Showing posts with label waiting. Show all posts
Showing posts with label waiting. Show all posts

Tuesday, 20 August 2013

Longer waiting times for GP appointments predicted as concerned GPs raise fears about the impact of cuts for patient care, UK

Main Category: Primary Care / General Practice
Also Included In: Public Health
Article Date: 20 Aug 2013 - 1:00 PDT Current ratings for:
Longer waiting times for GP appointments predicted as concerned GPs raise fears about the impact of cuts for patient care, UK
not yet ratednot yet rated

Over 70% of GPs are forecasting longer waiting times for GP appointments within the next two years - as nearly half (47%) reveal that they have cut back on the range of services they provide for their patients.

In the latest survey by the Royal College of General Practitioners (RCGP) highlighting the growing crisis in general practice, more than 80% of respondents said that they now have insufficient resources to provide high quality patient care.

As well as the reduction in patient services, 39% of respondents to the ComRes poll also said they had cut practice staff and over half had experienced difficulty recruiting and retaining GPs.

Worryingly, four in five GPs were concerned that it will become increasingly difficult to deliver continuity of care to vulnerable elderly people - which has been highlighted as a priority by the English Health Secretary Jeremy Hunt. And 72% of GPs in England said that the amount of time they are able to spend on frontline patient care has been reduced as a result of the new clinical commissioning responsibilities they have been given.

The RCGP is now calling on all four Governments across the UK for an emergency package of additional investment for general practice - before there are disastrous consequences for patients.

Dr Clare Gerada, Chair of the RCGP, said: "The results of our survey paint a bleak picture for patients, the profession and the future of general practice. GPs are grappling with a 'double whammy' of spiralling workloads and dwindling resources, and big cracks are now starting to appear in the care and services that we can deliver for our patients.

"We are particularly concerned about the effect this is having, and will continue to have, on waiting times for GP appointments. We fully understand that patients are already frustrated - and GPs are doing their best to improve access to appointments - but the profession is now at breaking point and we do not have the capacity to take on any more work, without the extra funding and resources to back it up.

"GPs currently make 90% of patient contacts for only 9% of the NHS budget in England. Some GPs are making up to 60 patient contacts in a single day, which is not safe, for patients or GPs.

"We are working our hardest to make sure that patients are not affected but the status quo is no longer an option. We must have an emergency package of additional investment for general practice to protect GP services and protect our patients from even deeper cuts to their care and longer waiting times."

The RCGP survey is the latest in a series highlighting the growing crisis in general practice. The College is concerned that the current situation in A&E departments is overshadowing the very serious problems in general practice. A previous College poll by Research Now revealed that 85% of GPs now consider the profession to be 'in crisis' and half of GPs are no longer able to guarantee safe patient care.

Dr Gerada added: "General practice is the most cost-effective and efficient arm of the health service - GPs keep the rest of the NHS stable and secure. Once general practice starts to crumble, the entire NHS will follow with disastrous consequences for our patients.

"Last week the English Government announced an additional £500 million for A&E departments. What we need is our fair share of funding so that GPs can do more for our patients in their communities."

ComRes interviewed 206 General Practitioners online - 170 from England; 21 from Scotland; nine from Wales; and six from Northern Ireland - between the 7th August and 9th August 2013. Data are regionally representative by NHS Strategic Health Authority (SHA). ComRes is a member of the British Polling Council and abides by its rules. Full data tables are available on the ComRes website, www.comres.co.uk

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our primary care / general practice section for the latest news on this subject. Please use one of the following formats to cite this article in your essay, paper or report:

MLA

Royal College of General Practitioners. "Longer waiting times for GP appointments predicted as concerned GPs raise fears about the impact of cuts for patient care, UK." Medical News Today. MediLexicon, Intl., 20 Aug. 2013. Web.
20 Aug. 2013. APA
Royal College of General Practitioners. (2013, August 20). "Longer waiting times for GP appointments predicted as concerned GPs raise fears about the impact of cuts for patient care, UK." Medical News Today. Retrieved from
http://www.medicalnewstoday.com/releases/265004.php.

Please note: If no author information is provided, the source is cited instead.


'Longer waiting times for GP appointments predicted as concerned GPs raise fears about the impact of cuts for patient care, UK'

Please note that we publish your name, but we do not publish your email address. It is only used to let you know when your message is published. We do not use it for any other purpose. Please see our privacy policy for more information.

If you write about specific medications or operations, please do not name health care professionals by name.

All opinions are moderated before being included (to stop spam). We reserve the right to amend opinions where we deem necessary.

Contact Our News Editors

For any corrections of factual information, or to contact the editors please use our feedback form.

Please send any medical news or health news press releases to:

Note: Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a health care professional. For more information, please read our terms and conditions.



View the original article here

Saturday, 17 August 2013

Research 'backs watchful waiting' in prostate cancer

Featured Article
Academic Journal
Main Category: Prostate / Prostate Cancer
Also Included In: Cancer / Oncology;  Men's Health
Article Date: 16 Aug 2013 - 8:00 PDT Current ratings for:
Research 'backs watchful waiting' in prostate cancer
3 starsnot yet rated

Prostate cancer researchers publishing in the Cancer Research journal argue for more watchful waiting to manage the disease, rather than moving straight to aggressive treatment or surgery.

"Radical prostatectomy or radiation therapy, the usual treatments for prostate cancer, can have negative side-effects such as impotence and incontinence," the lead researcher said.

Kathryn Penney ScD, instructor in medicine at the Harvard Medical School, added:

"Choosing active surveillance could prevent this decline in quality of life."

The research paper analyzes data from two sets of research - one study with 420 physicians recruited to it, and the other involving 787 health professionals. All had been treated with surgery following diagnosis made between the years 1982 and 2004.

The findings from these studies were divided up according to when the men received their disease diagnosis and treatment.

Correlations between the participants' grade of cancer disease (Gleason score) were drawn against the increasing use of PSA screening by doctors to help identify prostate cancer, which has risen "from 42% in 1994 to 81% in 2000."

The PSA test to detect prostate cancer is a means of screening that gives doctors clues as to whether a man has the disease.

The American Cancer Society (ACS) says most healthy men have levels of PSA (prostate-specific antigen) in their blood of under 4 nanograms per milliliter (ng/mL) and that the diagnostic test indicates a higher chance of prostate cancer the more the result rises above this level.

The PSA level is not completely reliable though - it does not always suggest cancer and does not necessarily show level of malignancy. The oncology experts for ACS list numerous other factors that can influence levels of prostate-specific antigen, including, among other possibilities:?

An enlarged prostate (benign prostatic hyperplasia, BPH, for example)Prostatitis (infection or inflammation of the gland)And simply age - levels are likely to rise slowly in older men.

Dr. Kathryn Penney, also associate epidemiologist at Brigham and Women's Hospital in Boston, MA, said:

"Over time, because of PSA screening, men have been more likely to be diagnosed with prostate cancer at an earlier stage, before the disease has had an opportunity to grow and spread."

The analysis by the researchers was designed to find out if the prostate screening test had succeeded in bringing about a reduction in severity of cancers.

Kathryn Penney
Dr. Kathryn Penney, lead author, says her study calls for more patience in the treatment of prostate cancer

But Dr. Kathryn Penney, said of the results:

"We were surprised by just how constant the incidence of high-grade disease has been over time."

"If Gleason grade also progressed over time, we would expect a similar decrease in high Gleason grade disease over time," Dr. Penney continued, adding:

"Men with low-grade disease at diagnosis should seriously consider talking with their doctors about active surveillance."

Written by Markus MacGill


Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today Visit our prostate / prostate cancer section for the latest news on this subject. Gleason grade progression is uncommon, Kathryn Penney, Meir Stampfer, Jaquelyn Jahn and others, Cancer Res: 73; 5163. Published August 15, 2013. Please use one of the following formats to cite this article in your essay, paper or report:

MLA

MacGill, Markus. "Research 'backs watchful waiting' in prostate cancer." Medical News Today. MediLexicon, Intl., 16 Aug. 2013. Web.
16 Aug. 2013. APA

Please note: If no author information is provided, the source is cited instead.


'Research 'backs watchful waiting' in prostate cancer'

Please note that we publish your name, but we do not publish your email address. It is only used to let you know when your message is published. We do not use it for any other purpose. Please see our privacy policy for more information.

If you write about specific medications or operations, please do not name health care professionals by name.

All opinions are moderated before being included (to stop spam). We reserve the right to amend opinions where we deem necessary.

Contact Our News Editors

For any corrections of factual information, or to contact the editors please use our feedback form.

Please send any medical news or health news press releases to:

Note: Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a health care professional. For more information, please read our terms and conditions.



View the original article here