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AI could predict patients’ future health conditions, study finds | Science & Tech News

Artificial intelligence (AI) could be used to predict the type of health conditions a patient is likely to develop in the future, a study has found.

The technology could be used to help doctors when it comes to monitoring patients or making decisions around diagnosis, researchers said.

The AI tool, known as Foresight, belongs to the same family of AI models as ChatGPT but has been trained using information from NHS electronic records.

It was developed by researchers from King’s College London (KCL), University College London (UCL), King’s College Hospital NHS Foundation Trust and Guy’s and St Thomas’ NHS Foundation Trust.

The researchers trained three different models of Foresight using data from more than 811,000 patients from two NHS trusts in London and a publicly available dataset in the US.

It was given 10 possible disorders a patient may experience next based on their records.

When using data from NHS hospitals, Foresight was able to correctly identify the condition 68% and 76% of the time. It was accurate 88% of the time when using US data.

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Zeljko Kraljevic, research fellow in health informatics, biostatistics and health informatics at KCL and the first author of the study – published in The Lancet Digital Health – said the findings show the tool “can achieve high levels of precision in predicting health trajectories of patients, demonstrating it could be a valuable tool to aid decision-making and inform clinical research”.

Senior author Richard Dobson, a professor of medical informatics at KCL and UCL and theme lead for informatics at the National Institute for Health and Care Research (NIHR) Maudsley Biomedical Research Centre (BRC), said: “It is an exciting time for AI in healthcare, and to develop effective tools we must ensure that we use appropriate data to train our models and work towards a shared purpose of supporting healthcare systems to support patients.”

The research team is now seeking more hospitals to be involved in developing Foresight 2, which Prof Dobson said will be “a more accurate language model”.

Wales’s health minister Eluned Morgan hits back at Steve Barclay’s offer to treat patients in England | UK News

A Welsh government minister has accused the UK’s health secretary of “a cheap political stunt” after he suggested patients in Scotland and Wales could be treated in England to reduce waiting lists.

Steve Barclay said he was “open to requests” for patients who had been waiting a long time for treatment.

Health is a devolved matter and comes under the responsibility of the Labour government in Wales and SNP in Scotland.

Wales’s health minister Eluned Morgan said the offer from her English counterpart seemed “very odd”.

Recent figures showed 5% of patients on waiting lists in England had been waiting more than a year at the end of June.

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‘Will cancer targets be scrapped?’

The Welsh government said it did not have official figures on the number of individual patients waiting to start treatment.

NHS Wales figures show around 18% of patient pathways were waiting more than a year.

Patient pathways is the total number of waits not the number of individual patients on waiting lists and some patients may be on more than one pathway.

“I think it’s a cheap political stunt for the summer and it seems very odd for a man who’s got 7.5 million people waiting on lists in England to be offering this kind of service beyond his borders,” Baroness Morgan said.

“Where on earth he’d find the capacity from I don’t know, but if the offer’s free then I certainly would want to take it up but my guess is this is just a cheap political stunt.”

‘Challenged’

The health minister acknowledged Wales was “challenged” when it came to waiting lists but cautioned against direct comparisons due to the different ways waiting lists are measured either side of the border.

“The fact is that we are challenged in terms of waiting lists in Wales but we count very differently, we include for example the number of people waiting for therapies,” the minister added.

“The number of people waiting for diagnostics. None of that is counted so you do have to compare like with like and we don’t do that when it does come to waiting lists.”

Scotland’s health secretary Michael Matheson suggested Westminster should concentrate on the “many issues south of the border”, such as doctors’ strikes.

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Mr Barclay also suggested he would like to see closer working between governments on health, a suggestion backed by Baroness Morgan.

“We’re more than happy to cooperate,” she said.

“In the past we used to have weekly meetings with UK health ministers, but since Steve Barclay’s been in power since October, we’ve had two.

“So this is a man who suddenly seems very converted to the cause of devolution when he wants to score a political point.”

How cancer patients receive the most modern care in buildings that are ‘not fit for purpose’ | UK News

Graham Hart has stage four cancer. It’s in his liver and his colon.

The 60-year-old self-employed businessman noticed some bleeding after going to the toilet and made an appointment to see his GP.

The doctor referred Mr Hart to the cancer specialists at the Royal Berkshire Hospital in Reading.

Mr Hart says the news was devastating but now treatment is under way he is more hopeful.

Graham Hart has stage 4 cancer
Image:
Graham Hart has stage four cancer

“I’ve seen the news and you do have anxiety about these things but once you’re up and running… it’s OK.”

Mr Hart is receiving the most modern medical care but his treatment is carried out in a building that opened in 1839.

And it shows.

The rain flooded through the ceiling of the waiting room yesterday forcing the evacuation of waiting patients to a drier part of the building.

There is a gaping hole in the ceiling and buckets are still there in case there is more bad weather.

Next door on the cancer ward the electrics can’t be upgraded or the listed building’s structure changed in any way.

Rain came down through the roof at the Royal Berkshire Hospital
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Rain came down through the roof at the Royal Berkshire Hospital

Walking through the empty room, Mark Foulkes, the president of the UK Oncology Nursing Society, points to the hole in the ceiling and says: “The fact is that some of these buildings are just not fit for purpose, as we can see here – it rained last night as you remember, and it also unfortunately rained in here.

“So, patient care continues, we’ll get on with that, the staff are brilliant.

“The fact that we’re used to dealing with this tells you something about the challenges we face on a day-to-day basis.”

Buckets were put out in the waiting room to catch water
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Buckets were put out in the waiting room in case there was more rain

It’s against challenges like this that the NHS must work to bring down record waiting lists at a time when demand for services continues to grow.

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Steve McManus started his career as a nurse. He is now the chief executive of Royal Berkshire Foundation NHS Trust.

He welcomes a new 15-year workforce plan to boost the number of health staff but says these workers will need the infrastructure to do their jobs properly.

Mr McManus said: “We also need a longer term plan, like the NHS workforce plan that starts to address the sort of physical environment, the technological environment, with the kit that we need to deliver modern healthcare services.”

The government says it will eventually deliver thousands of extra doctors, nurses and other healthcare professionals but the workforce plan is long term and the benefits will not be felt for years to come even though the pressures for the NHS are present now.

The hospital’s emergency department recorded its busiest ever day ever just a few weeks ago with over 600 patients seen.

That’s more than three times the number they would expect to see in the summer.

It is more evidence that NHS pressures exist all year round and not just during winter.

On Wednesday 5 July the NHS marked its 75th anniversary, with Sky News exclusively revealing almost half of people in Britain feel NHS care will get worse in the coming years.

It comes as experts warned that the NHS – created in July 1948 – may not reach its 100th birthday without more resources and fundamental reforms.

There is no denying the NHS its history, but unless it gets urgent help it’s future will be in doubt.

Government plans to move patients stuck in hospital to care homes – but will not discuss this year’s NHS pay | Politics News

A new NHS winter care package is set to be unveiled by the government to move patients stuck in hospital to care homes.

Health Secretary Steve Barclay will announce the changes this week, although the total amount of cash that will go towards the initiative is still being settled.

Senior government sources told the Sunday Times it would involve spending hundreds of millions of pounds on top of the £500m for social care announced in the autumn statement.

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The plan, which Mr Barclay will announce on Monday, is understood to be aimed at block-buying up to 2,000 care home beds in Care Quality Commission-approved facilities over the next four weeks.

Patients who should be discharged from hospital but have been unable to as they need more care but have nowhere to go will then be moved to the care home beds.

The aim is to reduce NHS waiting lists and ambulance waiting times that have been exacerbated by beds being blocked by these types of patients, through no fault of their own.

There are currently about 13,000 patients stuck in NHS hospitals who do not need to be there.

As the government faces further strikes from NHS workers, including nurses later this month and possibly junior doctors in March, the health secretary has doubled down on insisting pay review bodies are the best way for public sector salaries to be decided.

For months, ministers have been saying salary negotiations are for the pay review bodies, made up of experts and staff from the relevant fields, to decide.

But unions have said ministers have the final say on whether to accept the recommendations and have also argued this year’s salaries were decided before inflation soared above 10%.

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Starmer proposes ’10-year NHS plan’

Mr Barclay is set to meet union leaders on Monday but the health secretary wants to focus on pay negotiations for 2023/24.

The Royal College of Nursing (RCN) said it will go ahead with its strikes on 18 and 19 January unless the last few months of this financial year are discussed.

Pat Cullen, head of the RCN, has urged ministers to meet nurses halfway on their demand for a 19% pay rise for this financial year.

Prime Minister Rishi Sunak indicated to the BBC on Sunday only 2023/24’s pay is up for discussion.

Ms Cullen said she had a “chink of optimism” as she said she noticed a “little shift” in Mr Sunak’s stance.

Health Minister Maria Caulfield, who is also a cancer nurse, told Sky News’ Sophy Ridge on Sunday programme the talks on Monday will be about “both pay and conditions” after the government had previously said only a change in conditions was on the table.

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PM invites unions for ‘grown up’ talks

Mr Barclay, writing in the Sunday Telegraph, said he recognises “inflation has made life tougher for the workforce”, which is why he is “so determined to talk about what we can do next year on pay”.

“Doing this work through the independent pay review bodies process is clearly the best way to do this, not least because spending each winter frozen in pay negotiations with the unions would take focus away from the other challenges the NHS faces,” he wrote.

The health secretary added that he is “ready to engage with the unions” and NHS staff could get a significant pay boost from April – if they accept radical reforms to improve productivity such as “virtual wards” at people’s homes.

Members of the RCN pictured on the picket line outside St Thomas' Hospital, central London, on 20 December
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RCN nurses went on strike for the first time ever in December

A Department of Health and Social Care spokesman said: “We recognise the pressures the NHS is facing following the impact of the pandemic and are working tirelessly to ensure people get the care they need, backed by up to £14.1 billion additional funding for health and social care over the next two years.

“This winter, we’re providing £500m to speed up discharge and the NHS is creating the equivalent of 7,000 extra beds to boost capacity.

“We are continuing to consider all options to help urgently reduce delays in the discharge of medically fit patients from hospital. Further steps will be set out in due course.”

On Saturday, Mr Sunak held an emergency meeting with health leaders as he called for “bold and radical” action to alleviate the NHS’s winter crisis.

He said a “business-as-usual mindset won’t fix the challenges we face”.

Record number of ‘foreign objects’ left inside patients after surgical blunders | UK News

A record number of “foreign objects” have been left inside patients’ bodies after surgery, new data reveals.

Incidents analysed by the PA news agency showed it happened a total of 291 times in 2021/22.

Swabs and gauzes used during surgery or a procedure are one of the most common items left inside a patient, but in surgical tools such as scalpels and drill bits have been found in some rare cases.

There are strict procedures in hospitals to prevent such blunders, including checklists and the repeated counting of surgical tools.

Leaving an object inside a patient after surgery is classed as a “never event” by the NHS – meaning the incident is so serious it should never have happened.

When a surgical implement is left inside a patient, it can require further surgery to remove it.

Sometimes such errors are not discovered for weeks, months or years after the event.

In 2001/02, there were 156 of these episodes.

The lowest number was in 2003/04, when 138 episodes were recorded by clinicians.

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NHS Digital data does not make clear when the patient had their initial surgery or treatment, or whether it was performed under the NHS or by a private hospital.

And each “episode” may not be the equivalent of one patient, as some people may have sought care more than once at a different hospital, but the figures come as the NHS is under intense pressure and is caring for more patients than ever before.

Commenting on the analysis, Rachel Power, chief executive of the Patients Association, said: “Never events are called that because they are serious incidents that are entirely preventable because the hospital or clinic has systems in place to prevent them happening.

“When they occur, the serious physical and psychological effects they cause can stay with a patient for the rest of their lives, and that should never happen to anyone who seeks treatment from the NHS.

“While we fully appreciate the crisis facing the NHS, never events simply should not occur if the preventative measures are implemented.”

A woman from east London described how she “lost hope” after part of a surgical blade was left inside her following an operation to remove her ovaries in 2016.

The 49-year-old, who spoke to PA on condition of anonymity, said: “When I woke up, I felt something in my belly.

“The knife they used to cut me broke, and they left a part in my belly.”

She added: “I was weak, I lost so much blood, I was in pain, all I could do was cry.”

The object was left inside her for five days, leading to an additional two-week hospital stay.

“I lost hope, I lost faith in them, I don’t trust them anymore,” she said.

The wound from the second operation also took a long time to heal – leaving a scar.

“Every time I look at my belly, it’s there,” she added.

Emmalene Bushnell and Kriya Hurley from the medical negligence department at the law firm Leigh Day, which represented the woman in her subsequent claim, said in a joint statement: “Undergoing surgery is obviously very worrying for any patient, but in cases of retained foreign objects they often lead to significant harm to the patient.

“Unfortunately, we continue to see cases of retained objects post-surgery resulting in patients being readmitted to hospital, having a second surgery, suffering sepsis or infection, experiencing a fistula or bowel obstruction, visceral perforation, and psychological harm.”

Earlier analysis by PA, published in May 2022, found that some 407 never events were recorded in the NHS in England from April 2021 until March 2022.

Vaginal swabs were left in patients 32 times, and surgical swabs were left 21 times.

Some of the other objects left inside patients included part of a pair of wire cutters, part of a scalpel blade, and the bolt from surgical forceps.

On three separate occasions over the year, part of a drill bit was left inside a patient.

An NHS spokesman said: “Thanks to the hard work of NHS staff, incidents like these are rare.

“However, when they do happen, the NHS is committed to learning from them to improve care for future patients.

“Last year, the NHS published new guidance introducing a significant shift in the way the NHS responds to patient safety incidents, which will help organisations increase their focus on understanding how incidents happen and taking steps to make improvements.”

GP surgery accidentally texts patients they have ‘aggressive lung cancer’ – instead of Happy Christmas | UK News

A GP surgery in Doncaster accidentally texted patients that they had “aggressive lung cancer” – instead of wishing them a merry Christmas.

Askern Medical Practice reportedly made the unfortunate error on the afternoon of Friday 23 December, telling patients they had metastatic cancer.

About 20 minutes later a follow-up message conveyed the surgery’s “sincere apologies” for the previous text and said they had meant to wish everyone happy holidays.

“At first I thought is this some kind of sick joke?” Carl, 42, told Sky News.

He was one of a number of people believed to have received the worrying message.

“And then I am like well I do smoke so do they know something I don’t?

“I kind of sat there and worried about it for a while, it really stressed me out,” he added.

The first message also referred to a DS1500 form, which is issued to people believed to be suffering from a potentially terminal illness.

“I thought what the hell, have I got cancer? Have I got terminal lung cancer?”

When his mother told him that she had received the same message, it became clear that it was not a genuine diagnosis.

“That’s enough to destroy someone,” Carl said.

Carl, from Doncaster, said the second text which apologised for the diagnosis message was “absolutely disgusting”.

He said it felt like the surgery was trying to “nonchalantly” sweep the issue aside.

Carl says he has been registered at the surgery for 30 years but is now switching following this incident.

Sky News has approached Askern Medical Practice for comment.

‘Pioneering’ new smart glasses to be trialled by nurses to help them spend more time with patients | Science & Tech News

New virtual reality-style goggles are to be trialled by nurses on home visits, in an effort to maximise the amount of time spent with patients, the NHS has said.

Smart glasses will, in real time, transcribe appointments straight to electronic records, so the time spent doing administration tasks is reduced.

In turn, more time will be available for nurses to carry out clinical duties such as checking blood pressure, checking wounds and assessing health needs.

It is estimated that community nurses spend more than half their day manually inputting data and filling out forms.

The goggles include thermal imaging to help assess how wounds and injuries have healed and will allow staff to share live footage directly with hospital colleagues to get a second opinion.

Nurses in the Northern Lincolnshire and Goole NHS Foundation Trust area will begin the trial next week with patients who give consent for the tech to be used.

NHS director for transformation Dr Tim Ferris said: “These new smart glasses are the latest pioneering tech and really show us what the future of the NHS could look like.

“They are a win-win for staff and patients alike, freeing up time-consuming admin for nurses, meaning more time for patient care.”

The software used in the smart glasses, dubbed A.Consult, were developed by Concept Health, with founder Farhan Amin saying: “As the smart glasses learn from each patient encounter, it will automate key tasks currently performed manually, giving staff time back to deliver holistic person-centred care to each patient.”

Undated handout photo issued by NHS England of a nurse wearing a NHS high-tech goggle which is being used on home visits to maximise time with patients, as part of a new NHS trial.

Clinical nurse specialist Becky Birchall said her team are “excited” to be the first in the country to take the devices on community visits.

“We currently spend a considerable amount of time writing up our visits to patients, and these cutting-edge goggles will really help to cut down the time we need to keep for admin, supporting us to care for our patients,” she said.

The trust was awarded £400,000 by NHS England to trial the technology as part of wider innovation, which will see a further 16 pilot schemes in the coming months – with the NHS Long Term Plan committed to using the latest technology across the country.

Gene therapy cuts risk of bleeding in haemophilia B patients, study finds | UK News

A new gene therapy can substantially cut the risk of bleeding in people with the rare condition haemophilia B, according to a new study.

Researchers found people who received a single injection of the gene therapy, called FLT180a, did not need to inject themselves every week with clotting factors – proteins that help control bleeding.

Haemophilia is a rare condition that impacts the blood’s ability to clot.

It is typically inherited and mainly affects men.

People with the condition lack clotting factors, which mix with blood cells called platelets to stop bleeding after cuts and injuries.

They can still suffer debilitating joint damage – a consequence of the condition – even with the weekly injections currently available.

Haemophilia A is caused by a lack of factor VIII and is more common, while haemophilia B is caused by a deficiency of factor IX.

In a new 26-week trial led by the Royal Free Hospital, University College London and biotechnology company Freeline Therapeutics, experts found that a single treatment with FLT180a led to sustained production of the protein from the liver in nine out of 10 patients with severe or moderately severe haemophilia.

Lead author Professor Pratima Chowdary, from UCL, said: “Removing the need for haemophilia patients to regularly inject themselves with the missing protein is an important step in improving their quality of life.

“The long-term follow-up study will monitor the patients for durability of expression and surveillance for late effects.”

Patients on the trial had to take immune suppressing drugs over several weeks to several months to keep their immune systems from rejecting the treatment.

While the therapy was generally well received, all patients experienced side effects.

One who received the highest FLT180a dose developed an abnormal blood clot.

Professor Amit Nathwani, who co-founded Freeline, a company focused on liver-directed gene therapies, said: “Gene therapy is still a young field that pushes the boundaries of science for people with severe genetic diseases.”

He said the trial, which was published in the New England Journal of Medicine, adds to “the growing body of evidence that gene therapy has the potential to free patients from the challenges of having to adhere to lifelong therapy or could provide treatment where none exists today”.