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Page 6 of 10
Wednesday, 19 April 2006 09:39
BNN: British Nursing News Online · www.bnn-online.co.uk
NURSING COUNCIL NOT DOING CHECK-UPS ON NURSES
In a report in the Trade magazine the Nursing Standard it said that it had learned that the Nursing and Midwifery Council (NMC) the council that regulates 670,000 nurses and midwives in the UK has only checked up on 60 of them in the last five years.

The NMC has the power to conduct random checks on nurses and midwives to make sure they are complying with regulations relating to re-registration - which nurses and midwives must do every three years. Post-registration education and practice or "PREP" was introduced in 1995 and demands that nurses must meet the two legal requirements.

The first legal requirements involves spending at least 750 hours in practice during the last five years before re-registering, and spending at least 35 hours during the previous three years studying in an area related to that practice.

In its report, published in Tuesday's edition of the magazine, the Nursing Standard said it had asked the NMC for details of how many people had been audited.

It said an NMC spokesman told the magazine: "Records are a bit sketchy but it looks as though, prior to July 2001, some 50 registrants were asked as part of an audit to demonstrate they had met the PREP standards. From then until March 2002...a further 10 audits were undertaken. Nobody failed the audit or was removed from the register."

The Nursing Standard said that, every month, the NMC should check up to 10% of those due to renew their registration.

Roger Goss, spokesman for Patient Concern, said: "I'm aware of how many nurses there are on the register - this represents about 0.000001 per cent of that. People will be surprised to hear that so few are being monitored. This is not robust enough. The system needs a lot of strengthening”.

Gail Adams, Unison's head of nursing, said: "It's alarming that only 60 nurses and midwives have been checked.

"We need to make sure practitioners are competent in their roles and they have sufficient training to ensure they are fit for practice. The NMC has a duty to registrants and the public to make sure their systems are robust. I can't see how they are if they have only sampled 60 nurses”.


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Monday, 17 April 2006 08:56
BNN: British Nursing News Online · www.bnn-online.co.uk
MENTAL ILLNESS INTELLIGENCE LINK
According to a new study by psychiatrists intelligent people are at less risk of suffering severe mental illness.

Researchers from Cambridge University claim that a high IQ can lessen the severity of disorders such as depression and schizophrenia.

A university spokeswoman said: "It has been known for some time that intelligence can protect you against dementia and the consequences of head injury”.

"However...researchers at the University of Cambridge's Department of Psychiatry have discovered that intelligence can also buffer the consequences of neuropsychiatry disorders such as schizophrenia.

"They have demonstrated that the symptoms of schizophrenia are less severe and the ability to function in daily living is better for those with a higher IQ”.

She said the study found evidence that "cognitive reserve" - intelligence - made people more resilient.

She added: "Fortunately, cognitive reserve can be strengthened through education, neurocognitive activation - doing crossword or Sudoku puzzles etc - or other treatment programmes”.

"It may also be possible to improve cognitive reserve through the use of cognition-enhancing drugs”.

Professor Barbara Sahakian, a member of the research team, said: "We are very excited about these novel results. We have known for some time that it is important to 'use it or lose it' with regard to ageing and dementia, but it now seems that this concept applies more widely”.


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Sunday, 09 April 2006 11:25
BNN: British Nursing News Online · www.bnn-online.co.uk
TRAINEE NURSES COULD INCREASINGLY BE USED AS CHEAP LABOUR
Health unions warn that trainee nurses could be used as cheap labour to plug NHS staffing gaps.

The Royal College of Nursing and Unison say 2,000 nursing posts were lost last month and trainees were covering gaps and missing out on their training.

Unison's head of nursing Gail Adams told the BBC the situation could get worse with further redundancies.

However, the Nursing and Midwifery Council (NMC) said the problem was being addressed.

Ms Adams told the BBC: "I'm fearful of what the picture is going to be like over the next two to three months because certainly the amount of redundancies we have been notified of is likely to escalate, so I don't think we have seen the end of it”.

One student nurse, who did not want to be identified, said her training was suffering.

She said: "We are supposed to be supervised for a minimum of 15 hours a week and on a six-week placement I actually only worked with my mentor on three or four shifts”.

"We are there as a pair of hands, most definitely, and it will get worse, I am sure it will”.

However, the NMC, the body set up by the Government to ensure high standards of nursing and midwifery, said the situation was being addressed.

Kathy George, director of standards and registration with the NMC, said: "We're actually reviewing the quality assurance framework that we use to monitor all programmes of student learning and that will allow us, across the United Kingdom, to actually concentrate on areas where there is higher risk”.
   


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Sunday, 09 April 2006 10:11
BNN: British Nursing News Online · www.bnn-online.co.uk
NHS BUDGET CRISIS HITS JUNIOR DOCTORS
Because of the NHS budget crisis junior doctors, who have qualified as consultants, have to settle for lower-paid jobs.

Junior doctors, who can earn up to £50,000 a year, have to take research posts, with salaries of £20,000 or less, because they must leave their trainee posts after qualifying as consultants to make room for recently graduated medical students. Some have even been forced out of work.

The Royal College of Surgeons says that 71 newly qualified consultant surgeons cannot find jobs. Other medical organisations have also reported a high number out of work.

The Royal College of Radiologists said there had been a "significant decrease" in the number of consultant radiology posts in the past year. Other medical specialities show that there are often 10 doctors chasing every consultant post. In plastic surgery, for instance, there are as many as 41 doctors vying for each available job, says the British Medical Association.

A spokesman said: "Once a junior doctor has passed their exams they normally have six months' grace to find a consultant post, but we are hearing of junior doctors hanging on much longer”.


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Wednesday, 29 March 2006 11:51
BNN: British Nursing News Online · www.bnn-online.co.uk
DIABETES AMPUTATIONS “UNNECESSARY”
Many lower limb amputations carried out on people with diabetes could be avoided, a study has suggested.

People with diabetes are 15 times more at risk of lower limb amputation than people without the condition because they can suffer damage to the nerves and blood vessels that serve the limbs.

Statistics published by the charity Diabetes UK show that up to 70 per cent of people die within five years of getting an amputation.

Research presented at the Diabetes UK Annual Conference in Birmingham suggests that too few people with the condition are getting the right foot care, leading to unnecessary limb loss.

A survey of 30 people with diabetes who had had amputations, found 90 per cent had been at high risk in the period before the procedure.

But more than a quarter of high risk patients are not being offered any kind of specialist care, and 40 per cent are not being educated on how to prevent and treat infections which can lead to amputation, the study suggested.

Dr Baldev Singh, who carried out the research, said, "This research clearly shows that care for high-risk patients is inadequate.

"Mandatory foot care plans should be put in place to ensure that all people get the right care and education."

Douglas Smallwood, chief executive at Diabetes UK said: "It is shocking that some people with diabetes are getting sub-standard specialist foot care, or even none at all, if they are at high risk of amputation.

"We know that the rate of amputation may be reduced by 40% or more through effective care.

"All people with diabetes should receive at least a yearly foot check.

"Those who have problems need to be provided with a foot care plan which incorporates specialist care and education on what to look out for and how to avoid infections."


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Tuesday, 28 March 2006 10:07
BNN: British Nursing News Online · www.bnn-online.co.uk
FISH OIL IMPROVES BEHAVIOUR, STUDY FINDS
The behaviour of difficult teenagers could be dramatically improved with the help of fish oil supplements, a study has suggested.

Twenty five youngsters with attention deficit-hyperactivity disorder (ADHD) were given a combination of omega-3 fish oil and omega-6 evening primrose oil for three months.

When they were re-assessed their behaviour had improved dramatically.

Dr Madeleine Portwood, Durham County Council’s senior education psychologist, who ran the trial, said the results were “stunning”.

Before the start of the study, 94 per cent of the participants, aged 12 to 15, had “moderate” or “severe” ADHD. The same amount had a high rating for inattention and 89 per cent had a severe impulsivity rating.

After the three-month course of fish oil, severe ADHD and impulsivity were cut to 28 per cent, while severe inattention fell to just 17 per cent.

Dr Portwood said the trials had involved a group of students with persistent behavioural problems and a high risk of being excluded from school.

"By taking the fatty acid supplement, those aspects of their behaviour which put them at risk of exclusion improved dramatically," she said.


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Sunday, 26 March 2006 10:42
BNN: British Nursing News Online · www.bnn-online.co.uk
MORE HELP FOR SELF-HARMERS NEEDED
A two-year inquiry into self harm says more needs to be done to help young people who self harm.

The inquiry, by the charitable group the Camelot Foundation and the Mental Health Foundation said teachers, doctors and social workers do not receive the training they need to deal with self-harm cases, leaving many "struggling in the dark".

Rates of self-harm in the UK have increased over the past decade and are reported to be amongst the highest in Europe.

It accounts for around 142,000 hospital admissions every year in England and Wales, and this represents only a small proportion of the number who self-harm.

Chairwoman of the National Inquiry Panel Catherine McLoughlin said: "Few of us have paid attention to the growth of self-harm as a way many of them are coping with, and expressing, their distress.

"In other words, on average, in every secondary school classroom there will be two young people who have hurt themselves as a response to the pressures of growing up in an increasingly complex and challenging world".

She added that it was vital that everyone who comes into contact with young people had a basic understanding of self-harm and how to respond appropriately.

Dr Andrew McCulloch, chief executive of the Mental Health Foundation, said: "Self-harm is evidently a symptom of mental and emotional distress.

"We need to look past the behaviour and provide understanding, support and effective services for young people in the UK”.

Susan Elizabeth, director of the Camelot Foundation which part-funded the inquiry, said there was an urgent need for parents, carers and friends to be given information about self-harming.

She added: "People are struggling in the dark. We must rid the fear, misunderstanding and stigma that surrounds self-harm”.

The principal policy and practice officer at children's charity Barnardo's, Claire Turner, said the departments of health and education needed to work together on developing guidelines and information about good practice on dealing with the issue.

She said: "It is not just mental health professionals or GPs who need support and guidance on self-harm.

"Young people will want to talk to a trusted adult and this could be a teacher, youth worker or social worker”.

Director of ChildLine services at the NSPCC Anne Houston said it heard yearly from people in great pain and distress who are self-harming.

She added: "ChildLine believes that the findings of the groundbreaking national inquiry into self-harm should provide the foundation for the provision of services, therapy or treatment that will mean young people who self-harm get the support and help they need to end their damaging and often dangerous cycle of behaviour”.


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Saturday, 25 March 2006 09:32
BNN: British Nursing News Online · www.bnn-online.co.uk
10 PER CENT CUT IN THE FUNDING OF MEDICAL TRAINING
Doctors' leaders said yesterday that if a planned 10 per cent cut in the funding of medical training goes ahead standards of patient care will drop and the financial crisis facing the NHS will worsen.

Postgraduate deaneries, the bodies that oversee the training of doctors, have been warned to expect large reductions in their budgets.

Cuts to the funding of training will leave the deaneries with no option but to pay for fewer junior doctors and GPs to be trained, to reduce additional specialist training or to pass more of their costs on to already struggling health care trusts.

The Department of Health last night insisted that no decision had been made on the NHS education and training budget.

Dr Jo Hilborne, of the British Medical Association's junior doctors' committee, said: "Faced with cuts in previous years, deaneries have come close to denying doctors the opportunity to take courses to learn essential skills like advanced life-saving. The same thing now would ultimately hit patients because poorly-trained doctors will provide a lower quality service.

"This is the worst possible time for them to have their budgets cut. If they can't pay to provide the doctors our hospitals need, the cost will fall on NHS trusts. Given the huge debts the NHS is facing, hospitals will be forced to make a choice between cutting posts and running up higher debts. Either way, it's bad news for patients”.

The Multi-Professional Educational Training (MPET) budget for this financial year is £3.92 billion, up from £3.81 billion the previous year.

A Health Department spokesman said: "Any figures suggesting cuts are pure speculation as decisions have yet to be made about the levels of MPET funding for 2006-07." Some 4,175 job losses have been announced at 11 NHS organisations in the last two weeks and the Conservatives predict that the figure could reach 20,000.

The Royal Free in London is £5.2 million in deficit and announced its cuts as part of a plan to save £25 million from next year's budget. But the move to hire four risk assessment managers has angered staff.

Geoff Martin, of London Health Emergency, said: "Safety is obviously important, but so are front line staffs. It seems incredible that the trust is planning to hire managers at a time when medical staffs are being laid off”.


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Friday, 24 March 2006 10:03
BNN: British Nursing News Online · www.bnn-online.co.uk
BIRTH CONTROL NURSE FOR ALL SCHOOLS
Every school in England will have a nurse who can arrange secret abortions and hand out contraception.

Under the new guidelines it will allow nurses to help pupils get the morning-after pill, pregnancy tests and terminations without their parents' knowledge.

Family campaigners condemned the controversial guidance from the Department for Education and the Department of Health as "disgraceful".

The plans were unveiled a day after Gordon Brown's Budget slashed tax on condoms and other contraceptive products such as the morning-after pill as part of a drive to improve sexual health.

The new guidance to primary and secondary school heads says that nurses will be able to "provide contraceptive advice to pupils and emergency contraception and pregnancy testing to young women".

It claims that nurses are the best people to provide this service because they are "able to assess need and prescribe appropriate medication/ provide specialist contraception advice for the future".


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Friday, 24 March 2006 09:50
BNN: British Nursing News Online · www.bnn-online.co.uk
“REALITY GAP” OVER SCHOOL NURSES
There is a gulf between the reality and rhetoric when it comes to developing a modern school nurse workforce, the Community Practitioners’ & Health Visitors’ Association said today.

The CPHVA was welcoming the launch of the government’s guidance Looking for a school nurse? which highlights what potential employers should look for when recruiting school nurses for the next generation and the expertise that a progressive school nurse can bring to educational establishments.

But the group questioned where the funding for the employment of a full-time school nurse for every one of the UK’s 3,400 secondary schools and their cluster of primary schools – in line with government policy – would come from.

Amicus/CPHVA’s Professional Officer for School Health and Public Health, Ros Godson said: “We have had many eloquent statements from government in recent years about the importance of school nurses in the drive to improve the health and well-being of children and young people.

“And modern school nurses are keen to help deliver the government targets on obesity, sexual health, accidents and substance misuse.

“But the reality on the ground is that the workforce is static, if not falling. Our members up and down the country report that school nursing posts are frozen. The remaining school nurses are expected to have greatly increased caseloads and workloads, and trainee school nurses are concerned that they will not be able to find jobs when they graduate in the summer.

“It is becoming increasingly clear that future government money to primary care trusts for school nursing should be ‘ring fenced’, otherwise it will be hi-jacked by managers for other purposes.”

Amicus/CPHVA has called for the immediate recruitment of 500 extra school nurses.

Health minister, Liam Byrne told the Commons last month that there were only 2,409 nurses employed in schools at the end of September 2004, of which 856 were qualified school nurses.


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