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Baby death East Kent NHS trust reaches 'turning point'

Baby death East Kent NHS trust reaches 'turning point'

BBC News15-05-2025

Two maternity units in Kent have shown signs of improvements three years after a damning independent review found up to 45 babies might have survived if they had received better care, a report has said.The Care Quality Commission (CQC) report rated maternity services at William Harvey Hospital in Ashford and Queen Elizabeth The Queen Mother Hospital in Margate as good, two years after they were downgraded to inadequate.The CQC said "significant improvements" had been made at both units to safety, leadership, culture, the environment and staffing levels.Tracey Fletcher, chief executive of East Kent Hospitals University NHS Foundation Trust, said the report was "an important milestone in our continuing work to improve our services".
Kaye Wilson, chief midwife for the South East at NHS England, said: "This report marks a turning point for services at East Kent and is the result of the commitment, determination and sheer hard work of midwives, obstetricians and the whole maternity team."Only one maternity unit in south-east England received a better CQC rating, Royal Surrey Hospital in Guildford, Surrey, which was outstanding.The changes to the classification of the two Kent units came after an unannounced inspection in December.Serena Coleman, CQC's deputy director of operations in Kent, said: "We found significant improvements and a better quality service for women, people using the service and their babies."This turnaround in ratings across both services demonstrates what can be achieved with strong and capable leaders who focus on an inclusive and positive culture."
The CQC report said concerns remained about the size of labour rooms, which were not always big enough to include essential equipment like infant resuscitation devices.Sarah Hayes, chief nursing and midwifery officer at East Kent Hospitals University NHS Foundation Trust, said the improvements were "important for our families, staff and our communities".The trust's overall rating and the overall rating for both hospitals remain unchanged, and rated as requires improvement.It said it planned to start a rebuild of the maternity unit in Margate later this year.

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Warning issued to women over 'Mounjaro babies'
Warning issued to women over 'Mounjaro babies'

Daily Mail​

time34 minutes ago

  • Daily Mail​

Warning issued to women over 'Mounjaro babies'

Blockbuster weight loss jabs could make contraception less effective, and prove harmful to unborn babies, according to an urgent warning from UK drugs chiefs. In a new alert, the Medicines and Healthcare products Regulatory Agency (MHRA) urged women using any slimming injection including Ozempic and Wegovy to use birth control, due to potential risks to both the pregnant woman and the foetus. Meanwhile, those using the 'King-Kong' of weight loss jabs, Mounjaro, were told to 'double-up' their methods of contraception if using The Pill. 'Mounjaro may reduce the effectiveness of oral contraceptives in those who are overweight,' the alert read, adding that safe sex is 'especially important for the four weeks after starting Mounjaro and after any dose increase.' Officials added that women who become pregnant while using the medications must cease taking them immediately. Those who are breastfeeding should the injections stop too. 'There is not enough safety data to know whether taking the medicine could cause harm to the baby,' the MHRA said. The regulator added that, to date, it had received more than 40 reports relating to pregnancy among women on the drugs. Of these, 26 were related to Mounjaro, one of which was for an unintended pregnancy. Eight related to semaglutide, the active ingredient in both Ozempic and Wegovy. The reports related to pregnancy, recorded by medics and patients, include problems such as birth defects, miscarriages, and unplanned pregnancies. The regulator added in some cases women should continue to use contraception for up to two months after stopping the medications before trying to get pregnant. Mounjaro, which boosts levels of appetite-supressing hormones, is known to make The Pill less effective due to disruption it causes to the digestive system, flushing out the contraceptive. Patients taking weight-loss injections are already advised to use contraception, and to stop taking the drugs if they get pregnant, in leaflets that come with the drugs. Some 35,000 British women of child-bearing age were prescribed the jabs on the NHS in England in 2024, official figures suggest. However, this is likely to be an underestimate, given that many acquire the drug privately. The MHRA alert also warned against buying the medicines from unregulated and non-medical sellers such as beauty salons or via social media. Dr Alison Cave, MHRA chief safety officer, said: 'Skinny jabs are medicines licensed to treat specific medical conditions and should not be used as aesthetic or cosmetic treatments. 'They are not a quick fix to lose weight and have not been assessed to be safe when used in this way. 'Our guidance offers patients a 'one-stop shop' for our up-to-date advice on how to use these powerful medicines safely. 'This guidance should not be used as a substitute to reading the patient information leaflet or having a conversation with a healthcare professional as part of the prescribing process.' Experts said it was suspected how weight-loss jabs work to help patients shed pounds, was also thought to be diminishing the effectiveness of contraceptives. Dr Channa Jayasena, an expert in reproductive health at Imperial College London, explained: 'We think that the absorption of oral contraceptive pills may be reduced with GLP-1 drugs which slow down emptying of the stomach, though more research is needed to confirm this.' He added, that the MHRA's alert seemed 'sensible'. 'We don't know how harmful GLP-1 drugs are during pregnancy; however, we know that other forms of weight loss like weight loss surgery can increase chances of a miscarriage,' he said. 'So, women are advised to do all they can to prevent pregnancy while taking GLP-1 drugs.' Professor Rebecca Reynolds, an expert in metabolic medicine at the University of Edinburgh, added that some studies had indicated the drugs could increase the risk of birth defects. 'There is hardly any available data from human studies to be able to advise if these weight loss drugs are safe in pregnancy. 'The data from animal studies suggests the potential for harm with low birthweight and skeletal abnormalities, though more evidence is needed to assess if there are risks of taking these drugs in pregnant humans.' Reacting to the MHRA's announcement Jasmine Shah, medication safety officer at the National Pharmacy Association, urged women using the drugs to take note. 'Community pharmacies have been experiencing unprecedented levels of interest for weight loss injections,' she said. 'It is therefore important that regulations and guidance keep pace with this demand and that patient safety is put at the heart of everything we do. 'Medicines are not like ordinary goods for sale; they must be handled with great care because they have the power to harm as well as to heal.' There are dozens of reports of women experiencing unexpected pregnancies while taking weight loss injections. Some of these are linked to the drugs helping people lose weight which in turn, boosts their fertility. However, there have been a smaller number whereby it is believed weight loss jabs have made contraceptive less effective. One US woman, Deb Oliviara, who is based in the US, detailed how she became pregnant while using semaglutide. 'It lessens the effectiveness of birth control and it also heightens your fertility,' she said in a clip viewed nearly a million times. She added she stopped using the drug immediately upon learning she was expecting. Another woman, who posted on a Reddit forum, revealed she had become pregnant while using Mounjaro, despite taking contraception. She shared an image of her positive pregnancy test and wrote that weight loss jabs ' make it hard for oral medications (like birth control) to be effective'. Weight-loss injections belong to class of drugs known as GLP- agonists, which help encourage fullness by mimicking a natural hormone released after eating. Some, like Mounjaro, also act on a second hormone involved in appetite and blood sugar control. The alert comes as findings suggest taking Ozempic and similar drugs may raise the risk of a 'silent cancer'. Reports of suspected side effects for drugs in the UK are logged under the MHRA's 'Yellow Card' scheme. Officials use the same database, set-up in the wake of the 1960s thalidomide scandal, to track the safety of Covid vaccines. Although impossible to prove, it allows doctors, pharmacists and patients to report adverse reactions believed to be caused by drugs used in Britain. This can lead to them being reviewed, having warnings added to the labels or being taken off the market completely.

The NHS truths the Left don't want you to hear
The NHS truths the Left don't want you to hear

Telegraph

time2 hours ago

  • Telegraph

The NHS truths the Left don't want you to hear

Until very recently, Health Secretary Wes Streeting tried to market himself as a radical health reformer, who is not afraid to poke sacred cows. While his reform-minded rhetoric always remained at a highly-abstract and general level, Streeting deserved some credit for it, because he did not have to do this. He had the courage to say things which he knew would rub some people up the wrong way, not least the Corbynite wing of his own party. Sadly, that brief period of NHS candour is now officially over. Streeting, the self-styled reformer, is no more. He and his colleagues have fully retreated into their comfort zone. During the recent local election campaign, Labour distributed a leaflet that showed a mock medical bill, and a doctor holding up a credit card reader. The message was clear: vote for us, because this is what the other lot want to do to you. On Twitter/X, Labour are now frequently posting dire warnings about the alleged evils of insurance-based healthcare systems. This is exactly that old-school NHS cultism which Streeting used to disavow until five minutes ago. It may work for him. The NHS may be falling apart, but the cult around is still going strong. In the eyes of its keenest defenders, the NHS can do no wrong. They have quietly dropped the old cliché about the NHS being 'the envy of the word', and replaced it with a slightly more subtle version, which goes something like this: Once upon a time, the NHS used to be the best healthcare system in the world. But then, from 2010 on, it was systematically defunded. It was deliberately run into the ground, so that it can be privatised more easily. A privatised system would mean luxury healthcare for the rich, and Wild West medicine for the poor. None of these claims are true. Let's have a look at each of them in turn. 'The NHS used to be the best healthcare system in the world' The NHS was never the best healthcare system in the world. The idea that it ever was can be traced back to a ranking compiled by the Commonwealth Fund, an American healthcare think tank, which relies on a very unusual methodology, in which medical outcomes only account for a fifth of the total score. This matters, because on medical outcomes, the NHS has always been one of the worst-performing healthcare systems in the developed world – as even the Commonwealth Fund study shows. There is no turning point after which the NHS's performance suddenly deteriorated. It was just never good in the first place. '…it was systematically defunded' At the end of the 2010s, age-adjusted real NHS spending per capita was only marginally higher than it had been in the beginning of the decade. Put differently, the NHS budget only just about kept pace with population growth, population ageing, and inflation. This clearly constituted a slowdown in spending increases compared to the previous decade. But it does not constitute a 'defunding'. In any case: that period of relative spending restraint is already over again. The NHS budget was given a massive boost during the pandemic, which has only been partially reversed. Public healthcare spending in the UK stands at just under 9% of GDP: one of the highest levels in the world. '…so that it can be privatised…' Conspiracy theories about secret plans to privatise the NHS have been around for decades. I wrote a report on this three years ago, for which I went through the news archives, and I found warnings about the NHS's imminent demise from every year since 1980. But somehow, it never happens. The NHS remains an unusually state-centred system. Most healthcare systems, including tax-funded ones, use a mix of public, private for-profit and private non-profit providers. 'A privatised system would mean luxury healthcare for the rich, and Wild West medicine for the poor' There are no plans – secret or otherwise – to privatise the NHS. More's the pity. Because there is nothing wrong with private healthcare systems. There are good examples of private, insurance-based healthcare systems, most notably in the Netherlands and Switzerland, which are nothing like the dreaded system of the US. These systems cover everybody: poor people are exempt from health insurance premiums and co-payments. Under these systems, rich and poor alike get faster access to medical treatment, and better medical outcomes, than they would on the NHS. The only thing these people don't get is a naff feel-good mythology around their health systems.

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