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The Humanion Free Advertisement Supporting Barnardo's Fostering Campaign
Join Debbie Douglas and Lydia Bright in Supporting Barnardo's Fostering Campaign 2019















We find more children are being taken into care with fewer foster carers to look after them as we launch Barnardo’s 10th Annual Fostering Campaign 2019, which are fronted by The Only Way Is Essex Actor Ms Lydia Bright and Ms Debbie Douglas. The fact is this that the number of children in care in England has risen by 27 per cent in the last 10 years, against which we urgently appeal for more people to consider fostering. In the past decade, Barnardo’s foster carers have looked after thousands of children, giving them the best chance to have a happier and positive future.

However, we are concerned that there are not enough suitable foster families to take care of the increasing numbers of vulnerable children in care. Increasing child poverty, a lack of early intervention and support for families before they reach crisis point and a heightened awareness of abuse and neglect are among the complex reasons more and more children and young people are being taken into care. But figures from Ofsted show that the number of approved carers has dropped by 950 in just one year. If, these trends continue it will become, even, more difficult to find good foster placements for vulnerable children. Join In and Support Our Annual Fostering Campaign 2019.

The NHS England Calls for Applications From Female Healthcare Scientists to Apply for Its Leadership Development Scheme: Deadline May 10




|| March 13: 2019 || ά. Female healthcare scientists are invited to apply for the NHS England’s Leadership Development Scheme, aimed at mid-career healthcare scientists to develop leaders and increase their impact within their Trusts and beyond.

Led by the NHS England’s Chief Scientific Officer, the CSOWISE Healthcare Science Leadership Development Programme for the NHS England Scheme provides support for 32 healthcare scientists over 12 months through a leadership development programme, that includes mentoring, alongside, communication and leadership skills training.

In addition, successful applicants will have the opportunity to attend the Chief Scientific Officer conference and become WISE role models, helping to inspire the next generation to follow in their footsteps. The initiative was launched in partnership with WISE, the campaign for gender balance in science, technology and engineering, on International Women’s Day at the NHS England Chief Scientific Officer’s Annual Conference.

The 2019 scheme was formally announced by Professor Dame Sue Hill DBE, the Chief Scientific Officer for England, who, in support of the WISE campaign, has taken on the role of WISE Lead Ambassador, working in collaboration with a team of female leaders to encourage women and girls to value and pursue science, technology, engineering and maths.

Professor Dame Sue Hill DBE, the Chief Scientific Officer for England, said, “The initiative was a unique opportunity to inspire the next generation of female healthcare scientists to gain leadership, knowledge and experience. We are delighted to partner with WISE and launch this prestigious opportunity on International Woman’s Day for a fourth year.

Science and innovation play a crucial role in patient-centred service transformation and are vital to delivering new frontiers in areas, such as, Genomic Medicine and tackling anti-microbial resistance. Ensuring our healthcare system operates at the limits of science, this Programme recognises the significant contribution women make to technology and engineering, providing a global contribution to science in health and inspiring the next generation of scientists.”

Ms Helen Wollaston, the Chief Executive, WISE, highlighted the impressive impact from the previous fellowships and said, “The ripple effect of the WISE Fellowship has surpassed all expectations. We are delighted to be expanding the number of women involved in the programme. We look forward to using their stories to inspire more girls to see how choosing scientific subjects at school can lead to a career where they will make a real difference to people’s lives.”

Applications are open now. The deadline for applications is  May 10: noon. To find out more or apply visit the WISE website:::ω.

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Children’s Funding Cut by a Third Per Child Leaving Thousands at Risk of Falling Into Crisis: Over 1,000 Children’s Centres Have Closed Since 2004 While 760 Youth Centres Closed Since 2015



|| February 26: 2019 || ά. Shocking new figures from the UK’s leading children’s charities have today showed the funding available for children’s services has fallen by a third per child in England since 2010. The new analysis of official figures by Action for Children, Barnardo’s, NSPCC, the Children’s Society and the National Children’s Bureau, has identified ‘kids’ cuts hotspots’ across England, where local councils have faced the biggest real-term drop in this funding. Councils in London have suffered the largest cuts, with the top five worst-hit boroughs are all in the capital.

Westminster tops the list with funding slashed by more than half, 51%, followed by Tower Hamlets, 49%, Camden, 49%, Newham, 46% and Hackney, 46%. Yet, the problem stretches far beyond London. Areas, such as, Manchester, 45% drop, Nottingham, 43% and Birmingham, 43%, also, made it into the country’s top twenty ‘kids’ cuts hotspots’. Councils are facing a £03 billion funding gap for children’s services by 2025, with many services having already been stripped back or shut down. Over 1,000 children’s centres have closed since 2004, while 760 youth centres have shut since 2015. The charities are warning that thousands more children and young people could fall into crisis, if, these cuts continue.

Ms Julie Bentley, the Chief Executive of Action for Children, , said, “Children’s services are at breaking point and these alarming figures reveal the true scale of the devastating and dangerous funding cuts made year after year by successive governments. Every day at Action for Children we see that children’s services can be a lifeline for families, from helping mums suffering with post-natal depression or families struggling to put food on the table, to spotting children quietly living in fear of domestic abuse or neglect.

Thousands of families across the country rely on these services to step in and stop problems spiralling out of control. With the number of child protection cases and children being taken into care at their highest for a decade6, it’s unthinkable to continue forcing councils to make crippling cuts to services. Without urgent cash from central government, thousands more children at risk of neglect and abuse will slip through the cracks and into crisis.”

Despite cuts to funding for children’s services, many councils have sought to protect this area as best they can, with spending falling by less than the funding drop. Councils, may be, making up the difference by drawing on reserves or slashing spending on other areas but the charity alliance stressed neither approach is sustainable in the long term.

Mr Nick Roseveare, the Chief Executive of the Children’s Society, said, “Vulnerable children are continuing to pay the price as councils face a toxic cocktail of funding cuts and soaring demand for help. This shocking analysis lays bare the enormous scale of this funding challenge, which is making it near impossible for councils to offer vital early support to children and young people to prevent problems escalating.

Funding cuts are not only an inhumane economy, they are, also, a false one. The reductions in early help for children they lead to simply intensify the need for more costly interventions further down the road like taking children into care as they face growing risks, including, everything from substance misuse and mental health problems, to repeatedly going missing, and being sexually or criminally exploited.

The Government now faces a stark choice at the next Spending Review: either continue to leave councils short of the money they need to keep children safe, or address the funding gap and give some of our most vulnerable young people hope of a brighter future.”

Mr Javed Khan, the Chief Executive of Barnardo’s, said, “We have long warned about the ‘perfect storm’ in children’s social care. In every community children face growing challenges, from knife crime and gangs, to cyber-bullying and online grooming, to a crisis in mental health. It’s, even, harder for families struggling to make ends meet. And in many areas the services they once relied on just aren’t there anymore.

As a result, far too often families are reaching crisis point, with rising numbers of children being taken into local authority care. At Barnardo’s we see the impact of this failure to step in early. Children are suffering from trauma, affecting their education, health and happiness, with lifelong impact.

That’s why we’re calling on the Government to provide additional funds so that communities can support local children and parents in need of help.  But we, also, need to spend those resources wisely. That’s why Barnardo’s is taking a radical new approach, working with national and local partners and investing our own resource to co-design and deliver services that change children’s lives and the system around them, for the better.”

About Action for Children: Action for Children helps disadvantaged children across the UK through intervening early to stop neglect and abuse, fostering and adoption, supporting disabled children and by campaigning tirelessly to make life better for children and families. With over 550 services the charity improves the lives of more than 300,000 children, teenagers, parents and carers every year.

About the Children’s Society: The Children’s Society is a national charity, that works with the most vulnerable children and young people in Britain today. We listen. We support. We act. Because no child should feel alone.

About the National Children’s Bureau: The National Children’s Bureau is a leading children’s charity working to build a better childhood for every child. We champion children’s right to be safe, secure and supported, by using evidence and our expert knowledge to influence government policy, and help practitioners to do the best job possible, especially for the most vulnerable and disadvantaged children and young people.

About Barnardo’s:Last year 301,100 children, young people and families were supported by Barnardo’s through more than 1,000 services across the UK, such as young carers, care leavers, foster carers and adoptive parents, training and skills or parenting classes. We work to transform the lives of the UK’s most vulnerable children and every year we help thousands of families to build a better future. But we can not do it without you.

About the NSPCC: The NSPCC is the leading children’s charity fighting to end child abuse in the UK and Channel Islands. We help children who have been abused to rebuild their lives, protect those at risk, and find the best ways of preventing abuse from ever happening.:::ω.

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The First Major Study on Community Hospitals: Policy Makers Need to Focus on Social Value to Patients and Communities





|| January 27: 2019: University of Birmingham News || ά. Researchers at the University of Birmingham’s Health Services Management Centre and Third Sector Research Centre in collaboration with the Community Hospitals Association:CHA and Crystal Blue Consulting, led one of the first major studies to explore the role of community hospitals, patient experience and the relationship community hospitals have with their local community. Although, previous studies have suggested a link between the history of place, hospital, health and community, this Study is the first to demonstrate these findings across multiple community hospitals in England.

The University’s commitment to patient and public involvement ensured that key stakeholders, including, the Community Hospital Association, staff, patients, carers and the public, were involved in the design and delivery of this study. The Study, funded by the National Institute for Health Research:NIHR. National mapping identified 296 community hospitals with beds in England in 2015, although, detailed data were available for 267. Analysis of the 267 sites showed that community hospitals with beds typically were: small with less than 30 beds, in rural  areas and led by general practitioners, in-house doctors and nurses provided step-down and step-up in-patient care for frail, older inpatients and a range of additional local, intermediate and generalist care services.

They were, also, historically, embedded within and valued by their local communities, had complex models of ownership and provision and provided a valued, relational model of care based on integrated, multi-disciplinary working. However, this picture was constantly evolving in response to external demands. Significant recent changes included a reduction in inpatient beds, withdrawal of GPs, increased ‘step-down’ referrals from acute hospitals and increased level of care needed by patients.

People said that it felt different being a patient in a community hospital compared with elsewhere: it felt more like home because of its location and familiarity, environment and atmosphere and the relationships between staff, patients, families and the community. People described a holistic and personalised approach to care, which was, particularly, valued as admission to hospital was, often, associated with difficult changes in personal circumstances.

Relationships among and between patients, their families, staff and community members and relationships among all these people and their environments were an intrinsic factor in people’s rehabilitation and recovery. When considered together, four particular aspects of care, functional, interpersonal, social and psychological, point to community hospitals as providing a relational human, caring, attentive model of care. This relational model of care was facilitated through a closeness to home and community, for patients, their families and staff; the co-location and integration of a range of intermediate, generalist and personalised services; the small size, familiar and homely environment of community hospitals; and their connection to and integration with, the local community.

However, these elements were all in flux; for example, functional aspects of patient experience were changing as patients were drawn from an increasingly wide geographical area, whereas, in other cases, the interpersonal aspects were challenged by pressures on staff, recruitment challenges and growing pressures on beds.

Communities support their hospitals in four key ways: Giving time, volunteering;   Raising money, financial donations and fundraising; Providing services, services and activities within and outside the hospitals, for patients, their families or for the hospital in general and Giving voice, considerable frustration was expressed about the ability of communities and individuals to influence strategic decisions in the NHS.

The voluntary support, that communities provide to their community hospitals adds to and is, an integral part of the ‘social value’ of community hospitals. However, there are considerable variations between the different hospitals studied, levels and forms of voluntary support between community hospitals, within hospitals, regular, active volunteer involvement and overtime, voluntary income, membership and general patterns of engagement are reducing.

The Study concluded that community hospitals represented a significant community asset, with a strong sense of community ownership.  Their provision of local, accessible health and social care services has significance, particularly, in more isolated rural communities.

Through addressing the three Study questions, new understandings of community hospitals have been provided. These understandings take us beyond the individual questions of what a community hospital is and how it is experienced, supported and valued, to new understandings of what community hospitals mean.

Community hospitals mean more to communities, inclusive of patients, carers, staff, volunteers and other local residents, than, simply, a place to receive health care. The study highlighted three particular inter-related meanings: i: Local, integrated intermediate and generalist care, that brings together primary, community and secondary health care and health and social care, statutory, voluntary and community provision in one accessible location; ii: An embedded, relational model of care, that stems from the embeddedness of community hospitals, not only to their local health-care systems but, more fundamentally, to the histories, geographies and social relations of the communities in which they are based and iii: A deep sense of reassurance, that comes from the physical proximity and presence of the hospital but, also, from the different forms of interaction with it and the sense of ownership, that this inspires.

Professor Jon Glasby, of Health and Social Care and the Head of School of Social Policy at the University of Birmingham, said, "Our study shows how community hospitals are contributing to 'community value' through important functions within the communities, in which they serve. Their provision of local, accessible, integrated health and social care services has an important practical and symbolic significance, particularly, in more isolated rural communities. When difficult decisions are made about funding and future service provision for community hospitals, therefore, policy makers need to take into account a broader notion of value, focusing, equally, on the ‘value’ to patients and communities as on the money ."

Dr Helen Tucker, the President of the CHA, who's organisation was part of this Study, says, “The CHA views the Study and the Report as an important contribution to the planning and management of health care services, offering new knowledge and evidence on the role, that community hospitals have to play across the whole health and care system and, also, within their communities.  It is hoped that the evidence will be of value to all concerned with community hospitals and, in particular, commissioners, providers, patients and their communities.’’

The Study of community hospitals was a multi-methods study, with three phases. Phase one involved national mapping and construction of a new database of community hospitals, through dataset reconciliation and verification. Phase two involved nine case studies, including, interviews and focus groups with patients, carers, staff, volunteers, community stakeholders and managers and commissioners. Phase three involved analysis of Charity Commission data on voluntary support.

The lead authors of this study include Ms Deborah Davidson, Ms Angela Ellis Paine, Professor Jon Glasby and Mr John Mohan at the University of Birmingham’s Health Services Management Centre:HSMC and Third Sector Research Centre, together with others from the University of Birmingham, the Community Hospitals Association and Crystal Blue Consulting.

The Health Services Management Centre:HSMC at the University of Birmingham is one of the UK's foremost centres for research, evaluation, teaching and professional development for health and social care organisations. HSMC has established a unique reputation as a 'critical friend' of the healthcare community and strives constantly to bridge the gap between research and practice.

The Third Sector Research Centre:TSRC aims to enhance the knowledge of the third sector through independent and critical research, giving us a better understanding of the value of the sector and how this can be maximised.

The University of Birmingham is ranked amongst the world’s top 100 institutions, its work brings people from across the world to Birmingham, including researchers and teachers and more than 5,000 international students from over 150 countries.

The National Institute for Health Research:NIHR is the nation's largest funder of health and care research.:::ω.

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NICE Recommends New Treatment to Benefit Thousands of Adults with Chronic Lymphocytic Leukaemia





|| January 20: 2019 || ά. Thousands of patients to benefit as the National Institute for Health and Care Excellence:NICE recommends Venetoclax with Rituximab for adults with relapsed or refractory Chronic Lymphocytic Leukaemia:CLL. CLL is the most common form of Leukaemia, with approximately 3,500 new cases diagnosed each year in the UK. It is estimated that 1,000 people will be eligible for Venetoclax in the first year.

Venetoclax, also, known as, Venclyxto and manufactured by AbbVie, will be offered in combination with Rituximab to adults with relapsed or refractory CLL, who have received, at least, one prior therapy. The most common first line treatment for CLL is chemotherapy and there are limited options after relapse. Venetoclax is an oral treatment taken once a day. The dose is gradually increased from 20mg to 400mg in the first five weeks and is given in combination for a maximum of two years. Rituximab is administered after the person has had 400mg of Venetoclax for seven days. 

At the first committee meeting in September 2018, NICE did not recommend these two  drugs due to uncertainties in the evidence. Following further data submissions and clarification from the company, NICE concluded Venetoclax Plus Rituximab in this circumstance is cost-effective.

People will be able to access these two drugs from January 18, just four months after the treatment’s marketing authorisation was granted in October 2018. Since April 2016 new arrangements with the Cancer Drugs Fund mean that NICE can aim to publish final guidance within 90 days of licence.

Mr Meindert Boysen, the Director of NICE’s Centre for Health Technology Evaluation, said, “We are very pleased to announce another treatment option for people with relapsed or refractory Chronic Lymphocytic Leukaemia will be available on the NHS.

This is exciting and very important to people with relapsed or refractory Chronic Lymphocytic Leukaemia where there are limited treatment options. I urge companies to seize opportunities for earlier engagement as part of our new appraisal process, so we can support access to these kind of treatments at an even faster rate.”

The list price for a 112-pack of 100mg Venetoclax tablets is £4,789.47, however, the treatment is available to the NHS at a discounted price through a confidential commercial arrangement.:::ω.

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