Connect with us

Clinical Updates

Matt Hancock named as new Secretary of State for Health and Social Care

The news comes alongside a significant shake-up in the Conservative party over Brexit.

Published

on

Matt Hancock MP
Crown Copyright

Matt Hancock, previously the Culture Secretary, has been named as the new Health Secretary.

Matt Hancock MP has been promoted to one of the most senior and sought-after positions in government, the Secretay of State for Health and Social care, he will replace long-standing Health Secretary Jeremy Hunt.

The news comes alongside an impromptu ‘mini-reshuffle’ by Theresa May, following the shock resignations of senior cabinet ministers David Davis and Boris Johnson earlier today.

Advertisement

Mr. Hancock says he is “Really looking forward” to joining the Department of Health and Social Care “at such an important time for our great NHS”.

The news comes on the same day that a major survey by Nursing Standard and the Sunday Mirror revealed that two-thirds of nurses say that patient care has deteriorated significantly in the past five years.

Previously an economist for George Osbourne.

Currently serving as the member of parliament for West Suffolk, Hancock has previously worked as an economist for the Bank of England before becoming an economic advisor to George Osbourne and later his Chief of Staff. The former Chancellor George Osborne was among the first to congratulate Mr Hancock on his promotion, writing on social media that he was “very proud.”

Mr. Hancock has been serving as the Secretary of State for Digital, Culture, Media and Sport since January 2018.

In 2011, Hancock voted against dropping the controversial Health and Social Care Bill and against entering cross-party talks on reforming NHS commissioning.

A statement from Downing Street this evening said: “The Queen has been pleased to approve the appointment of the Rt Hon Jeremy Hunt MP as Secretary of State for Foreign and Commonwealth Affairs.” and “pleased to approve the appointment of the Rt Hon Matt Hancock MP as Secretary of State for Health and Social Care.”

Clinical Care

Hourly rounding ‘may not be the best way for nurses to deliver care’, finds study

Hourly rounding places an emphasis on ‘tick box’ care.

Published

on

Nurse with patient in bed

Hourly rounding made a minor contribution, if at all, to the way nurses engage with patients.

A new report by researchers at King’s College London has found that the widespread practice of hourly or intentional rounding, may not be the best way for nurses to deliver care to patients.

The report also found that rounding makes a minor contribution, if at all, to the way nurses engage with patients.

Advertisement

Hourly or intentional rounding involves standardised regular checks with individual patients at set intervals and was introduced in hospitals in England in 2013, with 97% of NHS acute Trusts in England implementing it in some way.

The majority of NHS trusts adopted the ‘4Ps’ (Position, Pain, Personal needs, Placement of items) model of rounding.

The research was commissioned and funded by the National Institute for Health Research (NIHR) and was led by Professor Ruth Harris in the Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care.

Hourly rounding places an emphasis on ‘tick box’ care.

The NIHR report – Intentional rounding in hospital wards to improve regular interaction and engagement between nurses and patients: a realist evaluation – is the first study of its kind in the world.

The study found that rounding placed an emphasis on transactional ‘tick box’ care delivery, rather than individualised care. However, patients were found to value their interactions with nursing staff, which the study argues could be delivered during other care activities and rather than through intentional rounding.

The report also found that rounding was implemented without consultation, careful planning and piloting in the interests of political expediency following the Francis Inquiry Report into care failures in the NHS.

Ruth Harris, Professor of Health Care for Older Adults at King’s College London, said; “Checking patients regularly to make sure that they are OK is really important but intentional rounding tends to prompt nurses to focus on completion of the rounding documentation rather than on the relational aspects of care delivery.

“Few frontline nursing staff or senior nursing staff felt intentional rounding improved either the quality or the frequency of their interactions with patients and their family.”

Continue Reading

Clinical Updates

Nurses’ ‘worry’ better than most early warning scores, finds study

Nurses were asked to grade patients between ‘no concern’ and ‘extreme concern’. 

Published

on

Observations

A sense of worry can provide important information for the detection of acute physiological deterioration.

Nurses’ worry has a “higher accuracy” than most published early warning scores (EWS) at predicting if a patient is becoming more unwell, according to a recent study.

The study looked at 31,159 patient-shifts for 3185 patients during 3551 hospitalisations across two surgical and two medical wards. Researchers compared if the nurses were worried about a patients potential for deterioration using ‘the Worry Factor’ with early warning score indicators.

Advertisement

Nurses were asked to grade each patient between “no concern” and “extreme concern”.

The Worry Score

Out of 492 potential deterioration events identified, researchers found that when nurses had an increasing worry factor the patient was more likely to require emergency medical treatment – 7 cardiac arrest calls, 86 medical emergency calls and 76 transfers to the intensive care unit.

The study also revealed that accuracy rates were significantly higher in nurses with over a year of experience.

The researchers concluded that “nurses’ pattern recognition and sense of worry can provide important information for the detection of acute physiological deterioration” and was often more reliable than traditional early warning systems.

They also noted that the worry score could be used alone or easily incorporated into existing EWS to potentially improve their performance.

Continue Reading

POPULAR