Category: news

Two NHS trusts have been criticised for failing to meet basic standards of care for the elderly.

The Care Quality Commission (CQC) is carrying out an England-wide review of care for older people in 100 hospitals.

The latest reports showed inspectors had “moderate concerns” about Whiston Hospital, part of the St Helens and Knowsley Teaching Hospitals NHS Trust.

They also criticised Barnsley Hospital NHS Foundation Trust in South Yorkshire.

The second batch of CQC reports included inspections at 14 hospitals.

The first batch of reports found doctors had to prescribe drinking water for patients at one NHS hospital because they were not given enough while others were left unfed.

In the reports, published on Thursday, Whiston Hospital was criticised for the way it fed elderly people, saying it had good practice on some wards but not others.

On one ward, people were helped to sit out of bed or sit up for eating, while on another ward this did not happen to the same level, inspectors said.

Some patients missed a meal because they did not want what was offered.

It also said some people were helped with eating, but others had to wait more than half an hour to be helped.

A spokeswoman for St Helens and Knowsley said: “The Care Quality Commission report looked at some nursing practices on two wards and found no major concerns with the care provided.

“The report highlighted that patients’ privacy, dignity and independence were respected.

“The trust had already introduced measures to further meet the nutritional needs of patients and following this report has put into practice additional improvements.

“The trust remains committed to ensuring that patients receive the highest standard of care and an excellent experience.”

In Barnsley, inspectors found there were many examples of good practice, but not all patients who needed help with eating got it and staff were unsure which patients had specific needs.

At meal times, “none of the tables were cleaned before or after the meal and one patient had an empty urine bottle placed on their table alongside their meal during lunch”.

Juliette Greenwood, chief nurse at Barnsley Hospital, said: “It was disappointing to learn that our standards around the nutritional needs of patients during the spot checks were not as high as we expect them to be.

“I am very sorry to those patients we let down but want to assure them that our services are considered safe by the CQC and these spot checks do not reflect the overall care and treatment we provide.”

Two trusts were told to maintain their standards – St George’s Healthcare NHS Trust in south London and Sherwood Forest Hospitals NHS Foundation Trust.

The 10 trusts that met all the standards were: University College London Hospitals NHS Foundation Trust, Lewisham Healthcare NHS Trust, Heatherwood and Wexham Park Hospitals NHS Foundation Trust, Kettering General Hospital NHS Foundation Trust, Kingston Hospital NHS Trust, Taunton and Somerset NHS Foundation Trust, Nuffield Orthopaedic Centre NHS Trust, Calderdale and Huddersfield NHS Foundation Trust, North Middlesex University Hospital NHS Trust and York Hospitals NHS Foundation Trust.

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

By Richard Black

The UK’s parks, lakes, forests and wildlife are worth billions of pounds to the economy, says a major report.

The health benefits of merely living close to a green space are worth up to £300 per person per year, it concludes.

The National Ecosystem Assessment (NEA) says that for decades, the emphasis has been on producing more food and other goods – but this has harmed other parts of nature that generate hidden wealth.

Ministers who commissioned the NEA will use it to re-shape planning policy.

“The natural world is vital to our existence, providing us with essentials such as food, water and clean air – but also cultural and health benefits not always fully appreciated because we get them for free,” said Environment Secretary Caroline Spelman.

“The UK NEA is a vital step forward in our ability to understand the true value of nature and how to sustain the benefits it gives us.”

The economic benefits of nature are seen most clearly in food production, which depends on organisms such as soil microbes, earthworms and pollinating insects.

If their health declines – as is currently happening in the UK with bees – either farmers produce less food, or have to spend more to produce the same amount.

Either way there is an economic impact; and on average, the costs are growing over time.

“Humans rely on the way ecosystems services control our climate – pollution, water quality, pollination – and we’re finding out that many of these regulating services are degrading,” said Bob Watson, chief scientific adviser to the Department for Environment, Food and Rural Affairs (Defra) and co-chairman of the NEA.

“About 30% of the key ecosystem services that we rely on are degrading.

“About 20% are getting better, however – our air quality has improved a lot – and what this report says is that we can do a lot better across the board,” he told BBC News.

The 1940s saw the beginning of a national drive to increase production of food and other products such as timber.

Although that was successful, the NEA finds there was a price to pay – England, for example, has the smallest percentage of forest cover anywhere in Europe, while many fish stocks are below optimum levels.

The report says the problem arises largely because currently, only material products such as food carry a pricetag in the market.

By calculating the value of less tangible factors such as clean air, clean water and natural flood defences, it hopes to rebalance the equation.

The Royal Society for the Protection of Birds (RSPB) welcomed the assessment.

“The traditional view of economic growth is based on chasing GDP, but in fact we will all end up richer and happier if we begin to take into account the true value of nature,” said its conservation director, Martin Harper.

“Of course no-one can put a pounds and pence value on everything in nature – but equally we cannot ignore the importance of looking after it when we are striving for economic growth.”

The NEA seeks to include virtually every economic contribution from eight types of landscape, such as woodlands, coasts and urban areas.

It also provides some local flavours by looking at variations across the UK.

Some figures emerge with precision, such as the £430m that pollinating insects are calculated to be worth, or the £1.5bn pricetag on inland wetlands, valued so high because they help to produce clean water.

Other aspects of the evaluation are less precise because the costs and benefits are harder to quantify, and may change over time.

Ian Bateman, an economist from the University of East Anglia who played a principal role in the analysis, said that putting a single price on nature overall was not sensible.

“Without the environment, we’re all dead – so the total value is infinite,” he said.

“What is important is the value of changes – of feasible, policy-relevant changes – and those you can put numbers on.”

The full 2,000-page report is stacked full of such numbers. The government intends to use some of them in its forthcoming Natural Environment White Paper and other initiatives that could reform urban and rural planning.

Professor Watson said this did not imply an end to development, but that costs and benefits of each proposed development could be assessed more accurately in advance.

“Urban green space, for example, is unbelievably important – if affects the value of houses, it affects our mental wellbeing.

“This report is saying ‘this has got incredible value, so before you start converting green space into building, think through what the economic value is of maintaining that green space’ – or the blue space, the ponds and the rivers.”

On the global stage, several countries have previously evaluated the economic worth of specific factors such as forests or fisheries.

And two international studies – the Millennium Ecosystem Assessment (MEA) and The Economics of Ecosystems and Biodiversity (Teeb) – have given broader views of society’s environmental trajectory, and the costs and benefits.

But the UK is the first nation to produce such a detailed assessment across the piece.

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Hackers in China have compromised personal e-mail accounts of hundreds of top US officials, military personnel and journalists, Google has said.

The US company said a campaign to obtain passwords originated in China and was aimed at monitoring e-mail.

Google said its security was not breached but indicated passwords were obtained via fraud or from other sites.

Also targeted were Chinese political activists and officials in other Asian countries, Google said.

“Google detected and has disrupted this campaign to take users’ passwords and monitor their emails,” the company said on Wednesday.

“We have notified victims and secured their accounts. In addition, we have notified relevant government authorities.”

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.