NEW: Nearly 2,000 staff were absent from work yesterday during the #NursesStrike across eight mental health trusts, according to NHS figures out this pm
Large mental health & community trust @Mersey_Care had most staff off overall with 644 absent due to strikes.
That figure also represents 21.7% of the trust's total number of qualified nursing full time equivalent staff (approx: 2,964 as of Sept 2022)
However, important to note the above % is a rough barometer of impact
Not all of the above would have been on shift, not all nurses will belong to RCN and membership varies by trust, plus, there may be some non-registered RCN members among those absent
There were also 250 elective operations "rescheduled" at @uhbtrust during #NursesStrike and 534 outpatient appointments - second highest of striking trusts (Royal Devon had most)
Figures for other 2 #WestMids trusts submitting data (none from @RJAH_NHS):
Data on rescheduled activity in mental health / learning disability / autism & community services not yet available in official NHSE stats - those published this pm focus on acute rescheduled ops/appts & numbers of staff absent
According to an internal document, seen by @HSJnews, autistic people without a learning disability are approximately 51% more likely to die in a single year vs the general population
The standardised mortality rate between April 2020-March 2021 was 16.6 deaths per 10k for people with autism and no learning disability vs 11 deaths per 10k. There is some uncertainty around the 16.6 figure, with lower and upper bounds of 13 and 20.6 given at 95% probability:
Exclusive: NHSE leak reveals 1m patients on hidden waiting list
This includes hundreds of thousands of children - biggest waiting lists are for services such as child development & speech and language therapy hsj.co.uk/community-serv…
We've learned of serious concerns within @NHSEngland about neglect of the community & mental health backlogs, while the discrepancy with acute initiatives has been branded "immoral" by a trust CEO
The huge ongoing problems revealed in community health services are reflected in many mental health, learning disabilities and autism services too – these are also normally based in the community & often not counted in the consultant-led “referral to treatment” waiting list
NEW: Ministers announce plan to publish draft legislation to reform the Mental Health Act in #QueensSpeech
The purpose of the draft bill is to
➡️ Limit detentions of people with a learning disability and autistic people in hospital
➡️ Help tackle disparities & reduce number of people from minority ethnic backgrounds detained
➡️ Reduce the use of community treatment orders
Its changes will also include rebalancing threshold for detention - determining risk to public & therapeutic benefits, plus a strengthening of rights to express treatment preference / care plan
NHS staff survey - some concerning deteriorations in @HSJnews analysis of mental health trusts. Among those with biggest falls (table below) is @TaviAndPort - we reported on cultural concerns there in January hsj.co.uk/mental-health/…
🚨BREAKING: Repeated care and governance failures were routinely ignored by a hospital trust where poor maternity care resulted in 295 avoidable baby deaths or brain damage cases, final @DOckendenLtd report into maternity at Shrewsbury and Telford Hospital Trust finds
Nine mothers also died as a result of avoidable poor care and there were concerns for an additional three mothers’ but #ockendenreview found outcome would have been the same
Review of 1,600 clinical incidents identifies repeated care and governance failures over decades. @DOckendenLtd says both @sathNHS and multiple external bodies failed to listen to families’ concerns and effectively monitor poor care including “false assurances” by regs inc. CQC
NEW: Child and adolescent mental health wards - a core service @HPFT_NHS - have been rated ‘inadequate’, but the #Hertfordshire trust retains its overall ‘outstanding’ rating hsj.co.uk/mental-health/…
CQC says inspection at Forest House, an inpatient unit in Radlett, wasn't "wide ranging enough" to affect trust's overall ratings. Teenagers told inspectors they "didn't feel safe", and leadership within the service was found to have "significantly deteriorated"
Staff morale was low and access to clinical psychologists limited, with reduced ability to provide therapeutic interventions, CQC said. Young people's acuity of illness had increased significantly throughout 2020-21, in part due to covid & "deterioration in MH of cyp nationally"