed.
‘My mother was quite upset about it, though. She did not want to have done anything to harm me. She was only doing what the doctor told her. Like me, she has always blamed the drug companies.’
It was only by chance that her surgeon, John Monahan, had worked with American experts who had discovered the link between her rare cervical cancer and maternal exposure to DES. Mr Monahan rang the hospital where Heather was born and got her mother’s case notes, which confirmed that Heather’s mother had been prescribed DES.
It was a rare find: NHS hospitals used to keep obstetric records for only 25 years before they were destroyed. The records of countless other DES victims’ mothers have been lost this way. But crucially — as is typical with the vast majority of surviving case notes — Gladys’s record does not say which company had made the drug she was prescribed.
DES was never patented in the UK. It was prescribed so casually that patients’ notes may record it only sketchily, if at all.
Since then, the results of this carefree attitude have become terribly evident. Studies show that DES daughters face a 40-times greater risk of cervical cancer. And up to a third have suffered some form of abnormality of the cervix, uterus or fallopian tubes, resulting in an increased risk of infertility, ectopic pregnancies, miscarriages and premature births.
Furthermore, DES daughters are 50 per cent more likely to start the menopause early and have an increased risk of auto-immune diseases such as lupus and rheumatoid arthritis. And DES was not only used on women as a ‘pregnancy wonder drug’. It was also given to pubescent girls who were predicted to grow ‘too tall’. It is estimated that tens of thousands in Europe, almost certainly including Britain, were treated this way from the Fifties to the beginning of the Seventies.
But again, medical note-keeping is too lax for anyone to be certain.
Many doctors at the time believed growing taller than 5ft 8in should be considered a medical malady in young women because their ‘gawky’ size would make it hard to find husbands.
The pills were supposed to propel girls through puberty faster, giving their bones less time to grow. In fact, no one knows if the drugs even had that effect because no proper follow-up studies were performed. Last year, Dr Emile Hendriks of the Erasmus Medical Centre, Rotterdam, studied 239 women in the Netherlands who had been left growth-stunted by DES.
Her research published in the Journal of Clinical Endocrinology & Metabolism found the women were 15 per cent less likely to have successfully become pregnant and around 20 per cent more likely to have stillborn babies than women not been given the drugs.
Tests showed women given DES as girls were almost three times as likely to have failing ovaries. And it is not just women who have been affected: boys whose mothers took the drug while pregnant are also likely to pay a heavy cost because it may also damage men’s fertility. It was used in 1944 as the first ‘chemical castration’ agent, forcibly given to rapists and other male sex offenders to kill their sex drives.
Studies in the U.S. show that the sons of women who took DES while carrying them have a higher risk of genital problems, such as undescended or underdeveloped testicles, cysts on the back of the testes and lowered sperm count. However, because of poor NHS record-keeping, thousands of potential victims may never know for sure that their problems with cancer and fertility were caused by DES.
But even when people in Britain have discovered their mothers took DES during pregnancy, they have not been able to seek compensation through UK courts. Under Britain’s legal system, each victim is required to sue the exact drug company that made their mother’s pills, even though their NHS notes do not identify them. Similar victims in the U.S. and Australia have won compensation because their countries’ legal systems do not demand this information.
Dying for a sausage? As yet another study says too much red meat could kill us, the truth is you needn’t give up that juicy steak after all
I had Forfar Bridies (a meaty Scottish pasty) for dinner last night and cevapi (Yugoslav skinless sausage) for dinner the night before that. For tonight? Probably a Tandoori platter — JR
Don’t choke on your bacon buttie, but in the medical profession’s relentless quest to find ever more things that may kill us, health officials are turning up the heat on red meat — again.
A major new study of 120,000 people has shown that reducing the amount of beef, pork and lamb in our diet to 1½oz a day could prevent one in ten early deaths in men, and one in 13 premature deaths in women. The Harvard University findings are just the latest in a long line of studies suggesting that our love of juicy red meat is slowly killing us.
Some anti-cancer campaigners say the evidence is so damning we should avoid processed meat altogether. No crispy bacon for breakfast; no sausages on the barbecue; no ham sandwiches and no burgers topped with ketchup.
But other nutritionists say the risks are exaggerated and that cutting out red meat from our diets could do more harm than good.
So who’s right? And what is the confused cook supposed to eat?
The latest research found that eating one extra portion of steak, lamb or pork every day — about the size of a pack of cards — increased a person’s risk of dying from heart disease by 16 per cent, and raised their chance of developing a fatal cancer by 13 per cent.
Processed meats — such as hams, sausages and burgers — were more deadly. Adding two rashers of bacon or a sausage to breakfast increased the chance of premature death by 20 per cent. But how much red meat should we be eating?
The Department of Health recommends we all have no more than 2½oz (70g) of red meat a day. For example, that would be three sausages on a Monday, three slices of lamb on Tuesday, a quarter-pounder on Wednesday, a small steak on Thursday and fish or poultry over the next three days. But the Harvard authors say even that is too much.
This anti-bacon backlash will have surprised many meat lovers. After all, human beings have been happily devouring red meat for millennia.
Marks found on fossilised animal bones in Ethiopia show that one of our ancestors — the ape-like Australopithecus afaransis — was butchering antelope and cattle 3.4 million years ago.
Meat is a rich source of fat and protein, and many anthropologists believe mankind needed to switch to meat-eating to give us the nutrition essential to evolve bigger, smarter brains.
However, we shouldn’t follow the example of our ancestors too closely.
For much of human history, most people would have died from infectious disease, childbirth, injuries or malnutrition long before they had to worry about cancer and heart disease — illnesses of middle and old age. So our forebears could have eaten slabs of bison to their hearts’ content — something else would have killed them by the age of 30.
So what is it in red meat — and particularly processed meat — that is so harmful? The evidence is far from conclusive.
All types of red meat, whether processed or unprocessed, contain a form of iron called haem — the pigment that gives red meat its colour. Iron is an essential nutrient.
However, haem can also trigger the formation of a class of harmful chemicals called ‘nitroso compounds’ (NOCs) in the body and some types of these chemicals have been linked to bowel cancer.
Barbecued or chargrilled meat is thought to be particularly bad for us. For, when meat is charred, compounds called Heterocyclic amines (HCAs) and polycyclic aromatic hydrocarbons (PAHs) are formed. Again these are thought to increase the risk of bowel cancer.
The worst type of meat is that which has been cooked and processed. These contain cancer-causing haem, HCAs and PAHs as well as preservatives called nitrates and nitrites, which also increase the risk of bowl cancer. However, the links between red meats and heart disease are less clear.
Some nutritionists believe the high doses of salt in processed food may be to blame. Professor Frank Hu of Harvard School of Public Health in Boston, author of the new research, blames the saturated fats in all red meat for clogging up arteries.
But not all nutritionists are convinced. Many believe the benefits of red meat are too often overlooked.
Laura Wyness, of the British Nutrition Foundation, says: ‘The evidence for an association between red meat consumption and risk of cardiovascular disease is inconclusive.
‘Although red meat contains saturated fat, it also provides nutrients that can protect against cardiovascular disease such as omega 3 fatty acids, unsaturated fats, B vitamins and selenium.’
In fact, red meat contains many nutrients such as selenium and vitamins D, B3 and B12.
Wyness warns that some of these are already in worryingly short supply in the diets of some sections of the population. Too little iron in the diet causes anaemia while zinc is essential for growth in childhood and fighting off infections.
Richard Young, of the Soil Association, believes British consumers should be careful when drawing conclusions from U.S. studies.
‘Not all red meat is the same,’ he said. ‘In America, most cattle are fed large amounts of grain. In Britain, the majority are fed on grass and that makes a big difference to the quality of the meat.”
In studies, grass-fed cattle have been shown to have higher levels of beneficial omega 3 fatty acids compared to grain-fed livestock — nutrients that can protect against heart disease.
The most recent data suggest that in Britain, most of us meet the guidelines laid out by the Department of Health. Men consume an average 2½oz (70g) of red meat each day while women eat 2oz (52g). However, a third of the population are still red meat gluttons, devouring more than 3½oz or 100g a day.
Jessica Harris, health information manager at Cancer Research UK, said the risks should be put in context.
‘The risks of smoking massively outweigh these risks,’ she said. ‘Red meat isn’t as important as being overweight or drinking alcohol. But that’s not to say it isn’t making a significant contribution.
‘Eating less red meat and processed meat doesn’t guarantee that you don’t get cancer, but it makes sense to control the things we can control.
‘We don’t want to be kill-joys and eating meat a few times a week isn’t likely to cause any great problems. But if people are having lots of processed meat and red meat every day, they should think twice.’
As the anti-red meat movement grows stronger, carnivores will inevitably feel their lifestyles are under threat. The Department of Health is under pressure to reduce its recommended red meat intake even further. But for some health campaigners, that won’t be enough.
How long before health campaigners lobby for laws which would ban children from burger bars, or before workplace canteens are ‘encouraged’ to phase out traditional breakfast fry-ups?
Smokers have already been forced out on to the streets. How soon before they are joined on the pavement by office workers clutching illicit bacon butties?
Must not speak ill of Iran??
They sure speak plenty of ill about us
Two men accused of being disruptive on a plane were arrested at Heathrow Airport, police said today.
The pair, who are believed to be Israeli, were passengers on a British Airways flight from Las Vegas to London, flying into Terminal 5. The men, aged 28 and 33, were alleged to be making repeated comments about Iran.
A source told Sky News the men had been ‘repeatedly disruptive during the flight and had made inappropriate and potentially threatening comments regarding Iran and the possible route of the aircraft.’