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One million NHS patients have been the victims of appalling care

I tend to follow some British blogging and what is going on in the UK. What I have found fascinating in the last few weeks is the contempt of U.S. health care expressed in comments, blog posts and their media while simultaneously stories like the following also appear in their media. I thought I’d share a round up of things I haven’t seen getting much, if any, attention here.

In the last six years, the Patients Association claims hundreds of thousands have suffered from poor standards of nursing, often with ‘neglectful, demeaning, painful and sometimes downright cruel’ treatment.

The charity has disclosed a horrifying catalogue of elderly people left in pain, in soiled bed clothes, denied adequate food and drink, and suffering from repeatedly cancelled operations, missed diagnoses and dismissive staff.

Link

This report on malnourishment in NHS wards:

The number of patients starving on NHS wards has doubled in just two years, according to new figures.

Figures obtained by the Conservatives show the number of serious incidents relating to poor nutritional care has almost doubled.
The number of incidents, reported anonymously, has risen from 15,473 in 2005 to 29,138 in 2007.
Figures also show huge regional variation, with numbers in the North East rising from 389 in 2005 to as many as 1,353 in 2007.
In total almost 70,000 patient incidents relating to nutrition were reported between 2005 and 2007.

LINK

How about 30,000 deaths in 5 yrs. from hospital contracted infections?

Data from the Office for National Statistics covering 2004 to 2008 is expected to show record numbers of deaths linked to the superbugs in England and Wales.
Opposition politicians said the Government had allowed “a horrifying death toll” because of its “slow and sloppy” response to spiralling levels of infection in NHS hospitals.

LINK

Maybe those infection rates are related to this:

Shocking figures released last month reveal that 70% of Britons NHS hospitals are continually plagued by vermin. The figures obtained under the Freedom of Information Act and brought to public attention by the Conservative party, show that more than two thirds of NHS trusts brought in pest controllers at least 50 times over the last 2 years.

Almost 20,000 incidents of pest infestations were reported between January 2006 and March 2008. Infestations of rats, mice, cockroaches, fleas, bedbugs and other biting occurred in wards, clinics and even operating theaters across the country.

80% of NHS trusts reported problems with ants, 66% with rats, 77% with mice, 59% with cockroaches, 65% with fleas, 24% with bedbugs and a further 6% with maggots. Outbreaks included rats in maternity wards, wasps and fleas in neonatal units and maggots in patients’ slippers.

LINK

I know a diary is supposed to contain lots of commentary, but I don’t know what to say about stories like these, other than I hope and pray the over whelming majority of our hospitals don’t have these issues to any significant extent. However, I fear our VA hospitals do.

COMMENTS

  • dave_in_atl

    How about 30,000 deaths in 5 yrs. from hospital contracted infections?

    http://www.cnn.com/2009/HEALTH/07/09/hospital.acquired.infections/index.html

    Approximately one out of every 22 patients who checks into a U.S. hospital acquires a bacterial infection, adding more than $28 billion to health care costs, according to a 2009 report from the Centers for Disease Control and Prevention.

    Every year, such infections sicken 1.7 million and kill 99,000 people in the United States.

  • dave_in_atl

    UK… population ~60,000,000… so 6000 deaths every year (30K over 5 years) ends up being basically 1 out of every 10,000 people.

    US… population ~300,000,000 so 99,000 deaths every year ends up being 1 out of every 3030 people… or almost 3 times as bad!

  • JohnRichardson

    The linked story states clearly :
    More than 30,000 people have died after contracting the hospital infections MRSA and Clostridium difficile in just five years, official figures will show this week.

    So the 6,000 deaths are related to these two bugs alone. The U.S. figures you state are total infections.

    Secondly the story I linked also states:
    Infection experts have repeatedly warned that assessments based on the number of death certificates which record the presence of MRSA and C. diff are likely to underestimate the scale of the problem, because doctors are reluctant to admit that basic infections have caused fatalities.

  • Achance

    and you have the same problems with prison administrations not wanting to document it. Of course, it is complicated by “enhanced” claims of risk from prison employees seeking more compensation because of the risk associated with the work.

  • dave_in_atl

    Infection experts have repeatedly warned that assessments based on the number of death certificates which record the presence of MRSA and C. diff are likely to underestimate the scale of the problem, because doctors are reluctant to admit that basic infections have caused fatalities.

    I guess US doctors are more honest than their UK counterparts? Otherwise I would say the same should apply to the US.

    Reported mortality rates from Clostridium difficile disease in the United States increased from 5.7 per million population in 1999 to 23.7 per million in 2004. Increased rates may be due to emergence of a highly virulent strain of C. difficile. Rates were higher for whites than for other racial/ethnic groups.

    Death rates associated with C. difficile were reported to be increasing from 1999 to 2002 in the United States and from 2001 to 2005 in England and Wales

    http://www.medscape.com/viewarticle/563400

    From 1999 through 2005, estimated MRSA-related hospitalizations more than doubled, from 127,036 (95% CI 112,356?141,716) to 278,203 (95% CI 252,788?303,619).

    The largest increase in MRSA-related hospitalizations involved infections outside the lungs or blood; these almost tripled from 65,361 (95% CI 55,801?74,920) to 185,415 (95% CI 162,102?208,728). Overall, the rate of MRSA-related discharges per 1,000 hospitalizations more than doubled, from 3.95 to 8.02

    In 2005, there were ?11,406 S. aureus?related deaths (95% CI 7,609?15,203), of which 6,639 were MRSA-related

    http://www.cdc.gov/eid/content/13/12/1840.htm