NHS hospitals may never achieve MRSA superbug targets
The NHS is not on track to meet its MRSA target and perhaps never will, a leaked government memo says. In November 2004, then health secretary John Reid pledged MRSA rates would be halved by April 2008. But the memo, sent to ministers by a Department of Health official, said it would only be cut by a third by then. It also reportedly recommended ways to handle the news in the media. Dr Mark Enright, from Imperial College, said the target was "unrealistic".
The memo, written by the Department of Health's director of health protection Liz Woodeson and circulated in October, said: "We have a three-year target to halve the number of MRSA bloodstream infection by April 2008.
"Although the numbers are coming down, we are not on course to hit that target and there is some doubt about whether it is in fact achievable.
"The opinion of DH infection experts is that we will succeed in reducing MRSA bloodstream infections by a third, rather than a half - and even if we had a longer period of time, it may not be possible to get down to a half."
Much of the document focuses on the "handling" of the target.
The memo said: "Although the MRSA target is regarded as one of our highest priorities by the Prime Minister's Delivery Unit, it is not a Public Service Agreement target so there is theoretically scope to change it.
"But it has been publicly announced by ministers, including to Parliament, on many occasions so handling would be an issue."
The document goes on to discuss six options for "handling" the target. Of the six, just one recommends simply trying to meet the current target - the other five discuss ways of changing the target or timescale, or dropping the target altogether.
The memo also warns that another superbug, Clostridium difficile, is now "endemic throughout the health service, with virtually all trusts reporting cases" and shows that 2004 saw twice as many deaths from the bug as were related to MRSA.
And it warns that efforts to combat MRSA, such as alcohol handrubs, have had no impact on C. difficile, which it describes as a "far bigger problem"
Dr Peter Carter, general secretary of the Royal College of Nursing, said: "NHS deficits are forcing Trusts to reduce staff and cut services, so it comes as no surprise that priorities such as MRSA have been allowed to slip."
And shadow health secretary Andrew Lansley called on the government to "get a grip on these infections".
He told News 24 the government should follow the example of other European countries, such as Denmark and the Netherlands where employ a "search and destroy" policy is tackling the bug more successfully.
"You have got to have hand hygiene that is really effective," he said. "Hard-working NHS staff have been set a target which the Department of Health privately admits is unachievable."
And Liberal Democrat health spokesman Norman Lamb said: "It is time that infection control became a top priority in the NHS rather than just another item on a long shopping list of targets.
"The labour government seems to spend more time worrying about how to bury bad news rather than stopping the rise of deadly infections" claimed Norman Lamb, Lib Dem health spokesman.
But the Department of Health spokesman said: "We deplore this leak. This paper confirms that from the Prime Minister and Health Secretary downwards, the government is determined that the NHS should get on top of the problem of MRSA and other infections.
Reported in
http://news.bbc.co.uk/1/hi/health/6249149.stm
Health Direct is disgusted that the Dept of Health only cares about the bad publicity that it's incompetence recieves rather than the thousands of preventable deaths that occur every year through it's penny pinching mismanagement.
This blog was set up partially as we could see that deaths through MRSA and superbugs were a scandal- exceeding the number of people killed on UK roads.
John "Not fit for purpose" Reid knows all about MRSA as on May 10, 05 Health Direct noted that Reid admits MRSA killed his mother when John Reid, the erstwhile health secretary, disclosed that his mother died in a National Health Service ward as a result of a “hospital acquired” infection.
The memo, written by the Department of Health's director of health protection Liz Woodeson and circulated in October, said: "We have a three-year target to halve the number of MRSA bloodstream infection by April 2008.
"Although the numbers are coming down, we are not on course to hit that target and there is some doubt about whether it is in fact achievable.
"The opinion of DH infection experts is that we will succeed in reducing MRSA bloodstream infections by a third, rather than a half - and even if we had a longer period of time, it may not be possible to get down to a half."
Much of the document focuses on the "handling" of the target.
The memo said: "Although the MRSA target is regarded as one of our highest priorities by the Prime Minister's Delivery Unit, it is not a Public Service Agreement target so there is theoretically scope to change it.
"But it has been publicly announced by ministers, including to Parliament, on many occasions so handling would be an issue."
The document goes on to discuss six options for "handling" the target. Of the six, just one recommends simply trying to meet the current target - the other five discuss ways of changing the target or timescale, or dropping the target altogether.
The memo also warns that another superbug, Clostridium difficile, is now "endemic throughout the health service, with virtually all trusts reporting cases" and shows that 2004 saw twice as many deaths from the bug as were related to MRSA.
And it warns that efforts to combat MRSA, such as alcohol handrubs, have had no impact on C. difficile, which it describes as a "far bigger problem"
Dr Peter Carter, general secretary of the Royal College of Nursing, said: "NHS deficits are forcing Trusts to reduce staff and cut services, so it comes as no surprise that priorities such as MRSA have been allowed to slip."
And shadow health secretary Andrew Lansley called on the government to "get a grip on these infections".
He told News 24 the government should follow the example of other European countries, such as Denmark and the Netherlands where employ a "search and destroy" policy is tackling the bug more successfully.
"You have got to have hand hygiene that is really effective," he said. "Hard-working NHS staff have been set a target which the Department of Health privately admits is unachievable."
And Liberal Democrat health spokesman Norman Lamb said: "It is time that infection control became a top priority in the NHS rather than just another item on a long shopping list of targets.
"The labour government seems to spend more time worrying about how to bury bad news rather than stopping the rise of deadly infections" claimed Norman Lamb, Lib Dem health spokesman.
But the Department of Health spokesman said: "We deplore this leak. This paper confirms that from the Prime Minister and Health Secretary downwards, the government is determined that the NHS should get on top of the problem of MRSA and other infections.
Reported in
http://news.bbc.co.uk/1/hi/health/6249149.stm
Health Direct is disgusted that the Dept of Health only cares about the bad publicity that it's incompetence recieves rather than the thousands of preventable deaths that occur every year through it's penny pinching mismanagement.
This blog was set up partially as we could see that deaths through MRSA and superbugs were a scandal- exceeding the number of people killed on UK roads.
John "Not fit for purpose" Reid knows all about MRSA as on May 10, 05 Health Direct noted that Reid admits MRSA killed his mother when John Reid, the erstwhile health secretary, disclosed that his mother died in a National Health Service ward as a result of a “hospital acquired” infection.
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9:27 AM
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