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NHS 10-year plan: May hails historic announcement

Prime Minister Theresa May is promising patients access to “world class” care under a 10-year plan f..

Prime Minister Theresa May is promising patients access to "world class" care under a 10-year plan for the NHS.

She said the publication of the plan on Monday would mark a "historic" moment for the health service in England.

Pledges on maternity care, mental health, elderly support and earlier detection and prevention of diseases will be included in the plan.

She said that, coupled with the extra money announced last summer, the future of the NHS was secure.

The budget is due to rise by £20bn a year above inflation by 2023.

If you can't see the NHS Tracker, click or tap here.

A day before the publication of the 10-year plan, the prime minister said: "The NHS has always been the country's most beloved public service – there to provide outstanding care to us all whenever it is needed.

"The plan marks a historic step to secure its future and offers a vision of the service for the next 10 years with a focus on ensuring that every pound is spent in a way that will most benefit patients.

"This will help relieve pressure on the NHS while providing the basis to transform care with world class treatments."

As healthcare policy is politically devolved, the plan only applies to the NHS in England but she said the other UK nations will be drawing up their own plans. Under the government's funding system they are getting an extra £4bn between them by 2023.

What's in the plan?

The full details are not being unveiled until Monday when it will be released by NHS England.

But Mrs May has outlined some of the key focuses. These include:

  • Better mental health care, including round-the-clock advice from NHS 111 by 2023 and tailored services for young adults. Currently once someone in care turns 18 they are thrust into the adult system, often when they are not ready
  • Providing the best maternity care in the world by improving safety and providing greater mental health support for new parents. One in five new mothers struggles with mental health in the first year of her baby's life
  • Greater control and choice in old age by expanding the use of personal budgets to allow people to decide what care they want, and greater support in the community so people do not end up in hospital
  • Better prevention and detection of disease – cancer is expected to be a key focus with an ambition to increase the number of early detections from one in two cancers to three in four, which in turn will improve survival
  • Increases in the NHS workforce – currently one in 11 posts is vacant
  • Bringing the NHS into the digital age, including online GP booking, prescriptions management and health records

Why is it being published now?

The plan was promised during the summer when the government unveiled its funding settlement for the NHS.

That set out the budget for the next five years and means by 2023 funding for the NHS will be £20bn a year more than it is now, once inflation is taken into account. That is the equivalent of annual "real terms" rises of close to 3.5% – about twice what the NHS has got since 2010.

At the time, the prime minister said she wanted to ensure the money was used wisely and so asked NHS England boss Simon Stevens to draw up a long-term plan for the next decade.

It was expected to be published in the autumn, but was delayed because of the government's troubles getting its Brexit plans agreed.

The last time such a long-term vision was set out was in 2000 under Tony Blair.

How are people reacting?

Understandably people want to see the full details before coming to firm conclusions. But the priority areas are being welcomed.

Andy Bell, of the Centre for Mental Health, said the initiatives on mental health were much needed.

He said: "For too many young people, mental health support is offered too late, with too many restrictions and then they are forced to start again when they reach 18."

Dame Donna Kinnair, of the Royal College of Nursing, said nurses shared the ambitions being set out.

But she added the government needed to "urgently address" the staffing shortages if it was going to succeed.

And Jennifer Dixon, chief executive of the Health Foundation think-tank, predicted fulfilling the pledges would be "extremely tough" because of the scale of staffing shortages, rising pressures and cuts to other parts of the wider health and care system.

The £20bn promise just relates to the front-line NHS budget and so does not cover other elements such as social care and public health – at the end of last year it was announced the budget for these services, which includes smoking cessation and weight management, was being cut by over 4% in real terms next year.

Ms Dixon said: "Trade-offs are inevitable and these must be spelled out clearly so the public know what they can expect from the NHS."

What are we not being told?

There has been a fair bit of tension behind the scenes. The Treasury is understood to have wanted to tie the NHS down in terms of what it will achieve.

One of the central bones of contention is thought to be how the NHS can tackle deficits and waiting times.

Hospitals are struggling to balance their books and have seen a deterioration in the time patients wait in A&E, for cancer and for routine operations.

None of the three key targets are currently being met.

It looks like a trajectory for improvement will be published at a later date with NHS bosses known to have been wary about promising things they felt they could not deliver.

Another missing piece is the green paper on social care.

This was first promised in 2017, but has been delayed on a number of occasions. Brexit has certainly been a factor, but again there has been disagreements in private, this time over how radical the plan should be given the problems facing the sector, which covers care homes and home help.

The government has promised the green paper will be published as soon as possible.

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The organization helping to bring new drugs for rare diseases to market

A research team has reason to celebrate after the Food and Drug Administration granted it approval o..

A research team has reason to celebrate after the Food and Drug Administration granted it approval on Friday to begin a clinical trial for a new pediatric brain cancer drug, one that might have ended up overlooked by pharmaceutical companies.

The lead researcher on the team, Dr. Teresa Purzner has already beat impossible odds. The neurosurgeon and mom of three managed to get the approval in record time and with little money thanks to the help of a team of scientific altruists called SPARK.

The development of new medications in the United States is driven by pharmaceutical companies; researchers at universities rarely bring their discoveries to the bedside. For every 10,000 potential new medicines sitting on laboratory shelves around the country, only one will ever reach patients in need, according to the National Institutes of Health. Why? Because the process can take 10 to 15 years, costing upwards of a billion dollars per drug.

As a result, the number of new medications approved by the FDA has remained stagnant at about 31 per year over the past 10 years. The majority of these medications are similar to already existing ones, and many target diseases for which there are large markets — like hypertension and high cholesterol — and therefore, a return on investment.

Enter SPARK, a non-profit program created in partnership between Stanford University and volunteers from the biotechnology, pharmaceutical, and investment industries, which helps academic researchers bring their discoveries to patients. Since its founding, SPARK has given special consideration to projects typically neglected by pharmaceutical companies, including rare diseases and diseases affecting children.

Purzner put her neurosurgery practice on pause to study medulloblastoma, a type of childhood brain cancer. Compared to diseases like hypertension and high cholesterol, which affect millions of Americans, medulloblastoma is rare, affecting only 250 to 500 children every year.

“Theres something especially poignant about seeing children —beautiful, wonderful, innocent things — and seeing the impact of the therapies we are giving them. The medications, the radiation therapies impact their cognition, their quality of life and their ability to function as independent adults in the future,” Purzner said in an interview with ABC News.

Purzner had a clear goal: to find a targeted therapy that could shut down the basic biochemical pathway responsible for the development of this cancer, and she did. She tested the potential drug in mice with good results, and she just received FDA approval to test it in clinical trials, which she will do through the Pediatric Brain Tumor Consortium. She did it all in five years and for a price tag of $500,000.

“To get from my initial findings in the lab to the point where the Pediatric Brain Tumor Consortium picked it up for clinical trials would have never happened without the help of SPARK… they gave me a clear pathway and made me believe it was possible,” said Purzner.

Every year, SPARK provides 10 teams with funding and expert mentorship to promote efficient and cost-effective drug development. (more…)

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Widowed father works with congresswoman on legislation to prevent maternal deaths

Sitting in the hospital room, mother and newborn baby were sound asleep.

“I was overjoyed. I reme..

Sitting in the hospital room, mother and newborn baby were sound asleep.

"I was overjoyed. I remember thinking my family is complete," Charles Johnson told ABC News.

But then he looked down and saw his wife Kiras catheter turn pink and then red with blood.

April 12, 2016 was supposed to be a joyous day for the Johnson family, but it turned into a "nightmare."

Ten hours later, Kira Johnson died as a result of internal bleeding following a cesarean section.

Now, two years later, Johnson is raising two children on his own and advocating to rectify the country's maternal health policies and regulations to prevent anyone else from sharing the same tragedy. Johnson took to Capitol Hill to share his wife's story before members of Congress, working alongside a congresswoman who experienced her own personal difficulties during pregnancy.

Charles and Kira Johnson welcomed their first son Charles V. in 2014. He was delivered via C-section. Two years later, the Johnson family relocated from Atlanta to Los Angeles and learned they were expecting their second baby boy.

"Kira and I had always wanted two boys," Johnson said. "I was excited."

The Johnsons decided to have Langston delivered at Cedars Sinai medical center, a non-profit hospital that is currently ranked as the eighth best hospital in the country by U.S. News and World Report.

Charles Johnson said his wife was in exceptional health and that she took all the necessary prenatal measures to ensure their second child would be born healthy. Since their first son was born via C-section, the doctor suggested the same for their second. (more…)

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States look to breathalyze convicted drunk drivers to reduce fatalities

This story is from Kaiser Health News

On Jan. 1, California joined the majority of states that ha..

This story is from Kaiser Health News

On Jan. 1, California joined the majority of states that have laws requiring drivers with drunken-driving convictions to install breathalyzers in vehicles they own or operate.

Researchers, public health advocates and political leaders believe these laws are helping reduce alcohol-related road deaths.

The gadgets, known as ignition interlock devices, are mounted on the steering wheel of a vehicle and prevent it from starting if the drivers blood-alcohol reading is above a predetermined level.

In California, the breathalyzers are mandatory only for repeat offenders. Five other states — Georgia, Indiana, Massachusetts, Montana and Ohio — have similar laws. Thirty-two states and D.C. require the devices even for first-time offenders.

The advent of such laws across the United States in the past 15 years has been accompanied by some good news: Deaths involving drunken driving are only about half of what they were in the early 1980s, though they have ticked back up in recent years. The long-term decline is largely attributable to greater public awareness, stricter seat belt enforcement and the establishment in 2000 of a nationwide legal blood-alcohol threshold of 0.08 percent — far below the 0.15 percent standard commonly used before then.

State Sen. Jerry Hill (D-San Mateo), the author of the California law, said breathalyzers in cars will make roads safer than under the current law, which generally relies on license restrictions and suspensions.

“Weve seen people on a suspended license continue to drive and continue to cause destruction,” said Hill, who lost his best friend to drunken driving in the 1980s.

There is some evidence that the breathalyzers have an impact. Nationally, from 2006 to 2016, ignition-locking breathalyzers prevented 2.3 million attempts to drive by people with a blood-alcohol level at or above 0.08 percent — the legal threshold for driving under the influence — according to a 2017 report by the advocacy group Mothers Against Drunk Driving.

Emma McGinty, an associate professor at the Johns Hopkins Bloomberg School of Public Health, found that laws requiring interlocks for all DUI offenders were associated with a 7 percent drop in the rate of fatal crashes caused by drunken drivers. Another study found that laws covering all offenders were associated with 15 percent fewer alcohol-related fatalities compared with states that have less stringent laws. (more…)

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