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Seven days in medicine: 19-25 December 2018

BMJ 2018; 363 doi: https://doi.org/10.1136/bmj.k5398 (Published 28 December 2018) Cite this as: BMJ 2018;363:k5398

NHS in England

Safety culture needs radical overhaul

The safety culture of the NHS must transform radically to reduce “never events,” the Care Quality Commission warned. Provisional data showed that 468 such events occurred in England from 1 April 2017 to 31 March 2018, including 203 wrong site surgery incidents, 112 foreign bodies retained after surgery, and 35 medicine administration errors. The regulator called for a new training programme to ensure that all NHS staff have a shared understanding of their role in patient safety from the moment they start their first job. (Full story doi:10.1136/bmj.k5359)

NHS balances books but local deficits affect care

The NHS in England balanced its books in 2017-18, a review by the parliamentary Public Accounts Committee found, but it warned that many providers had overspent and that local variation can affect patient care. The Department of Health and Social Care spent £120.7bn (€134bn; $153bn) on running costs and £5.2bn on capital spending in 2017-18, both slight underspends. Providers had overspent, however, with hospitals overspending by £991m and 75 of 207 clinical commissioning groups reporting a deficit. The committee was concerned that local deficits meant that people in some areas experienced worse care than others. (Full story doi:10.1136/bmj.k5356)

Obesity

Control digital marketing to children, says forum

Regulations are needed to control digital marketing directed at children, the World Obesity Federation said,1 after it found that advertisements in online video games, …

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