Seven days in medicine: 7-13 November 2018
BMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k4788 (Published 15 November 2018) Cite this as: BMJ 2018;363:k4788
Patient safety
Shropshire trust enters special measures
A UK hospital trust at the centre of an independent review over the care and deaths of more than 100 babies was put into special measures over its management, workforce issues, problems in urgent and maternity care, and whistleblowing. Shrewsbury and Telford Hospital NHS Trust is already reporting weekly to the Care Quality Commission over its maternity and emergency services, but NHS Improvement said that the trust needs extra support to ensure that patients get safe, high quality, compassionate care.
Dialysis patients get help to spot bleeding
Patients in England who have kidney dialysis through an arteriovenous fistula or arteriovenous grafts were asked to look out for signs of potentially life threatening bleeding, after seven patients died from May 2015 to April 2018. Warning signs include non-healing scabs, signs of infection around the wound, and shiny skin around where a patient is connected to the dialysis machine. Patients at home should use a rigid object such as a large bottle top, hollow side down, to apply pressure to the area while waiting for an ambulance, said NHS Improvement.
Migrant health
Immigration status checks through NHS end
The UK government agreed to drop an agreement allowing NHS Digital to share patient information with the Home Office to track down migrants who do not have leave to remain in the country. The decision followed legal action by the Migrants’ Rights …
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