Fringe show starts tonight….and here are the references. If you are coming and I know you from twitter, that means I know you, so please come and say hello.
- Early day motion to support homeopathy
http://skeptical-voter.org/wiki/index.php?title=Jeremy_Hunt
2. Weekend ‘effects’
“someone is 15% more likely to die if admitted on a Sunday than on a Wednesday because we do not have as many doctors in our hospitals at the weekends as we have mid-week”
“According to an independent study conducted by The BMJ, there are 11,000 excess deaths because we do not staff our hospitals properly at weekends.”
http://www.publications.parliament.uk/pa/cm201516/cmhansrd/cm151013/debtext/151013-0001.htm#151013-0001.htm_wqn5
11,000 more people die each within 30 days of admission to hospital on Friday, Saturday, Sunday or Monday compared with Tues/Wed/Thurs
National Statistics Authority response
“Its findings also show no proven link between weekend mortality rates and consultant presence, and suggests that other investment is more necessary.” costing 900 million a year
except: “Recent audits of stroke outcomes in London show that there is no longer any excess of hospital deaths in patients with stroke admitted at the weekend” (link to ST letter currently not working)
coding bias for ‘ weekend effect ‘
“There are fewer deaths following hospital admission at weekends. Higher mortality rates at weekends are found only amongst the subset of patients who are admitted.”
Lancet study finding no association between medical staffing and mortality
“the estimated cost of implementing 7-day services is £1.07–£1.43 bn, which exceeds by £339–£831 m the maximum spend based on the National Institute for Health and Care Excellence threshold of £595 m–£731 m. There is as yet no clear evidence that 7-day services will reduce weekend deaths or can be achieved without increasing weekday deaths. The planned cost of implementing 7-day services greatly exceeds the maximum amount that the National Health Service should spend on eradicating the weekend effect based on current evidence.
however the average is 79% (should have said that 10% of hospitals are meeting target to have 90% patients seen within 14 hours of admission in key specialities)
impossible to extract weekend data from this
not the 6th biggest funding increase in NHS history, but the 28th since 75/76
told off for phone fiddling
imposes contract as Chilcot published
2) Things that don’t work and waste money
a) HSCA supposedly supported by this but this and
Gwyn Bevan, professor of management science at the London School of Economics, who carried out a review of patient choice and competition, said he is “perplexed” by Andrew Lansley’s emphasis on the role of choice and competition because “the evidence is very weak and contested”.
“In fact, I would argue that we don’t have any strong evidence of that effect. To my mind, the jury is at best still out on whether choice and competition will improve quality of care in the NHS,” he said.
cost of HSCA
b) PFI intérêst rates
c) dementia DES 142 million
d) health checks 165 million annually – every year 1 in 4762 chance of avoiding MI/stroke if attend
e) Cancer Drugs Fund – 416 million annually 14/15
f) management consultancies over 600 million annually
g) NHS IT: care data , care connect – 1,600 per query, again, again,
3) Pre-diabetes
adverse medication effects and admissions
osteoporosis cochrane and discussion, and James Bond
natural frequencies , we’re not that good at risk
false positives in MRI
CPR on US TV , including UK series
survival in OOH cardiac arrest
survival after CPR when terminally ill
If I end up talking about something not listed here I will rush home and add it.
Comments are closed.