Treat life-threatening SEPSIS within the hour, says NICE, to Save Lives & Limbs …

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Treat life-threatening SEPSIS within the hour, says NICE, to Save Lives & Limbs …
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Greg Lance – Watkins
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Hi,

10 March 2017

Treat life-threatening sepsis within the hour, says NICE

NICE is urging hospital staff to treat people with life-threatening sepsis symptoms within one hour.

In a new draft quality standard, NICE says people showing signs of sepsis must be checked carefully. Once someone is classed as high-risk they should be seen by senior staff and given the right treatment within an hour.

Professor Gillian Leng, NICE deputy chief executive, said: “Severe symptoms can develop in sepsis very quickly. If high-risk patients are not identified and treated promptly, people can be left with debilitating problems. In the worst cases, they may die.

“This quality standard highlights priorities in the continued fight to improve sepsis care. We know from recent case reviews that there are inconsistencies in how people’s symptoms are assessed in different settings. More can be done to provide rapid treatment.”

The quality standard highlight areas from NICE’s 2016 sepsis guideline that will help health professionals improve care for those who are at risk of becoming seriously ill.

It stresses that staff in any setting, from GPs to paramedics, should check people for specific signs that will show if their symptoms are life-threatening. This includes taking their temperature or heart rate, or checking for rashes and skin discolouration.

Anyone found to be high-risk should be seen by senior hospital staff immediately. This review would be carried out by an available doctor or nurse who is authorised to prescribe antibiotics.

Dr Ron Daniels BEM, Chief Executive of the UK Sepsis Trust, comments: “An emphasis on timely treatment and diagnosis is crucial if we are to improve outcomes for people with sepsis, and this quality standard could be a hugely impactful reinforcement of the recent guideline recommendation that sepsis is treated with same urgency as heart attacks.” 

NICE says that high-risk sepsis patients should get antibiotics and IV fluid treatment within the hour. If it will take more than an hour to get someone to hospital, GPs or ambulance staff can also administer antibiotics.

Prompt treatment means people are more likely to survive and it reduces the risk of further problems like heart failure or limb amputation.

The 2015 report from the National Confidential Enquiry into Patient Outcome and Death found that 40% of people admitted to A&E with sepsis did not have a timely review by a senior clinician. It also reported avoidable delays in administering antibiotics in more than a quarter (29%) of cases and inconsistencies in early use of intravenous (IV) fluid.

Health Secretary Jeremy Hunt said: “Every death from sepsis is a tragedy, yet too often the warning signs are missed – we need to get far better at spotting sepsis across the NHS and this advice shows how vital it is for clinicians to treat life-threatening symptoms as soon as possible.

sepsis symptoms hospital check in screen

“Our relentless drive to raise awareness of this deadly condition, as well as the tireless efforts of campaigners and families who have lost loved ones, has seen a million leaflets and posters already distributed to GP clinics, hospitals and other public places – helping raise awareness to fight against this devastating condition.”

A recent study from the York Health Economics Consortium suggests that 260,000 people in the UK develop sepsis every year. And the UK Sepsis Trust estimates that sepsis kills around 44,000 people per year.

Not everyone with sepsis will be at risk of getting seriously ill. NICE says that people who are classed as low-risk should get information on what to do if they continue to feel unwell and how to get further medical help.

NICE is asking for views on the draft quality standard. It is out for public consultation until Friday 7 April 2017.

To view the original of this article CLICK HERE

To view additional information on SEPSIS CLICK HERE
Regards,
Greg_L-W.

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Posted by: Greg Lance-Watkins
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NCDF – National Cancer Drug Fund List As At Sept-2015

NCDF – National Cancer Drug Fund List As At Sept-2015
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Hi,

if you wish to see if you are to be allowed to live longer as a cancer patient or if your life, at an acceptable quality, is to be cut short, to save money, the NICE approved National Cancer Drug Fund (NCDF) approved list of drugs for cancer patients being treated by the NHS you may well findof interest.

The 24 page .pdf NHS list as at 04-Sep=2015 can be found if you CLICK HERE

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Regards,
Greg_L-W.
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I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms in 1998 see The TAB at the Header of this Blog. called >DIARY of Cancer ….< just click and it will give you a long list of the main events in chronological order, many linked to specific blog postings.
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YOU are welcome to call me, minded that I am NOT medically trained, if you believe I can help in ANY way. .

Posted by: Greg Lance-Watkins

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To Save Money 5,500 Cancer Patients Condemned To Die Sooner To Save Money

To Save Money 5,500 Cancer Patients Condemned To Die Sooner To Save Money
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Hi,
medical professionals estimate that 5,500 cancer patients will die early due to the NHS being forced to withold treatments known to prolongue their life in acceptable quality – to save money.

This announcement comes at a time when we are reliably informed that the NHS is willingly spending £Millions on holiday homes and holidays for some patients and operating a VIP service for MPs attending A&E!

It is my opinion, having spent considerable time in and around hospitals ALL NHS that there are considerable savings and improvements that could be made to cut costs that should be far higher up the list than NICE’s, in my opinion, irresponsible new attack on cancer patients!

Cancer drugs fund cuts 23 treatments

  • 4 September 2015
CANCER DRUGS 01
Image copyright
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The Cancer Drugs Fund in England will no longer pay for 16 medicines, used in 23 separate cancer treatments.

It has now more than halved the number of treatments it covers since the beginning of the year after being repeatedly overspent.

The latest drugs being axed include those for breast, pancreatic and blood cancers.

The Rarer Cancers Foundation said the news was a “hammer blow” and estimated that 5,500 patients would miss out.

All the drugs on the Cancer Drugs Fund list have been rejected by the NHS as a whole because they do not provide enough benefit for the amount they cost.

The fund was set up by Prime Minister David Cameron to provide access to such medication.

However, NHS England announced that the fund was due to go £100m over budget in 2014-15.

At the beginning of 2015, there were 84 funded therapies, but after a series of culls there are now just 41.

In the latest reduction, 23 course of treatment have been removed.

Prof Peter Clark, the chairman of the Fund, said: “There is no escaping the fact that we face a difficult set of choices, but it is our duty to ensure we get maximum value from every penny available on behalf of patients.

“We must ensure we invest in those treatments that offer the most benefit, based on rigorous evidence-based clinical analysis and an assessment of the cost of those treatments.”

NHS England said current projections suggest that without de-listing, spend on the fund would rise to around £410m this year.

The drugs will be formally removed on 4 November and the announcement will not affect patients currently receiving treatment through the fund.


Patients affected

  • Blood cancer – 1,759 patients
  • Breast cancer – 986 patients
  • Bowel cancer – 845 patients
  • Prostate cancer – 601 patients
  • Upper gastrointestinal cancer – 549 patients
  • Urological cancer – 376 patients
  • Brain and central nervous system – 229 patients
  • Gynaecological cancer – 188 patients

Source: Rarer Cancers Foundation figures bases on usage figures for 2014-15


Andrew Wilson, chief executive of the Rarer Cancers Foundation which is supported by pharmaceutical companies, said: “These cuts will be a hammer blow to many thousands of desperately ill cancer patients and their families.

“Ministers told us they wanted to work with charities to develop a solution, but now the NHS has announced big reductions in access to existing life-extending treatment, with no action to make available the newest game-changing drugs.”

The charity Breast Cancer Now said it was a “dreadful day” for patients.

Its chief executive, Baroness Delyth Morgan, said there had been a lack of leadership: “Kadcyla is a one-of-a-kind drug proven to extend life, and the fact is that because government, the NHS and the pharmaceutical industry have failed to agree realistic prices for new drugs, some women will die sooner.”

The chief executive of Myeloma UK, Eric Low, said: “The government has been far too slow to see and address the critical flaws of the Fund.

“It has let things develop to the stage where effective and life-prolonging drugs are being brutally delisted from the Fund to cut costs.”

To view the original of this article CLICK HERE

.
Regards,
Greg_L-W.
.
 Please Be Sure To
& Link to my My Blogs
To Spread The Facts World Wide To Give Others HOPE
I Have Been Fighting Cancer since 1997 & I’M STILL HERE!
I Have Cancer, Cancer Does NOT Have Me
I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms in 1998 see The TAB at the Header of this Blog. called >DIARY of Cancer ….< just click and it will give you a long list of the main events in chronological order, many linked to specific blog postings.
.
Thoughts, articles and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Left Sidebar.
.
You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help, also many of the links in articles and >HOT LINKS< in the Sidebar.
.
YOU are welcome to call me, minded that I am NOT medically trained, if you believe I can help in ANY way. .

Posted by: Greg Lance-Watkins

tel: 01594 – 528 337
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HIFU Treatment for Prostate Cancer – NICE

HIFU Treatment for Prostate Cancer – NICE
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High-intensity focused ultrasound for prostate cancer

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on high-intensity focused ultrasound for prostate cancer in March 2005.

Further recommendations have been made as part of the clinical guideline on prostate cancer published in February 2008, as follows:

High intensity focused ultrasound (HIFU) and cryotherapy are not recommended for men with localised prostate cancer other than in the context of controlled clinical trials comparing their use with established interventions.

Clinical and cost-effectiveness evidence was reviewed in the development of this guideline which has led to this more specific recommendation. More information is available from www.nice.org.uk/cg58. The IP guidance on high-intensity focused ultrasound for prostate cancer remains current, and should be read in conjunction with the clinical guideline.

To view the original article CLICK HERE
.
Regards,
Greg_L-W.
.
 Please Be Sure To
& Link to my My Blogs
To Spread The Facts World Wide To Give Others HOPE
I Have Been Fighting Cancer since 1997 & I’M STILL HERE!
I Have Cancer, Cancer Does NOT Have Me
I just want to say sorry for copping out at times and leaving Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.
If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms in 1998 see The TAB at the Header of this Blog. called >DIARY of Cancer ….< just click and it will give you a long list of the main events in chronological order, many linked to specific blog postings.
.
Thoughts, articles and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Left Sidebar.
.
You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help, also many of the links in articles and >HOT LINKS< in the Sidebar.
.
YOU are welcome to call me, minded that I am NOT medically trained, if you believe I can help in ANY way. .

Posted by: Greg Lance-Watkins

tel: 01594 – 528 337
Accuracy & Copyright Statement: CLICK HERE
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DO MAKE USE of LINKS & >Right Side Bar< & The Top Bar >PAGES<
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UKIP Its ASSOCIATES & DETAILS: CLICK HERE
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