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A clear set of actions is needed to improve NHS maternity services

A clear set of actions is needed to improve NHS maternity services

The Guardian8 hours ago

This inquiry (Wes Streeting announces investigation into 'failing' NHS maternity services, 23 June) needs to get to the heart of why NHS maternity services in England are falling far short of where they need to be.
It must leave no stone unturned; there are significant, systemic challenges that affect trusts' ability to consistently deliver high-quality care, deep-rooted issues with morale and culture within maternity services and, as you highlight (Editorial, 23 June), the 'shockingly higher risk of mortality faced by black and Asian mothers' and those from more deprived backgrounds.
There have been innumerable recommendations and a regulatory landscape that has become complex, distracting and difficult for trusts to navigate. Trust leaders will welcome proposals to introduce one clear set of actions to improve care across every NHS maternity service.Saffron CorderyDeputy chief executive, NHS Providers
After a number of years overseeing maternity and perinatal services at regional level, this proposal frustrates me. The inquiry is purely politically motivated and will not add any value to the women, babies and families affected previously or who may be in the future.
Multiple strategic transformation programmes have been commissioned and funded. There is nothing new to discover; obstetricians focus on healthy babies, midwives focus on happy mothers. The medical v social models of care make this an impossible divide, not helped by either group frequently failing to listen and respond effectively to women's concerns.
Perhaps when there are sufficient staff to work together as a team, and we place the woman at the centre of care and an effective digital infrastructure is in place to support effective communication, instead of focusing on the either/or approach of 'high risk' v 'low risk', we might get somewhere.Ann PearsonGatley, Cheshire
We do not need another review of failing maternity services. The national service development funding (SDF) for maternity services will be cut from £95m in 2024-25 to just £2m in 2025-26.
The patriarchy rules and as a consequence misogyny sets the tone for maternity care. Why else would there be gynaecology beds for women experiencing miscarriage, ectopic pregnancy or termination on a postnatal ward?Zoe GreenLondon
Although failures in maternity care are of great concern, rather than simply chasing after the evidence of what failures look like and castigating those accused of 'passing the buck', perhaps Wes Streeting should also look at the 10 best performing units to find out what they do and how they achieve success. That might prove informative and more inspirational than (once again) punishing those that fail.Simon GibbsEmeritus professor of inclusive educational psychology and philosophy, Newcastle University
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Phage therapy: I found a bacteria-eating virus in my loo
Phage therapy: I found a bacteria-eating virus in my loo

BBC News

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  • BBC News

Phage therapy: I found a bacteria-eating virus in my loo

I'm on the hunt for a microbial saviour – a type of virus that can treat infections rather than cause all know the viral bad guys – Covid, flu, norovirus, herpes, chicken pox, measles… the list goes there's a type of virus that's not interested in infiltrating our bodies, instead it preys on known as bacteria eaters, or bacteriophage, or commonly as them could give us new ways of treating infections, including superbugs that are becoming how to catch a killer?I've been promised it's surprisingly easy. The team at the Phage Collection Project sent me some vials to collect samples, along with a pair of gloves. All I need to do is hunt for some dirty water, the dirtier the better, dip the vials in and screw on the lid. I tried a couple of ponds, the juice from a worm-composting bin and then I needed my dirtiest sample. I didn't flush the toilet after a poo and left it for a couple of hours. I pop on a glove and hold my breath as I go in for the final sample. Strict hygiene instructions, including vigorous hand-washing, were followed, at all vials were packaged up for collection and then three days later I headed off to the University of Southampton to see what was inside."They were a bit dirty when I received them," phage scientist Michelle Lin tells me as we don our blue lab-coats and matching gloves to go into the Containment Level 2 microbiology grab my samples from the fridge, which look much clearer now they have been filtered of any… debris. "It's fine, it's needed," Michelle, who had the unpleasant job, reassures me. Filtering is the first step in looking for phage, next they get served dinner – a cocktail of yummy bacteria - to help them grow in comes the really cool bit – finding a useful phage. The scientists have been working with the local hospital to collect bacteria from patients with troublesome grabs a petri dish that's growing bacteria from a patient with a painful, urinary tract infection that keeps coming to my amazement – one of the phage I collected from my toilet was able to kill this infection in the lab."The way to see that the phage has infected bacteria is you get these zones where the bacteria are not growing and that's because they've been killed by the phage," says Michelle. You can see the leopard print pattern in the petri dish where the phage have been making light work of a bacterial infection that modern medicine was struggling to shift."As crazy as it sounds, well done to the toilet sample," says Michelle with great when I was offered the chance to name the phage, well of course it's the Gallagher-phage."Sounds amazing to me," says far this is all good fun in the laboratory, but could my phage ever be given to a patient?"Yes and I hope so," says associate professor Dr Franklin Nobrega as we look at images of my phage captured with an electron microscope. "Your phage, already in just 24 hours, we were able to get in a high concentration and able to be a very good killer, which means this is very promising for patients, so thank you," said Dr remind me of a moon lander – a big capsule on spindly legs – just instead of landing on the surface of the moon they use their legs to select their then hijack the bacteria and transform it into a mass-production factory for more phage, which burst out of their host, killing it in the process. There are pros and cons to phage. They reproduce as they go along so you don't need constant doses like you would with are also very picky eaters. You need a precise match between phage and the strain of bacteria you're trying to treat whereas antibiotics tend to kill everything good and bad. So it is harder to find the right phage, but if you do it comes with fewer side Nobrega tells me infected wounds are a "very good application" for phage because you can apply them directly to the injury, but they can also be inhaled via a nebuliser to treat lung infections or to target urinary tract infections "which is our target currently". Phage - the friendly virus Phage science may sound new and exciting, but it is actually a century old idea stemming from the discoveries of Felix d'Hérelle and Frederick Twort in the therapy was a branch of medicine and the idea was compelling. Even as late as the 1940s there was an active pharmaceutical industry in western countries trying to produce phage-therapy to defeat bacterial it was rapidly eclipsed by the wonder-drug of the 20th century."Antibiotics were working so well that most people said 'why bother'," says Dr Nobrega. Work on phage therapy continued in places like Georgia and there are individual accounts of it working wonders; but there hasn't been the same depth of medical research and clinical trials as there have for just as the initial success of antibiotics suppressed phage research, the failure of antibiotics is reigniting excitement at their than a million people a year are already dying from infections caused by microbes that are resistant to treatment – it's known as the "silent pandemic". By 2050, that figure is projected to reach 10 million a "antibiotic apocalypse" would mean common infections could kill again and undermine modern medicine. The drugs are also used to make organ transplants, open surgery and chemotherapy possible."The predictions around antibiotic resistance are very frightening, but the reality is we're seeing it now and it's only going to get worse," says Prof Paul Elkington, the director of the institute for medical innovation at the University of Southampton. 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Supermarkets could be forced to ensure shoppers make healthier food choices in a bid by ministers to tackle the obesity crisis
Supermarkets could be forced to ensure shoppers make healthier food choices in a bid by ministers to tackle the obesity crisis

Daily Mail​

time35 minutes ago

  • Daily Mail​

Supermarkets could be forced to ensure shoppers make healthier food choices in a bid by ministers to tackle the obesity crisis

Supermarkets could be forced to ensure shoppers make healthier food choices in a bid by ministers to tackle the obesity crisis. Plans are being drawn up for supermarkets to promote fruit and vegetables to customers instead of fattening items like crisps and chocolate, according to the i newspaper. This will be done using nudge tactics to convince shoppers to make healthier choices during their weekly shop. The proposals are believed to be part of Health Secretary Wes Streeting 's ten-year NHS plan which is due to be published next week. Under the shopping policy, the largest retailers will be forced to record data which shows how successful they are in convincing consumers to swap out fattening items for healthier alternatives. It could result in supermarkets adjusting the layout of their stores so healthy items are displayed more prominently. Retailers have the ability to reformulate their own-brand products to make them more healthy as well as change signage and marketing to make nutritious foods look more appealing, according to policymakers. Details of the proposal are yet to be completely signed off but officials believe that providing supermarkets with clear targets on encouraging shoppers to make better choices could help reduce obesity levels in the country. The plans are based on a ten-year obesity blueprint which was developed by think tank Nesta. 'We urgently need to reshape our food system so that the healthier option is the easiest option for everyone, regardless of where you buy your food,' it said in its report. 'By implementing ambitious yet achievable mandatory health targets for retailers, we can make real progress towards these goals and start turning the tide on obesity once and for all.' Labour MPs have been asking the Health Secretary to adopt the proposals privately and all major supermarkets have been briefed on it. One Labour MP, who supports the policy, said: 'These are really simple things that you can change, and it may mean giving supermarkets a bit of a hit. But it's how you get people to make changes to their behaviour. 'It's a bit like the smoking in pubs. People were dead against it and then when they did it, even smokers supported it - that switch in behaviour that is seen as unthinkable, but that's how you change things.'

The Great British cuppa really could be a lifesaver, as scientists find two cups of tea a day could drastically lower your risk of heart failure and stroke - just don't add SUGAR
The Great British cuppa really could be a lifesaver, as scientists find two cups of tea a day could drastically lower your risk of heart failure and stroke - just don't add SUGAR

Daily Mail​

timean hour ago

  • Daily Mail​

The Great British cuppa really could be a lifesaver, as scientists find two cups of tea a day could drastically lower your risk of heart failure and stroke - just don't add SUGAR

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