NHS hot topics Flashcards
What are issues facing BAME staff?
Inaccurate representation in board members
19.7% workforce are BAME, only about 8% of board members are BAME
Recruitment problems
White applicants are more likely to be shortlisted for senior roles than BAME applicants
Less likely to be supported
BAME staff more likely to enter disciplinary hearing
Likelier discrimination
Experienced more discrimination 15% vs 6% in last 12 months
Solutions to BAME staff problems
Interim NHS People Plan has action points to increase BAME representation
Further engagement with BAME staff and staff networks in order for better work environment
Issues for BAME patients
Death during childbirth is much more prevalent in minorities than white people
Detrimental health outcomes due to socio-economic concerns
BAME and Covid-19
Disproportionate mortality rates
In first month of pandemic 95% of doctors who died from COVID were BAME
Staff scared to raise concerns on discrimination
NHS solutions to BAME inequalities
4 Million pounds put into research for link between ethnicity and Covid
Guidance for NHS organisations to mitigate COVID risks
Medicinal cannabis. When was it legalised?
November 2018 for specialist doctors
When can cannabis be used
Legally prescribed for children with rare severe epilepsy, adults with nausea and adults with muscle stiffness
Key facts about medical cannabis
In 2019 only 18 prescriptions of cannabis
Many products with cannabis still unlicensed due to lack of reasearch
NHS published report regarding limitations of cannabis
Case of Billy caldwell
Epilepsy patient 13 years old
Had medication confiscated at Heathrow
GP prescription halted
Medical cannabis halted from Canada
Prescription from paediatric neurologist in London (private)
Alfie dingley case
Condition improved when prescribed cannabis in amsterdam
Seizures fell from 3000 a year to 20 a year
Issues facing primary care
GP shortages - 15% of posts are vacant
Increasing demand - Due to higher life expectancies and ageing population
Recruitment issues
Practices are closing-99 closed down in 2019 due to retirements etc
Unsafe patient levels- 1 in 10 GP’s see 60 patients a day
Long waits for appointments-in 2018 1 in 3 patients had to wait over a week
Low public satisfaction and unnecessary appointments
Solutions to primary care issues
More information from medical schools regarding role of GP’s
£10 mil scheme to incentivise F1 doctors to become GP’s
2017, “golden hello” payment of £20,000 pends for new GP’s in rural areas
Increased funding for places in medical schools etc
Online solutions or phone solutions such as triaging
What are 3 types of A and E
Type 1: Very big and consultant led and provides a 24 hour service
Type 2: For specific specialities, such as dentistry and eye conditions
Type 3: Treats minor illnesses
What is 4 hour A&E target
95% of patients to be seen within 4 hours
NHS has not met this target
What are the issues in the A&E department
Rising attendances: 17% increase from 2011 to 2019
Fewer hospital beds
Ageing population
Unecessary A&E departments (estimate that 1.5 to 3 million people use A&E uneccesarily)
Delayed discharges due to waits for family and other care services
Staffing shortages
