logo
Belfast Trust: Mike Nesbitt to set out plan after bullying allegations

Belfast Trust: Mike Nesbitt to set out plan after bullying allegations

BBC Newsa day ago

Health Minister Mike Nesbitt is expected to set out his department's next steps in tackling behavioural and cultural issues within the Belfast Trust later on Thursday.Last week, a leaked review laid bare bullying allegations within the regional cardiac surgery unit, with reports of some surgeons throwing instruments at staff during procedures.It is understood the plans could see the unit placed on the highest level of the intervention framework - level five - commonly known as special measures.Health unions have since expressed concerns that the issues are not isolated to one unit within the trust.
A hospital trust or facility is placed in special measures when it is rated as being "inadequate", when questions are raised over leadership or when it is unable to make sufficient improvements in a reasonable timeframe.Politicians, including the DUP assembly member Diane Dodds, have been calling for this to happen, saying it followed a series of controversies within the trust.
The chair of the Belfast Trust, Ciaran Mulgrew, has insisted that the organisation is working to resolve the issues.He met the health minister last Friday, with Nesbitt saying afterwards that his department was finalising a series of interventions to help "rebuild staff and public confidence".It is understood that Nesbitt also met health unions and stakeholders earlier this week to brief them on his upcoming plans.He is expected to publish the details in a written statement to the assembly on Thursday.
What did the leaked report say?
The report said an "apparent power battle" had been unfolding between some senior doctors in the cardiac surgical department of the Royal Victoria Hospital in Belfast.Some 70 staff spoke anonymously and the report stated there were "clear tensions" between different groups of staff.The report also detailed the throwing of instruments during surgery as well as "verbal abuse".The report added that while there was one consultant "particularly prone" to throwing instruments in theatre, the behaviour was not unique and nursing staff were bearing the "brunt of the bullying".
Accountability
In a statement, the Department of Health said the health minister has made clear that the behaviours detailed in the report on the cardiac surgical unit at Belfast Trust are "appalling and he is holding the trust's senior management accountable for its response"."The minister has held detailed meetings with the trust chair and with health service trades unions and representative bodies. "He will inform the NI Assembly by way of a written ministerial statement about a planned series of departmental interventions."These will include accountability measures as well as the provision of external support to help the trust rebuild staff and public confidence."

Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

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

Daily Mail​

time36 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.

Royal Berkshire Hospital's share of £4.4m funding 'not enough'
Royal Berkshire Hospital's share of £4.4m funding 'not enough'

BBC News

timean hour ago

  • BBC News

Royal Berkshire Hospital's share of £4.4m funding 'not enough'

Funding awarded to a hospital for repairs and refurbishments is "not enough", a local MP has said. The government announced a £4.4m shared grant for Royal Berkshire Hospital (RBH) and Bracknell Liberal Democrat MP for Wokingham Clive Jones said the cash would "not touch the sides".The government said the funding would prevent appointments being cancelled and blamed "14 years of austerity" from previous administrations for the current problems in the NHS. The hospital, on Craven Road in Reading, was set to be rebuilt under the last government's new hospitals this has been delayed until at least 2037 by the current government, which said the previous plan was not affordable. Jones said the money was "very welcome" but "not enough"."We have £102m shortfall already and it's forecast to be up to £400m in the next 10 to 15 years," he said."So, £4.4m really does not touch the sides."He said he had met with Minister of State for Health Karen Smyth about the matter."Even if they give us £4.4m every year for the next 10 years we've still got a significant shortfall," he continued."I know the minister is well aware of the special circumstances of the Royal Berkshire and that there are parts of it that are 200 years old."Chief executive of RBH Steve McManus said he had also hoped for more funding. He said: "The hospital was in a losing battle against a constant need for repairs, with 50 operations being cancelled in 18 months due to estate disrepair, including power cuts, leaking roofs and collapsed ceilings."A spokesperson from the Department of Health and Social Care said: "We inherited a crumbling NHS following 14 years of austerity, including during the Lib Dems' time in office, but we are determined to turn this around."This week's investment is an essential step to make our hospitals safer and more efficient places to provide care."It added: "These works are funded through the Budget, which provided an extra £26 billion for health and care, and was voted against by the Lib Dems along with every other opposition party. Only Labour will rebuild our broken NHS." You can follow BBC Berkshire on Facebook, X (Twitter), or Instagram.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into the world of global news and events? Download our app today from your preferred app store and start exploring.
app-storeplay-store