UK hospital service approved for Jersey psychiatric patients
A hospital in Dorset providing a specialised psychiatric service does meet the needs of patients in Jersey, the States has said. The Minister for Health and Social Services has designated St Ann's Hospital in Dorset as an "approved establishment" for islanders to receive the specialised service which cannot be provided locally. The approval means patients initially transferred to the Psychiatric Intensive Care Unit (PICU) can be transferred to other wards if clinically appropriate.The service will be subject to monitoring by the Jersey adult mental health services, the States said.
'Appropriate and adequate'
It said: "The minister has responsibility to approve establishments or premises for the purpose of care and treatment of patients. "Governance checks have confirmed that the service is appropriate and adequate to meet the needs of service users who require this service, which cannot be provided locally in Jersey due to the specialised nature of the service and the PICU environment."The decision also affects patients transferred to UK hospitals through the criminal justice system, as any hospital must be designated "an approved establishment" under Jersey's mental health law.The most recent Care Quality Commission report rated the trust's acute wards for adults of working age and psychiatric intensive care units as good.
Try Our AI Features
Explore what Daily8 AI can do for you:
Comments
No comments yet...
Related Articles
North Wales Chronicle
2 days ago
- North Wales Chronicle
Consultant should have referred teenager to intensive care, tribunal rules
Martha Mills, 13, had been an inpatient on the Rays of Sunshine Ward at King's College Hospital in London after she suffered a serious injury to her pancreas when she slipped while riding a bike on a family holiday in Wales in July 2021. Weeks later she experienced a fever, increased heart rate and had a catheter inserted into her vein, which was 'ultimately considered' to be a likely source of the infection that led to her death from sepsis, the Medical Practitioners Tribunal Service (MPTS) hearing was told. More spikes in her temperature followed, before consultant hepatologist Professor Richard Thompson saw Martha on his morning ward round on Sunday August 29 at the hospital, one of three locations in the UK which specialise in the treatment of paediatric pancreatic injuries. The on-call consultant left the hospital at 3pm, but was phoned at home two hours later by a trainee doctor, who gave an update on Martha's condition. Medical records showed she had deteriorated over the course of the afternoon, and into the early evening, with a drop in her blood pressure, the appearance of a new rash and increases in heart rate, respiratory rate and body temperature. Tribunal chairman Robin Ince noted that by 5pm there were 'several high-risk indicators' as set out in the Nice guidelines relating to sepsis. He said: 'These changes collectively indicated a sudden and significant deterioration for no clearly identified reason…it was evident that by around 5pm the clinical condition of Martha justified escalation to PICU (paediatric intensive care unit) and this opportunity was not taken.' The duty registrar called Prof Thompson again at 8.30pm because of ongoing concerns over Martha's fever, but she was kept on the ward despite the continued presence of moderate to high-risk indicators and the absence of meaningful clinical improvement, said the tribunal. Mr Ince said: 'The tribunal notes that Professor Thompson expressed a preference to prearrange any PICU involvement, rather than having PICU clinicians arrive unexpectedly and cause distress to Martha's parents. 'While the tribunal understands the desire to manage the family anxiety sensitively, this did not, in its view, justify withholding or delaying a clinically indicated escalation of care.' He added: 'The tribunal therefore concluded that the GMC (General Medical Council) has proved its case that Professor Thompson failed to take more aggressive intervention from 12 noon onwards in that he did not escalate Martha to the PICU team for a direct clinical review.' The tribunal also ruled that Prof Thompson should have conducted a direct in-person review and assessment of Martha, including the developing rash, from 5pm, which would have been 'beneficial'. Mr Ince said: 'He would no doubt have discovered that no observations had been taken in respect of Martha from 2pm to at least 4.45pm. 'The tribunal notes that one of the advantages of escalating a patient to PICU would have been an increased level of monitoring. 'Although no explanation has been given to the tribunal for the failure to monitor Martha between 2pm and 4.45pm, this absence of monitoring on the ward would no doubt have been a significant factor in justifying such an escalation.' The tribunal cleared Prof Thompson of the GMC's allegations that he gave 'outdated, misleading' information on Martha's condition to a consultant colleague in the intensive care unit, and that he failed to mention her rash. Martha collapsed on August 30 and was moved to intensive care, before she was transferred to London's Great Ormond Street Hospital, where she died in the early hours of August 31. At a 2022 inquest into her death a coroner ruled Martha would most likely have survived if doctors had identified the warning signs and transferred her to intensive care earlier. Martha's mother, Merope Mills, an editor at The Guardian, said she and her husband, Paul Laity, raised concerns about Martha's deteriorating health a number of times but these were not acted on. The couple later successfully campaigned for Martha's Rule to give patients, families and carers the chance to easily request a second opinion from a senior doctor in the same hospital in the event of a suspected deterioration or serious concern. The MPTS hearing in Manchester continues as the tribunal considers whether Prof Thompson's fitness to practise is impaired.
South Wales Guardian
2 days ago
- South Wales Guardian
Consultant should have referred teenager to intensive care, tribunal rules
Martha Mills, 13, had been an inpatient on the Rays of Sunshine Ward at King's College Hospital in London after she suffered a serious injury to her pancreas when she slipped while riding a bike on a family holiday in Wales in July 2021. Weeks later she experienced a fever, increased heart rate and had a catheter inserted into her vein, which was 'ultimately considered' to be a likely source of the infection that led to her death from sepsis, the Medical Practitioners Tribunal Service (MPTS) hearing was told. More spikes in her temperature followed, before consultant hepatologist Professor Richard Thompson saw Martha on his morning ward round on Sunday August 29 at the hospital, one of three locations in the UK which specialise in the treatment of paediatric pancreatic injuries. The on-call consultant left the hospital at 3pm, but was phoned at home two hours later by a trainee doctor, who gave an update on Martha's condition. Medical records showed she had deteriorated over the course of the afternoon, and into the early evening, with a drop in her blood pressure, the appearance of a new rash and increases in heart rate, respiratory rate and body temperature. Tribunal chairman Robin Ince noted that by 5pm there were 'several high-risk indicators' as set out in the Nice guidelines relating to sepsis. He said: 'These changes collectively indicated a sudden and significant deterioration for no clearly identified reason…it was evident that by around 5pm the clinical condition of Martha justified escalation to PICU (paediatric intensive care unit) and this opportunity was not taken.' The duty registrar called Prof Thompson again at 8.30pm because of ongoing concerns over Martha's fever, but she was kept on the ward despite the continued presence of moderate to high-risk indicators and the absence of meaningful clinical improvement, said the tribunal. Mr Ince said: 'The tribunal notes that Professor Thompson expressed a preference to prearrange any PICU involvement, rather than having PICU clinicians arrive unexpectedly and cause distress to Martha's parents. 'While the tribunal understands the desire to manage the family anxiety sensitively, this did not, in its view, justify withholding or delaying a clinically indicated escalation of care.' He added: 'The tribunal therefore concluded that the GMC (General Medical Council) has proved its case that Professor Thompson failed to take more aggressive intervention from 12 noon onwards in that he did not escalate Martha to the PICU team for a direct clinical review.' The tribunal also ruled that Prof Thompson should have conducted a direct in-person review and assessment of Martha, including the developing rash, from 5pm, which would have been 'beneficial'. Mr Ince said: 'He would no doubt have discovered that no observations had been taken in respect of Martha from 2pm to at least 4.45pm. 'The tribunal notes that one of the advantages of escalating a patient to PICU would have been an increased level of monitoring. 'Although no explanation has been given to the tribunal for the failure to monitor Martha between 2pm and 4.45pm, this absence of monitoring on the ward would no doubt have been a significant factor in justifying such an escalation.' The tribunal cleared Prof Thompson of the GMC's allegations that he gave 'outdated, misleading' information on Martha's condition to a consultant colleague in the intensive care unit, and that he failed to mention her rash. Martha collapsed on August 30 and was moved to intensive care, before she was transferred to London's Great Ormond Street Hospital, where she died in the early hours of August 31. At a 2022 inquest into her death a coroner ruled Martha would most likely have survived if doctors had identified the warning signs and transferred her to intensive care earlier. Martha's mother, Merope Mills, an editor at The Guardian, said she and her husband, Paul Laity, raised concerns about Martha's deteriorating health a number of times but these were not acted on. The couple later successfully campaigned for Martha's Rule to give patients, families and carers the chance to easily request a second opinion from a senior doctor in the same hospital in the event of a suspected deterioration or serious concern. The MPTS hearing in Manchester continues as the tribunal considers whether Prof Thompson's fitness to practise is impaired.
Wales Online
4 days ago
- Wales Online
Oti Mabuse details trying to 'lose the baby weight' ahead of 'intense' dance return
Oti Mabuse details trying to 'lose the baby weight' ahead of 'intense' dance return Former Strictly Come Dancing professional Oti Mabuse has spoken out about her return to the dancefloor, as she is set to go on tour with her former co-star Flavia Cacace Oti Mabuse gives update on return to dancing Oti Mabuse has opened up about her comeback to dancing after welcoming her daughter into the world in 2023. The dance sensation and former Strictly Come Dancing favourite is about to embark on an exciting new tour with her fellow Strictly alum, Flavia Cacace. Starting from June 12, the dynamic duo will be dazzling audiences across the UK, with Oti describing the experience as "one big party". While appearing on Lorraine's Tuesday show, guest presenter Ranvir Singh was eager to delve into how Oti is adapting to her demanding return. Ranvir posed the question: "Just briefly, how is your body coping with coming back? Is this the most intense dancing you would've done since you became a new mum?" Oti Mabuse details trying to 'lose the baby weight' ahead of 'intense' dance return Article continues below Confirming this, Oti responded: "Yeah it is. I knew I was doing this tour a year ago." She went on to share: "So I've really been trying to lose the baby weight and get physically strong and have the stamina to actually be able to do a two-hour show." Describing her postpartum journey, Oti admitted: "The journey of getting back and being healthy for me has been really a learning curve. I've had to relearn and relive my relationship with my body and what I speak to myself and what I see in the mirror." Strictly's Oti and Flava are going on tour this year Despite initial apprehensions, Oti has found returning to the dance floor empowering, stating: "I feel stronger." Oti experienced a challenging start to motherhood when her daughter was born 10 weeks early and had to spend six weeks in the Neonatal Intensive Care Unit, reports Leicestershire Live. Reflecting on her childbirth experience during an appearance on Loose Women, she shared: "Once I gave birth to her, it became more traumatic. I had sepsis, and I didn't know. I had all these things, I had diabetes, I had pelvic pain, so turning and getting up and walking was very painful. Oti Mabuse and her husband Marius had a daughter together at the end of 2023 (Image:for evi ) "Then I found out that I had sepsis. It was one thing over the other. We spent 10 minutes together and she was taken away with my husband and the doctors. Article continues below "She was in the incubator, and that was the first time we saw her. She was covered up and she had all these machines and wires and everything covering her face. "This premature world only comes to light when you're going through it.... It was a really, really scary time." Lorraine is available to watch on ITV1 weekdays at 9am and ITVX.
